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Home My WebLink About1758 CAPE MAY PL; ; CB983704; PermitPermit No: CB983704 Project No: A9804832 Development No: BUILDING PERMIT 10/28/98 10:20 Page 1 of 1 Job Address: 1758 CAPE MAY PL Suite: Permit Type: MISCELLANEOUS Parcel No: 207-312-23-00 Lot#: Valuation: 2,912 Construction Type: NEW Occupancy Group: Reference*: 276° Description: REROOF 2800 SF COMPOSITION Appl/Ownr : BARRY JORDAN ROOFING 112 SWALLOW LANE OCENASIDE CA 92057 *** Fees Required *** Fees: Adjustments: Total Fees: Fee description Miscellaneous Fee * MISCELLANEOUS 87 10/2S7* Apr/Issue: 10/28/98 Entered By: JM 760 757-9261 ees Collected & Credits *** 87.00 PERMIT FE 87.00 .00 . 00 87.00 Ext fee Data FINAITAPPROVAL INSR..DATE. CLEARANCE, -. _^ \ , FIRE PREVENTION BUREAU 2560 ORION WAY, CARLSBAD, CA 92008-7280 (619)931-2121 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONL PLAN CHECK NO EST. VAL. Han Ck. Deposit -->- Validated Bv Y/1/l Date Address (include Bldg/Suite *)Name tot this address) Legal Description Let No.Unit No.Phsse No.Total # of unts Assessor's Parcel *Existing Us*Propoeed U»e Description of fil? 2. CONTACT PERSON nil SQ.FT.v 01 •? of Beitnroofns Neme Otvravmv ^gtr*- «wwi?j»» **e»i 3. APPLICANT p-dontractor D Agent for Contractor Q Owner D Agent for Owner StateOip Telephone ir Fax» Name 4. PROPERTY OWNER Address City State/Zip Telephone » Address Otv State/ZipName E. CONTRACTOR - COMPANY NAME (Sec. 7031.5 Business and Professions Cods: Any City or County which Mqutroe a permit to construct, altar, improve, demolish or repair any structurs. prior to Its issuance, elso requires the epplieant for such permit to fHe a signed atatamant that he is Hcanaad 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 ha la exempt therefrom, end the basil tor the alleged exemption-^Anv violation of Section 7031.5 by any applicant for a Pjepnrt subjects the applicant to a chfH penalty of not mere than five Iwrndred^taaars 'M ^4/P/fw* —r*/?/) A*.^/ j&*r)lr,aji , /\ <,..AiL>., ) is *Jtfj*ti,4//lsJ~ff4 7&<& 7 1*5001). Name State License » / si/ 7 ' Address City City Stan/Zip Ueenea* Address City State/Zip TelephoneDesigner Name State License * _^^____^^___ 6. WORKERS' COMPENSATION - - --..-.. ..-..,. Workers>Compenaation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q/li have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Coda, tor the performance of the work for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performan issued. My worker's compensation insurance carrier and policy number are: . J^t/ ^^ Polic N. X - r of the work for which this permit is Insurance Compenv Policy No.Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor which thia permit ie iesusd, I shell n« employ any person in any mariner so es to become subject to the Workers' Compensation Laws of CeRfomia. WARNING: Failure to 0*0* workers' compenaation coverage is unlawful, and anal aMbject an employer to erimmal panaMaa and dvH fines up to one hundred thousand doHara < SIGNATURE /J 7. aa pro»Hid tor In Section 3706 of me Labor coda. Intereet and attorneys taea. DATE JQ _ ITMN I hereby eftirm that I am exempt from the Contractor's License Law for the foMo« O I. as owner of the property or my employees with wegea as their sole compenaation, will do the work and the structure la 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 buUda or Improves thereon, and who does such work himself or through his own employees, provided that such improvements ere not Intended or offered tor aate. If, however, the buHdtng or improvement Is sold within one year of completion, the owner-builder wHI have the burden of proving that he did not buUd or Improve for the purpose of aelel. D I. as owner of the property, em exclusively contracting with Meanead contractors to construct the project (Sac. 7044. Business and Professions Cods: The Contractor's License Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor (a) I pursusnt to the Contractor's License Law). rmgi I am exempt under Section Business and Professions Code for this raaien: 1. I personally plan to provide the major labor and materials for construction of the proposed f 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 / ty improvement. O YES QNO / phone number / contr 4. I pisn to provide portions of the work, but I have hired the foll