HomeMy WebLinkAbout1025 IRIS CT; ; VARIOUS; PermitMODEL NO.
BUILDING PERMIT APPLICATION
Applicant to complete numbered spaces only.
City of CARLSBAD, CALIFORNIA 92OOap'tf0J„^?53|8i
Phone 729-1181
S.2Q BP
0 Tl.
ASSESSOR'S
PARCEL NUMBER
,LCSAL
I OESCR. 5CX3 IS-33 ([ [SEE ATTACHED SHEET)
PAGE
(Nfc« MAIL ADDRESS r t' j» r-riwnt
NTRACTOR MAIL ADDRESS PHONE '^TATE: LIC. NO. CITY LIC. NO,
ARCHITECT OR DESIGNER MAI L ADDR ESS LICENSE NO.
MAIL ADDRESS LICENSE NO.
COMPENSATION IN5.X:ARR1ER ^A I L ADORE SS
USE OF BUILDING
NO. BDRMS, NO. BATHS.
8 Classofwork: J^ADDITION •ALTERATION •REPAIR •MOVE • REMOVE
9 Describe work:
10 Change of use from
-jrr Change of use to ^77
tl Valuation of work: $
SPECIAL CONDITIONS:
PLAN CHECK FEE $
Type of
Const.
PERMIT FEE S
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
APPLICATION ACCEPTED BY PLANS CHECKED BY
Fire
Zone
Use
Zone
Fire Sprinklers
Required DYP •NO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No.
Covered Sq. Ft.
INo.
Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING. HEATING, VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
SIGNATURE OF OWNER (IP OWNER BUIT.OEW) IDATEI
Required Received Not Required
WHEN PROPERLY VALIDATED <IN THIS SPACE) THIS IS YOUR PERMiT
PLAN CHECK VALIDATION CK. M.o. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $. lA
INSPECTION RECORD
DATE IREMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL 8i
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
/ . /-
FINAL
USE SPACE BELOW FOR NOTES, FOLLOW-UP. ETC.
Jir INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE
BUILDING ADDRESS: y/^^^ V.^Lc^ ^^jZ^LX^c^^tX"
PLANNING DEPARTMENT
ZONE ^/ LOT SIZE LOT WIDTH
UNITS ALLOWED l_ UNITS PROVIDED
, PARKING SPACES REQUIRED , " PROVIDED
% COVERAGE ALLOWED ^"TY) PROVIDED
3^ BUILDING HEIGHT ALLOWED J^J^ PROVIDED
'FRONT SETBACK: SIDE SETBACK,: REAR SETBACK;
ALLOWED
PROVIDED
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
ENVIRONMENTAL PROTECTION
SCHOOL FEE: Y-i/xrjyTV^''^ DISTRICT: , / , AMOUNT
ADDITIONAL COMMENTS
LbTKlCT: • /
OK TO ISSUE: DATE OK TO PINAL DATE
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS,
*L SEWER CONNECTION DRIVEWAY LOCATIONS
GRADING PERMIT EASEMENTS ^^^/jt/^/^jg-y,/^.^/^^ DRA]
LEGAL DESCRIPTION
ADDITIONAL COMMENTS
OK TO ISSUE:/#'t-^ DATE -2-/I PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM FIRE PROTECTION EQUIP
FIRE ALARMS EXITS
FIRE HYDRANTS LOCATION
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL _DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET DATE_
Permi t No: CB 9 7 3 0 b4
Project No: A970 3899
Development No:
0251 10/15/97 OOOl 01 02
C-PRHT 20-00
BUILDING PERMIT
10/15/97 12:52
Page 1 o,f 1
Job Address: 1025 IRIS CT . Suite:
Permit Type: ELECTRICAL
Parcel No: 214-402-08-00 Lot#:
Valuation: 0 Construction Type: NEW
Occupancy Group: Reference#: Status: ISSUED
Description: ELECTRIC TO PORTABLE SPA Applied: 10/15/97
: Apr/Issue: 10/15/97
Entered By: RMA
Appl/Ownr : BOLT ELECTRIC 619 272-2240
4060 MORENA BLVD STE Gill
SAN DIEGO CA 92117
Fees Required ***• Fees Collected & Credits ***
Fees
Adjustments
Total Fees
Fee description
20 . 00
.DO
20,00
Total Credits
Total Payments
Balance Due.
