HomeMy WebLinkAbout1030 IRIS CT; ; VARIOUS; Permit:.:,'::-^:r.-
MODEL NO.
BUILDING PERMIT APPLICATION
Applicant to complete numbered spaces
City of CARLSBAD, CALIFORNIA 92008 5/oa/795U25 25.50 BP
resonly. PhOne 729-1181 Permit No._ZZ_ZJ2L-£_
JOS AOOR ESS
/^3Q XR.J:3 cr.
ASSESSOR'S
PARCEL NUMBER
BOOK
.LEGAL
I DESCR.
NU.
/5'39 (QJSEE ATTACHED SHEET)
MAI L ADDRESS
CONTRACTOR MAIL ADDRESS ^^p.—M Hi) fJ I STATE LIC. NO.
ARCHITECT OR DESIGNER MAIL ADDRESS \. PHON E ^/ LICENSE I
CiTY Lie. NO,
377
LICENSE NO.
ENGIN CER MAI L ADDRESS LICENSE NO.
COMPENSATION INS. CARRIER MAIL ADDRESS
^^T^T^g e/>/^P .7>o>S f=ufO^
USE OF BUILDING
NO. BORMS_ NO. BATHS.
8 Class of work: • NEW DDITION • ALTERATION • REPAIR DMOVE • REMOVE
9 Describe work:
10 Change of use from
Change of use to
11 Valuation of work: $ PLAN CHECK FEE $ PERMIT FEE S 4^
I CRO F
o a
SPECIAL CONDITIONS: Type of
Const.
Occupancy
Group
Ml CRO Fl LM FEE
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
Occ. Load
Use
Zone
Fire Sprinklers
Required Dves DNO
No. of
Dwelling Units
OFFSTREET PARKING SPACES:
No.
Covered
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR AlR 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 CONSTWUCTION OR WE PERFORMANCE OF CONSTRUCTION.
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
TURE OF CO
>S-^S-7f
CTOR OR AUTHORIZED AGENT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
Required
Sq. Ft.
INo. I Open
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 $. As
INSPECTION RECORD
OATE i^EMARKS INSPECTOR
FOUNDATIONS:
SET BACK
TRENCH
REINFORCING
FOUNDATION WALL &
WEATHER PROOFING
CONCRETE SLAB
FRAMING
INT. LATHING OR DRYWALL
EXT. LATHING
MASONRY
FINAL S^
USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC.
INTERDEPARTMENTAL INFORMATION SHEET
UILDING DEPARTMENT DAT
^^^^^ ^^^^ : A^lo ^^/5 ^cy/eS-
JtECEI^ n
APR 2 7 1979
^yfay~>-f^ :ZC^^ 7^-^:^ CIT' OF CARLSBAD
.>...c^. ij L;: jartment
PLANNING DEPARTMENT
ZONE ^1 LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
_PROVIDED_
PROVIDED
PROVIDED
SIDE SETBACK;
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
REAR SETBACK;
ENVIRONMENTAL PROTECTION REQ:
snnnni FFFS: niSTRici: AMOUNT:
ADDITIONAL COMMENTS
OK TO ISSUE: £_J3ATE T? gK TO FINAL DATE
ENGINEERING DEPARTMENT //^L/^^zJ^fU. Z / ^0 3^0/n
R.o.w, INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTIOI
ADDITIONAL COMM&NTS
DRIVEWAY LOCATIONS
EASEMENTS DRAINAGE
OK TO ISSU DATEjj-/-?^ PWI OK TO FINAL DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE; DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_ DATE
^:r^T^^ ' •••^•-^?":.^V"^^':v.:-:c-:^--.i-^^
MODEL NO. 4/1 i/73f!'P;^
BUILDING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008
Applicant to complete numbered spaces only. Phone 729-1181 Permit No. JOB ADDR ESS
tCb^ "mis CT.
ASSESSOR'S
PARCEL NUMBER
^ LEGAL
IDESCR. ML -7% -3 f (I ISEE ATTACHED SHEET;
BOOK PAGE PAR
OWNER j ^ MAIL ADDRESS
^ vWk S>.^^C^,C mo :^^i<: cCl
CON TRAC TOR ^ MAIL ADDRESS vn I n n b i s/r< STATE LIC. NO.
ARCHITECT OH DESIGNER
INEER
MAI L ADDRESS LICENSE NO.
