HomeMy WebLinkAbout1023 IRIS CT; ; VARIOUS; PermitUSE BALL POINT PEN ONLY & PRESS HARD
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n I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
fuli force and effect.
Lie No Class
I hereby atfirm that t am exempt from the Con-
tractor's License Law tor ttw fotlowing reason (Sec-
7031 S 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 reguires the applicant for
such permit to file a signed statement ttiat tie is
licensed pursuant to the provisions of the Con-
tractor's License Law (Chapter 9 commencing with
Section 7000 of Division 3 of the Business and Pro-
fessions Code) or that is exempt tt>erefrom and ttw
basis tor ttie alleged exemption. Any violation of
Section 7031.5 by an applicant for a permit subjects
ine applicant to a civil penalty of not more ttian five
hundred dollars ((500).
^flTl, as owner of ttie property, or my employees
MirKwages as ttieir sole compensation, wilt do the
work, and ttie structure is not intended or offered for
sale (Sec. 7044, Business and Professions Code:
Ttie Contractor's License Law does not apply to an owner of property who builds or improves thereon
and who does such worV himself or through his own
employees, provided that such improvements are
not intended or offered for sale If. however, ttie
iHjilding or improvement is sold wittiin one year of
completion, ttie owner-builder will have the burden
of proving tfiat he did not build or improve for the
purpose ot sale).
• I, as owner ot the property, am exclusively
contracting with licensed contractors to construct
ttie protect (Sec 7044. Business and Professions
Code: The Contractor's License Law does not apply
to an owner ol properly who builds or improves
ttiereon, and who contracts for each projects with a
contractorts) license pursuant to the Contractor's
License Law).
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D I am exempt under Sec
for this reason
O ) hereby affirm that I have a certificate ot consent
to sell-insure, or a certificate ol Workers
Compensation Insurance, or a certilted copy thereol
(Sec. 3800. Labor Code)
POLICYNO _ _
COMPANY
O Copy is filed with the city
D Certified copy is hereby turnistied
CERTIFICATt OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit
IS tor one hundred dollars (SlOO) or less)
Q I certify that in the performance ol the work for which this permit ts issued, I shalt not employ any
person in any manner so as to become subject to
the Workers' Compensation Laws ot California
NOTICE TO APPLICANT It, after making this Cerli
ticale of Exemption, you should become subject to
Ihe Workers' Compensatton provisions of the Latxjr
Code, you must forthwith comply witti such
provisions or this permit shall be deemed revoked
• I hereby affirm that there is a construction
lending agency for the pertormance ol the work tor
which this permit is issued (Sec 3097. Civil Codei
Lender s Name_
Lender s Address .
OWNER'S MAILING ADDRESS
4^
LOT I BLOCK
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
l^?^ ^^lil Ca^r*- CuAAcJ &^
AV. ST.
no.
OWNER'S NAME OWNER'S PHONE
SUBDIVISION
DESOHIPTION OF WORK,
ASSESSOR PARCEL NO.
DATE OF APPLICATION BUSINESS LICENSE #
iiiri<"7ilf^ ^
• ^p'lSPijn^i^w^p'''*^ • •• •. J«RIME CONTRACTOh^^^^£^/s/&/-^^ CONTBACTOHS PHONE *
AriKx fiiwj'fi ,^/&e7»6>*f>4-4
CONTRACTOR'S ADDHiESS v/ f UCENSE NO.
DESIGNER
-nrr.