Unit s Fee/Uni t
. 00
. 00
20 . 00
Ext fee Data
Enter "Y" for Electric Issue Fee
Enter "Y" for Remodel >
* ELECTRICAL TOTAL
10.00 Y
10.00 Y
2 0 . 0 0
, IF ll a li ^,> »< i" *^
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PEBMIt APPUCATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbacl CA 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK Nn ^ 70^-^^
EST. VAL _
Plan Ck. Deposit
Validated By
Address (include BIdg/Suite #) Business Name lat tWs addressi
Legal Description LotNo. Subdivision Nsma/Number Unit No. Phase No. Total # of units
Assessor's Parcel # ^ _ ^ tAwnim u.o
)ascription of Worit SQ. ^. fofStories
Existing Use Proposed Use
Description i
:2. CONTACt NUtiN (if dmaiint fi^
# of Bedrooms # of Bathrooms
Name Address
SAPPUCANT [0 Contractor
Name
Citv
• Agent for 6)ntraetor ' Q O*"*^ O Afl"^
Address City
State/Zip Telephone f Fax #
State/Zip Telephone lone #
.PROPERTYOWNER
lame Addrass miMsi
City
State/Zip Telephone # Name
:S. ^-CONTRACTOR-COMPANY NAME„^,_^^-.-„.. , . . , ^_...,.....„
(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 Ucense Law
IChapter 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
exognplion. Anv vioiation of Section 7031.5 by any applicant for a permit subjects tha applicant to a dvil penatty of not inore than flys hundred dejlars ($50011.
Name
Stats License #
Address
License Class
City Stats/Zip
City Business Ucenaa #.
Telephone #
Designer Name Address City State/Zip Telephone
State License #
e. • WORKERS' COMPENSATION ' '' , \'i'""""" '"':^''^l':7r-'~'%!'^^
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Ip I have end will maintain a certificate of consent to sslf-insure for workers' compensation as providad by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is
Issued. My worker's compensation insurance carrier and policy number are;
Insurance Company Poiicy No. Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS 1*100] OR LESSI
\S( CERTIFICATE OF EXEMPTION: I certify that in the performence of the work for which this permit is issued, I shall not employ eny person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallura to aecura workers' compensation coverage Is unlawful, and alMll aubieet an amployar to criminal penalties and chril finee up to one hundred
thoussnd dollws («TM),Qpoi,rln addMon to tha oost of compensation, damages aa provkled for In Section 3706 of the Labor coda, kiteraat and attomay'a faaa.
SIGNATURE \-i?^I;LU m^AXt| DATE /?//S/?7
rm that
7. OWNER-BULDER OECLARATION
I hereby affirm that I am exempt from the Contra6t6r's License Lew for the following reason:
O 1, as owner of the property or my employees vfith wages as their sole compemation, will do tha work and the structure ia not intended or offered for aale
(Sec. 7044, Busineas and Professions Code: The Contrector's Ucense Law doas not apply to an owner of proparty wlw builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements ere not intended or offered for sale. If, however, the building or improvement la
sold within one yeer of compietion, the owner-builder will heve the burden of proving that he did not build or improve for the purpoaa ef aale).
Q I. as owner of the property, am exclusivsly contracting with licensed contrsctors to construct the project (Sec. 7044, Business and Profeasions Coda: The
Contractor's License Law doas not apply to an owner of property who builds or improves ttMreon, aiKl corttraeta for such projaeta with contractorta) licanaad
pursuant to the Contractor's Ucense Lew).
