HomeMy WebLinkAbout2036 LINDA LN; ; CB930834; Permit. '
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3547 08/18/93 000. 1
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~L APPROVA~ _ • _
INS~_j DATE Hll
CLEARANCE _____ 1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PLAN CHECK NO.
City of carlsbad Building Departaent
F.ST. VAL mf.i (2--(t_:z>
PLANCKD
207S Las Pal ... s Dr., carlsbad, CA 92009 (619) 438-1161
VAIJD. DV /:>C
l. PFltMI I IYPE DATE £;'1/Pl \
A • U COmmerc1al
B • D Industrial
U New Bu1ldmg D tenant Improvement
□ New Building □ Tenant Improvement
C • □ Residential □ Apartment D Condo D Single Family Dwelling D Addition/ Alteration
□Duplex D Demolition
□ Mechanical □ Pool
□ Relocation □ Mobile Home □ Electrical D Plumbing
0 Spa □ Retaining Wall O Solar ~ther
2. PR<llECT INFORMATION FOR OFFICE USE ONLY
Address :}. O'?J{e LJ f1 DA
Nearest Cross Street
Sutxl1V1s1on Name/Number Omt No. Phase No.
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Add~ Envelope
DESCRIPTION OF WORK ~ f OF STORIES SQ. FT.
rom app 1can
NAME ADDRESS
Cl1Y STATE ZIP CODE DAY TELEPHONE
4. 1~!1n'.~~ffl;'.':1 FOR %~k~13.\3 ~'-fw~ ~f;'+-~ ow-sl
CI1Y l<-..,"Y-1. STATE (½-ZIPCODE t::; • DAYTELEPHONE 72 -
NAME /W,-L C, I f70}'t [_;) Jt.~tn~ 9--0-3<.Q l..-1 Y1 D rt-" LA--/)(::;
Cl1Y ~(. 5~f\1".) STATE ca--ZIPCODE'3/Z.6C5 DAY TELEPHONE tZC/-7_§z_
ti. ~~ U,vl/~ (/,OY'A/\Jf.:r---ADDRESS Z 9 ? <...( (A_ ;f,t,(¢.i-1-1)/1 ·oc 11--1t
c11Y Vts-M-STATE C/lr z1PCODE ~3 DAYTELEPHONE 7z7-r ;;i..77
STATE !JC.# IJCENSE CIASS CI1Y BUSINESS !JC. #
Cl1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.#
7. WOltkERS' WMl'ENSAIIUN
Workers' Compensation Declara11on: I hereby affirm that I have a cert1tlcate of consent to self-msure issued by the Director of lndustnai
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).
~RANCE COMPANY ' ,70,::.,n -le· POIJCY NO. '{,()2zz_. 3-z:-{ EXPIRATION DATE 9
SIGNATURE DATE
8. OWNrut-B0liDRil bFl!OOlAfiON
bwner-Butlder Oeciaratmn: I hereby afhnn that I am exempt from the Contractor's License Law for the foilowmg 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 Ccxle: 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.).
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 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.S by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLE'IE IRIS SEGIION FOR NON-RESIDEN IIAL BOILblNG 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?
□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?
C YES C NO
ls 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 CERTIFICATE OFCXIl/PANCY MAY NOT Bil ISSUED AFTER JULY 1, 1989 UNlJlSS THEAPPIJCANT
HAS Mirr OR IS MEl!TING THE REQU1REMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CDNTROL DISTRICT.
9. WNS I KOC I ION LENDING AGENCY
I hereby afhrm that there 1s a conscrucuon lending agency for the performance of the work for which this penmc 1s issued (Sec 309?(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPllcAN I CEkllFICA:tiuN
I certify that I have read the apphcatmn and state that the above mformatlon 1s correct. I 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 AISO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CT1Y OF CARISBAD AGAINST AU. IJABIUTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY NX:RUE AGAINST SAID CfIY IN CDNSF.QUENCE OF TIIE GRANTING OF TIIlS 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 pennit 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 pe is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
E ,' · DATE: 6((6h 3 C r ,
YELLOW: Applicant PINK: Fmance
•
PERMIT# CB930834
DESCRIPTION: 39 SQ REROOF
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/26/93
COMPOSITION SHING
STE:
INSPECTOR AREA PD
PLANCK# CB930834
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2036 LINDA LN
APPLICANT: URBACH ROOFING
CONTRACTOR:
PHONE: 619 727-1277
OWNER:
REMARKS: MH/KAREN/727-1277
SPECIAL INSTRUCT: FINAL ROOF
TOTAL TIME:
LVL DESCRIPTION ACT
PHONE: /} ;J \ . ;J;f PHONE: A
INSPECTO~ UL'
COMMENTS CD
15 ST _R_o_o_f_f_R_e_r_o_o_f _________ f _ _,_f;__,_rLlrJLLA::k::'-'=::.,_ ________ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
082093 Roof/Reroof
ACT INSP
AP PY
COMMENTS