HomeMy WebLinkAbout1120 CAPE AIRE LN; ; CB930283; PermitBUILDING PERMIT
03/30/93 13:29
Page 1 of 1
Job Address: 1120 CAPE AIRE LN Suite:
Permit Type: MISCELLANEOUS
Parcel No: 206-140-22-00 Lot*:
Valuation: 2,-538
Construction Type: VN
Occupancy Group: R3 Reference*:
Description: 27 SQUARE OF COMPOSITION
: SHINGLE REROOFING
Permit No: CB930283
Project No: A9300435
Development No:
1697 03/30/93 0001 01 02
C-PRMT 89-00
Status: ISSUED
Applied: 03/30/33
Apr/Issue: 03/30/93
Entered Bv: MFC
Appl/Ownr : MEIKO RODRIGUES
1120 CAPE AIRE LANE
CARLSBAD,
6197298726
CA 921
*** Fees Required **
Fees :
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee
* MISCELLANEOUS TO
cted & Credits * * *
.00
. 00
89.00
Ext fee Data
89.00 PC/BP
& 9 . 0 0
APPROVE/
DATEEEL
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Pal«es Dr., Carlsbad. CA 92009 (619) 438-1161
1. PEKMIITYPE
A - U Commercial LJ New Building U Tenant Improvement
B - D Industrial D New Building Q Tenant Improvement
C - O Residential D Apartment DCondo V Single Family Dwelling D Addition/Alteration
D Duplex D Demolition D Relocation D Mobile Home D Electrical D Plumbing
D Mechanical DPool D Spa D Retaining Wall D Solar D Other
2. PROJECT INFORMATION
PLAN CHECK NO.
EST.VAL
PLAN CK DEPOSIT.
VALID. BY Ifr/H
DATE J
O°
FOR OFFICE USE ONLY
Adaress BUiiuing or suite NO.
Nearest Cross Street
LEGAL DESCRIPTION Subdivision Name/Number Phase No.
CHECK BbLUVV IF SUBM1 1 1 EJD:
D 2 Energy Calcs D 2 Structural
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
SQ.FT. 3£fb
Calcs D 2 Soils Report D 1 Addressed Envelope
EXISTING USE PROPOSED USE
# OF STORIES ^ *~ -—^
3. UUIMI/VL.I rcKauN (ii Qiiierent from applicant;
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APP1JCJAN1 LJUUNIHACTUK
NAME /fig/fa ftoQW6t*<e£
CITY ('faifet&dC*
DAGEN1 FUR UONIKALTIUK //JBt OWNER Q AGEN 1 hUR UWNEK
> - ADDRESS //£& (3&S2<-* ^S'&Jlr X-^
STATE Cs4 ZIP CODE J&Gff% DAY TELEPHONE £/?? ^ /£>&- £^&-&
5. PHUPKlTlT UWNKH
NAME _ ADDRESS
, X^??" J^mfe^*^—
CITY <5<&S?3£' STATE ZIP CODE DAY TELEPHONE
6. UJN 1KAL.~HJK
NAME
CITY J5^~/*""
STATE LIC
LJEsiuNEk NAME
CITY »J 1^'^^^%,
ADDRESS
STATE ZIP CODE DAY TELEPHONE
. # LICENSE CLASS CITY BUSINESS LIC. #
AUUKKbS
STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WORKERS' UUMPKNSATION
Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to selt-insure issued by the Director ot Industrial
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 POLICY NO.EXPIRATION DATE
Certificate ot Exemption: 1 certify that in the pertormance or the work tor which this permit is issued, I shad not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractors License Law for the following reason:
ff I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
D 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 License 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 License Law).
D 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 License 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 ciyjlpeqaky of nowmore than five hundred dollars [$500]).
SIGNATURE'
COMPLETE T SECTION FOR NON-HI U1LD1NO PEHMIla ONLY:
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?
D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1,1989 UNLESS THE APPLICANT
HAS MFT OR IS MEETING THE REQUIREMENTS OP THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
13UNSTKUL.'IKJN UiNUllMU AtiENCY
1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097U) (Jivil (Jode;.
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT CERTIFICATION
1 certify that 1 have read the application and state that the above information is correct. I agree to comply with all Uty ordinances and Mate laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303 (d) Uniform Building Crfde).
/
Tjfrivm:YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1.
2.
3.
4.
5.
*6.
7.
8.
9.
10.
JOB ADDRESS // 2S3 tjZ^^^Sst&r ^»^e^
TYPE OF BUILDING: RESIDENTIAL */ COMMERCIAL
ROOF SLOPE: RISE <V inches in 12 inches
TYPE OF EXISTING ROOF COVERING tunaO £^^_ SHEATHING
NUMBER OF EXISTING ROOF COVERINGS (circle onej^t? 2
NEW ROOF MATERIAL J^^^^ CLASS /$- WEIGHT PER
NUMBER OF SQUARES <3O
TRADE NAME /^c^ <T*&**>J>- MANUFACTURER & _
ROOF SYSTEM APPROVAL UL No. Other
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
*»+J
3
SQUARE 7
r ^^/^/^^^_|'
WEIGHT OF
THE PROPOSED ROOF YES ^/ NO
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A ./ Class B _ _
I understand the following inspections are required:
1. Tear Of f/Pre- inspect ion prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN ' ( / / . DATE
Contractor Owner \/ Contractor Name
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB930283 FOR 04/09/93 INSPECTOR AREA PD
DESCRIPTION: 27 SQUARE OF COMPOSITION PLANCK* CB930283
SHINGLE REROOFING OCC GRP R3
TYPE: MISC CONSTR. TYPE VN
JOB ADDRESS: 1120 CAPE AIRE LN STE: LOT:
APPLICANT: MEIKO RODRIGUES PHONE: 6197298726
CONTRACTOR: PHONE:
OWNER: PHONE:
REMARKS: MH/969-5908 PAGER
SPECIAL INSTRUCT:
INSPECTOR
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS