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Home My WebLink About2719 YORK DR; ; CB960981; Permit6 U I L D I N G P E R M I r Permit No= C8960 8 , ,e 1 o t Addre~~= 2119 YORK RD er,,, t Type-MISC[L A IEOL 5 Su,te= P 01ect No= A9 01397 Devel oprueri t No: P rce No: 167 392 42-00 Lot : 7838 06/03/96 0001 01 02 C-PRIT 180-00 aluat1on= 8.505 Oc upancy G oup-Reference#= De· cr\ption: 35SQ LITE-WT CONC TILE RE-ROOF pl/Ownr = HASSAN. SAM 7 9 Y , CA 'LSBAD CA. 97008 Fees Requ·red ------:a.......;. ¾,...,.,:!I!,-- - - - - - - - - - - - Fee~= Ad JU""tment"' = Total Fee::.: Fee description Miscellaneous Fee# * MISCELLANEOUS TOT Construction Typ : NW 619 729-3"'i66 St tu'5: Tss FD Applied= 06/0~/96 Ap /I ~ue= 06/03/96 nter .uu .00 1 00 ., ,,, _x t tee Date 180.00 PERMIT 180 00 INS 0 CLEARANCE _ CITY OF CARLS;B~A~D~=~~~-:~-~-:-:-:-:-:-:-:-:-:-:-=~- 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PE!™)T APPLICATION PLAN CHECK NO. '1 ~ CZ~ l City of Carlsbad Building Department 2075 Las PalNS Dr .• tarlsbad, CA 92009 (619) 438-1161 EST. VAL._ __________ _ I. PERMIT IYPE PLAN CK DEPOSIT ________ _ VAi.JD.BY ___________ _ DATE From List 1 (see back) give code of Pennit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units 2. PRQJF.Cf INFORMA"llON FOR OFFICE USE ONLY Address 27 )C\ \J OR',::.... ~ \) Building or Suue No. Nearest Cross Street C. ~e ,<., :1: N \ ~ LEGAL DESCRIPTION 7.ot No. ~utxhv1S1on Name/Number Unit No. Phase No. CHECK ~EJ;; IF~Mi 11 ED: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Re_ \. ' \--<.. w-i' --Y \\C:. -b # OF BEDROOMS # OF BAIBROOMS NAME (last name first)CA h €, "B,, ,c....) ADDRESS 3 D '-'> ~ 'V ,(J-... ,, r , NAME (last name first) (.. <.,.._ "°''C..-i !> c-. IA.,... ':°DRESS ~ 0 '-'\ <c, \J, c.,.. ..,.__~,1..poJc:.\.., cnl' &¥vnttJ b v---~ STATE ct>-z1p CODE s u))½ S. PROP · ow ER DAY TELEPHONE J;. <z 1 -J 1 JJ NAME (last name first) \_\ v-..S,J~~ Sc.,..--ADDRESS 27 )~ 6. OON"nocl R STATE( fer-ZIP CODE Ci} 9s) ~ DAY TELEPHONE 7 ) , C, r 3, ( b )o NAME (last name fi rst)(_(>-.. 1.-., ~ \), , t...h ADDRESS 3J '--\ ~ \J°' c,_ M_ C...,, \ t:. 5 IA... CITY ( I.A,"\~ 'v U..d. STATE C ...._ ZIP CODE '1 2oo~ DAY TELEPHONE J"<; I I 3 I w STATE UC. A\f~':::J) \, 1., LICENSE CLASS ( 1 S CITY BUSINESS UC. # DESIGNElt NAM E (last name lirs1) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # 1. WOilKElts' 00MP£NsA11oN Workers' Compensauon beclarauon: I hereby all1rm that I have a cerulicate ol consent to sell-insure issued by the Director ol 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). lo EXPIRATION DATE I-( -s -::J so as 10 become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0llDElt bEUAltAl1ON Owner-Builder Declaration: I hereby ai11nn that I am exempt from lhe Confractor's License Law for lhe 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 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.). □ 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 conrractor(s) licensed pursuant to 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 pennit to construct, alter, improve, demolish, or repair any