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HomeMy WebLinkAbout2052 LADERA CT; ; CB970953; PermitFOR OFFICE USE ONLY .-)ERMIT APPLICATION PLAN CHECK NO. i ]Q q 5 3 EST. VAL. 7Q q 0 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Plan Ck. Deposit ---------,---,,-- 1. PROjECT INFO/IMATl,N .2 c;.S2 L C(der'a. Co~,...T Address (include Bldg/Suite I) Business Neme let this address) Legal Description Lot No. Subdivision Neme/Number Unit No. Phese No. Totel I of units Proposed Use lot Stories I of Bedrooms I of Bathrooms 2. CONTACT PERSON (If dlffemit from appiicentl Telephone I Fax I 6. ---... ·-0-:1· (Sec. 7031 .5 Business end Professions Code: Any City or County which requires• permit to construct, alter, Improve, demolish or repeir any structure, prior to Its issuance, also requires the applicant for such permit to file e signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the elleged exemption. Any violation of Section 7031.6 by any ,!fPlicant for 9 permit subjects the applicant to a civ)penalty of not more than five hundred dollars ($5001). , 'i> G{rnn l?o ~-&,, C/ 5'12 ?/<ocJu,,9/t.or,..1 c:: L.P\ O cco.11,rt'd'<° Cit 'J:?()£7 7b O-z_s,y-OJ'...? ~ Nam c:>-· Address c5" City State/Zip Telephone State License I ?ISC.l C, License Class C J { City Business License I ¥:p.L;,../ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaretions: 0 I have and will maintain a certificate of consent to self-Insure for workers' compensetion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: lnsurence Company_____________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) Q(_ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNl~G: Failure to aecure worlterw' compensation coverage 11 unlawful. and shaN subject an employer to crfnNnal penettles end clvll fines up to one hundred thousand dollara ($ 0 op>. in IJlldi on to tha co t of compenution, damages aa provided for In Section 3706 of the labor code, lnterelt and attorney'• fHa. SIGNATURE .-._e,_ _/Y.: • DATE Y.--.l J -17 7. OWNER-BUILDER DECLARATION • -l. I hereby affirm that I am exempt from the Contractor's License law for the following reason: 0 I, as owner of the property or my employees with wages es 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 tha purpose of sale). 0 I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to 1n owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License L1wl. 0 I am exempt under Section ______ Business and Professions Code for this ,eason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with tt. following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the mejor work (include name / address / phone number / contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAl'IIUILDINO PERMITS ONLY,...;;,r;v •·= "'""•'~ ""'~ • ,,,.. ..,. ' .. ,,..,,. -, ~· I-.; .,.. •• •;, 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future b~ilding occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 18, CONSTRUCTIONLENDINGAGENCY':."''''" .. 1 r ·• -·--r,n .... ,,. ~n--••'"''""' ~v •• ,.. ,,~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(11 Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _______________________ _ 19'. · APPLICANT CERTIFICATiorfl~r.,;r ,,·~n':. T-;~0 . .--~-:---~=:-r::r:"'.'.:?Y.",":I:.,~~::".'.·.-::: ~ ".-;;:;;~7".',_. ,:,.u-;:;-: :,-:::;.;:-. ~:-:----·-.-:--· I certify that I have reed the application and state that the above information is correct and that the information on the plans 11 accurate. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt 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. 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 Officlal 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 deta of such permit or if the building or work authorized by such permit Is suspended or abandoned at any time after ~ ~ork is co~nced for a peri of 180 days (Section 106.4.4 Uniform Bullding Code I. APPLICANT'S SIGNATUR~ / ~ F ~~---DATE y .... ~ .1 -r 1 WHITE: File YELLOW: Applicant PINK: Finance -• . 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. a • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS 2 0 J" :2 ( gle /'q C otA.,,. "f TYPE OF BUILDING: RESIDENTIAL >(_ COMMERCIAL __ ROOF SLOPE: RISE S inches in 12 inches TYPE OF EXISTING ROOF COVERING Uoc,/.S/a.le NUMBER OF EXISTING ROOF COVERINGS (circle one) SHEATHING Yl:rP a:, 2 3 I NEW ROOF MATERIAL· ~rdTU'&,?j/--1rk, CLASS If WEIGHT PER SQUARE S 7 0 NUMBER OF SQUARES :J / ~~---- TRADE NAME ~°' 1/e lt¥?5-, CP D-" ROOF SYSTEM APPROVAL UL No. ____ _ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES X NO ---- If the answer is no, a roof plan must 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 Contractor X I Owner --- DATE Contractor Name C/;,,"1/1 /(ooiPf ~ T CX *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. City of Carlsbad ■~J ■ I I& I I ■I· I •24•61 ;;, ,14 ,I I REROOFING PERMITS A reroofing permit is required for all occupancies when: 1. Removal of the existing roof covering is required by -Appendix, Chapter 15, 199-4 _Unifonn Building Code, OR 2. A lighter weight roof covering is being replaced with tile. (Engineering calculations may be required for the supporting structure.) The attached Supplemental Building Permit Application must be completed in addition to our standard application. Our adoptive ordinance requires that all replaced roof coverings be CLASS B or higher. REQUIRED INSPECTIONS: L TEAR OFF-Inspection required for existing or new sheathing, prior to underlayment or covering. 2. FINAL INSPECTION 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 .. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970953 FOR 05/07/97 DESCRIPTION: RE-ROOF,3000 SF,LT WT CONCRETE TYPE: MISC INSPECTOR AREA PLANCK# CB970953 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 2052 LADERA CT APPLICANT: GLYNN ROOFING CONTRACTOR: STE: LOT: OWNER: REMARKS: MW/758-0833 SPECIAL INSTRUCT: TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof PHONE: 760 758-0833 PHONE: PHONE: INSPECTOR -H------------ ACT COMMENTS .M f,~,kv ------------------------------------ ------------------ DATE 043097 043097 DESCRIPTION Roof/Reroof Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP NR DC AP DC COMMENTS 9:00 AM 11:00 -~---------··· •..