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HomeMy WebLinkAbout1732 MALLOW CT; ; CB972272; Permit.. B U I L D I N G P E R M I T Permit No: CB972272 Project No: A9702871 Development No: 08/12/97 16:42 Page 1 of 1 Job Address: 1732 MALLOW CT Permit Type: MISCELLANEOUS Parcel No: 215-516-31-00 Valuation: 2,208 Suite: Lot#: Occupancy Group: Reference#: Description: RE-ROOF,2300 SF-COMPOSITION Appl/Ownr : KNITTER ROOFING 635 TWIN OAKS VALLEY RD STE 6 SAN MARCOS CA 92069 760 Construction Type: Status: Applied: Apr/Issue: Entered By: 736-4141 NEW ISSUED 08/12/97 08/12/97 RMA *** Fees Required *** Collected & Credits *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee ~1 * MISCELLANEOUS TOTAt CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 90.00 Ext fee Data 90.00 PERMIT FE 90.00 >ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROjECT INFORMATION 173;1 Nlallow C.t Address (include Bldg/Suite #I Business Name tat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms ':i. CONTACT PERSON (II dlffNI iiom oppkaniJ Name Address City State/Zip Telephone # Fa,c # COntiiatdr/:C:?t:rlitiW~~~:-~GtOrlc)f&:itier'"MtW:.m~"'':f~~l~[!l,~im~~'v>::;!~' · ""'·r ·. · 4 . ' , . -tit4 Name City . \'_' PMo,11:ftN·bWNEll '1>¢> ".'·'~-1."' ;'~~~~~~~-',1'.Y/11;t'ff~'~Z,"ry'rr,,":::"'1!!'!''r.~1'YJt~r·~r~ll'yt-''f'.'t'· ~ . Name Address ii:·.·• CbNTRACT01:i';;. ·CoMPANYNAME~~t~'•;t;~•,10"'t"',1w. ;,.,,,_,.,i•·10•itc=,, ·"'"''·"'·· ., .-. , lSec. 7031.6 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 la licensed pursuant to the provisions· of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Bualneaa and Professions CodaJ or that he la exempt therefrom, and the bHil for the alleged e m ion. Any iolatlor-of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I $5001). 011 --• 4' · _ "1.JX 'r 7'3&--<-l'-1 Address City State/Zip TeleR,hone # State License # _ _,__,,.,_,,_-'-_;,_""'--License Class -''--'"'---"'----City Business License # ('.l ~ / "=-8 Designer Name Address City State/Zip Telephone State Ucense # _________ _ 8. WORKERS' COMPENSATION 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 Sectiori 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ 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: _Q _ Insurance Companv eJ-a;b , 5.&.J'.'0-, Policy No, j 3~ (, J¢J ·1 I Expiration Date ,2, -/ 9 ~ ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100I OR LESS! 0 CERTIFICATE OF EXEMPTION: ·1 certify that in the performance of the work for which this permit is issued, I ehall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to sacure workers' compensation coverage la unlawful, and ahal subject an employer to crtmlnal penalties and dvll fines up to one hundred thousand dollan 1$100,0001, in addition to the coat of compensation, damages as provided for In Section 3708 of 1h11 Labor code, lnternt and attomey'a fees. SIGNATURE ________________________ ,-----,--DATE _________ _ 7. OWNER,BUILOEII DECLARATION ' •·· ·· • "·""' ' · /<c'. ,_ .... ,.--" I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I, as owner of the property or my employees wtth wages as their soJe 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 Lew). D I am exempt under Section ______ Business and Professions Code for this reason: 1 . I personally plan to providtl the major labor and materials for construction of the proposed property improvement. D 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 lfirml to provide the proposed construction (Include name / addrns / phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following P9rson to coordinate, supervise and provide the major work (Include name I address I phone number/ contractors license number): ____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the foJlowing persons to provide the work Indicated !include name I address I phone number I type of work):, ______________________________________________________ _ PROPERTY OWNER SIGNATURE______________________ DATE ________ _ ·coM~·THIS: SECi10N FOfl NON-RE$1DElhiAL'liOtbtHciiPERMrti'ONLY,;;W:T!.1Jr"\:~-,..m:l;;~;ri:,~'"'.t~~~fir'J'j ~~'~flJ~,ii~!'lf[~~~~~~7'.~'!"J:f'!": 0 ;. ~:::r:•1·i'':•'"?'!'.'1'.'" f"'."·''.·: ' Is the applicant or future building occupant required to submit • b~nes• plan, ecutety hazardous materials regiattatlon form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future bl,lldlng occl.l)ant required to obtain a permtt from the air pollution control district or air quality management district? D YES O NO Is the facility to be constructed wtthin 1,000 feet of the outer boundary of a school site? 0 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POUUTION CONTROL DISTRICT. :a."''.c0Nsiiiilctiot,1'l!Nli1iiii\11GfflcV"~'"'~--,,•,···:-,~; .,,."""'""''" • .,, .,,,,_, , ,,,.,. ,,, , .•. ,, · I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit 11 issued (Sec. 3097(1) Civil Code). LENDER'S NAME ____________ _ LENDER'S ADDRESS. _______________________ _ t certify that I have read the eppUcation and ttate that the above Information Is correct and that the information on the· plans la accurate. I agree to comply with all City ordinances and Stata laws relating to building conttruction. I hereby authorize representatives of the CJtt 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 CrTY 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: EvMy 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 a horlzed by such permit is suspended or abandoned at any time after t e k ts com men for a p od of 180 days (Section 106.4.4 Uniform Building Code). DATE --'41---'--"c-.L'Z.'=\--9-''-lL-_ PERMIT# CB972272 DESCRIPTION: RE-ROOF,2300 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 08/27/97 SF-COMPOSITION JOB ADDRESS: 1732 MALLOW CT APPLICANT: KNITTER ROOFING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA TP PLANCK# CB972272 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 736-4141 REMARKS: C/NICKIE/736-4141 SPECIAL INSTRUCT: INSPECTOR---,/~;--+--------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS _1_9 __ s_T _F_in_a_1_s_t_ru_c_t_u_r_a_1 _______ ,~--------------- DATE 082697 081497 DESCRIPTION Final Structural Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP CA PK AP TP COMMENTS RESET FOR WED