MAIL ADDRESS
-^IL ADDRESS
LICENSE NO.
COMPENSATION INS. CARRIER
USE OF BUILDING
NO. BDRMS_ NO. BATHS.
8 Classofwork: ^^lEW • ADDITION DALTERATI ON • REPAIR DMOVE • REMOVE
9 Describe work:
I ^ ^ .9pA 3^ ^
10 Change of use from
Change of use to
11 Valuation of work: $
0-
PLAN CHECK FEE PERMIT FEE S
SPECIAL CONDITIONS: Type of
Const.
Occupancy
Group
MICRO FILM FEE
Size of Bldg.
(Total) Sq. Ft.
No. of
Stories
Max.
OCC. Load
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVEfi/OR ISSUANCE BY 'PROVEA/C
Fire
Zone
Use
Zone
Fire Sprinklers
Required Dves DNO
DATE VS/^. lip
No. of
Dvi/elling Units
OFFSTREET PARKING SPACES:
No. I No
Covered Sq. Ft. Open
NOTICE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB-
ING, HEATING, VENTILATING OR Al R CON DITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF
CONSTRUCTION OR WORK IS SUSPENDSD 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.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
Special Approvals
PLANNING DEPT.
HEALTH DEPT.
FIRE DEPT.
SOIL REPORT
OTHER (Specify)
ENGINEERING DEPT.
WATER DEPT.
VNER (IF OWNER BOlLDER)
Required Received Not Required
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PLANCHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TOTAL FEES $.
H#0i3 $P
Applicant to complete numbered spaces only
PLUMBING PERMIT APPLICATION
City of CARLSBAD, CALIFORNIA 92008 ^ . J
Phone 729-1181 Permit Nn /y^^S'B JOB ADOR C»4
,LE«AL I DCSCR. af4 OWNER j| ~ I I^AIL AODRESS |
CONTRATTOR _
3 jTf/f
rfAIL ADDRESS
ARCHITECT OR DCSIGNCR MAIL ADDRESS
Sr 1^ •YAIL ADDRESS
STATE LIC. NO. CITY LIC. NO.
LICENSE NO.
LICENSE NO.
COMPENSATION XNS. CARRIER MAIL ADDRCSS
USC or BUILDING
8 Class of work: EW •ADDITION • ALTERATION • REPAIR
PERMIT FEES
No. Type of Fixture or Item Fee
SPECIAL CONOITIONS: WATER CLOSET (TOILET) $
BATHTUB
LAVATORY (WASH BASIN)
SHOWER
KITCHEN SINK & DISP.
DISHWASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPRO^E^OR ISSUANCE SY.
DATE ^Mffj^^
LAUNDRY TRAY APPLICATION ACCEPTED BY PLANS CHECKED BY APPRO^E^OR ISSUANCE SY.
DATE ^Mffj^^
CLOTHES WASHER
APPLICATION ACCEPTED BY PLANS CHECKED BY APPRO^E^OR ISSUANCE SY.
DATE ^Mffj^^ / WATER HEATER >•
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
URINAL NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
DRINKING FOUNTAIN
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
FLOOR—SINK OR DRAIN
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
SLOP SINK
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
z GAS SYSTEMS: NO. OUTLETS
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
z WATER PIPING & TREATING EQUIP. >
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
WASTE INTERCEPTOR
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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.
/ VACUUM BREAKERS
NOTICE
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.
1 HEREBY CERTIFY THAT 1 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. LAWN SPRINKLER SYSTEM
SEWER NUMBER CLEANOUTS
CESSPOOL
SEPTIC TANK * PIT
ROOF DRAINS
SIGNATURE or CONTRACrOR OR AUTHORIZCD ASCNT
SISNAXUIIC OT OWNCR (IF OWNCR BUILOERI
(OATCl SIGNATURE or CONTRACrOR OR AUTHORIZCD ASCNT
SISNAXUIIC OT OWNCR (IF OWNCR BUILOERI
if
SIGNATURE or CONTRACrOR OR AUTHORIZCD ASCNT
SISNAXUIIC OT OWNCR (IF OWNCR BUILOERI TT"- loA+o' / ! TDTAL FEES $
WHEN PROPERLV VALtOATED (IN THIS SPACE) THIS IS YO|UR PERMIT
PLA^ CHECK VALIDATION "SK^ M!O7 CASH PERMIT VALIDATION ciT M.o. CASH
INSPECTOR
ELECTRICAL PERMIT APPLICATION
CKy Of CARLSBAD, CALIFORNIA 92008
Applicant tScompMe mmj^red spaces only. Phone 729-1181 Permit Ho.^f^ZZ^'7 Applicant to complete nummam
