HomeMy WebLinkAbout2011 LADERA CT; ; CB951540; Permit10/ '"'3/95 10: 08
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B U I L D I N G
Job Address: 2011 LADERA CT
Permit Type: MISCELLANEOUS
Parcel No: 216-482-23-00
Valuation: 0
P E R M I T
Suite:
Lot#:
Permit No: CB95154U
Project No: A9502239
Development No:
) ' I ' , v-I " '. r MT°
Construction Ty~e:
Occupancy Group: Reference#: Status:
VN
ISSUE[>
10/23/95
10/23/95
MDP
Description: 21 SQUARES OF COCRETE TILE
: RE-ROOF
Appl/Ownr : SECURE ROOF INC .
2210 METERS AVE
ESCONDIDO, CA. 92053
* )c * Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
133.00
,00
133 .00
Applied:
Apr/Issue:
619
Entered By:
432-9084
Fees Collected & Credits
Total C'red1ts:
Total Parments:
Balance Due:
Units Fee/Unit
.00
.00
133.00
Ext fee Data
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Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
> 133.00 133.00 PERMIT
133.00
FINf\1 APPROV'\I
,!NSP. t> l _ DATE If" ff/.?n'
CLEARA. CE-----
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
·pERMJT APPIJCATION PLAN CHECK NO.
City of carlsbad Building D-r~t
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL. ___________ _
I. PEkM.fi IYPE
PLAN CK DEPOSIT ________ _
VAIJD.BY ___________ _
DATE
From Llst l (see back) give code of Pennir-Type: ____________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ---~5~-~~-B~~------------
Net Loss/Gain of Dwelling Units
2. PRQIBCf INFORMATION FOR OFFICE USE ONLY
Address d's O \ \ L \Ai D t (t \£\ C¥'~& or Suite No.
Nearest Cross Street
t£GXL DESCRIM410N Lot No. Subd1vis1on Name/Number Unit No. Phase No.
CHECK BEWW IF S0BMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
ASSESSOR'S PARCEL
DESCRIPTION OF WORK
.'.\:., EXISTING USE PROPOSED USE
# OF STORIES # OF BEDROOMS 3 # OF BA TifROOMS
I
NAME (lase name first)
rom app 1can
ADDRESS
CI1Y STATE ZIP CODE DAY TELEPHONE
4. APPUCANI OWNIRACIOR ~AGwl FORWNIRACIOR ,□sOIJ.NER_, !.i!A</E~I FOR0,V~~R ,. • ,L,..n
NAME (last name first) 5 lt¥'\(tf, .J II\ 11,\1-( ADDRESS v .._ > -. ~ 1/---.,\ v-, V""\ ''-
CI1Y STATE C,V\ ZIP CODE 0\1, Iv\ DAYTELEPHONE l-13-z..., q c)
E 6't. 5 ADDRESS ;t C) \' 1-'A OE R \Cl :s ZIP CODE DAY TELEPHONE
ct
00 ('-' T"-'<wDRESS 'l. \ C)
CI1Y ZIP CODE DAY TELEPHONE
t: i"to""1Y)\V}0 UCENSE CIASS l }S Cl1Y BUSINESS UC. #
ast name 1rst
Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WoltkEltS' WMPRNSAIION
Workers1 Compensauon Declarauon: I hereby afhrm that I have a cernhcate of consent to self-msure issued by the Director of lndustnal
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).
INSURANCECOMPANY OlOE:l'V E -POUCYNo.NW(."'"''1~"'0·~1RATIONDATE (..,
SIGNATURE DATE
8. OWNmt-B0nnmt DF.C!DJtAIION
□
□
□
Owner-Budder Declaration: I hereby afhrm that I am exempt from the ConfracfoPs License Law for the followmg 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 Llcense 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 Llcense 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 Llcense 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 Llcense 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 [$5001).
SIGNATURE DATE
COMPLEIE IHIS SEGriON FOR NON-RESIDEN IIAt HOIWING PERMIIS 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?
0 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?
□ YES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES ONO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa::\IPANCY MAY NOT BE ISSUEDAITERJULY 1, 1989 IJNlESS THE APPLICANT
HAS MET OR IS MEETING THE RF.QUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLl.UTION ffiNTIIDL DISllUCT.
9. WNSIROCIION ll.NillNG AGENCY
I hereby afhrm that ihere 1s a construction lendmg agency for the performance of ihe work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. XPPDCANI CRRIIFICAIWN
I cerofy that I have read the apphcatlon and state that the above mformat1on IS correct. I agree to comply with ah 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 Ais:J AGREE ID SAVE INDRMNIFY AND KEEP HARMLESS THE CllY OF CARISBAD AGAINST AU. IJABllJTIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACDUJE AGAINST SAID Cl1Y IN ffiNSEQUENCR OF THE GRANTING OF TIDS 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 rmit 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 a band any time after the work is menced for a period of 180 days (Section 303(d) Uniform Bui,~g Cod..e).C. r
APPUCANT'S SIGNATURE ....._ ___ , • DATE: -~ l • I;.
PINK: Finance
0
1.
2.
3.
4.
5.
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7.
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10.
11.
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 2 0 \ \ b \C\ V) 6-fl II-\ i. t .
TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL
ROOF SLOPE: RISE 1: inches in 12 inches --
TYPE OF EXISTING ROOF COVERING 51--\ lt:\l-\ 't.. SHEATHING .s Pl'\ c E: 9
NUMBER OF EXISTING ROOF COVERINGS (circle one) (I) 2 3
NEW RooF MATERIAL l---\c.-\.\ ~ l,J "-' vt--\ t cLAss~ WEIGHT PER sQuARE '7 LI 0
MANUFACTURER '(V\ 0 N \ ~ 'f\.
NUMBER OF SQUARES 2-\ n "T ' C \:;
TRADE NAME ]) V RIA b, CJ: t' I
ROOF SYSTEM APPROVAL UL No. Other r C... \30_ 1C .'.2-c.J °13 -----
IS THE EXISTING STRUCTURAL D~N SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES NO __ _
If the answer is no, a roof plan nrust be provided with this application.
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.
() -
SIGN DATE
•
Contractor ---Owner ---Contractor Name. _____________ _
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
Pl'ISBIRPYQ +MIPIS'%'tAI
CATI __ ,_, ..:.U...14_,_( ... 9..;;.S_--__ tNs11CTOa_D=..;c ________ _
PEJUCIT e 9? /'5 'f 0 Pt.\llCK •------
JOI AD0USS o(OI/ L,-1.A~ltA cou,e-f
TIMI AUIW: _____ TIMI t.ZAVI: _____ _
co t.vi.
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