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Home My WebLink About1754 CAPE MAY PL; ; CB962030; PermitPermit No: CB962u3n P r o 1 e c t No: A 9 6 (J 2 8 9 4 Development No: •* B U I L D I N G PERMIT 1U/21/96 07:So Page 1 of 1 ' Job Address: 1754 CAPE MAY PL Suite: Permit Type: MISCELLANEOUS 046410/21/96000101 02 P a r c e 1 N o : 2 0 7-312- 0 6 - 0 0 L o t # : C-PRMT 60 > 00 Valuation: u Construction Type: VN Occupancy Group: Reference*: Status: ISSUED Description: 16 SQUARES OF COMP. RE-ROOF Applied: lo/21/9i:: : Apr/Issue: 10/21/96 Entered By: MDP Appl/Ownr : SECURE ROOF INC. 619 432-9084 2210 MEYERS AVE ESCONDIDO,CA. 92029 * * * Fees Requi red Fees ; Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS TO lected & Credits * * . 0 0 . o o 6 0,00 Ext fee Data 60,00 PERMIT 6 0,00 FINAL APPROVAL IHSP. CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City-of Carlstad Building Department 2075 Las Palaas Dr.. Carlsbad, CA 92009 (61 1. PEKMTl 1TFK From List 1 (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) Code of Structure-TvDe: Net Loss/Gain of Dwelling Units 9) 438-1161 XEBSS^ give 2. PROJECT INFORMATION PLAN CHECK NO. EST.VAL PLAN CK DEPOSIT, VALID. BY ~ DATE FOR OFFICE USE ONLY Address Nearest Cross Street Building orSuite No. LEGAL DESCRIPTION Subdivision Name/Number unit No.Phase No. CHECK BtLOW IF SUBMITTED: D 2 Energy Gales D 2 Structural Gales D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK SQ.FT. /e?^ 0 # OF STORIES # OF BEDROOMS # OF BATHROOMS 3. UUIM tvuji rcttsuN (\i ainerenc irom applicant; NAME (last name first) CITY ST ADDRESS ZIP CODE DAY TELEPHONE 4. APPUUlnT UtAJNl NAME (last name first) CITY tN 1 rUR UJN 1 KAC. IUK LJUWNtK <• ADDI(SSS 77^^7 STATE ZIP CODE DAY TELEPHONE__________ ___ 5. FKOFhKIT UWNKK NAME Oast name first) CITY ' ADDRESS , -t <~ 4j//^/ STATE ZIP CODE DAY TELEPHONE_ b. UUNTKAUIUH NAME (last name first)ADDRESS/(D /"/<C O<? 7< STATE <3/f ZIP CODE -<~? DAY TELEPHONE STATE LIC. #£?0 ?3V LICENSE CLASS ^-3*7 CITY BUSINESS LIC. # T)tSlGNtR NAMt (last name tirstj CITY STATE ADDR&bb ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORKER!? COMPENSATION Workers' Compensation Declaration: I hereby amrm tnatTnave a certiticate of consent to selt-insure issued by the Director ot Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of thejnsurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY ^SD POLICY NO///f^?/g.-f>^tATION DATE performance ot the worK tor which this permit is issued, l shall '2j~ / - Certiticate of Exemption: I certify that in the so as to become subject to the Workers' Compensation Laws of California. I shall not employ any person in any manner SIGNATURE DATE 8. OWN EH-BUILDER UKILARAT1ON uwner-Buuaer Declaration: i Hereby amrm tnat I am exempt trom the Contractors License Law lor tne following reason: D 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 (he 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^) licensed pursuant to the Contractor's License Law). Q I am exempt under Section Business and Professions Code for this reason: (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, commencing 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 [SSOO]). SIGNATURE DATE COMPLETE I HIS SKJT1UN FUR NON-RESIDENTIAL BUILDING PEKMItS 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 Act? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE ADI POLLUTION CONTROL DISTRICT. 9. (JUNblKUt-'l 1UN LEIMUUMU AtiUH^Y 1 hereby ainrm tnat there is a construction lending agency tor the performance ot me work tor wmcn this permit is issued (sec 3097UJ uvil code;. LENDER'S NAME LENDER'S ADDRESS I certify tnat l nave read the application and state tnat tne above information is correct. I agree to comply witn all uty 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 OTY OF CXRI5HAD AGAWST AU UABDJTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" 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 work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). .,, . APPLICANTS SIGNATURE ^> ^/ ^_-^O -^ DATE: / ff-'ZS ~ 7,4 f Applicant PINK: Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING So^^ SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 *6. NEW ROOF MATERIAL ~3Olf r. £)k CLASS d WEIGHT PER SQUARE 7. NUMBER OF SQUARES /<£~* 8. TRADE NAME T2<2sl,A*i<;'C>K">/4 MANUFACTURER /?<£r// 9. ROOF SYSTEM APPROVAL UL No.j/ Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ^ NO _ If the answer is no, a roof plan must be provided with this application. 11. 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 \^/ DATE Contractor Owner Contractor Name /LOO c *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB962030 FOR 10/25/96 INSPECTOR AREA DESCRIPTION: 16 SQUARES OF COUP. RE-ROOF PLANCK# CB962030 OCC GRP TYPE: MISC CONSTR. TYPE VNJOB ADDRESS: 1754 CAPE HAY PL STE: LOT: APPLICANT: SECURE ROOF INC. PHONE: 619 432-9084 CONTRACTOR: PHONE:OWNER: PHONE: REMARKS: MW/DON/432-9084 INSPECTOR VSPECIAL INSTRUCT: FINAL ^ TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 15 ST Roof/Reroof -Ay T 1 ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 102196 Roof/Reroof AP PY City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self-insure for A. workers' compensation as provided by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as required by section 3700 B. of the Labor Code, for the performance of the work for which this permit is issued. My workers' 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) 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. Signature Date /<? " Warning: Failure to secure workers' compensation coverage is unlawful, and shall be 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. March 3, 1995 2O75 Las Palmas Dr. - Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894