JOe ADDR CSS
. LISAL
1 DISCR.
{a%o siti%, c T
LOT NO. SLK
MAIL ADDRC
JZ
iRc«r IS. d Isn ATTACHCO SHEET)
CMYRATTOR ' MAIL ASDRESS RHONE
ARCHITECT OR DCSiaNCR
MAIL ATDRESS LICENSE NO.
rfAIL AbVUESS 'J\ .'if ) t» LICENSE NO.
"ENSTSIEER' MAIL ABBWISS LICENSE NO.
IvlAIL ADDRESS
UsToT SUILDINS
8 Classofwork: JI^VV • ADDITION • ALTERATION • REPAIR
9 OMcribe work: C^r^Jr <'<f^/.fa.r^^ /, (''cC'-kfc^ ^/f^*Gm ^Cf^ '^^jA / ^'fi
TJ
kt
SPECIAL CONOITIONS:
AFP LIGATION ACCEPTED BY: PLANS CHECKED BY: APPROVEQFOR ISSUANCE BY
NOTICE
THIS PERMtT BECOMES NULL AND VOIO IF WORK OR CONSTRUC-
TION AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A
PERtOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED.
>JHEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS APPWICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES OOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINQ OF A PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOI4S OF.ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
• ••NATURK or CON OR AUTHORIZCO ASCNT (DATE)
WWW PWOWEWLY VAtll
PERMIT FEES
ISSUANCE OF EACH PERMIT
NEW CONSTRUCTION, FOR EACH
AMPERES OF MAIN SERVICE, SWITCH,
FUSE OR BREAKER
NEW SERVICE ON EXISTING BLDG.
FOR EA. AMPERE OF INCREASE
IN MAIN SERVICE, SWITCH, FUSE
OR BREAKER
REMODEL, ALTERATION, NO CHANGE
IN SERVICE, FOR EA. AMPERE OF
INCREASE
TEMP. SERVICE UP TO AND INCLUD-
ING 200 AMP.
TEMP. SERVICE OVER 200 AMP.
PER 100
MINIMUM PERMIT FEE
No. Each
VAtlOATED m THW g>ACE> THW W YOyR PEBMIT r r
Fae
f/i
I
Crt3
CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
INSPECTOR
REQUE \ESJLFORmSPECJ
INSPECTO
OWNER.
ION
s PERMIT NO.
TIME:
DAT. V~SnJ
ADDRESS.
BUILDING
• FOUNDATION
• REINFORCING STEEL
• MASONRY
• GROUT-GUNITE
• FLOOR AND CEILING FRAME
• SHEATHING
• FRAME
• EXTERIOR LATH
• INSULATION
• INTERIOR LATH OR DRYWALL
• FINAL
• UI^JQERGROUND^^MBING
• UNDERGITDCND WATER
• ROUGH PLUMBING
• TOP OUT PLUMBING
• SEWER AND PL/CO
• TUB OR SHOWER PAN
GAS TEST
n\ WATER HEATER
• FINAL
• POOL BONDING
• ELECTRIC SERVICE
• CEILING HEAT
• G.F.I.
• SMOKE DETECTOR
• FINAL
MISCELLANEOUS
• PLENUM AND DUCTS
• COMBUSTION AIR
• PATIO
• SIGN
• GRADING
• DRIVEWAY
• CONDITIONED AIR SYSTEMS
• REFER PIPING
• FINAL
READY FOR INSPECTION: • MONDAY • TUESDAY DWEDNESDAYr • THURSDAY )• FRIDAY
• A.M.
• P.M.
SPECIAL INSTRUCTIONS.
REQUESTED BY. .PHONE NO
PERSON TAKING REPORT.
RI^QUEST FOR -INSPECTION TIME:.
INSPECTOR.
OWNER.
PERMIT NO.
