The URL can be used to link to this page

Home My WebLink About1720 KIRK PL; ; CB973712; PermitB U I L D I N G 12/02/97 16:51 P E R M I T Permit No: CB973712 Project No: A9704791 Development No: Page 1 of 1 Job Address: 1720 KIRK PL Permit Type: MISCELLANEOUS Parcel No: 207-260-37-00 Valuation: 2,688 Suite: Lot#: 1936 l2/02/97 0001 01 C-PRMT Construction Type: 02 90 -00 NEW Occupancy Group: Reference#: Status: Applied: ISSUED 12/02/97 12/02/97 RMA Description: RE-ROOF,28 SQUARES-COMPOSITION Appl/Ownr : SECURE ROOFING 2210 MEYERS AV ESCONDIDO CA *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee ij1 * MISCELLANEOUS T0TAt 92029 *A.It 760 Apr/Issue: Entered By: 432-9084 Fees Collected & Credits *** ----------------~--------------------------- ,00 .00 90,00 Ext fee Data 90. 00 PERMIT FE 90.00 FINA INSP.{ APPROVAL -DATE~tJ,._ CLEARANCE :::::::::::::::-----~ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONL V '' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA· 92009 (760) 438-1161 PLAN CHECK NO. °l 1 ]717..__ esr. VAL 0Ae8'f Plan Ck. Deposit ________ _ Validated By_--,-:,,;---/-.\11,~===--- Date ____ -l-~c:,..-4-'-""'ll'"'l'---'~--,, Address (Include Bldg/Suite I) Business Name lat this address) Legal Description Unit No, Phase No, Total# of units .~essor'1 Parcel I I ~ w, fl-& rv oposed Use Description Work I of Bedrooms I of Bathrooms 1,,' Nam a Address City State/Zip Telephone II Full lii~~i>iitrairtiii,~~Aiionl/l~;ci•t•,iJ0'6wrie/::;'J/~'';"'~~ ;OD 9wi4 Name AddreH City State/Zip Telephone I /4;:-,. r '1·'~ff4{{/i;"-;•-·~~:t('r,1;f,),'l"iI'~,· :::~~:;,{' Name Address City State/Zip Telephone II i&.1~1CONi'MCTbfii''t!OMPANY;NAME1~:~~~r,~;1:~~~ir:,;•_~:'""'~'· ·•·'.:'.·" n. ,.,, ·:·;-r' • · ' (Sec. 7031.6 BuslneH 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 thl'II provisions of the Contractor's License Law (Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Codal or that he Is exempt therefrom, and the basis for the alleged emption. Any vi tlon of Section 7031.6 by any applicant for a permit subjects the applicant to a clvll penalty of not more than five hundred dollars 1960011. -:t::iJc, JO ~ 6°"> Cont'lJl) 1t:J ?-'3..2.-· D' Name Addre11 City State/Zip Telephone I State License I -=:5"-~C..CC0_8'_'3~</ __ license Class __ 0,3 ___ 9 _____ _ City Business license # 1'2~ .Zt?S~ Designer Name Address City State/Zip Telephone State License I __________ _ ,i;· , WtiRKEliii!·CbMPENtlATiot<l,iil':S'.· 1 U'} '1 Workers' Compensation Declaration: I hereby affirm ,under penalty of perjury one of the followlng declarations: O I have and wlll maintain a certificate of consent to Hlf-lnsure for workers' compensation as provided by Section 3700 of the labor Code, for the performance ~f ~e work for which this permit Is Issued . .,,.l?J" · I have and wlll 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 compJJns8:°n lnsufance carrl_er and policy number are: lnsu,ancaCompanv -S:r~ Fu nD ' ' PolloyNo.2E<::"-/ff1 -97 E,pi,atlonD,to /~J-'il (THIS SECTION NEED NOT IE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (t100) 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 C■llfornla, WARNING: Fall~t•---to-,Hcure WOfk■r•• compenaaUon coverage la unlawful, end shaU subJect en employer to crlmlnal penaltlH and clvfl fines up to one hundred thousand~ (ti1od,0oo,, In add~ the cos of c0mp8nsatlon, damages•• p.-ovkled for In Section 3708 of the labor code, Interest and attorney's fees. SIGNATURE ' Ch:__/ U-A DATE / '}_ 'L. -7' 7 ::7 ff'ltJ\MJbi~lf llbl!R1Jilf · "fflj ,.,-(~lrf~~~~~'•[i\~,J~~;,:.::,~;;;:~,;.,i:~.~,;; :,:+;r:;;.;i-;,,:;;:;: ,li/ .• <a · ,,-~-- 1 hereby affirm that I em exempt from the Contractor's Ll_cense Law for the following reason: 0 I, as owner of the property or my employees·wlth.wages as their sole compensation, wlll do the work and the structure is not Intended or offered for sale ISec. 7044, Business and Professions Code: The Contractor'• License law does not apply to an owner of property who builds or Improves thereon, and who does auch work himself or through hl1 own employee,, provided that 1uch Improvements are not Intended or offered for sale. If, however, the bulldlng or Improvement Is sold within one year of completlon, tha owner•bullder will hava the burden of proving that he did not build or improve for the purpose of Hie). 