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HomeMy WebLinkAbout1014 LAGUNA DR; ; CB970044; PermitA l wnr : A" f ·~ Reqlll.:l 1 --------- A F d er 1 1 n M see~ aneo~ f #1 ~ M~ CELLANE US TOT ... A s A 1 ">.,;.: I N C. f r nc 4200 ,JF 2 >eve -.,Ul l 6 .. #. C tl tll #: l A 1 0 & red1 · 12 PERMI..,.. F 12 . l FINAL APPROVAL INSP.~ll. 7 DATE tf ' ? · o/J CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY P.ERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PLAN CHECK NO. 'f 7 altf' EST. VAL. 'J:Q ) ,?- Plan Ck. Deposit~ Validated By::'._...,.~,.._..,.._.:;....-"------- Date ~/4!1 (,UAt -10 -I~ Lot No. Subdivision Name/Number Phase No. Total I of units Assessor's Parcel I Existing Use Proposed Use -~es ·ption of W r ~ , ~ . 11 -ol, CONTA T PERS (l~t frqm.•ppllcantl SO. FT. #of Stories L /200 '2.. ~~J", ~~ ;__.._' ~ I of Bedrooms 7 # of Bathrooms 7 ~ Name Address City State/Zip Telephone # Fax # APPU~,:: :..D~!!flj!llctOr..a a.~~2.'ll!!2!QI....,._O ..Qwo;[,:.;,.'.CL.8Q.ent.t2! 't-«nne!!!r.,.,,;. -.;,;, -................ ""'-., .... {;;. "'-.,;, ..._ ...... ~ ....... i .. "J;. -t,/J "'"t1. ... ,. "'.,. ""'i::: ,.,._OJ:.,....:-...... f.. .... -....... -..... ---..-_ . @~ ---·--- (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, commending 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 penalty of not more than five hundred dollars [$500]). Name Address City State/Zip Telephone I State License # _________ _ License Class _________ _ City Business License I _______ _ Designer Name State License # 63 lf / L/ 5' Address City State/Zip Telephone -----~l;O~PEIJl.$4110 ' .,......__ ..... ...__.....;~~....,.. ...... ..-....._._.1, Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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' compensatic;m, 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 ensatio insura car::r rnd policy number are: 9' _ oz.(,-'t7 Insurance Company _---:~-;,~~-.:i~~=----.i....:~.?:v....:.:: ,-\,,,________ Policy No. G \btAjt'. 2-2-} b I Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure aecure•workera' compenaation coverage is unlawful, and shall subject en employ• to criminal penllltiN end clvll fines up to one hundred thouund dollars ($ 0,000 dltion to the cost of compensation, damages II provided for In Section 3706 of the LabQ, code, Interest and attorney's fHs. SIGNATURE•~~--;::::,,-"::::::::::===--------:----------:--:--:=:::-DATE /-f'c> C/ 7 7 ,..OYJ UILDER DECLARAI IO~ ,. ""-' _ ,._ .,i ~ ...!""""-'-,_;_:/,;_, • .'.. ':_.. •~- I hereby rm that I am exempt from the Contractor's License Law for the following reason: 0 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 purpoH of a■lel. 0 I, as owner of the property, em exclusively contracting with licensed contractors ~o construct the project (Sec. 7044, Busineu and Profeaaiona Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contract■ for such projects with contractor(sl licensed pursuant to the Contractor's Licenae Law). 0 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. 0 YES ONO 2. I (have / have not I 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 / 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 ~ SECU()N,'..FQ(l}jg~ltiQ~JiNl.l ' 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or eir quality management district? 0 YES O NO Is the facility to be constructed within 1,000 fHt of the outer boundary of a school site 1 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL 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. . ONSTR!JCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is iHued (Sec. 3097(11 Civil Codel. LENDER'S NAME ______________ _ LENDER'S ADDRESS_-;;~~~====~=:i:iii:i~~~~~~-:---;;;--:---(a. .APPLICANT CERTIFICATION -~ I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with ail 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 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 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 th ork is commenced for a period of 1 BO days (Section 108.4.4 Uniform Building Code). c_ -DATE /-N -9 7 ' -APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance I 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. e . . . CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS / 0/ 'I L O.':'.)i,JVJ c, or TYPE OF BUILDING: RESIDENTIAL COMMERCIAL ---- ROOF SLOPE: RI SE S .1/<--inches in 12 inches 7 TYPE OF EXISTING ROOF COVERING (0M01'} ~Dov--SHEATHING -i -------- NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 NEW ROOF MATERIAL €£ 01/V\f ,x>+<-vv--CLASS~ WEIGHT PER SQUARE JZ,0 NUMBER OF SQUARES 4 2... --===~~----_-_-___ _;MANUFACTURER:......J<C=..,...f ..:...K...;__ ____ _ TRADE NAME ROOF SYSTEM APPROVAL UL No. _____ Other ___ _ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES ,'I( NO __ _ If the answer is no, a roof plan must be provided with this application. 11. 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. DATE Contractor ;z:c____ _ Owner __ _ Contractor Name~-j -~MS _;::_ _ _;__ _____ _ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970044 FOR 04/07/97 INSPECTOR AREA DC PLANCK# CB970044 OCC GRP DESCRIPTION: REROOF COPMOSITION 4200 SF 3 UNITS 9-13 CONDOS TYPE: MISC JOB ADDRESS: 1014 LAGUNA DR APPLICANT: L.S. ROOFING CONTRACTOR: OWNER: REMARKS: RS/603-9352 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 61 VMK-Footil'lg 6VMA Retaining Wa~~(\ )=-· {:~ r-J,• L STE: CONSTR. TYPE NEW LOT: PHONE: 619 590-0112 PHONE: PHONE: h INSPECTOR7-__________ _ ACT COMMENTS d::f-' -'-.:....:..' .:_:rJ~.;::_r<__:V:c:::._ _________ _ ***** INSPECTION HISTORY***** DATE 012897 012297 011397 DESCRIPTION Roof/Reroof Roof/Reroof Roof/Reroof ACT INSP AP DC CO DC CO DC COMMENTS ORIG SHTH NO TEAROFF 10:00 NO CARD/LADDER/TEAROFF