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Home My WebLink About2018 MAR AZUL WAY; ; CB970166; PermitPERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONL V PLAN CHECK No.vf 10 tk~ EST. VAL. 3. 5rJI)_ Plan Ck. Depo~it ----~~--- Validate~ ly ~ Date _\ ),..:J, \ 9, 1 &A earm::ewrcw:z r re Address (include Bldg/Suite #) Business Name tat this addreu) fjou S'e Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I ot units Assessor's ~reel I ,,/ Existing Use Tee-,:, <f'EE RornF'1._RelCl!:OF '3'-lOO Doscript;on of Work eiu I L.-T V f (J.aJf.a. FT. #of Stories I of Bedrooms # of Bathrooms il!F?cONt~c:r;:PEflSQN :of dlflfffll~ih~~nt~~ik®:~':~;c:,::~' ~;::~~ffi:L~~ ~,:.~: J;;~+;r~,~;f*~~t7 State/Zip Telephone# Fax# Name 20( Address (Sec. 7031.6 Business and Professions Coda: Any City or County which requires a permit to construct, alter, improve, demoJish or repair any structure, prior to it& issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuent to the provisions of the Contrector'a Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he ii exempt therefrom, and the basis for tha alleged ex_Jmption. Any viol ion of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1•6001). t::.e1A-r oo{ 3'(.9:c /-1,._.,,_ct!JC!c. sr 5,..,_([J',,-o <'~ 'f'Z.l(O I- Name Address City State/Zi~ Telep~"-# State License II 7 '2. \ ~ -3 '3> License Class ( -s ~ City Business License # J :to 4 ~(O Designer Name Address City State/Zip Telephone State License # _________ _ ~JQM~~1.m~~Y:am;J r1:~~~;~:~;~&ri,;:J,:,>~~tifil119§¥1MI C'?lTP¥PPll&~,~Jt{™1'~) ' Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labm Coda, for the performance of the work for which this permit is issued. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, fot the performance of the work for which this permit Is uued. My worker's compensation insurance carrier and policy number are: Insurance Company U "'-c c o. t: C::: Pol;cy No. U ~ 0 I 07. 9 fa O '? 0 7 7 Expiration Date 'Z -I -'f ? ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESSI O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure• workan' compensation coverage I• unlawful, and •hall •ubject an employer to crlminal penattiu and clvH fine• up to one hundred thouaand dollars ~100,000), In ,4ctltion to the~ f compenution, damages•• provided for In Section 3706 of the Latte, code, lntlfelt and attorney's feea. SIGNATURE~ ,-_ DATE /-'27-'t' 7 fl~!~!~Jii!:Ji4'U10$ cdL'±L ... , .. ,.:C,C ~~%1:±~J-@ % Ukllli I f ift1Z~~~~;' 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 with wages as their sole compensation, will do the wo,k and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: Tha Contractor's License Law does not apply to an owner of property who builds Of 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 tha project (Sec, 7044, BuslnNI and Profeulons Code: The Contractor's Ucense Law does not apply to an owner of property who buildl or improves thereon, and contract■ for such project■ with contrectorta) licensed 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 tabor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an applicetion for a building permit for the proposed work. 3. J have contracted with the following person (firm) to provide the proposed construction (include name / addrasa / 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 imi1P1:e:ti®SJRCIIONif.Q!r:~liJiWll~i'Y,ai••1'r:r:zn: DATE ls the applicant or future building occupant required to submit a businafl plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a parmit from the air pollution control district or air quality management district? 0 YES D NO ls the facility to be constructed within 1,000 feet of the outer boundary of a achool aite? 0 V'ES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ~OM$]'1WCJJON•LENDI.NG'l(GENcY1;\'i,i'!-l'!lj:.~~~·"}i1:±11(,~4i~,;•·.±?;~,i:~ ii 77777LJl&liil1l~)~]''.0; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit ls issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS fil;': AffUCANT,CellTIFICATION 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 end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit i .. ued 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 at,1thorized by such permit is suspended or abandoned at any time after th• ffrk is commenced fo! :,:iod of 1 80 days (Section 106.4.4 Uniform Building Coda). APPLICANT'S SIGNATURE ~-!.{ f. tJ ~ DATE / -l 7-1 ? WHITE: File YELLOW: Applicant PINK: Finance ·4\ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS 2. 0 \ ~ Ma. I< Ct -i-'-' L U--) o.... y 2. TYPE OF BUILDING: RESIDENTIAL~ COMMERCIAL __ 3. ROOF SLOPE: RISE O inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING B tJP-. SHEATHING Se;,\ 1 cQ 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 {i) 3 *6. NEW ROOF MATERIAL 8 0 R CLASS_.i_ WEIGHT PER SQUARE /G. (") 7. NUMBER OF SQUARES _3,~~L{ __ _ 8. TRADE NAME $c\,,,_,\\eR MANUFACTURER 5'ckvl(<R 9. ROOF SYSTEM APPROVAL UL No. ____ Other f'I/. f,A S-2 -~o n,1.. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES X NO ---- If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A X Class 8 __ 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. /-'27-97 SIGN DATE Contractor _1_ Owner __ _ Contractor Name 5e .-.:to""-800-+'r"'j l., J, *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB970166 DESCRIPTION: RE-ROOF,TEAR 3400 SF TYPE: MISC OFF CITY OF CARLSBAD INSPECTION REQUEST FOR 02/05/97 & BUILT UP- STE: INSPECTOR AREA DC PLANCK# CB970166 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2018 MAR AZUL WY APPLICANT: BENTON ROOFING CONTRACTOR: PHONE: 619 291-6340 OWNER: REMARKS: MW/JIM/291-6340X16 SPECIAL INSTRUCT: TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof ------------------------------------------------------ PHONE: PHONE: ~ INSPECTOR -\L~---------- ACT COMMENTS M ~ I IV.A V ***** INSPECTION HISTORY***** DATE DESCRIPTION 012997 Roof/Reroof ACT INSP AP DC COMMENTS ORIG SHTH