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Home My WebLink About1734 CATALPA RD; ; CB984310; PermitBUILDING PERMIT 12/10/98 14.12 Page 1 of 3 ^AfrATDa Rn Suite-Job Address- 1734 CATALPA RD Permit Type: MISCELLANEOUS Parcel No: 215-511-16-00 Valuation: 2ruou Reference* OOO SF-COMPOSITION Permit No- CS9&431Q Project No- A9805584 Development No. Construction Type. Status• ISSUED Applied 12/10/98 Apr/issue. 12/10/38 Entered By HMA3 760 724-8180 OCEANS1DE CA 92056 AjtA Fees Required Fees . Adjustments' Total Fees; Fee description Miscellaneous Fee # * MISCELLANEOUS TOT llected & Credits *** .00 00 87 00 Ext fee Data 87 00 PERMIT FEE 37 00 SECTION 106.4.4 "*TF (ol- IIT ACCORDANCE; WITH U.B.<X a SIGNATURE FINAL APPROVAL INSF.DATE, CLL -1ANCE. CITY OF CARLSBAD 2075 Las Pulmas Dr, Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ONL PLAN CHECK NO EST VAL Plan Ck Deposit Validated By_ Date 'ML io Business Name (at this address)Address (include Bldg/Suite #) Description of Work CONTACT PERSON (If different from applicant) fof Stones f of Bedrooms id of Bathrooms CA Name 3 APPLICANT ^ ^ Name 4 PROPERTYOy **/K) Contractor•^X WER r *?• r~* Address n Agent for Contractor Q Owner Address City D Agent for Owner City State/Zip State/Zip Telephone # Telephone # Fax # Name 5 CONTRACTOR - COMPANY NAME I City State/Zip Telephone # (Sec 7031 5 Business and Professions Code Any Ctty 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) of that he is exempt therefrom, and the basis for the alleged Any violation of Sflctiorr?031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1*5001) Name State License * Address License Class City State/Zip City Business License * D w f>07 Designer Name Address City State/Zip Telephone State License ff __ 6 WORKERS'COMPENSATION ' " * ' '"" ' ' "~ ~" ' ' Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q 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 vof £he 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 My worker's compensatidn insurance camernnd policy number are Insurance Company "^j^Mg^VfSL. "qr^-'.-' £J^ Policy No 1 H_5 ap I Expiration Date I I""" / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) D 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), irt~addition to thjLCott of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees SIGNATURE *~^fC£**4-* A A^t*. -— DATE ' T? - "* ^ ""^^ 7 OWNER-BUILDS^ DECLARATION //~ " "~ "" •" >:'~b ' ' < *^~ '" I hereby affirm that vam exempt from the Contractor's License Lew for 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 la sold within one year of completion, the owner-builder will have the burden of proving thet he did not build or Improve for the purpose of sale) G I' as owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec 7044, Business and Professions Coda The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law) D I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials tor 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 1 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) 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {Include i-wme / address ; phone number / type of work) _^_____ PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ^-«.,-.^ « (T^ w ts 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 MO 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? Q YES C NO IF ANY OF THE ANSWERS ARE YES A RNAL 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 .8 CONSTRUCTION LENDING AGENCY " " "* **~™ """ ' *""' """"•-' "" " — ..«-*»-, 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 NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION " " ~ —-- - .-™ - -, •> -ni—*• --*,* - r,,-^t,*~ -i 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 stones 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 woik 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 ts suspended or abandoned at any time afterjne wjiricjs cofrrfnencftd, for j^ period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL ^A COMMERCIAL 3. ROOF SLOPE: RISE LV inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ± 2 3 5. TYPE OF EXISTING ROOF COVERING ^V^k^HEATHING *6, NEW ROOF MATERIAL \ CLASS _ WEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME _ MANUFACTURER _ \ a rv\ Id ft 9. ROOF SYSTEM LISTING UL No. _ ICBO No. 10, IS THE EXISTING STRUCTURAL DESIGN SJ4HFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YES*) 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-inspection 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 (^(Pj^-^-^^/r&j^-—/ Date / *VContractor /\ Owner Contractor Name .^jo^ '*> oefT*~ a *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB984310 FOR 12/11/98 DESCRIPTION: RE-ROOF,2000 SF-COMPOSITION TYPE: MISC JOB ADDRESS: 1734 CATALPA RD APPLICANT: JOE'S ROOFING CONTRACTOR: OWNER: REMARKS: C/ SPECIAL INSTRUCT: INSPECTOR AREA PLANCK# CB984310 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 724-8180 PHONE: PHONE: INSPECTOR TOTAL TIME: —RELATED PERMITS—PERMITS TYPE STATUS CD 15 CB880827 POOL EXPIRED LVL DESCRIPTION ACT COMMENTS ST Roof/Reroof / DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS SD COMPENSATION I N S USANCE PO BOX 807, SAN FRANCISCO,CA 94101-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 11-01-98 . POLICY NUMBER 1452847 - 98 CERTIFICATE EXPIRES 11-01-99 CITY OF SAN DIEGO ATTN: DEVELOPMENT SERVICES DEPARTMENT 1222 FIRST AVENUE, MS 301 SAN DIEGO CA 92101-^153 JOB ALL OPERATIONS This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved bv the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expirat'on This certificate of insurance is not an insurance policy and does not amend extend c' alter the coverage af*o-ded by the policies listed herein Notwithstanding any requirement, term, or condition of any contiact or other document w-th respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the policies described herem is subject to all the terms, exclusions and conditions o* such policies I PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING,DEFENSE COSTS $1,OpO,000 OO PER OCCURRENCE STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS 4S EMPLOYEES UNDER THIS POLICY EMPLOYER LEGAL NAME JOE'S ROOFING 1*027 VISTA CALAVERAS ST OCEANS IDE CA 92056 ZAMORA. JOSEPH GILBERT AND ZAMORA, TAMMY H&W PRINTED 10-19-98 RQ409 SCIF 10265 (REV. 2-95)