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HomeMy WebLinkAbout1023 IRIS CT; ; VARIOUS; PermitUSE BALL POINT PEN ONLY & PRESS HARD o < z o oc UJ z o 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). , B & P C < (/) Z UJ a. 2 O u (0 cc UJ oc o » Q Z 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