• I am exempt under Section ^ Businsss and Professions Code for tMs reason:
1. I personally plan to provide the mejor labor and materials for construction of the propossd property improvement. g^ES QNO
2. I lhave / have not) signed en 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 / addross / phone number / contractors license number):
4. I pisn to provide portions of the work, but I have hired the fallowing person to coordinate, supervise and provida the major work (include name / addreas / phona
number / contractors license number):
5. I will provide some of the work, but I heve contrected (hired) the following persons to provlds the work indicated (include name / eddress / phone number / type
of work):
PROPERTY OWNER SIGNATURE DATE _
^COMPLETE THIS SECtiON FOR NdN^KESmBiWd. BUILOiNQ PERMITS ONCV^i^^^
Is ths applicant or future building occupant required to submit e iHJsiness pien, acutely iiezerdous materiels registrstion form or risk menegement and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hszardous Substance Account Act? Q YES Q NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO
Is ths 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 HNAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT.
i, cONStRUCTibNlENblNOAGENCY ^:-^ : ' ' ' ^ ^• '
I hereby affirm that there is s construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
W. • • APPUCANT CERTiFICATldN' '''"f'"'r'---"'-"'"-'-"^^^^ - : J -' - •• '
I certify that I hava read the epplicetion and state that the above Information is corrsct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws rslating to building constmction. I hareby authorize representatives of the Citir of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CffY OF CARLSBAO AGAINST AU UABILmES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID COY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrr.
OSHA: An OSHA permit is required for excavations over S'O' deep and demolition or eonatruetion of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Officlel under the provisions of tNs 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 st sny time after the wnk isrcommenced for a pe^od of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
le w«k isfcommenced for i
DATE Wf7
YELLOW: Applicsnt PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB973054 FOR 10/22/97 INSPECTOR AREA
DESCRIPTION: ELECTRIC TO PORTABLE SPA PLANCK* CB973054
OCC GRP
TYPE: ELEC CONSTR. TYPE NEW
JOB ADDRESS: 1025 IRIS CT STE: LOT:
APPLICANT: BOLT ELECTRIC PHONE: 619 272-2240
CONTRACTOR: I 1 /i r-? G I PHONE:
OWNER: / I ( P PHONE:
REMARKS: C/MOLLY/431-0071 AM PLEASE INSPECTOR
SPECIAL INSTRUCT: CONTRACTOR BACKFILLED TRENCH BUT LEFT SECTIONS OPEN FOR
INSPECT. CONTRACTOR WILL CALL IN THE AM TO TALK TO INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
31 EL Underground/Conduit-Wiring
if
***** INSPECTION HISTORY *****
DATE DESCRIPTION ACT INSP COMMENTS
^1
BUILDING PERMIT
10/07/98 10:57
Page 1 of 1
Job Address: 1025 IRIS CT Suite:
Permit Type: MISCELLANEOUS
Parcel No: 214-402-08-00 Lot#:
Permit No: CB983426
Project No: A9804467
Development No:
Valuation: 8,764
Occupancy Group: Reference#:
Description: RE-ROOF,2800 SF,LT WT CLAY
: ICBO # 3523
Appl/Ownr : B. BETYAR CONSTRUCTION
2265 VIEW ST
OCEANSIDE CA 92 0 54
*** Fees Required * * A. A**
Construction Type: NEW
Status: ISSUED
Applied: 10/07/98
Apr/Issue: 10/07/98
Entered By: RMA
760 967-5988
Fees Collected & Credits * * *
Fees: 174.uo
Adjustments: .JO
Total Fees: 174.00
Fee description
Total Creditis:;
Total Payraftpts:! .
£alonc« Dae:'
Unit' Fe^-y'Iriit
. 00
. 00
174.00
Ext fee Data
Miscellaneous Fee #1
•* MISCELLANEOUS TOTAL
174.OU 174.00 PERMIT FEE
174.00
1987 10/07/98 OOOl 01 02
C-Pf*1T 174.00
FINAL, APPROVAL
INSR
CLEARANCE.
DATE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsba(j CA 92009
(760)438-1161
1. PROJECT MFI
19
W0RMA'^N^
A.
