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Home My WebLink About2092 TRUESDELL LN; ; CB962239; PermitPERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palaas Dr., tarlsbad, CA 92009 (619) 438-1161 1. PER.MR' i'YPE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJF.Cf INFORMATION FOR OFFICE USE ONLY Building or Suite No. LEGAL DESCRIPTION LOt No. su&l1V1s1on Name/Number Omt No. Phase No • .J & P/J,L Co« Jfi L-L s -#'.3 CHECK SEWW IF SUBMI 11 £: D 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ 1 Addressed Envelope 3. WN IACI PERSON (al dmerenf from applicant) NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCAN I OCON I RACl'OR 0 ACEN I FDR CON I RACIOR ADDRESS □OWNER □ACEN1 FOR OWNER NAME (last name first) CI1Y STATE ZIP CODE DAY TELEPHONE S. PilOPmt Jy oWNElt ADDRESS S-A 1'1 E NAME (last name fir:5t) ;J. BIJHTd L- CIIT G--Lo RI sTATE DAY TELEPHONE I/"?. ~ -; t,_5 ZIP CODE NAME (last name first) CI1Y STATE STATE UC.# ZIP CODE LICENSE CLASS ADDRESS DAY TELEPHONE CI1Y BUSINESS LIC. # DESIGNER NAME (last name brst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LIC. # 1. WORKERS' OOMPENSA'lioN Workers' Compensation Declarauon: I hereby affirm that I have a ceruftcate of consent co sell-insure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruftcate of Exempuon: I ceruly that m the performance of the work tor which this permit as issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of califomia. SIGNATURE DATE 8. oWNfilt-BOIIDmt DECLARA.1ioN Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law tor the following reason: )( 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 chat 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.). □ 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 co the Contractor's License Law). □ I am exempt under Section _______ Business and Professions Code for this reason: (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, commencing 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 penal~ of nor_ m1e than five hundred dollars [$500)). SIGNATURE ~ ~-I~ DATE /J-/9-9l COMPLE'tE nt R~-RESIDEN1iAL BUILDING PERMITS ONLY: 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? □ YES □ NO Is the applicant or future building occupant required co obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWERS ARE YES, A FINAL CER11FICATE OF oa:;upANCY MAY NCYf BE~ AFIER JULY 1, 1989 UNll'-5S TI-IE APPUCANT HAS MET OR IS MEETING THE RF.QUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TilE AIR POU.UTION OONTilOL DISI1UCT. 9. 00NS'IROCl1ON lliNDING AGENCY I hereby affirm iliac there 1s a construction lending agency tor the performance of the work tor which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I C£R liFICA BON I ceruly iliac I have read the applacauon and state that the above inlormauon as correct. I agree co comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Garlsbad to enter upon the above mentioned property for inspection purposes. I AISO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS TilE CTIY OF CARlSBAD AGAINSf AIL UABILITIE.5, JUDGMENTS, CDSTS AND EXPENSES WI-DCH MAY IN ANY WAY ACXJUJE AGAINSf SAID CTIY IN OONSF.QUENCE OF THE GRANTING OF nns PER.MIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued 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 authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). / ~~ 1 1(i;ru~,.....,:t;1L DATE: /J:19'-(j,~ Wl-IlTE: File YEILOW: Applicant PINK: Finance 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11 . CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS o{~Y~ Jf<./JE~ \)J?LL, LAL, TYPE OF BUILDING: RESIDENTIAL ' COMMERCIAL --,a-.,.. -- ROOF SLOPE: RISE V2 inches in 12 inches TYPE OF EXISTING ROOF COVERING __.,_"'-+-'"""-\r-~----:-~..;:: 1/z_ l(#tlL ,o $R:'Q__ NUMBER OF EXISTING ROOF COVERINGS (circle one) 2 3/S/.h A'SrPl -Fec:z- NEW ROOF MATERIAL Yo ~t 0 1(Y\ &;h&,lc::. cLAss_L WEIGHT PER SQUARE __ _ NUMBER OF SQUARES ,3 ¥ TRADE NAME e 1S-e_S __ T_\ _Q=-()-? MANUFACTURER ____ ~_i_/(_ ____ _ ROOF SYSTEM APPROVAL UL No . _____ Other ___ _ 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. Fire rating of roof: Class A~ 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. SIGN DATE Contractor ---Owner~ Contractor Name _____________ _ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up . PERMIT# CB962239 DESCRIP~ION: 3400 SF TYPE: MISC JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 12/20/96 RE-ROOF,COMPOSITION STE: INSPECTOR AREA DC PLANCK# CB962239 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: CONTRACTOR: 2092 TRUESDELL LN BARTOL, GLORIA PHONE: 619 434-1865 PHONE: OWNER: PHONE: REMARKS: MW/MRS.BARTEL SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof ------------------ ------------------ ------------------ -------------- ACT COMMENTS 1f fl \ I /1;., l. ***** INSPECTION HISTORY***** DATE DESCRIPTION 120296 Roof/Reroof ACT INSP AP DC COMMENTS