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Home My WebLink About1604 CHESTNUT AVE; ; CB973269; PermitBUILDING PERMIT 10/29/97 10:23 Page 1 of 1 Job Address: 1604 CHESTNUT AV Suite: Permit Type: MISCELLANEOUS Parcel No: 2.05-130-19-00 Lot#: Valuation: 1,632 Occupancy Group: Reference*: Description: RE-ROOF,17 SQUARES-COMPOSITION Permit No Project No: Development No: CB973269 A9704209 Appl/Ownr : MULLIGAN, THOMAS 1604 CHESTNUT AV CARLSBAD CA 92008 *** Fees Required *** ,..-""1 Construction Type; Status; Applied; Apr/Issue: Entered By: 760 729-1224 s. Collected & Credits NEW ISSUED 10/29/97 10/29/97 RMA ** * Fees : Adjustments : Total Fees: Fee description 65 65 ,00 .00 .00 T6tal Credits : Total Payments : Balance Due: Units Fee/Unit . 00 . 00 65 . 00 Ext fee Data Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 65. 00 65. 00 PERMIT FEE 65. 00 0815 10/29/97 0001 01 02 C-PRMT 65-00 APPROVAL CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT.APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 ;1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO.. EST. VAL. Plan Ck. Deposit Validated Bv/_ Date TSL Al/f. Address (include Bldg/Suite #)Business Name (at this address) Lot No.Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Description ui vv-jrk . Exist!- - SO. 1 !ea «- FT. #of Stories Proposed Use # of Bedrooms — £> # of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address 3, APPLICANT D Contractor ' Q Agent foFfibntractor • City QjOwner ""Q Agent for Owner State/Zip Telephone #Fax# Name 4. PROPERTYOWNE Address City State/Zip Telephone £ Name Address City State/Zip Telephone # 6. CONTRACTOR - coMWNYjl^MEJ*^25"=r:::?"P"".'':lr:r"n''r'irl"""~' 'r~~-'*i''-^-~::~~!: "~~*- *-•-*— «--.»- —»_,..„,_,,> (Sec. 7031.5 Business 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, 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 [$500]). Name ' v State License # Address License Class City State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION " " '" "' 7".---!-->••.«>-.- •-, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and 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. D 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: Insurance Company Policy No._ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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 ($100,000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE !7, OWNER-BUILDER DECLARATION - '• ' •' '-*',. '.. " 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: yL 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). D 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). l~l I am exempt under Section Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. W YES QNO 2. I (br^vjl / 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): /V///V , 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/ contractors license number): f\) /*> '• 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): U / fl~ , . . /I t . /f.DATEPROPERTY OWNER SIGNATURE 'COMPLETE THIS SECTION FOR NONwesioeNivu, mimtigpfmatis^ttdF '< k •-•-.---• 1 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? D YES C] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district 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 Q 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESSLENDER'S NAME . ,9. APPLICANT CERTIFICAftbni "~ < " ' """ " ~f-' ^-~~'-~ ' ' "~~ ' '".~"~~-' ~r- - ""X:-:T.%-" f'f ",.-" -- "-" ' . •";. ", ^7.T ~- • - • ,;-.-, - r .;,; - 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^wqrk/s commenc5b>(or a pafiod/ff 1§p d^s (Section 106.4.4 Uniform Building Code). DATE /0 jAPPLICANT'S SIGNATURE : Applicant PINK: Finance 10/29/97 WED 17:40 FAX 760 720 1955 T R MULLIGAN INC EI002 CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFINS 1. JOB ADDRESS 1 100*1 Ctfc&UUT A V/£ 2. TYPE OF BUILDING: RESIDENTIAL > COMMERCIAL _ 3. ROOF SLOPE: RISE 3 inches in 12 inches . 4. TYPE OF EXISTING ROOF COVERING tfoC^ SHEATHING /*• 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) Q) 2 3 •6. NEW ROOF MATERIAL CoM ftps »T8a4 3HWfatfCLASS f\ HEIGHT PER SQUARE 7. NUMBER OF SQUARES / *7 8. TRADE NAME K3T|Aj£^ MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE HEIGHT OF THE PROPOSED ROOF YES X> NO _ If the answer is no, a roof plan must be provided with this application. IK Fire rating of roof: Class A ^C, 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 Z rungs above the roof for inspectioi DATE Owner ;>C Contractor Name *6 - Rolled Roofing, Tile, Snake. Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB973269 FOR 05/12/98 INSPECTOR AREA PY DESCRIPTION: RE-ROOF,17 SQUARES-COMPOSITION PLANCKtf CB973269 OCC GRP TYPE: MISC CONSTR. TYPE NEW JOB ADDRESS: 1604 CHESTNUT AV STE: LOT: APPLICANT: MULLIGAN, THOMAS PHONE: 760 729-1224 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: C/TOM/729-1224 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: —RELATED PERMITS— PERMIT# TYPE STATUS CB973268 RAD ISSUED CD LVL DESCRIPTION ACT COMMENTS 19 ST Final Structural ^r\\ ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 112097 Roof/Reroof AP PY OK TO COVER