0 I, es owner of the property, em exclusively contracting with licensed contractors to construct the project ISec. 7044, Business and Professions Code: The Contractor•• LlcenH L•w does not apply to an owner of property who builds or Improves thereon, and contracts for auch projects with contractorlsJ licensed pursuant to the Contractor'• UcenH Law). D I am exempt under Section ______ Business and Profe,slons Code for this reason: 1. I per•onally plan to provide the major labor and mater!als for construction of the proposed property Improvement. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firml to provide the proposed eonstructlon (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/ contractors license number):. ________________________________________________ _ 6. I will provide some of tha work, but I have contracted (hlredl the following peraons to provide the work Indicated !include name/ address / phone number / type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE ________ _ tcoMiolttl!.::tit1,;8toT1tiill>1'6li;;iwA£i!i!:lrlomffllt!IUIUilNciiPERMi:tii[(iNllv,..iiim,;1., ,,i,,0 '":-<'i'." i ,,, ""''t· , ,,,c,1<,F•"-"•~,,1, '"'"·',,M,:·r::,,,.,,.,,. , ,,. · Is the applicant or future building occupant required to aubmlt a business plan, acutely hazsrdous materials reglstrstlon form or risk management and prevention program under Sections 26606, 25633 or 26634 of the Presley•Tanner Hazardous Substance Account Act1 0 YES O NO Is the applicant or future building occupant required to Ob:t•ln a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a achool eite7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ~!ltlfflUCffiiNU!flliffiiJ.!iEH~'!f,l!m~.i'l>}li,IW!C.!i,,';·;,,:;:1,;::, ,,,:I:;-r,,;:,,,,,:,,,: ,.,:::·.;•,• I he,eby affl,m that there Is I construction lending agency for1tha performance of the work for which this permit Is issued (Sec. 3097111 Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ________________________ _ fiTIW-ii .. ~APJiliCANt,rCERtiFfeATION:,Ml";)ffl~W!i~iWf;mf~~~~ilfit~i,f!.!~~~f1:~i},;" ii(;)·, ':~,:tiff1:~fi--1'!siY,:(ti!li'i;!iJ\tii~~!i"::l/\ i ,1,<,i,!.; ;c;,-. i": ; I certify that I have read the application and state that the a~ove 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 buUdlng corstructlon, I hereby authoriia representatives of the Cltt of Carlsbad to enter upon the above mentioned property for lnapectlon purposas. 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 I• required for excavations over 6'0" deap and demolition or conmuction of structures over 3 atories In height. EXPIRATION: Every permit l11ued by the Bulldlng Offlclal under the provisions of this Code shall expire by !Imitation and become null and void If the building or work authorized by such PIJmfttS"hot)commanced-wlthln. 386 days from the data of such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after t e_,,W'Ork Is comma d fo; a period of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S SIGl'JATURE (/' _./ ' DATE --1.;i. ;, -') _Z_ ---- WHITE: FIie YELLOW: Applicant PINK: Finance 1. 2. 3. 4. 5. *6. 7. 8. 9. -10. 11. I!!\ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS )7 2-o I<, r--J:.:.. L4J. ('.,€.- TYPE OF BUILDING: RESIDENTIAL)< C0"'1ERCIAL __ ROOF SLOPE: RISE Y. inches in 12 inches ~ TYPE OF EXISTING ROOF COVERING SHEATHING. _____ -.,,,_ (circle· oner:D 2 3 PS{:~__lL. WEIGHT PER SQUARE. __ _ NUMBER OF EXISTING ROOF COVERIN NEW ROOF MATERIAL Sfv n Lt_ NUMBER OF SQUARES 2..f TRADE NAME c /J:::_ MANUFACTURER c5'/"J::._ -=-~;.._________ :_:::;_;..__;;;:._ _____ _ ROOF SYSTEM APPROVAL UL No.Ul/239/5 Other ----IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO.SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES )Q 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: l. 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. SIGN ( /.2-/-c; 7 DATE Contractor )( Owner___ Contractor Name S .I:~ ~ 'Z) c --= *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB973712 DESCRIPTION: RE-ROOF,28 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 12/12/97 SQUARES-COMPOSITION JOB ADDRESS: 1720 KIRK PL APPLICANT: SECURE ROOFING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA PY PLANCK# CB973712 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 432-9084 REMARKS: C/PAM/432-9084 SPECIAL INSTRUCT: INSPECTO~~l-J_~·=---------- / TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _1_9 __ s_T _F_i_n_a_1_s_t_ru_c_t_u_r_a_1 _______ f-i_ ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 120497 Roof/Reroof ACT INSP AP PY COMMENTS