FOR OFFICE USE ONAX- ^ ^
PLAN CHECK NO.. ^
EST. VAL.
Plan Ck. Deposit
Validated Bv /
C/T
Address (include BIdg/Suite «) Buainass Nama (at thia addraasi
Legal Oescription LotNo Name/Number Unit No. Phase No. TotsI # of units
ExistingUse ^ I Use
Oescription of Work SQ. FT. fof Stones tef Bedrooms * of Bsthrooms
2. CONTACT PERSON (tt dttfaiwt from appacMitl
Nsme
3- APPUCANT £S> Contnctor
Address
Agent fer Co • Owriar
Citv
D Agaiit for Owner
State/Zip Telephone # Fex »
Name Address City State/Zip Telephone *
lOPERTY OWNER
Nama Address City State/Zip Tetephone*
B. CONTRACTOR - COMPANY NAME — •- . ..i . --— ^ -^^
(Sec. 7031.5 Business snd Profassiens Code: Any City or Cauntv which requires a permit to construct, alter, impieva. demoiish or repair any strueturs, prior to Its
issusnce, siso reauires the applicant fer sueh permit to fHe a aigned statement that he ia lieaneed pursuent te the previaiena of the Contrector'a Ucenae Law
IChapter 9, commending with Section 7000 of Diviaion 3 of the Buainees snd Proleeaiens Code) or that he ts emmpt therefrom, and the basis for the alleged
Anv violation of Section 7031.5 by eny applieent for a permit subjeeit tha eptiHcent ta.a ehril penalty el noLntere than five huridred dotiars (*500ll. eiSMnptigp. Anv violation of Section
Name
State Ucense t
Addrass
Ucense Class
City Stata/Zip
City Buainoee Ucenae t
Telephone t
Addreas City State/Zip Teiephone Designer Name
State License #
6. WORKERS'COMPENSATION
Workers' Compensstion Deelaratton: I hersby affirm urtder penehy of perjury oiw ef the (ollowing declarations:
• I have and wili maintain a certificate ef conaant to aalf-inaure (or workers' compensation es provided by Sectien 37(X> ef the Labor Code, (or tha performance
of the work for which this permit is issued.
^ I have snd will maintain workers' compenaation, as required by Ssction 3700 of the Labor Cede, for the performance of the work for wtiich this permit is
issued. My worker's comperustion insursnee>csrrier snd policy number ere: ^
?t>f^ H)AP Policy No._/£fZ^Llil Insurance Compsny _ Expiration Oate
wttien tms perr
(THIS SECTION NEEO NOT BE COMPLETEO IF THE PERMrT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS)
• CERTIFICATE OF EXEMPTION: I certify thst in the performsnee of the work for which this permit is iaaued, I aheN not employ eny peraon in eny manner ao as
to become subject to the Workers' Compensation Lewa of Calitomia.
WARNING: FaUure to aaeuta weriiara' eompanaatlon Beverage le unlewtui, and ahal auta^ct an emptoyer te criminal penetttee and eivU finea up te ene hundred
thousand dollars (SlOCnoOOl, tn atf3n|ento the eoat el cempertaeMen, demegea aa presided fer In Sectien 3706 ef tiie I aber^milp. bMefeat and etlemey'a fees.
SIGNATURE //~^/^^^ OATE /^/?/ff
7. OWNER-BUILD^i^ECLARATK^!* • ' • r*. ' -..•'•»••-••
I haraby affirm thst I em exempt from tha Contrector's Ucense Law for ttw following reeson:
G I' as owner of the propertv or my employees with weges as their sole compensation, wMI ilo the work eitd the atructure ia net iittended or offered for eeta
ISec. 7044. Busineas snd Protsaaions Code: The Centraetor'a Licenae Law does net eppty te en ewner el propetty whe buHda or imprevea ttiereon, and who doea
such work himself or through his own emptoyees, provided that aueh imprevemams are net Intendad er offered fer eeta. K, tiewever, tlie building or tmprovement ta
sold within one year ef completion, ttie owner-liuilder will have ttie burden ef proving ttiat lie did not buHd er Improve fer the purpeee ef eelel.