ADDRESS-
BUILDING
n FOUNDATION
• REINFORCING STEEL
• MASONRY
• GROUT-GUNITE
• FLOOR AND CEILING FRAME
• SHEATHING
• FRAME
• EXTERIOR LATH
• INSULATION
• INTERIOR LATH OR DRYWALL
• FINAL
ELECTRICAL
• TEMPORARY SERVICE
• ELECTRIC UNDERGROUND
• ROUGH ELECTRIC
• POOL BONDING
• ELECTRIC SERVICE
• CEILING HEAT
• G.F.I.
• SMOKE DETECTOR
• FINAL
s ,/Sf
PLUMBING
• UNDERGROUND PLUMBING
• UNDERGROUND WATER
• ROUGH PLUMBING
• TOP OUT PLUMBING
• SEWER AND PL/CO
•JJJJB.0R^0WER PAN
GAS TEi
•HffTTTER HEATER
• FINAL
MISCELLANEOUS
• PLENUM AND DUCTS
• COMBUSTION AIR
• PATIO
• SIGN
• GRADING
• DRIVEWAY
• CONDITIONED AIR SYSTEMS
• REFER PIPING
• FINAL
READY FOR INSPECTION: • MONDAY • TUESDAY • WEDNESDAY • THURSDAY/^ FRIDAY
• AJ
SPEdlAL INSTRUCTIONS
REQUESTED BY MA^ • Vlc, CQ l^^
PERSON TAKING RFPni^?"' / /^ ^
.PHONE NO.
*^^_r /.Z/^i^ /s /^c^c. y^^^ r/^ Z'Ce/ts^ Cono/jo^ vp
7^ /r /^l/O^ ^ ^ '^y9:^eZx;Z ^/?Z^/pZeX
V
/9s-/c^/:> T/J/fr /:(j>j/)i/rr 6^ o/<s'cc Z^^ffT^cr^o^
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE
BUILDING ADDRES s: S^/P3aCZz2^C^cu/eC^ APR 4-1979
C'T^ OF CARLSBAD
; D: .ja.'tment
PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH
UNITS ALLOWED UNITS PROVIDED
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
FRONT SETBACK:
ALLOWED
PROVIDED
_PROVIDED_
PROVIDED
PROVIDED
SIDE SETBACK:
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS
REAR SETBACK:
ENVIRONMENTAL PROTECTION REQ
SCHOOL FEE: DISTRIC AMOUNT
ADDITIONAL COMMENS
OK TO ISSUE: DATE •4^-/'7^0K TO FINAL DATE
ENGINEERING DEPARTMENT
R.O.W. INDUSTRIAL WASTE IMPROVEMENTS
SEWER CONNECTION
GRADING PERMIT
LEGAL DESCRIPTION ^S{hhA-^
DRIVEWAY LOCATIONS
EASEMENTs'T^f^ Cl DRAINAGE
ADDITIONAL COMMENTS
OK TO ISSUE: DA TEZ/-5^-7^ PWI OK TO FINAL_ DATE
FIRE DEPARTMENT
SPRINKLING SYSTEM
FIRE ALARMS
FIRE HYDRANTS
ADDITIONAL COMMENTS
FIRE PROTECTION EQUIP
EXITS
LOCATION
OK TO ISSUE DATE OK TO FINAL DATE
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET_ DATE
iC
BUIL DING PERMIT
12/07./94 11:51
Page 1 of 1
Job Address: 1030 IRIS CT Suite:
Permit Type: PLUMBING
Parcel No: 214-402-12-00 Lot#:
Valuation: 0
Construction. Type: NEW
Occupancy Group: Reference*:
Description: WATER HEATER REPLACEMENT
Permi t No: CB9416 0 0
Project No: A940236b
Development No:
9855 12/07/94 OOOl 01 0-?
C-PRMT ^ 27.00
Appl/Ownr : AJ FOSTER INC.
2819 CENTRAL AVE
SPRING VALLEY, ^'A. 91977
*** Fees Required ***
Fees
Adjustments
Total Fees
Fee description
27.00
. 00
27. 00
Status
Applied
Apr/Issue
Entered By
ISSUED
12/07/94
12/07/94
MDP
619 697-4151
Fees Collecred & Credits * * *
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
Total Credits:
Total Payrii'='nts:
Balance Due;
Units Fee/Unit
7 . 00
. 0 0
. 0 0
27 . 00
Ext fee Data
2 0.00 y
7.00
2 7.00
R/NA1 .APPROVAL
INSP. HATF
CLEARANCE CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPUCATION
City of Carlsbad Building Departaent
2075 Las Palaas Dr., Carlsbad. CA 92009 (619) 438-1161
1. PERMIT TVPE
From List 1 (see baclc) give code of Permit-Type: _
For Residential Proiects Onlv: From List 2 (see back) give
Code of Structure-Type:. SER
Net Loss/Gain of Dwelling Units.