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS
DESIGNER'S AOORES
F/P FLR«LEV. ^
vD NQ
GRADING PERMIT ISSUED
Y • N Q
REDEVELOPMENT
AREA
NO
STORIES
TYPE
CONST
STATE LICENSE #
DESIGNER'S PHONE
EDU
FIRE SPR
YO NQ
VALUATION
ZONE
PLAN l.D. #
STANDARD PLAN #
PERMIT NUMBER
BLDG USE CODE
BUlLDiNG SQ. FOOTAGE
5/07/31!137
0nU|!l97 b/u7/r5
DDn|ii97 \Si
Not Valid Unless Uachine Certified
h/"7'
HAVE CAREFULLY EXAMINED THE COMPLETED -APPLiCATIfflJ AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INR»HMAriON HEREON INCLUDING THE
DCCLARATIONS A(«E TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED' TO COMPLY WITH ALL CITY. C0UN7Y AND STAT- I AvM, drjVtRNINIi B.JIL-^'NG <'0U
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS TH6 CITY OF CARLSBAO AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS ANO
ES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO OET IN CONSEQUENCE OF THE
ING OF THIS PERMIT
Expiralioii. Ewry pamiM luusd by the Building Official under Uieprovmiom oflhis
Code shall expire by liinitalion and become null and void if the building or work
authorized by such pernM is not commanced within 180day« from the date of such
permit, or if the buMina or work authoriMd by suctt pfrtnit i* suspended or
Jbandoned at eny time efler the worii n ..oiTimyncad for a pei'od of '60 .lats
JHWHTLNQ
APPLICANT S SIQNATURE * OWNER W CONTRACTOR D
BVPHONE •
* AN OSHA PERMrr IS REQUIRED FOR EXCAVATIONS OVER
S' 0" DEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCTUReS OWER 3 STORIES IN HEIOHT
INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND SHOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. 1. - SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT - AIR COND. — SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
FIELD INSPECTION RECORD
REOUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF
CHECKED
INSPECTORS
APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
-
-
07/12/1999
0^
City of Carlsbad
Miscellaneous Permit Permit No:CB992601
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Titie:
1023 IRIS CTCBAD
tVIISC
2144020700
$9,010.00
Subtype: REROOF
Lot #: 0
FREEZE RESIDENCE
REROOF LITE WEIGHT TILE 3400SF
Status:
Apptied:
Entered By:
Pian Approved:
Issued:
Inspect Area:
ISSUED
07/12/1999
DT
07/12/1999
07/12/1999
Appiicant:
SECURE ROOF iNC
2210 IVIEYERS
ESCONDIDO CA 92029
760-432-9084
Owner:
FREEZE DAVID W
1023 IRISCT
CARLSBAD CA
92009
1751 07/12/99 OOOl 01 02
C-PRMT 189-00
Totai Fees: $189.00 Total Payments To Date: $0.00 Balance Due: $189.00
Misceianeous Fee #1
iVIisceianeous Fee #2
TOTAL PERMiT FEES
PERMiT FEES $189.00
$0.00
$189.00
Inspector:
FINAL APPROVAL
Date: Ciearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the Gity Manager for
processing in aaordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previousiv othenwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT-APPLICATION
CITY OF C'ARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
H Sl' i PBtiJECTj^Fg^MAtlON
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL. ^O/O
Plan Ck. Deposit
Validated By
Date
Addrtss linclude Bldg/Sp»^ f) Business Nsme (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total 9 ol units
•^Q. FT. #oV«tori
Assessor's Parcel # losed Use
Description ol Work
fz?"; icONtACfiPiWsdNIfil aiifwtntfrom»^
#o>-Slories edrooms # of Bathrooms
Name Address City
%I^KICANt|il3,^ ' 'Q Agent for Owner
State/Zip relsphonej
^ame Address City State/Zip Telephone #
Name Address City State/Zip Telephone #
(Sec. 703I.B Business end Prolessions Code: Any City or County which requites a petmit to constiuct, eltet, Imptove, demolish or tepait any structuie, prior to Its
Issuance, also lequlies the applicant (or such permit to file a signed statement that he is licensed pursusnt to the ptovisions of the Conttactor's License Lew
IChapter B, commending with Section 7000 of Division 3 of the Business and Professions Code! or thet he Is exempt therefrom, end the basis for the alleged
exBtnotlnn Anu vlolatian of Section 7031.6 by any applicant for a permit subjects the applicant to uivilpenBlty,of not more than five hundred dollars U50()J). _
Si'. -3 y Address _ City State/Zip.^^ .^Tele^^je t
^^^^^^ ^-y License Class ^Z-Q V City Business License # O State License #
Designsr Name
State License I
16;-5 Won ^
Address City State/Zip Telephone
Workers' Compepsation Decleratlon: I hereby affirm pnder penalty of perjury one of the following declarations:
Q I have and will maintain a certificate of consent to self-lnsute for workeis' compensetion as provided by Section 3700 of the Labor Code, for the perloimance
of the wotk tor which this permit Is Issued.
jSj^l have and will maintain workers' compensation, as required by Section 3700 of ths Labor Code,, for the performance of the work for which this permit Is
/Issued. My worker's compensation Insurance carrier and policy number are: yu / /
Insurance Company Policy Expiration Date
abor gode, Inlenat and
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS U100I OR LESSI
Q CERTIFICATE OF EXEMPTION; I certify thet In the performance ot the work for which this permit Is issued, I shall not employ eny person in eny manner so es
to become subject to the Workers' Compensation Ijwa of California.
WARNING: Failure to aecura workers' compensetion coverage Is unlawful, and shall subject an employer lo criminal penaltlei and civil fines up to one hundred
thousand dollara |l1OQ<0OO),ined4ltlonJo the costo^c^piinsatlon, damages e* provMed for In Section 3706 ol the Labor gode, Intemat and attorney's fees.