• I, as owner of the property, am exeluaively contrecting with licenaed eentraetera to eonstruet the project ISec. 7044, Busineas end Profeaeiens Cede: The
Contractor's License Lsw does not apply to an owner of praperty who builds or improves thereen, and centraeta fer aueh projects with eontreetorls) Keeneed
pursuant to ths Contractor's License (.aw).
Q 1 am exempt under Section Business end Professions Code for tliis roason:
1. I personally plan to provide tiie mejor lebor end materials for construction ef the praposed preperty imprevement. O YES QNO
2. I (have / have not) aigned an application for a buiiding permit lor the proposed work.
3. I have comrsctad with tha loilowing person (firm) to provide the proposed constniction (tnelude neme / eddress / phene number / eontrsctors licenae number):
4. I plan to provide ponions of the work, but I have hired the foUowing person to eoerdinato, superviae and provide the maijer vrark linclude nema / addrees / phone
number / contractors licenae number):
I will provide eome of the work, but I heve eontraetad (hired) the fallowing peraona te provide the work indleeted (inciude nanM / addreaa / phene number / typa
of workl:
PROPERTY OWNER SIGNATURE OATE
COMPLETE THIS SECTION FOR/VIM^IKSIDar7X«£BUIU)M<IP^^ --r^ -jw-
Is the epplicant or future building oeeupem roquired to submit a buainoss pten, acutely haierdeus materiels lepieweUuii form er riak managament end prevention
program under Sections 25505, 25533 or 25S34 of tha Prealay-Tanner Hazardoua Substanea Account Aet? O YES O NO
Is ths applicant or future building occupam raquired to obtain a parmit from tha air pollution control dtftriet er air quattty managemant district? O YES • NO
Is ths fscility to be construetsd within 1,000 faet of the outer boundary of a achool aite? • YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIHCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POUUTION CONTROL OISTRICT.
iS. CONSTRUCTION LENDIN(} AGEN(iY " ~ ^T-t ,"--,...,,.^,, , . . ,
I hereby affirm thst there is a construction landing agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
•9. APPUC/UtT CERTIFICATION
i certify that I hsvs rssd the spplication and atata that the above information is correct and that tha information on the plans is accurate. I egree to comply with ell
City ordinances and State laws relating to building eonatruetion. I hareby authorize repreaentsthws of the City of Carlsbad to enter upon the above mentioned
propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSBAO AQAINST AU UABILmES.
JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAIO CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for exesvstions over S'O' deep end demolition or constnjction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the proviaiona of this Code ahall expire by limitation and become null end void if the buiiding or
work authorized by such permit is not commenc^within 365 days from the date of auch permit or if the buiiding or work euthorized by such permit is suspended
or sbandoned st sny time stter the W^rk 9 commend fqrjk period of IBO days (Section 106.4.4 Uniform Buildina Code) / /
APPUCANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL K COMMERCIAL ,
3. ROOFSLOPE: RISE_^l_lnches In 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (T) 2 3
5. TYPE OF EXISTING R0Q^^0VERING^3^^t^ SHEATHING
*6. NEW ROOF MATERIAL CLASS A WEIGHT PER SQUARE
7. NUMBER OF SQUARES 5TpC>^<
8. TRADE NAME Ci^^h% MANUFACTURER ^ '^ "t^^
9. ROOF SYSTEM LISTING ULNo. ICBO No. ^<^>^
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? NO
All 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:
1. Tear Off/Pre-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.
Sianature / / f X Date
Contractor ^ Owner Contractor Name
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up.
Other.