PLANCHECKNO. \GO0
EST. VAL
PLAN CK DEPOSIT_
VALID. BY Z
DATE
2. PROJECTINFORMATION FOR OFFICE USE ONLY
Address—103U Iris Ct.
Nearest Cross Street
LEGAL DESCRIPTION Lot No.
Building or Suite No.
Subdivision Name/Number Unit No. Phase No.
CHECK BELOW IF tiUHMrrrED:
• 2 Energy Calcs • 2 Structural Calcs • 2 Soils Report • 1 Addressed Envelope
/\f?,^F:f;f?OR'f? PARCEL , ^ BASTING Vf?r.
DEsciuPTioN OF WORK Water iiearer Kepiacement
PROPOSED USE
SQ. FT. # OF STORIES
3. UUN 1 AUI FiiitiuiM (u ometeai trom applicant; . . _ _ '. ~7" NAME (last name firsO'-"!-'-!^/ Kan ADDRESS 10 JU IriS Ct
# OF BEDROOMS # OF BATHROOMS
NAME (last name firsO
CITY Carlsbad, STATE CA ZIP CODE 92009 DAY TELEPHONE 431-2694
4. APPUCANT 0 CONTRACTOR—JP AGENT FOR CON'l'RAL'lUR—OOWNER—• ACENT FOR UWNER
_ .rr J... T:.—j— ADDRESS 2819 Central Ave. NAME (last name firsOKriSty Foster
CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHON^9^-4151
5. PROPER'IY OWNER '.
NAME (last name first) Chlllar, Ran ADDRESS 1030 Iris Ct.
CITY Carlsbad, STATE CA. ZIPCODE92009 DAYTELEPHONE431-2694
''•J^EXt'nlefim)^ & J Foster, Inc. ADDRESS 2819 Central Ave.
CITY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697-4151
STATE UC. # 630120 UCENSE CLASS C-36 CITY BUSINESS UC. # 1200354
UE5J1CNER NAME (last name hrst) ADDRESS;
CITY
7. WORKERS'OOMPENiiA'nON
STATE ZIP CODE DAY TELEPHONE STATE UC. #
WorKers' Compensation Declaration: 1 hereby attirm that 1 have a certiticate ot consent to selt-insure issued by the Director ot Industnal
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).
INSURANCE COMPANY Republic Indemnity POUCY NO.PC949585 EXPIRATION DATE 5-1-95
Certiticate ot hxemption: 1 certity that in the pertormance ot the work tor which this permit is issued, 1 shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of Califomia.
SIGNATURE^ . "Hflj^d-UV^ DATE /5~<> - '/U a. owNER-BinmEH uijaARA'noN '
uwner-iiuiiaer ueciarauon: i nereoy attirm that i am exempt trom tne (jontractors License Law tor tne tollowing 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 Ucense 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 Ucense Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's Ucense 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 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 (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 permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINC PERMITS ONLV:
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?
O YES • NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
O YES • NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
• YES • NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTinCATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNIESS THE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFHCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. UONgmUCnONLENmNC AGENCY
1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec aoy7(ij cmi code).
LENDER'S NAME None
10. APPUCANT CEHWlCATiUN
LENDER'S ADDRESS
1 certity that i nave read the application and state that the atx>ve iniormation is correct. 1 agree to comply with 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTTY OF CARLSBAD AGAMST ALL UABIUTIES, JUD^
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAmSF SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMTT.
OSHA: An OSHA permit is required for excavations over 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 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 the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
- " V>K^:/^~,!f^'9<y^ APPUCANTS SIGNATURE
WHITE: Ffle YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB941600 FOR 12/30/94
DESCRIPTION: WATER HEATER REPLACEMENT
TYPE: PLUM
JOB ADDRESS: 1030 IRIS CT
APPLICANT: AJ FOSTER INC.
