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HomeMy WebLinkAbout1600 BUENA VISTA WAY; ; CB951701; PermitBUILDING PERMIT Permit No: CB951701 11/21/95 12:42 Project No: A9502482 Page 1 of 1 Development No: ' Job Address: 1600 BUENA VISTA WY Suite: Permit Type: MISCELLANEOUS 4766 .U12?/% 02 Parcel No: 156-142-40-00 Lot#: C-";bT ?G oc. Valuation: 2,976 Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED Description: RE-ROOF-3100 SF-COMP SINGLE Applied: 11/21/95 Apr/Issue: 11/21/95 Entered By: RMA Appl/Ownr : URBACH ROOFING 619-431-511 3 2131 PALOMAR AIRPORT RD CARLSBAD, CA 920 xxx Fees Required * ....................... Fees : Adjustments: Total Fees: Fee description Miscellaneous Fee x MISCELLANEOUS T -_-_--_----_------ .oo .oo 90.00 Ext fee Data 90.00 PERM 90.00 ----------------- :IT /CLEARANCE I FE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PF3htIlT APPLICATION City oT Carlsbed Building DepertPnt 207S Las Palms Dr., Carlsbed, U 92009 (619) 438-1161 From List 1 (see back) give code of Permit-?lpe: For Residential Proiects Only: From List 2 (see back) give ......................................................... Code of Structure-llpe: Net Loss/Gain of Dwelling Units 2. PRQIMTIINFORMATION FOR OFFICE USE ONLY Building or Suite No. Address Ib(W -us+& wq Nearest Cross Street Lot No. Subdimion NamdNumber Unit No. Phase No. " # OF BEDROOMS # OF BATHROOMS nw (&\k @why% ASyR., 3 # FSTORIES (ir airrerent rrom-appricant) NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEF'HONE uo\mmER UAG- NAME (last na&)H fro% a131 PiLorna RAH~UO CITY mshL& STATE ZIP CODE ql-009 DAY TELEPHONE 43kSr1'3 YEFEEEkt) wn%\x ADDRESS bqq Si+& CITY wmOS* h3\ STATE ZIPCODE qoa5q DAYTELEPHONE NAME (last name first ADD~SS~I~L P~W + ZIPCODE qmoq DAYTELEPHONE 93 13 mtr koo%d-* STATE # CITY mw !STATELK.# (poa;318 LICENSECLASS c-3 CITY BUSINESS LIC. # \a 87 DESIGNWE (last name tirst)-- lapcITy STATE ZIP CODE DAY TELEPHONE STATE LIC. # Workers' Compensation Declaration: 1 hereby attirm that I have a certiticate ot consent to selt-insure issued by the Director ot Industria1 Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY % POLICY NO. ass- q5 EXF'IRATION DATE /- I-qb qoh Cemticate ot Exemption: I certity that in the pertormance ot the work tor 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. ~,,,,,,,L&&#$!s&fs - Owner-Builder Wclaranon: 1 hereby atnrm that 1 am exempt rrOm the Contractors Ucense Law tor the tollowing reason: 0 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.). 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 (Sec. 7031.5 Busings and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair 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, commencing 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 [$500]). 0 0 Business and Professions Code for this reason: flp SIGNATURE DATE 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? Is the applicant or future building occupant required to obtain a permit from the air pollution control distxict or air quality management district? (3 YES 0 NO 0 YES 0 NO OYES 0 NO )@ Is the facility to be constructed within 1,OOO feet of the outer boundary of a school site? IF ANYOF THE ANSWERS ARE YES, A FINM CERlWKXm OF OCCUPANCY MAY NOT BE Issvn> AFIWJULY 1,1989 UNLFSS THE APPLK'UIIT HAS MET OR IS MElYNG THE REQ-OF THE OFFICE OPEMERGJNCYSERVICES AND THE AIRpOwnON alNTROLDKlRK3'. I hereby artinn that there IS a construchon lending agency tor the performance ot the work tor which this permit is issued (se~ 3097h i tin1 Code). $'!DER'S NAME LENDER'S ADDRESS I cemty that I have read the applicatlon and state that the above intormanon IS correct. 1 agree to comply with all city ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. IAISOAI;REE~SAVEINDEMNIFYANDKEEPHARMLESSTHE~OFCARISBADAG~~AU.~JUDGMENTS,QOSIS AND EXPENSFS WHICH MAY IN ANY WAY ACCRUE AGAINST SAID QlY IN OONSEQUENCE OF THE GM"G OF THls PERMlT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the date of such permit or if the building or work authorized by period of 180 days (Section 303(d) Uniform Buildin DATE: PINK: Finance Q CITY OF CARLSBAD 1. 2. 3.. 4. 5. *6 . 7. 8. 9. 10 . 11. SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS /GOO .b LASP I TYPE OF BUILDING: RESIDENTIAL r/ COMMERCIAL q:u ROOF SLOPE: RISE jb:/a inches in 12 inches TYPE OF EXISTING ROOF COVERING &. jht& le C:ING NEW ROOF MATERIAL fb.pb\~s\b$o~s Sh&S A WEIGHT PER SQUARE NUMBER OF SQUARES 31 TRADE NAME PWTI Qw, 05r4 MANUFACTURER ElK NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 3 ROOF SYSTEM APPROVAL UL No. Other asrm- 3018r40 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES V NO If the answer is no, a roof plan must be provided with this application. Fire rating of roof: Class A Class B I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor Owner Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB951701 FOR 12/12/95 DESCRIPTION: RE-ROOF-3100 SF-COMP SINGLE TYPE: MISC JOB ADDRESS: 1600 BUENA VISTA WY CONTRACTOR: OWNER: APPLICANT: URBACH ROOFING REMARKS: MW/KAREN SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- PERMIT# TYPE CB951792 = INSPECTOR AREA DC PLANCK# CB951701 OCC GRP CONSTR. TYPE NEW STE: IOT: PHONE: 619-431-5113 PHONE: PHONE: INSPECTOR T>c CD LVL DESCRIPTION ACT COMMENTS 15 ST Roof/Reroof 4 LwAc -- - ***** INSPECTION HISTORY ***** DATE DESCRIPTION 120695 Roof/Reroof 12 0695 Roof/Reroof 12 0 19 5 Roof /Reroof ACT INSP COMMENTS CODC 9:OO/UNSTBLE LADDR/NO ONE ARN APDC 9:15 AGT PROV LADDER/OK TO CO NRDC