0
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB983426 FOR 10/19/98 INSPECTOR AREA DH
DESCRIPTION: RE-ROOF,2800 SF,LT WT CLAY PLANCK* CB983426
ICBO # 3523 OCC GRP
TYPE: MISC CONSTR. TYPE NEW
JOB ADDRESS: 1025 IRIS CT STE: LOT:
APPLICANT: B. BETYAR CONSTRUCTION PHONE: 760 967-5988
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: R/967-5988
SPECIAL INSTRUCT:
INSPECTOR 0)^
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
ACT COMMENTS
0.
DATE DESCRIPTION
100998 Roof/Reroof
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
AP DH
07-30-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB072003
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
1025 IRIS CTCBAD
PLUM
2144020800 Lot #: 0
Construction Type: NEW
DRENTEA RES REPLACE WTR HTR
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/30/2007
KG
07/30/2007
07/30/2007
Applicant:
ALL STAR WATER HEATERS & PLUMBING
Owner:
DRENTEA FAMILY TRUST 03-18-05
17886 LAKESHORE DR 92530
1-800-727-0977
1025 IRISCT
CARLSBADCA 92011
Plumbing Issue Fee $20 00
Fixture or Trap 0 $0 00
Building Sewer 0 $0 00
Roof Drain 0 $0 00
Install/Repair Water Line 0 $0 00
Water Heater and/or Vent 1 $7 00
Gas Piping System 0 $0 00
Vacuum Breaker 0 $0 00
Other Plumbing Fees $0 00
Master Drainage Fee $0 00
Sewer Fee $0 00
Additional Fees $0 00
TOTAL PERMIT FEES $27 00
Total Fees: $27.00 Total Paynnents To Date: $27.00 Balance Due: $0.00
Inspector!^
FINAL APPROVAL
Date: vX^Ui Clearance:
NOTICE: Please take NOTICE that approval of your project Includes ttie "Imposition" of fees, dedications, reservations, or ottier exactions tiereafter collectively
refen-ed to as "fees/exactlons." You have 90 days from the date this peimlt vKas Issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Govemment Code Section 66020(a), and file the protest and any other required infomiation with the City Manager for
processing In accoidance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attaci(,
review, set aside, void, or annul their Imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactlons DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or olher simiiar application processing or semice fees in connection with this project. NOR DOES IT APPLY to any
fees/exactlons of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has oreviouslv othenwise expired.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
IQT-S 3:4-) s
Address (indude Bidg/Sulte #)
FOR OFFICE USE ONLY
PLAN CHEGK NO.Q307^^-^3
EST. VAL.
Plan Ck. Deposit
Validated B.
Date
a au
7-3 ^-<97
Business Name (at tills address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel It Existing Use Proposed Use
Oesdription of Worit SQ. FT, # of Stories tt of Bedrooms # of Bathrooms
Name Address City state/Zip Telephone # Fax#
Nama Stataaip
Name
Address
Address
City Telephone #
City SUte/ZIp Telephone #
(Sec. 7031.6 Business and Professions Cods: Any City or County which requires a parmit to construct, alter, improve, demoiish or repair any structure, prior to its issuance,
also requires the appiicant for such pemiit to file a signed statement that he is licenssd pursuant to the provisions of the Contractor's License Law [Chapter 9, commending witn
Saction 7000 of Division 3 of the Businsss and Professions Coda] or that he is exempt therefrom, and the basis for the alleged exemption. Any vioiation of Section 7031 5 Dy
any appiicant for a permit subjects the applicant to a civii penalty of not rnore than jQva hundred doiiars ($5001). -
Ai\^Wr kftW '^^>^(^ ft^^r^ vJi^k M^tO,. C^. f ^ fSodW mT-
Name
State License #
Address
License Class
City State/Zip
City Business License #.
Telephone #
Designer Name
State License #.
Address City State/Zip Telephone #
iiiiiiiaBiHiiiHBi^^
WorKers' Compensation Oeclaration: I hareby affirm under penalty of peijury sne of the foilowing declarations:
• I havs and wiii 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 wili maintain worlter's compensation, as required by Section 3700 of the labor Code, for the performance of the worit for which this permit is issued My
worker's compensation insurance carrier and policy number are:
Insurance Comoanv S .j,^}... Hv^^vi Poiicv No. / ? U / ^ ^jlO S" Expiration Date & ' Z 'O^h
(THIS SECTION NEED NOT BE COMPUETEO IP THE PERMrr IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
• CERTIFICATE OF EXEMPTION: I certity that in the performance of the worit for which this permit is issued, i shall not employ any person in any manner so as lo
become subject to the Workers' Compensation Laws of Califomia.