CONTRACTOR:
OWNER:
REMARKS: MW/KATHY/431-2694
SPECIAL INSTRUCT:
INSPECTOR AREA
PLANCK* CB941600
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619 697-415:
PHONE:
PHONE:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
25 PL Water Heater/Vents
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
v{C\OC-
01/28/1999
City of Carlsbad
Miscellaneous Permit Permit No:CB9g0408
Building Inspection Request Line (760) 438-3101
Job Adciress:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1030 IRIS CT CBAD
MISC
2144021200
$0.00
Subtype: REROOF
Lot #: 0
REROOF 3400 SF LITE TILE
Status: ISSUED
Applied: 01/28/1999
Entered By: JM
Plan Approved: 01/28/1999
Issued: 01/28/1999
'"«P«^*^0L/28/?^ 0001 01
C-PRKT 189.00
Appiicant:
CAHEY ROOFING
3048 VIA MARIPOSA
CARLSBAD CA 92009
760-591-3123
Owner:
i
Totai Fees: $189.00 Total Payments To Date: SO 00 (Balance Due: $189.00
Misceianeous Fee #1
Miscelaneous Fee #2
TOTAL 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/exactlons. 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 information with the City Manager for
processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely foliow 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/exacttons 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 pioject NOR DOES IT APPLY to any
fees/exactlons of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previousiv otherwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carisbad CA 92009
(760)438-1161
FOR OFFICE USE ON
PLAN CHECKNO.
EST. VAL.
Plan Ck. Deposit
Validated By.
Date
Address (include BIdg/Suite t)
y^3o IDS l-T
Business Name (at this addrsss)
Legal Description
S F
LotNo. Subdtviaion Nams/Numbsr Unit No. Phase No. Total # of units
Assessor's Psrcel # Existing Uss Proposed Use
Oescription of Work SQ. FT. #of Stories # of Bedrooms $ of. Bsthrooms
Name Address City Stste/Zip Telephone # Fax #
~T Address City . 5t8te/Zip Name
a
I03\3 ^'^j
Telephone #
9 '-Og 'V H'>'t'j-i!f uj"
Address City State/Zip Telephone # Name
(Sec. 7031.5 Business snd Professions Code: Any City or County which requires s 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 ststement thst he is licensed pursuant to tha provisioris of the Contrector's Ucense Law
IChapter 9, commending with Section 7000 of Diviaion 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the aHeged
exemption. Any violation of Section 7031.5 by any applicant for a permrt subjects the applicant to a civil penalty of not more thsn five hundred doiiars f*6001).
'Name Address
State Ucense # License Class
Crty Stste/Zip
City Business License #
Telephone tt
Designer Name
Stste Ucense f
Address Crty Stste/Zip Tetephone
Workers' Compensation Declarstion: I hereby affirm under penalty of perjury one of the following declarations:
• I have and will maintain a certificate of consent to sslf-insure for woricers' compensstion ss provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
J2- I heve and will msintsin workers' compensation, as required by Section. 3700 of the Labor Code, for the performance of the work for which this permrt is
issued. My worker's compensation insurance carrier and policy number are:
Insursnce Compsny j>TtjCS<^ ^ Q Policy No. MMC- "i 1 Expiration Date J - I '
(THIS SECTION NEED NOT BE COMPLETEO IF THE PERMIT IS FOR ONE HUNDRED DOLURS (*1001 OR LESS)
• CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permrt is issued, I shsll not employ sny person in any manner so ss
to become subject to the Workers' Compensstion Laws of Cslifornis.
WARNING: Faihm to secure workers' compensethm covsrage Is unlawful, and shal subiect an employer to criminal penaMas and chrH finas up to one hundred
thoussnd dollara 1*100,000), In addttkm to the cost of compensation, damagaa as piovklsd for in Section 3706 of the Labor coda, Interast and attomey's fees.
SIGNATURE "Bv^ C Q./^ ] DATE J ' iB' ^ *<
I hereby sffirm thst I sm exempt from the Contrector's Ucense Lsw for the following reason:
O t' as owner of the property or my ampioyees with wsgss ss their sole compensstion, will do the work and the striicture is not intended or offered for ssle
(Sec. 7044, Business snd Professions Code: The Contrsctoi-'s License Law does not siiply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, providsd thst such improvements sre not intsnded or offered for esle. If, however, ttw building or improvement is
sold wrthin one year of completion, the owner-builder will heve the burden of proving thet he did not build or improve for the purpose of sale).
