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Home My WebLink About1275 CYNTHIA LN; ; CB940710; PermitBUILDING PERMIT 06/10/94 12-24 Page 1 of 1 Job Address. 1275 CYNTHIA LN Suite- Permit Type MISCELLANEOUS Parcel No- 156-230-18-00 Lot#. Valuation 0 Construction Type- NEW Occupancy Group. Reference* Description. 24 SQ HOT MOP RE-ROOF Permit No- CB940710 Project No A9400990 Development No Appl/Ownr Status ISSUED Applied 06/10/94 Apr/Issue- 06/10/94 Entered By. DC DAMES, MARY J. 1275 CYNTHIA LANE CARLSBAD, CA 92008 *** Fees Required **** * * 619 729-3160 Fees Collected & Credits *** Fees . Adjustments • Total Fees- Fee description 90.00 . 00 90. 00 Total Credits • Total Payments: Balance Due: Units Fee/Unit . 00 . 00 90 00 Ext fee Data Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 90 00 90 00 REROOF 90 00 CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 1 PERMIT TYPE From List 1 (see back) give code of Permit-Type For Residential Proiects Only From List 2 (see back) give Code of Structure-Type Net Loss/Gam of Dwelling Units PLAN CHECK NO.7/0 EST VAL PLAN CK DEPOSIT, VALID BY DATE 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Nearest Cross Street or Suite No LEGAL DESCRIPTION Lot No / Subdivision Name/Number Unit No Phase No CHECK BELOW IF SUBMITTED D 2 Energy Calcs D 2 Structural Calcs D 2 Soils Report D1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROTOSED USE **- DESCRIPTION OF WORK SQ FT # OF STORIES //# OF BEDR pr # OF BATHROOMS 3 CLWIAUT FiiKiiUN lit diiierent from applicant; NAME (last name first) CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4 APPLICANT Q CONTRACTOR D AGENT FOR CONTRACTOR U OWNER D ACENTTOR OWNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5 PROPERTY OWNER NAME (last name first) CITY ADDRESS £ STATE ZIP CODE DAY TELEPHONE 6 CONTRACTOR NAME (last name first) CITY ADDRESS STATE ZIP CODE DAY TELEPHONE STATE LIC #LICENSE CLASS CITY BUSINESS LIC # DESIGNER NAME (last name lirst)AUUKESS CITYWORKKRff COMPENSATION STATE ZIP CODE DAY TELEPHONE STATE LIC # Workers^ Compensation Declaration I hereby altirm that 1 have a certificate of consent to selPmsure issued by the Director ol 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 I certily that in the performance ot the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE, arke /D4 O 8 OWNLR-B1 DECLARATION ^--tJW ^T 1,3! •ner-builcler Declaration 1 hereby aitirm tnat I am exempt from me Contractors License Law tor the following 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 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) LI 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 civil penalty of not more than five hundred dollars [$500]) SIGNATURE A A Si i iljT\n .. „ P^/rt „„, - , DATE i i n . 7 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 9 CONSTRUCTION LENDING AGENCY 1 hereby attirm that there is a construction lending agency tor the pertormance ot the work tor which this permit is issued (Sec 3097(1) Civil Code) LENDER'S NAME LENDER'S ADDRESS 10 APPLlCAm I certily that I have read the application and state that the above information is correct T 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 CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSIIA. An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stones 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) APPLICANTS SIGNATURE t 1 n , . . , I. T\ I ^ ^ , DATE WHITE: File YELLOW: Applicant PINK:" Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS I 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE / inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING [j-V fA<5 .a SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 *6. NEW ROOF MATERIAL CLASS WEIGHT PER SQUARE 7. NUMBER OF SQUARES 2.4° 8. TRADE NAME ,r*^ MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE 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 Off/Pre-inspection 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. OLLfJ <- /y ^ j>_ /i-^t oo C_-^je - £> SIGN DATE Contractor Owner Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB9407IO FOR 08/22/94 DESCRIPTION: 24 SQ HOT MOP RE-ROOF TYPE: MISC JOB ADDRESS: 1275 CYNTHIA LN APPLICANT: DAMES, MARY J. CONTRACTOR: OWNER: REMARKS: MW SPECIAL INSTRUCT: IT WAS HOT MOPPED TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof INSPECTOR AREA PY PLANCK* CB940710 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 729-3160 PHONE: PHONE: INSPECTOR ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 072294 Roof/Reroof ACT INSP AP PY COMMENTS OK TO COVER City of Carlsbad Building Department OWNER-BUILDER VERIFICATION Attention Property Owner An 'owner-builder' building permit has been applied for in your name and bearing your signature Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) U//) 2 I (have/have not) L-J^ signed an application for a building permit for the proposed work (j 3 I have contracted with the following person (firm) to provide the proposed construction Name Address City Phone Contractors License No I plan to provide portions of the work, but I have hired the following person to coordinate, supervise, and provide the major work Name Address City Phone Contractors License No I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated Name Address Phone Type of Work Signed . , Property Owner A/1 OU\j Date ^>^P LDI ! 2075 Las Palmas Drive • Carlsbad, California 92OO9-1 576 • (619)438-1161