structure, prior 10 its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE THIS SECl'ION FOR NON-RESIDEN I !AL BUILDING PERMITS ONLY: Is the applicant or future building occupant required 10 submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of 1he Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or fu1ure building occupant required 10 obtain a pennit from the air pollution control district or air quality management district? □ YES O NO Is the facility to be cons1ruc1ed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TICE ANSWERS ARE YES, A FINAL CERTil1CATE OF OCDJPANCY MAY Nor BE ISSUED AFfER JULY 1, 1989 UNI£SS TI CE APPUCANT HAS MTI OR IS M..EEHNG TIIE RF.QUDlEMENTS OF 1l-lE OFFICE OF EMERGENCY SERVICES AND TICE Aill POU.U11ON CDNlROL DlSTRJCT. 9. cDNSI lt0Cl1ON 1£NDING AG£NcY I hereby alhnn ihat there 1s a construction lending agency for ihe perlonnance of ihe work lor which ih1s permit 1s issued (Sec 3097(1) CIVIi code). LENDER'S NAME LENDER'S ADDRESS 10. AJJPUCAN I CEtlu-lCAIION I cemf-y that I have read ihe apphcauon and stale 1hat the above inlonnauon 1s correct. I agree 10 comply w1ih 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 10 SAVE INDEM.NlFY AND KEEP HAflMLF.SS TICE CITY OF CARISBAD AGAINST AU.1JA81IJTIES, JUDGMENTS, cnsrs AND EXPEN~ Wlll□-1 MAY IN ANY WAY ACX:RUE AGAINST SAID CITY IN CDNSF.QUENCE OF TICE GRANTING OF TIIIS PERMIT. OSHA: An OSHA pennit is required for excavations over S'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 pennit or if the building or work authorized by such pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLICANT'S SIGNATURE fu r-t\ C ~ DATE: l -)-s I:> WHITE: File YELl..OW: Applicant PINK: Finance 0 PERMIT# CB960981 DESCRIPTION: 35SQ LITE-WT CITY OF CARLSBAD INSPECTION REQUEST FOR 06/12/96 CONC TILE RE-ROOF INSPECTOR AREA TP PLANCK# CB960981 OCC GRP TYPE: MISC JOB ADDRESS: APPLICANT: 2719 YORK RD HASSAN, SAM STE : CONSTR. TYPE NEW LOT: PHONE: 619-729z;-c3566 PHONE: CONTRACTOR: OWNER: REMARKS: MW/BRIAN/591-3123 SPECIAL INSTRUCT: TOTAL TIME : CD 15 LVL DESCRIPTION ST Roof/Reroof PHONE: INSPECTOR -,.,,,._ _________ _ ACT COMMENTS .£ ------------- ------------------- DATE 060496 060496 DESCRIPTION Roof/Reroof Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP CO TP AP TP COMMENTS NLNG SHORT STAPLES & SD USED CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS ]7 \ C\ '-1 b ,'(:_. ¥0 2. TYPE OF BUILDING: RESIDENTIALL COMMERCIAL __ 3. ROOF SLOPE: RI SE :\ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING SHEATHING,Sy.,p / ~'-'\WQvt:, 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 / *6. NEW ROOF MATERIAL \,:s:: w:t Cc ...}Cc-c~LASS_fl WEIGHT PER SQUARE SJJ) 7. NUMBER OF SQUARES _J_S......_ __ _ 8. TRADE NAME 7\ MANUFACTURER \_, f<__ > \ \<...., 9 . ROOF SYSTEM APPROVAL UL No. 2 k,_$" \o Other ___ _ 10. 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 A ./c1ass 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 ~er ---Contractor Name C-f\ 1.-\ G. '-1 (-J_: l-u V\ K00,C *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/C0111p Fiberglass, Built up.