The URL can be used to link to this page

Home My WebLink About2219 PALOMAR AIRPORT RD; ; CB032442; Permit\ 0?-04-2003 City of Carlsbad 1635 Faraday Av Carlsbad, OA 92008 Miscellaneous Permit Permit No: CB032442 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: BONDED ROOFING STE 200 200 NIETO 90803 562 423-4706 2219 PALOMAR AIRPORT RD CBAD MISC Subtype: REROOF 2130701900 Lot#: 0 $6,426.00 WASHINGTON MUTUAL BANK-5400 SF BUILT UP-GAF Status: Applied; Entered By: Plan Approved: Issued: inspect Area: ISSUED 09/04/2003 RMA 09/04/2003 09/04/2003 Owner: MCROSKEY FAMILY REVOCABLE TRUST 09-15-82 PO BOX 1243 RANCHO SANTA FE CA 92067 MIscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $128.00 $0.00 $0.00 $128.00 Total Fees: $128.00 Total Payments To Date:$0.00 Balance Due:$128.00 3427 09/04/03 0002 01 02 CBF> 128-00 PERf'T HAS EXf-iRED IN ACCORDANCE WRH U.3.C. SECTlOiJ i 06.4.4 nATF SIGNATUREAk} PERMIT APPLICATION CiTY 6f CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 - pBojECT Information1^ Pc^h i\ i FOR OFFICE USE ONLY PLAN CHECK EST. VAL. (o HiXC. JSE oi^y ,No. Plan Ck. Deposit Validated By Date , , gj- ^1^1 /AtT" r^odcj'^i V)c.uKI Address (include BIdg/Suite l»Busmess Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units isting Use SQ. FT. Assessor's Parcel # Vf Proposed Use Description of Work fPb S0S 2. CONTACT PERSON (if differeiIfferent from applicant) ifof Stories X # of Bedrooms # of Bathrooms Name Address City 3. APPLICANT □ Contractor □ Agent for Contractor vQ Qwner ; iQ AflentiorOyrher State/Zip Telephone F Fax 9 Name 4. bPRdPERTY OWNER Address City State/Zip Telephone 9 Addre City State/Zip Telephone #Name 5. ^ CONTRACTOR - COMPANY NAME ' ^ (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 itsissuance, 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 allegedexemption. Any viqlatton of Sectioa^7031.5 by any aMiicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). ama ' ^ Address City U State/Zip ^ ■^elephor)^ #•7 ^^77^ License Class COS City Business License # ^ ^ ^ i^x.Name State License # TelephoneDesigner Name Address City State/Zip State License 9 6. WORKERS'COMPENSATION,..,- . ■ ^ vji.i;.:. ■'i .i: 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 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 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance cerrier and policy number are: Insurance Company ^ Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) -'Q' CERTiFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compeiisatlon coverage la unlawful, and ehall subject an employer to criminal penaJtiee and civil fines up to one hundred thousand dollara4$ 100,000), in addition to tha coat of compensation, damagea as provided for in Section 3706 of the Labor code, interest and attorney's fees.SIGNATURE, ^^XZjL DATE *7 ^ ^/'Q 3> 7.'OWNER-BUILDER.DECLARATION'^ . v-• A I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and F^ofessions 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). □ 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. Q YES Qno 2. 1 (have I 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 t 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 fVOAf-fl£S»£(Y7M£BUIi:DINQPERMITSiONLY . i . x Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regtstration form or risk management and prevention program under Sections 2550S, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O 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? Q YES "Q~NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ 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. 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(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9. APPLICANT CERTIFICATION . . . i ; i V . : ; I certify thet I have read the application and state that the above information is correct and tnat tne intormation 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 CitV 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 S'O" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Ofticial under the provisions of ^is Code shall expire by limitation and become null and void If the building or workauthorize 1 by such permit is not ct^menced within 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandonedat any ti: e after the work is comnfencedrfor a period of ISO^ys (Section 106.4.4 Uniform Building Code).oUuMX date WHITE: File YELLOW: Applicant PINK: Finance APPLIC/ I"S SIGNATURE City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. -lOR AnnRFSS:;^.;? z'? 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL V 3. ROOF SLOPE: RISE Inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ($2 3 5. TYPE OF EXISTING ROOF COVERINOO^ib^SHEATHING *6. NEW ROOF MATERIAL CLASS/^ WEIGHT PER SQUARE 7. -NUMBER OF SQUARESt^iz^ = 8. TRADE NAME MANUFACTURER. 9. ROOF SYSTEM LISTING UL No. ICBO No. , 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (^YES^ 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. Signature Date Contractor ^ Owner Contractor Name Cbi-*^) ^ *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Flbergla^^Built u^ Other. Inspection List Permit#: CB032442 Type: MISC Date Inspection Item REROOF WASHINGTON MUTUAL BANK-5400 SF BUILT UP-GAF Inspector Act Comments 02/12/2004 19 Final Structural PS CO A. JZeJ^XiL^^CM-Cfc" ^ ^' t y-T' ' Wednesday, March 03,2004 Page 1 of 1