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Home My WebLink About1732 SCHOONER WAY; ; CB971000; Permiti . ll +- CLEARANC ----------------.,... ~-~--... CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY , ,>ERMIT APPLICATION PLAN CHECK NO. l 71 COD CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PR~CT INFORMATION I)) V /?..s.,1., 5c. /2= Me rC.. Address !include Bldg/Suite #) EST. VAL L, Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Proposed Use Descripti Stories # of Bedrooms # of Bathrooms t 2. . . .. . . .. .... .. '' .. ~:•: "!''-,·:~1ri,,":·"'1~l't1;~·~..::.:.'.·"'¾ :7· • .. ;•·:,:!'; -~ .. 1:;· .-· ~'"1,Yi:i:pt"·" ".?!;,·::1 r:1f, :·.: r-v -~ r •; :.-r, 5 /4--! ,../1, . M l//Slr- Name Address City State/Zip Fax# i:i;' IIPiiUcANf · IJJ-eoittil"aioi-' 'lJ"liorlffCll'l:,!1,iiiEi8P"'1'□"5'wilif~□ .i.aiiiillclf&.nef'''""'''•'''•' •·•~~r~'!W'.'~.· "' · " • ·· · Name Address City State/Zip Telephone # •· ~errv?Wti~;~2~~:~72··j;]2$~,;::-~~t1~r;,f~06~"J~'~·~~t~'~···ys~?= 1c1; ~ Name / ~-' Address City State/Zip Telephone I (Sec. 7031.5 Business and Professions Code: Any City or County which requires• 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 tChapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Codel or that ha is exempt therefrom, and the basis for the alleged ption. A y violation of e ·on 7031.5 by any pplicant for a per"}it subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). , ' r , ' . r /1 ;2U!!_ 1 ' 1. o. -I~ Name State License I _,&"'-'&~t,'--0_,..,,~V_;,-_' __ _ Ucanse Class ~(~--3~9 ____ _ Designer Name Address City State/Zip Telephone State License # ________ _ 6. WORKERS" .COMPENSATION 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-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. D 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 c2rrypen1ation Insurance carrier and policy number. are: b Insurance CompanyS/rl'rC /.01»1-'1 Policy No. /Y ~r C13? Expiration Date 11-1/-'1 r • (THIS SECTION NEEO NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS( 0 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' Compensatio/1 Laws of California. WARNING: Failure to Hcure workers' ,, .. tlo Is unlawful, and lhel subject an employer to criminal pen■kN• and dvll fines up to one hundred thousand dollars 1$100,0001 add ___ n, damiigu u provkled for In Sectk>n 3708 of the labor code,Jqtpt and attorney's fees. ~'.GNA;T~U~R~E;jji~~ >:'.~-f.2~2==~~---=---------,.---c:,--:--DATE. Y6:~f,Z'..L TC 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 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 purpo■e of ssle). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businen end 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 Contrector's License Law). D I am exemPt under Section ______ Business and Professions Code for this 1eason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contractad 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/ contrectors license number): ____________________________________________ _ 5. I will provide some of tlNt work, but I have contracted lhired) the following persons to provide the work Indicated !include name/ address / phone number / type of workl: ______________________________________________________ _ Is the applicant or future bulding occupant required to submit a business plan, acutely hazardous meterials registration form or risk msnegement and prevention program under Sections 26605, 25533 or 25534 of the Presley-Tanner Hanrdous Substance Account Actl O YES O NO Is the applicant or future b,..lldlng occupant required to obtain e permit from the air pollution control district or air quality ma~egement disti'ict7 0 YES D NO Is the facility to be constru::ted within 1,000 feet of the outer boundary of a school slte7 0 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 ANO THE AIR POUUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971i) Civil Code). LENDER'S NAME_____________ LENDER'S AODRESS==:::::--=============:--=:--:--:---:--i9; APPLiCANT CERTIFICA TibN' ~<;;v -·,·;c:·n;·& ,.:;:7':?'.'l'i'P?\?'O~i".:':_::· '";;l"J"S :.;'.T'".')~;;:i;'.'<~r::,!'/?,11!";"-;r''.I".'. :; :•a::~::~?!'. ;-:_ ~ ;;,:; ; !"£~";'.·t•;: . .;;:::;jlt:;f.i"'i' :::r:-: ;:,_;:~ ::~: ~"':-:"~:::--"' 3 I certify that I have read the epplication and state that the above Information ls correct and that the Information on the plens Is accurate. I agree to comi>'y with all City ordinences and State laws relating to building construction. I hereby authorize representatives of the Cltt 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 LIA&ILITIES, JUDGMENTS, COSTS ANO 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• dellp and demolltiOO or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shell expire by limitation snd become null and void if the building or work authorized by such permit is not commenced with· 65 '""'!.JlP' 0 of such permit or If the building or work suthorized by such permit is suspended or abendoned at any time after thew k Is or pe,. 0 days (Sect 108.4.4 Uniform Building Codel. _ .. __ . /) APPLICANT'S SIGNATURE d DATE ,SP;; 7/9::t:: WHITE: File YELLOW: Applicant PINK: Finance 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. t?\ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING TYPE OF BUILDING: RESIDENTIAL t..--COMMERCIAL __ ROOF SLOPE: RISE \5 inches in 12 inches TYPE OF EXISTING ROOF COVERING .5//,4/(12_ SHEATHING'-5,-''/::;...;...;.i.,;.,_(: ___ _ NUMBER OF EXISTING Ro;;;se,~~}NGS (circle one) l 2 3 /l3,S, NEW ROOF MATERIAL ,/4~(e 6Jau,-J CLASS /.l WEIGHT PER SQUARE5S-O NUMBER OF SQUARES _.,.£::...&,=--- TRADE NAME ._S/Yf;;/le Sqf>, MANUFACTURER A//?kt!(e_ C,.u_o._rv{ Other S/ J. / ROOF SYSTEM APPROVAL UL No. ____ _ 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. Fire rating of roof: Class A Y Class B -- I understand the following inspections are required: l. 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. U°sIGN DATE Contractor i/ Owner __ Contractor Name, /4:;/{ S®@-.1.:,rY?? *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. I PERMIT# CB971000 DESCRIPTION: REROOF 2600 SF, ICBO 5121 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 05/06/97 NATURE GUARD STE: INSPECTOR AREA PD PLANCK# CB971000 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1732 SCHOONER WY APPLICANT: SAN DIEGO ROOFING CONTRACTOR: PHONE: 619 256-1800 OWNER: REMARKS: RS/ SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHOHE, ~ PHONE: INSPECTOR L..=-=:..:a..:;__:::::,., ___ _ ACT COMMENTS _is __ s_T _R_o_o_f_f_R_e_r_o_o_f _________ t __._f,__,;'-'/l-'--'-'k'v--"------------ -------------------- -------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 042897 Roof/Reroof ACT INSP AP PD COMMENTS OK TO COVER