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Home My WebLink About1009 DAISY AVE; ; CB984362; PermitBUILDING PERMIT Permit No CB984362 12/14/98 13 13 Project No A9805645 Page 1 of 1 Development No Job Address 1009 DAISY AV Suite Permit Type MISCELLANEOUS m2 12/14/98 0001 01 02 Parcel No 214-422-14-00 Lot# C-PRMT 203-00 Valuation 10,b42 Construction Type NEW Occupancy Group Reference* Status ISSUED Description RE-ROOF,3400 SF-LT WT CLAY Applied 12/14/98 Apr/Issue 12/14/98 Entered By RMA 760 432-9084Appl/Ownr *** SECURE ROOFING 2210 MEYERS AV ESCONDIDO CA Fees Required *** 92029 ^ Collected & Credits Total vP/avmen-tc : Fees Adjustments Total Fees Fee description Miscellaneous Fee # •* MISCELLANEOUS TOT 00 00 203 00 Ext fee Data 203 00 PERMIT FEE 203 00 FINALAPPROVAL nor CLEARANCE. ' / CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 ROJECT INFORMATION, FOR OFFICE USE ONLY PLAN CHECK NO EST VAL [D. PA Plan Ck Deposit ' Validated Date 'Address (include Blag/Suite »}Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Useing Use,. s % v t& Proposed Use /Description of Worj'/\p~'?0-J£:> * 2 CONTACT PERSON (If different from applicant) SO FT #of Stones * of Bedrooms 9 of Bathrooms Name ,3 APPLICANT D Contractor Address City ,gent for Contractor Q Owner Q Agent for Owner State/Zip Telephone * Fax # *~fjame 4 PROPERTY OWNER Address City State/Zip Telephone 9 Name Address City State/Zip Telephone 0 CONTRACTOR COMPANY NAME (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repeir any structure prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law (Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001) "Nfime State License t^^Oft^ , Address V License Class L^^if City State/Zip City Business License t/2?~(. Telephone f ?3^S£>- Designer Name State License # Address City State/Zip Telephone 6 WORKERS COMPENSATION " " ----,,--- , Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have end will maintain a certificate of consent to self Insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued O> I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are . . ~2-£> S "> "t ' Q>ts?eJ& Expiration Date ////*?cSInsurance Company Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) ( ' Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1(XLOOO) In addition to the cost of compensation damages as provided for hi Section 3706 of the Labor code Interest and attorney » fees SIGNATURE ---/^&£fa^L&S^*-^^^y^——f—v /&Z=r£~7U7~ DATE /S //4Y 1^ 7 OWNER BUfkOER DECLARATION 1 J" ~f "".,/, •"' < '*r'~ ~ I hereby affirm/hat I am exempt from the Contrector s License Lawfor the following reason Q I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such Improvements are not Intended or offered for sale If however the building or Improvement Is sold within one year of completion the owner builder will have the burden of proving that he did not build or Improve for the purpose of sale) l~l I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044, Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) I am exempt under Section Business end Professions Code for this reason 1 i personally plan to provide the major labor and materials for construction of the proposed property improvement Q YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contrectors license number) _ _ ^ __ 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated (include name / address / phone number / type of work) _ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY r ""*" "*""" '•*~--~*rr,-*r-~~«~rr^-».<~-,l* •• ,- Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the eir pollution control distnct or air quality management district? Q YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT i8 CONSTRUCTION LENDING AGENCY " ~" " " "" ""••"• ~r- «•--.•"- --- — •• — -• I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION ~ "' -——----- - -- --,-„-.»,-, r ,.~T,-t,, I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) faZs^^*— .XZ"//-, i^-^ &2j£*J7— DATEAPPLICANT S SIGNATURE Applicant PINK Finance Inspection List Permit* CB984362 Type MISC RE-ROOF.3400 SF-LT WT CLAY Date Inspection Item Inspector Act Comments 1/29/99 19 Final Structural DH AP 12/16/98 15 Roof/Reroof DH AP Wednesday June 16 1999 Page 1 of 1 City of Carlsbad Inspection Request For 1/29/99 Permit# CB984362 Title RE-ROOF.3400 SF-LT WT CLAY Description Type MISC Sub Type Job Address 1009 DAISY AV Suite Lot Location APPLICANT SECURE ROOFING Owner ZAWISTOWSKI RONALD&DIANE Remarks Inspector Assignment DH Phone Inspector Total Time CD Description 19 Final Structural Requested By JAMIE Entered By CHRISTINE Act CommentsM InspectionHistory Date Description Act Insp Comments 12/16/98 15Roof/Reroof AP DH City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1 JOB ADDRESS 2 TYPE OF BUILDING RESIDENTIAL > COMMERCIAL 3 ROOF SLOPE RISE 4^/y>inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) <£) 2 3 5 TYPE OF EXISTING ROOF COVERING~0#?££fSHEATHING *6 NEW ROOF MATERIAL V7t-g CLASS Jh' WEIGHT PER SQUARE 3"-£> 1 NUMBER OF SQUARES 8 TRADE NAME MANUFACTURER 9 ROOF SYSTEM LISTING UL No _ ICBO No 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^§§1^ NO All roof coverings are required to be CLASS A Combustible roof coverings of any type or classification are prohibited I understand the following inspections are required 1 Tear Off/Pre-mspection prior to install new roof covering 2 Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection Signature. Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other