WARNING: Failur* to securt workers' compensation coverage is unlawful, and shall subjsct an employer to criminal penalties and civil fines up to one hundred thousand
dollars($100,000), in addition to th«^ostp{,semp*iua«lon, damages ar* provided for In Section 3706 of th* Labor Code, lnt*r*st and attorney's fees.
SIGNATURE //^^ '-ter . \ DATE *7 lH-Of
iHHHMr I hereby affirm that i am exempt from the Contractor'* Licanse Law for the following reason: '
• I, as owner of the property or my empioyees with wages as their sole oompensation, will d the work and the structure is not intended or offered for sale (Sec^044
Business and Professions Code: The Contrector's License Law does not appiy to an owner of property who builds or improves thereon, and who does such work himself oi
through his own employees, provided that suoh improvements are not intended or offered for sale. If. however, the building or improvement is sold within one year of
completion, the owner-builder wiii have the burden of proving that he did not buiid or improve for the purpose of saie).
• I, as owner of the property, am exclusively contracting with licensed contractors to constnict the project (Sec. 7044, Business and Professions Code: The Contractor s
License Lsw does not apply to an owner of property who buiid* or improves thereon, and contracts for such projects with contractor(8) licensed pursuant to the Contractor s
License Law).
• i am exempt under Section Business and Professions Code for this reason:
1. I personally plan to provide the major labor and matariai* for construction of the pioposed property improvement. • YES • NO
2. I (have/have not) signed an applicatton for a building permit for the proposed worit.
3. I have contracted with the following person (firm) to provide the proposed constfuction (include name / addreas / phone number / contractors license number):
4. I plan to provide portions of the worit, but i have hired the foliowing person to coordinate, supervise and provide the major work (indude name / address / phone number /
/ontractors iicense number): :__
5. I wiil provide some of the worit, but 1 have contracted (hired) the foiiowing persons to provide the work indicated (indude name / address / phone number / type of work):
PROPERTY OWNER SIGNATURE. DATE
WHITE: File YELLOW: Applicant PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave,, Carlsbad CA 92008
Page 2 of 2
Is the applicant or future buiiding occupant required to submit a buainess plan, acutely hazardous materials registration for or risk managemem ano prevention program under
Sections 25505,25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? QYES • NO
Is the applicantor fuiure building occupant required to obtain a permit from the air poiiution control district or air quaiity management district? • YES • NO
Is the facility to be constructed within 1,000 feetof the outer boundaiy of a school site? • YES ONO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS IVIEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm' tliat there is a construction lending agency for the performance of the wt>rk for which this permit is issued (Sec. 3097(1) Civil Code)
LENDER'S NAME LENDER'S ADDRESS
9. ; APPucANXfigi^iiHc;8a:ifiai^^ n
I cenify that I have read the appiication and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all Cit>
ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carisbad 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, JUDGEMENTS, 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 of S'O' 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 shsll expire by limitation and become null and void if the building or work authonzeo
oy sucn permit is not commenced within 1 BO days Irom the date of such permit or if the buiiding or work authorized by such permit is suspended or abandoned at any time after
me work is commenced for a period of 180 days (Section 106,4,4 Unifonn Buiiding Code),
APPLICANT'S SIGNATURE. DATE 7-^/^?