SIONATURE ..^^-^^^fi^ii^l.^.^^^^y'^T / 'V" DATE "
I hereby affirm Mat I em exempt from the Contrector'a License LsWJaMtIs foilowing reason:
Q I, as owamr of the properly or my employees with.wages as their sole compensation, wlll do the work and the structure Is not Intended or offered lor sale
(Sec. 7044, Business and Professions Code; The Contractor's License Lsw does not appiy to an owner of property who builds or Improves thereon, end who does
such work himself or through hla own employees, providetl that such Improvements are not intended or offered for sale. If, however, the building or Improvement Is
sold within ons year of completion, the owner-bulldsr wi|l have the burden of proving that he did not build or Improve for the purpose of sale).
Q I, ss owner of the property, am exclusively contiacting with licensed contiactors to construct the project (Sec. 7044, Business and Prolessions Code: The
Contractor's License Law doe* not apply to an owner of property who builds or Improves thereon, and contracts for such projects with eontractorls) licensed
pursuant to the Contractor'* License Law).
n 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. Q YES QNO
2. I (have / heve not) signed en application for a building permit for the proposed work.
3. I have conttacted with the following person (firm) to provide the proposed construction (Include name / address / phone number / contractors license number):
4. I plan to provide portions ot the work, but I have hired the tollowing person to coordinate, supervise end provide the major work (include name / address / phone
number / contractors Iicense number):
6. I will provlda some of the work, but I have contracted (hired) the foilowing persons to provide the work indicated (include name / address / phone number / type
ot work):
PROPERTY OWNER SIQNATURE DATE
Is the spplicsnt or future building occupant required to aubmit a business pian, acutely hazardous materials registration form or risk management and prevention
program under Sections 25606, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? • YES Q NO
Is the epplicant or luture building occupant required to oblain a permit from the ak pollution cotniol district or eir qualitY menegement disttict? D YES Q NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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 EMERQENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
(8S2rti;-8flsfSUc116W;il*f6IN9m^ .'.V;", • • ?,.
I hereby aHltm that thete Is a consttuction lending agency fori the petformance of the wotk for which this permit Is issued ISec. 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I certify that 1 have read the application and state that the al)ove Intormatlon Is correct and that the Informaiion on the plens Is accurate. I agree to comply with all
city ordinances and State lawa relating to building consttuction. I hereby authotlie tepresentetlvas of the CUV of Carlsbad to enter upon the above mentioned
ptoperty for Inspection putposes. I ALSO AQItEE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAItLSBAD AGAINST ALL LIABILITIES,
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 I* required for excavations over B'O" deep and demolition or construction of structures ovor 3 stories in height.
EXPIRATION: Every permit Issued by the Bulldlng Official under the provisions of this Code shsll expire by llmltstlon and become null and void If the building or
work authorized by such permit is not commenced within 366 days trom the date of such permit or If the building or work authorized by such permit Is suspended
or abandoned at any time alter the worlt Is commenc_ed for a peripd ol 180 days (Section 106.4.4 Uniform Bulldlng Code).
APPLICANT'S SIGNATURE ^^^-JA^I^C-'CJ^^—^ DATE '
WIIITF: File YElC |.CbWiJi1<pllr
7/ / i^/i^
pllrsnt PINK: Finance
CityofCarlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: /^^^ ///<f. d^^^ ^
2. TYPE OF BUILDING: RESIDENTIAL )^ COMMERCIAL
3. ROOF SLOPE: RISE H inclies in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 2 3
5. TYPE OF EXISTING ROOF COVERING^^^HEATHING ,
*6. NEW ROOF MATERIAL -r7^^d^ CLASS /^ WEIGHT PER SQUARE ^ (-f
1. NUMBER OF SOUARES 3 ^ <^ .
8. TRADENAME /^i/^eA-i^n^ MANUFACTURER AlOrO/^^y^.
9. ROOF SYSTEM LISTING ULNo.'^ ICBO No. ^?0^ ^ .
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN
THE WEIGHT OF THE PROPOSED ROOF? ,<^YEs2 NO
AU roof coverings are required to be CLASS A. Combustible roof coverings of any
type or classification are prohibited.
I understand the following inspections are required:
L Tear OfiTPre-inspection prior to install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
Signature
/
Contractor Owner Contractor Name
^6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other.
City of Carlsbad Inspection Request
For: 7/22/99
Permit# CB992601
Titie: FREEZE RESIDENCE
Description: REROOF LITE WEIGHT TILE 3400SF
Inspector Assignment: DH
Type: MISC Sub Type: REROOF
Job Address: 1023 IRISCT
Suite: Lot 0
Location:
APPLICANT SECURE ROOF INC
Owner: FREEZE DAVID W
Remarl<s:
Phone: 8003386868
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comments
Requested By: TERESA
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
7/14/99 15 Roof/Reroof AP DH SHEATHING
7/13/99 15 Roof/Reroof CA DH