HomeMy WebLinkAbout2410 MAJANO PL; ; CB971378; Permit<3K._ 3 153
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CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PEi:IMIT APPLICATION
FOR OFFICE USE ONLY()
PLAN CHECK NO. ]_ 713 7 f
EST. VAL. 2 / Jj----z CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
Plan Ck. Deposit ________ _
Business Name tat this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
I of Bedrooms # of Bathrooms
State/Zip Telephone# Fax#
Name Address City State/Zip Telephone#
ISec, 7031.5 Business and Profe11ions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its
luuance, also requires the applicant for such permit to file a signed statement that he Is icensed pursuant to the provisions of the Contractor's License Law
!Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged
exe tion. Any tion f Section 2J2.31.5 by any applican!JPr ermit subjects the ap Ii cant to a civil penalty of not more than five hundred d II rs I $5001) .
.J...t\c . _,
License Class __ _,Q,,_c.,;3.,._Cf+---
Designer Name Address
State License I _________ _
6. . WORKERS' COMPENSATION
Telephone#
Citv Business License I __ {)=Lf~3~5Q..,.wO~
City State/Zip Telephone
,., .. ,' • ... --""" ~--
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of consent to self-insu,e for workers' compensation as provided by Section 3700 of the Labor Code, for the perfo,mance
of the work for which this permit is issued.
fi(' 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 com e sati insur ce carri and policy number are:
Insurance Company _ __.+-''-'-'-'"'--''-'='-""'----------Policy No. Z,¥f"-1 t-ocf}l( Expiration DoteJ-/-'t?
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1♦1001 OR LESS!
D 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
WARNING: Fallu a secure orkera' co atlon coverage la unlawful, and ahan subject an employer to crlmlnal penalties and civil finea up to one hundred
to become subje the Worko,s• Compo"f Lows of CsUfomio.
thousand dollars • o,ooot, to he at of companaatlon. damages •• provklad for In Section 3708 of the 1.a;,. c.PJle~•::nd attorney'•. fen.
SIGNATURE_..L....:ll.:~~::::..\+-,-,;...,..,~~~.;.~.,..,..,--=-=--=-=-=---:-DATE L .t-..!:.i-1-1. OWNER-BUILDER DECLARAtl ,,-: -'::u,.,:-:· _. ,.-,~;· ·"..'."; .,::. · ' ;·:'. , .: ... : .. ·"· ,;.·:,,~:.;. ·; .. ..,._, ___ ~-\>'.C:J:;;~_, r'{(,;.:::;,,". . ::-.f;S,
I hereby affirm that I am exempt from he Contractor's lice
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
tSec, 7044, Business and Professions Coda: 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 sala. If, however, the building or Improvement la
sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for tha purpose of sale).
0 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 contractorls) licensed
pursuant to the Contractor's License law).
D 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 propcsad property improvement. D YES ONO
2, I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person lfirml to provide the propcsed construction (include name I 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 WOt'k, but I have contracted lhired) the following persons to provide the work indicated linclud• name/ address/ phone number/ type of work): ______________________________________________________ _
PROPERTY OWNER SIGNATURE______________________ DATE ________ _
!coMPLtrE tlt18 SECtidili ,oA ~-1ultlill\lii PEi!Mri'ii'oliLffil!/1'\'i"t•''iif"l".7>ff•;r~,,,,~!i/n;t".!:' !l'l"'''"rilr"io\!/"'i'c''.'''" • "'''''"t"·' ,,,, •. , .•... ,,''
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 26605, 26633 or 26534 of the Presley-Tanner Hazardous Substance Account Act1 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution controt district or air quality management dictrlet7 0 YES D NO
Is the facility to ba constructed within 1,000 feet of the outer boundary of a school slte1 0 YES D 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.
[a~:··.,, :CciNstfitictiOtU.ENPiNG;AGENCV::':,~:',~"?.:,~?Jrr::·;~~~t"'~~:"' .. "''"'":'7'Y\;'.'",'.~~~~'""'.:'!·-'\10,'._.,~ ·::c~ ,-'":'-':t:'\ft·-~;--~"'''''"•:1':'.''"'' . ,. ; .
I hereby affWm that there is e construction lending agency for the performance of the work for whtch this permit is issued !Sec. 3097(1) Civil Code).
LENDER•s NAME ____________ _ LENDER•s ADDRESS ______________________ _
I certify that l have read the application and state that the above information ii correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to butlding construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE. INDEMN'FY 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 and demolition or construetion of structures over 3 stories In height.
EXPIRATION: Every permit issued by the Building fficial under the provisions of this Coda shall expire by limitation and become null and void If the building or
work authorized by such permit I not co mancad 1thin 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 ced for a period of 180 days (Section 108.4.4 Uniform Building Code).
DATE
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~ • CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 2 t.J I O IJ o.. t.c>-,n o f /. C1.r Is b;i d · ..
TYPE OF BUILDING: RESIDENTIAL )G' COMMERCIAL __
ROOF SLOPE: RISE .5.+11==-inches in 12 inches . ,
TYPE_ OF EXISTING ROOF COVERING 5V)Q,ILJ ~EATHING._'aK-i~Ll,_._ __ _
NUMBER OF EXISTING ROOF COVERINGS (circle onA G..J 2 . 3 r
NEW ROOF MATERIAL fa,'¥-Q~ctASs WEIGHT PER sOUARE ____ q-'-, __ 5_
NUMBER OF SQUARES 3 / Ii IL
TRADE NAME ___ U.--'-=OJA ......... 'Q .... y ________ MANUFACTURER __ Ei __ ~""""'"'""lg__ ... · ____ _
ROOF SYSTEM APPROVAL UL No. ____ Other ___ _
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 Al 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.
. 5:2~47
. lH,,Li.....:;..---+f'::.._-----:::-\-------------------
OATE
Contractor __ _ Owner __ _ Contractor Name,_f~j/ w9 f0~.
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass. Built up •
. ·-----------
PERMIT# CB971378
DESCRIPTION: RE-ROOF,3100
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/12/97
SF,CLAY TILE
INSPECTOR AREA PY
PLANCK# CB971378
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 2410 MAJANO PL
APPLICANT: SCHOTT ROOFING
CONTRACTOR:
STE:
PHONE: 760 744-6450
PHONE:
LOT:
OWNER:
REMARKS: R/TERRY/744-6450
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE: Go/
INSPECTO/~--------
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C_D_ -LV_L __ D_E_S_C_R_I_P_T_I_O_N---------.~tA'",Cr-T COMMEN(~i 15 ST Roof/Reroof :~~
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
052897 Roof/Reroof
ACT INSP
AP PY
COMMENTS
SHEATHING