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Home My WebLink About2056 LINDA LN; ; CB930684; PermitPERMIT APPLICATION PLAN CHECK NO. 9'..:J-tc/ City of carlsbad Building Departaent ~------------->---~ 2075 Las Pal•• Dr., carlsbad, CA 92009 (619) 438-1161 EST. VAL J t-±-0 PIAN CK DEPOSIT. ________ _ VAIID. BY ___________ _ I. P£kMI I IYPF! DATE A -U COmmerc1al □New Bu,ldmg U lenant Improvement B -D Industrial □ New Building D Tenant Improvement C-~Residential □Apartment □Condo □Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa D Retaining Wall D Solar jZI Other fl: R90 I= 2. PROJECI" INFORMATION FOR OFFICE USE ONLY Address ZO .5 0 L IN l>.4 LA /Jc_ BuUdmg or Suite No. - Nearest Cross Street I.EGAL DEstkiP I ION CHECK BEWW IF SOBMII IED: SubJ1V1s1on Name/Number □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ASSESSOR'S PARCEi. EXISTING USE NAME ADDRESS Omt No. CITY STATE ZIP CODE DAY TELEPHONE 4. APPIJCANI pltUNiRACIOk □AGENI FORWNIRACIOk DOWNER □~I FOR OWNER NAME 12£64"1\J f<ooF J No/ ADDRESS / 6 "7 C£D4P-. .4-C, Phase No. CITYV/.5r.A-STATEC4 ZIPCODE92.'.7E/J DAYTELEPHONE 758-·5J/4o NAME .JVE. G,,o D.'4L L ADDRESS S /hn E'.. ZIP CODE 170& t, CITY STATE DAY TELEPHONE 7 ,2. '°t -2. U 5 4, 6. WN tRXCIOk a..,j o v c_ NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # Yzff~CENSE CLASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WdkkkkS' CDMPENSAIIUN Workers' Compensation Deciarat1on: I hereby affirm that I have a cert.1hcate of consent to seif-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted in~surer or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depart.me tion 3800, lab. C). INSURANCE COMPANY POLICY NO. tJ'71 Mi~oN DATE Cert1hcate of Exemption: I certify that m the performance of the work for which this pernut 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNER-B0nnmt bPl!OOlXliON bwner-Bu1ider beciaratton: I hereby affirm that I am exempt from the Contracto?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 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 SECIION FOR NON-RESIDEN IIAL B0IWING PERMll's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hai.ardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hai.ardous 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 Cl NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IP ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:IJPANCY MAY NOT Bl! IS.WED AYll!R JULY I. 1989 IJNIJ!SS THE APPIJCANT HAS MET OR IS MElmNG THE REQUIREMENTS OF THE omCE OF EMERGENCY SERVICES AND THE AIR POLLlfl10N CDNTROL DISllUCT. 9. WNSJ ROCIION O!NDfiQG ACHNCY I hereby afhrm that ch ere 1s a constructmn lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 16. APPilCAN i CFJtilllcA.'I IUN I certify that I have read the apphcat1on and state that the atx>ve mformauon 1s correct. I agree_to comply with ail City ordmances 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 A1SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CTIY OF CARISBAD AGAINST AIJ. UAIIIU1lES, JUDGMENTS, CXlSTS AND EXPENSES WIIlCH MAY IN ANY WAY MllUJE AGAINST SAID CTIY IN CDNSEQ\JENCE 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 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). APPLICANT'S SIGNATURE 01,L ~ :fL ·i-<<wtl!TE: ~~~ YEIJ.OW: Applicant PINK: Finance DATE: '7 -/ 2 -'J i , CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS /--t} 5 (,, L J NDA (A:11/ £ 2. TYPE OF BUILDING: RESIDENTIAL__2'.:__ COMMERCIAL 3. ROOF SLOPE: RISE C, inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING 5,/.L_/)Jif: SHEATHING 5 /<-IP -~------ 5. NUMBER ·oF EXISTING ROOF COVERINGS (circle one)@ 2 3 *6. NEW ROOF MATERIAL /1,;Pµf"t¼d,o CLASS...iL_-WEIGHT PER SQUARE ;?4c, NUMBER OF SQUARES "?, 2 -"-~----7. 8. TRADE NAME ~P~.4£~~c~o~ _______ MANUFACTURER 1-JA LL wt /lJ2 IL_ 9. ROOF SYSTEM APPROVAL UL No. _____ Other ____ _ 10.. 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. 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. 7-12 -9 3 SI DATE ' Contractor --->< Owner ---Contractor Name .RsG,4-.U Po.oruLl<C, , *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up . . - 12/01/93 INSPECTION HISTORY LISTING FOR PERMIT# CB930684 DATE INSPECTION TYPE INSP ACT COMMENTS 07/15/93 Roof/Reroof PD AP 07/15/93 Interior Lath/Drywall RI RI MH/JOHN/758-9140 07/15/93 Interior Lath/Drywall PD WC 07/14/93 Roof/Reroof PD AP 07/13/93 Roof/Reroof RI RI MH/JOHN/758-9140 07/13/93 Roof/Reroof PD co HIT <RETURN> TO CONTINUE ...