number / contractors license number): 5. I will provide some of the work, but I have contracted (hired) the follo of work):__ ing person to coord »and provide the major work Include name t ng parsons to provide the i i / address / phone number / type PROPERTY OWNER SIGNATURE DATE Is the epplieant or future building program under Sections 2S605, 2S633 or 26534 of the Presley Ta tAct? O YES O NO or riak management and Is the epplieant or future building occupant required to obtain a permit from the eir pollution control district or air quality management district? Q YES D NO Is the fecility to be constructed within 1,000 feet of the outer boundary of a school sits? O 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. i8. CONSTRUCTION LENDING AGENCY " "" """••?--—--*<r*~»r»». „„...,._....,. „_,.„_....,, ,„ I hereby affirm that there is s construction lending agency for the performance of the work for which thia permit la issued (Sec. 3087(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS. S. APPLICANT CERTIFICATION ' ' ' " " -.-,—~~——--..—, ,..-,.-,..-- .-.,--„-,-.:,,, .-^„,,„.. ,._..„„,„,,,,,,„ : I certify that I have read the application and state that the above Information is correct end that the Information on the plena is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the CUV of Certsbad 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 S'O" deep end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the-fluilding Official under the provisions of this Coda shall expire by limitation and become null and void if the building or work authorized by such permit is nplcrfmrAenced 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 efter tb£jjWi( is£omn1eneed for a period eflBOdays (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE /\ / L? /&Jk £^^~^ OATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: '/ 2. TYPE OF BUILDING: RESIDENTIAL 3. ROOF SLOPE: RISE V r\2 3 COMMERCIAL inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 5. TYPE OF EXISTING ROOF COVERING Kri*/i ^SHEJ *6. NEW ROOF MATERIAL/tyrV' CLASS 3-W WEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME/9^/?C MANUFACTURER 9. ROOF SYSTEM LISTING UL No.ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN WEIGHT OF THE PROPOSED ROOF? CIENT TO SUSTAIN THE 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. Signatu Contractor *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp FiberglassjBuilt up, Other. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB983704 FOR 10/30/98 DESCRIPTION: REROOF 2800 SF COMPOSITION TYPE: MISC JOB ADDRESS: 1758 CAPS MAY PL APPLICANT: BARRY JORDAN ROOFING CONTRACTOR: OWNER: REMARKS: C/BARRY/ INSPECTOR AREA PS PLANCK* CB983704 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 757-9261 PHONE: PHONE: INSPECTOR SPECIAL INSTRUCT: REQUESTED A "FOLLOW UP INSPECTION" PLEASE INSPECT AROUND 11 AM TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION 15 ST Roof/Reroof PERMIT* TYPE CB983717 PATIO STATUS ISSUED ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB983704 FOR 10/29/98 DESCRIPTION: REROOF 2800 SF COMPOSITION TYPE: MISC JOB ADDRESS: 1758 CAPE MAY PL APPLICANT: BARRY JORDAN ROOFING CONTRACTOR: OWNER: REMARKS: C/720-2244 AM PLEASE SPECIAL INSTRUCT: INSPECTOR AREA PLANCK* CB983704 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 757-9261 PHONE: PHONE: INSPECTOR TOTAL TIME: —RELATED PERMITS— CD LVL DESCRIPTION 15 ST Roof/Reroof PERMIT*TYPE CB983717 PATIO STATUS ISSUED ACT COMMENTS GO DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 COMPENSATION INSURANCE PUN D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE APRIL 9. 19$8 . • 14962*2 - 98POLICY NUMBER: 4*1^00 CERTIFICATE EXPJftESr r~ '' , -v - ' '• * . ':'. - '' ' - - : CITY DF QCEANSJgg^ 3<M N. COflST Hffc -v OCEflNSZDE Cfl,* JOB: fttt OPERATIONS • - COy EFF: 4-9-9$ » L This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. . " /• -f' ' 'This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of Insurance is not an insurance policy and does'not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this "certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all thejerms, exclusions and conditions of such policies. AUTHORIZED REPRESENTATIVE , * PRESIDENT EMPLOYER'S LiaBlUTY LIMIT INCLUDING'"BEFSMSE COSTS* «l,300,W8 PSR QKURFENCc. EMPLOYER r BARRY JORDflM 112 SWALLOW LONE OCEANSIDE CO 92057 MR