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Home My WebLink About2051 CIMA CT; ; CB972020; PermitPermit No Project No Development No „«,,,„,G?/"V/9/ BUILDING PERMIT 07/22/97 12 13 Page 1 of 1 Job Address 2051 CIMA CT Suite Permit Type MISCELLANEOUS ._..,., Parcel No 216-491-13-00 Lot# Valuation 7,491 Construction Type Occupancy Group Reference* Status Description REROOF 3300 SF, FIRE FREE Applied UL 790 Apr/Issue Entered By Appl/Ownr GAUTHIER ROOFING CO 760 598-7545 2065 ACACIA DRIVE SAN MARCOS, CA 92069 _ — - ___ *** Fees Required *** ' *** Fees Collected & Credits CB972020 A9702564 02 16-* A"' NEW ISSUED 07/22/97 07/22/97 JM ** * Fees Adjustments Total Fees Fee description 164X00 / oo"V /i64 Ot) ' ~— / ^ \ / ^ ^ N "'" ^^ To'tal/ Credits l< Total' ('Payments X ^ / Balance Due , ^ / \Uni tk ^ "Fee/Uni t / \ !. • __-i_ 164 Ext f« 00 00 UU 56 Data Miscellaneous Fee #1 'J * MISCELLANEOUS TOTAL 164 00 PERMIT FE 164 00 CLEARANCE DATE CITY OF CARLSBAD 2075 Las Palmas Dr Carlsbad CA 92009 (619) 438 1161 'ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438 1161 PROJECT INFORMATION & 5~l 0 i jW A FOR OFFICE USE PLAN CHECK NO EST VAL Plan Ck Deposit Validated Bv . Date 7/7.-1/4 7 Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total 9 of units Assessor s Parcel tt x-> Existing Use Proposed Use Description of Wo" 2 CONTACT PERSON (I SQ FT from applicant) *of Spries, 1^ T , •"» # of Bedrooms # of Bathrooms Name i3 APPUCANf 19 Ci '"* 7F - <^^ Address City State/Zip ",™"^*^K' Telephone t.„ s ^Fax # Name 4 . PROPERTY b Address City <mr*fr •y^^^fn~~f'-f'fTfy'"~Wf''*y'f3651 c State/Zip irnr-jjrf Telephone #fr Name Address City ? CONTRACTOR 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 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 ($500)) Name State License - 1 G U Address License Class City State/Zip Telephone # City Business License # ldtO'5' 3-\} Designer Name Address City State/Zip Telephone State License It 6 WORKERS COMPENSATION " "~^ "*" r""m Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations H* 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 orthe work for which this permit is issued 0 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 issued My worker s 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) n 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) in addition to the cost of compensation damages as provided for hi Section 3706 of the Labor coda Interest and attorney s fees SIGNATURE DATE 7 OWNER BUILDER DECLARATION "" " s _ ^ ^ "U, "^ I j. - 1 hereby affirm that I am exempt from the Contractor s License Law for the following reason O 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) |~1 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) licensed pursuant to the Contractor s License Law) 0 I a™ 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 D 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 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 WOytf^ES/flfinfT)^ BUlH)INQ PHU/irTS ONlY ^^ J^* ^r*'-* '* •J*~^s®f**&~*?r~ 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? O YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? Q YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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 CONSTRUCTIOfJlENDIN'eAGEN'Cy """" T"^ ^ ^™ -i*™****™^ * ™ v ^ - ~1 ~ ~ T_ •f "" 1 <" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec 3097(0 Civil Code) LENDER S NAME _ LENDER S ADDRESS _ 9 APPLICANT CERTIFICATION ^"~~"^ ^ "r"l"3P -^.-.-g,-,-* -- "pK T-£S3r~> -s~^ „ -™, «,~ r^i^^-™rS3E»~-~""'-^-^ ^7 ^ - * 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 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 end 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 workJs commenCed/or a period of ffio days (Section 106 4 4 Uniform Building Code) | JjlJulJuA~£ y' /OAPPLICANT S SIGNATURE DATE V I I nw An I PINK Fr anr CITY OF CARLSBAD 1 JOB ADDRESS SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I (* t C i^I ^ ( ft\/^ v T^ 2 TYPE OF BUILDING RESIDENTIAL /C COMMERCIAL 3 ROOF SLOPE RISE */ inches in 12 inches 4 TYPE OF EXISTING ROOF COVERING <£Y/A iCe. _ SHEATHING 5 NUMBER OF EXISTING ROOF COVERINGS (circle one)(^T) 2 3 *6 NEW ROOF MATERIAL Ffcg F^e g_ CLASS Pv WEIGHT PER SQUARE 7 NUMBER OF SQUARES 33 8 TRADE NAME f-lE^ /-Re^- MANUFACTURER Ke. Co^ tScfyl 9 ROOF SYSTEM APPROVAL UL No *7 9<9 Other 10 IS THE EXISTING STRUCTURAL DEjjIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES \ NO WIH^—^^^^^^W If the answer is no, a roof plan must be provided with this application 11 Fire rating of roof Class A )C 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. I11, SIGN DATE Contractor X Owner Contractor NamelxJ/*/( r f\rw PA<^f A. *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB972020 FOR 08/07/97 DESCRIPTION REROOF 3300 SF, FIRE FREE UL 790 TYPE MISC JOB ADDRESS 2051 CIMA CT APPLICANT GAUTHIER ROOFING CO PHONE CONTRACTOR PHONE OWNER PHONE REMARKS C/V598-7545 SPECIAL INSTRUCT INSPECTOR AREA TP PLANCKtf CB972020 OCC GRP CONSTR TYPE NEW STE LOT 760 598-7545 INSPECTOR TOTAL TIME CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS W0i/r ***** INSPECTION HISTORY ***** DATE DESCRIPTION 072597 Roof/Reroof 072497 Roof/Reroof ACT INSP PI TP CO TP COMMENTS COVERED @ RE-INSP NAILING, SEE CARD 28 97 16 27 TO 4380894 P01 PO 80X230033 BNCINITASC* 92023 0033 WILLIAM GAUTHIER ROOFING COMPANY Lie #489168 KM.na.7M. - 77 so COMPENSATION INSURANCE PO BOX 807 SAN FRANCISCO CA 94101-0807 FUND CERTIFICATE OF WORKERS COMPENSATION INSURANCE ISSUE DATE 11-01-94 POLICY NUMBER 0778464 - 94 CERTIFICATE EXPIRES 11-01-95 STATE CONTRACTOR'S LICENSE BOARD P 0 BOX 26000 SACRAMENTO CA 95826 JOB LIC # 489168 EXP 4-30-94 INCEPT 11-1-91 11-1-92 SD 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 _ £_ __ _ . _-„_ _ This policy is not subject to cancellation by the Fund except upon lodays advance written notice to the employeriv ,> *- *- c- *KT -r^ •> *, ~*~ *~ „^^7 x We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration i ^ f> ~? v < » •- ^ \j» - '- * /JkThis 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 the terms exclusions and conditions of such policies ^ ,• J2i^ C ' PRESIDENT EMPLOYER S LIABILITY LIMIT $3 000 OOO OO PER OCCURRENCE STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY -,. 'r " EMPLOYER LEGAL NAME WILLIAM GAUTHIER ROOFING CO PO BOX 230033 ENCINITAS CA 92023 , ~ '*'" GAUTHIER WILLIAM PRINTED 10-20-94 PQ4Q9 THIS DOCUMENT HAS A 1LUE PATTERNED BACKGROUND SCIF 1»2S4 (REV. 5-94)