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Home My WebLink About1737 MALLOW CT; ; CB982822; PermitB U I L D I N G 08/26/98 1(+:52 Paqe 1 of 1 1 Job Addres~: 1737 MALLOW CT Permit Tvpe: MISCELLANEOUS Parcel No = 215-516-25-00 Valuation: 3,016 P E R l'I I T Su1te= Permit No: CB 982822 Pro1ect No= A980 3601 Development No= Occupancy Group: Reference#= Co nstruction Tvpe= Status= Applied: NEW ISSULD 08/26/98 08/26/9B BT Description: RE-ROOF 2900SF COMPOSITION : ::,HINGLE nppl/Ownr : Patr1ot roofinq 11772 SORRENTO VALLEY RD #152 SAN DIEGO CA 92121 *** Fee::. Required Fees: Ad iustrnent:::.: Total Fees= Fee description Miscellaneou:::. Fee #1 * MISCELLANEO US TOTA *** Apr/ls5ue= Entered Bu= 619-793-1968 Fees ~o 1 lecte~O t'o/~,{~~J1 *~ 102.00 .00 .00 102.00 Ext fee Data 102.00 PERMIT F[E 102.00 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 Legal Description Assessor's Parcel # Description of Work 126"-ROOF- Existinjl,. Use 1 Zvi~. SO.FT. 2. CONTACT PERSON (If different from applicant) Name ,3. 4. PROPERTY OWNE~ AA\/ KE:IFF Address 2.. #of Stories City Name Address City 6. CONTRACTOR -COMPANY NAME FOR OFFICE USE ONL PLAN CHECK NO.__,_--+-1-_~--=-.- EST. VAL. ______ ___...:::.....;:::_-'--""'" Plan Ck. Deposit ------11-11-,,-'--+-- Validated By ______ _,_....,,._ __ _ Date ______________ _ Unit No. Phase No. Total # of units Proposed Use 2. 2. # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# State/Zip Telephone # (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 e.r\~[.;;;;;;...,Any vi ti n of Section 7031.5 b an ap:licani for a pz mt<:fects the applicanV4 a civil penalt of not re than fiv~dre doll'r:5001). • f Address City State/Zip Telepho~ State License # JI '299 '::t License Class C . ~ City Business License # I!) 0 m I a 5 Designer Name Address City State/Zip Telephone State License # __________ _ 6, WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. \111' 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 ~ed. My worker's compensation insurance carrier and policy number are: -,/ ' Insurance Company l.66 ION I tJ6Wg.ANCE; Policy No.\Nvl Os=f4"1 b 2.. Expiration Date O=t 0~ _ C:,C) (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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' compenaatlon coverage la unlawful, end shall subject an employer to criminal peneltle■ and civil fines up to one hundred thousand dollars ($100, 00) addition the c · amagea as provided for in Section 3706 of the Labor c:, ln':"t and attorney's fees. SIGNATURE __ ..::::s;:L!c..!lt'....LUdi1!l.l[(.l.________________ DATE C0J2ftl '"K_ 7. OWNER-BUILDER'DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following 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). 0 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) 1,icensed pursuant to the Contractor's License Law). 0 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. O YES ONO 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. 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): _________________________________________________ _ 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): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE ------------COMPLETE THIS SECTION FOR NON-RESIDENT1AL BUILDING PERMITS ONLY, 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain 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 school site7 0 YES O 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. 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 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 Citt 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 commen d 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 wor need for eriod of 180 days (Section 106.4.4 Uniform Building Code). DATE _g--_. __ lh.....__·.....:."1__,,,~'----- WHITE: File YELLOW: Applicant PINK: Finance l. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADOREss 1:/33 M A:u.ovv 0r: CAf4.-SBAD. CA oi2UJ~ TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL • ROOF SLOPE: RISE b: 12.. inches in 12 inches TYPE OF EXISTING ROOF COVERING GH::A:~ SHEATHING__,;:;6~~..::u.p ___ _ NUMBER OF EXISTING ROOF COVERINGS (circle one)('.D 2 3 NEW ROOF MATERIAL CQMP9S!UoN CLASS A WEIGHT PER SQUARE. ___ _ NUMBER OF SQUARES -=2 ... 9,__ __ TRADE NAME :a) \JJZ.. COM£ MANUFACTURER_G_A __ F _____ _ ROOF SYSTEM APPROVAL UL No. 122 \ Other ----IS THE EXISTING STRUC~ DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF ~---NO __ _ If the answer is no, a roof plan)"'st 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. SIGN Contractor / Owner ------ DATE Contractor Nue. _____________ _ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/COIIP Fiberglass, Built up. ----·,-·--~----... -••···--------·-·· ,, PERMIT# CB982822 DESCRIPTION: RE-ROOF 2900SF SHINGLE TYPE: MISC JOB ADDRESS: 1737 MALLOW APPLICANT: Patriot roofing CONTRACTOR: CITY OF CARLSBAD INSPECTION REQUEST FOR 09/18/98 COMPOSITION CT PHONE: PHONE: PHONE: ) /17 INSPECTOR AREA DH PLANCK# CB982822 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-793-1968 OWNER: REMARKS: C/PATRIOT ROOF/633-1161 SPECIAL INSTRUCT: INSPECTOR _ ___,_,!)~1/_i _______ _ TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 29 39 49 ST Final Structural A I' _______________ _ PL Final Plumbing L EL _F_i_n_a_l_E_l_e_c_t_r_i_·c_a_l ________ •1 ----------------ME Final Mechanical ------------------- ***** INSPECTION HISTORY***** DATE 091198 090498 090398 DESCRIPTION Roof/Reroof Roof/Reroof Roof/Reroof ACT AP NR NR INSP DH DH DH COMMENTS