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 12/11/2007
Permit# CB072003
Title: DRENTEA RES REPLACE WTR HTR
Description:
Inspector Assignment: . '<ti,
Type: PLUM Sub Type:
JobAddress: 1025 IRISCT
Suite: Lot: 0
Location:
OWNER DRENTEA FAMILY TRUST 03-18-05
Owner: DRENTEA FAMILY TRUST 03-18-05
Remarks:
Phone: 7604310071
Inspector:
Total Time:
CD Description
25 Water Heater/Vents
Act Comments
Requested By: MARIO
Entered By: CHRISTINE
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection Historv
Date Description Act Insp Comments
01-05-2011
City of Carlsbad
1635 Faraday Av Cartsbad.CA 92008
Mechanical Permit Permit No: CB110019
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC #:
Project Title:
1025 IRIS CT CBAD
MECH
2144020800
$0.00
Lot#:
DRENTEA RES REPLACE FURNACE
SAME LOCATION
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
01/04/2011
KG
01/05/2011
01/05/2011
Applicant:
LOMACK SERVICE COMPANY
Owner:
DRENTEA FAMILY TRUST 03-18-05
1957 E.VISTA WAY
VISTA, CA 92083
619-724-4634
1025 IRIS CT
CARLSBADCA 92011
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
Total Fees: $24.00 Total Payments To Date: $24.00 Balance Due: $0.00
Inspector:
FINAL Al
Date: ^
APPRO VAL
Clearance:
NOTICE: Please take NOTICE that approval of your prpject 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/exactlons. 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 City Manager for
processing in accordance with CarLsbad Municipal Code Section 3,32.030. Failure to tinrely follow that procedure wlll 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 capacity
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/exactlons of which vou have oreviouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othenwise expired,
Jan 02 2011 5J22PM 619-330-479G p.8
^ CITY OF
CARLSBAD
•irftcHng PtrniM AppHocrtlan
1636 rMdw AMB., CwlBbad, CA 68006 reMd^iri?/2718/2718
FBX 760402-8896
PlanOlwokNOi
btVMM
Rtpl6C6 FunwM In iwiM location
ipf MMlMeiMMBBMllllK^
<daNm«10OM(tiHi
. .. a.iJii»ia»^Mla««CBla:1haO«»illK'l
liUHiMofiMM "
Tuacamw^UBSMlMriMa nM«M«iii«MNr«i
•iMvwnplinttrSMllofl
1,1 pwo«*|r|tol»j(M(l*»i»rwl»rB»«rlM
ail>ipa)liB<»i<<>ai|w<a»^»l«<lwifcraW<idliy^*»»P'^i^^^
41 Pirt«a»olN«a*bi*lliw»<<w«""w*«»^»'*^
Jan 02 2011 5}23PM 61S-330-479G p.s
r L r T 1- tui, '. L : I I > • >- < r,> rj i > 'J u t '. I u 1- fvl I I \ , 4 I) I I 1 > I rJ <, r- F 1; r.l I J •. u rj t i
liii^jtiMimm^im^ -——^ i*ri<»»««
ial)iaBg«b»ewlwBW<#*l.flBO«w<o>t>«^^
IMBIMBMIMLLIJIIQNOMIMkBafMT.
•lyM«rwmMagHMntaadf««Mnllta>i<inifiM^
I «j rj s I i; IJ I I 1' rj I L n L-
r. L I - 'I fJ I . I K T I r I c A I I u ij
ls*«ymllMiaMli«»<
AONwrMiLMurnj
•HtMHlkaMl
md«i«miiiAbcrMh
ifS'/kmnwrawNAniM
City of Carlsbad Bldg Inspection Request
For: 02/04/2011
Permit* CB110019
Title: DRENTEA RES REPLACE FURNACE
Description: SAME LOCATION
Inspector Assignment:
Type: MECH Sub Type:
Job Address: 1025 IRIS CT
Suite: Lot: 0
Location:
OWNER DRENTEA FAMILY TRUST 03-18-05
Owner: DRENTEA FAMILY TRUST 03-18-05
Remarks:
Phone: 7604310071
Inspector:
Total Time: Requested By: MARIO DRENTEA
CHRISTINE
CD Description
43 AirCond/Furnace Set
Act Comments / ^
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Originai PC#
Inspection Historv
Date Description Act Insp Comments