O I' M owner of the property, em exclusively contrecting wrth licensed contrectors to construct the project (Sec. 7044, Bueiness end Professions Code: The
Contractor's Ucense Law does not spply to sn owner of pr'operty who builds or improves thereon, end contracts for such projects wrth contrsctorfs) licer»ed
pursusnt to the Contrector's Ucense tjaw).
• I am exempt under Section Business snd Professions Code for this reeson:
1. I personslly pIsn to provlds the mejor lebor end meteriels for construction of the propoeed property Improvement. Q YES QNO
2. I (have / hsve nbt) signed en application for s building permrt for the proposed'work. .
3. I hsve contracted wrth the following person (firm) to provids the proposed construction (include name / address / phone nunriber / contractors licerue number):
4. I pien to provide portions of the work, but I hsve hired the following person to coordinste, superviss snd provide the major work (includa name / address / phons
number / comrsctors license number): ^
5. I will provida some of the work, but I heve contrected (hired) the following persons to provids the work indicoted (include name / address / phone number / type
, of work): . . ,
PRPPERTY OWNER SIQNATURE DATE
Is the applicant or future building occupant required to submrt s business pien, acutely hszsrdous msterisls registratiisn forth or risk msnagement end prevention
program under Sections 26605, 25533 or 26634 of the Presley-Tenner Hezeidoiis Substsnce Account Act7 Q -¥ES—•- NO-
Is the applicant or future building occupant required to obtain a permrt from the air pollution control district or air quslity management district? Q YES Q NO
Is the fscilrty to be constmcted vyrthin 1,000 feet of the outer boundary of a school srte? • YES •. NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETINQ THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DISTRICT.
I hereby sffirm that thete is s construction lending agancy for the performance of tho work for which this permrt is issued (Sec. 3097(i) Civil Cods).
LENDER'S NAME ] LENDER'S ADDRESS
I cenify thst I hsve reed the spplication and stats thst the above information is correct and that the information on the plans is accurate. I sgrse to comply wrth all
Crty ordinances snd State laws rslsting to building construction. I hereby authorize repreaentetives of the CitV of Carisbad to enter upon the ebove mentioned
property for inspection purposes. I ALSO AQREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CrTY OF CARLSBAD AQAINST AU UABILITIES
JUDQMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CfTY IN CONSEQUENCE OF THE QRANTING OF THIS PERMIT.
OSHA: An OSHA psrmrt is required for exesvstions over 6'0' deep and demolition or Constructiorj of structures over.3 stories in height.
EXPIRATION: Every permrt issued by the Building OfficisI under the provisions of this Code shsll expire by limitetion end become null snd void if the building or
work Birthori2ed,bv such permrt is not commenced within 365 deys from the dste of such permrt or if the building or work suthorized by such permrt is suspended
or sbandoned st any time after the work Is commenced for a period of 180 days (Ssction 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE T^.-x t-V C L~K^ DATE / 'J - ^'y .
WHITE: File VELLOW: Applicsnt PINK: Finance
City Of Caiisbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: /O}^) Tra a
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL ,
3. ROOFSLOPE: RISE / inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 2 3
5. TYPE OF EXISTING ROOF COVERING i SHEATHING Jl^if^ .
*6. NEW ROOF MATERIAL TT^c CLASS A WEIGHT PER SQUARE X 6 ^
7. NUMBER OF SQUARES 3^
8. TRADE NAME yCu yL/ A c MANUFACTURER l^^y
9. ROOF SYSTEM LISTING ULNo. ICBO No. '-JLLO
10. IS THE EXISTING STRUCTURAL DESIGN SUERCIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? ^ES^ 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 n C — Date ;^ ^ ^
Contractor Owner Contractor Name ( PI }4 A-oo/
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Inspection Request
For: 2/9/99
Permit# CB990408
Title: REROOF 3400 SF LITE TILE
Description:
Inspector Assignment: PS
Type: MISC
JobAddress: 1030 IRISCT
Suite: Lot
Location:
APPLICANT : CAHEY ROOFING
Owner: CHILLAR RAM T
Remarks:
Sub Type: REROOF
Ptione: 7605913123
Inspectoi .:2s
Total Time:
CD Description
19 Final Structural
Requested By: BRIAN CAHEY
Entered By: CHRISTINE
Act Comments
^? pM /^L /P
inspection History
Date Description
2/1/99 15 Roof/Reroof
1/29/99 15 Roof/Reroof
Act Insp Comments
AP DH SHEATHING
NR PS
c
0