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HomeMy WebLinkAbout2393 LAFAYETTE CT; ; CB962210; PermitC_t7tl)l3~ ,. E .L ~ ~ ( l A cit ' l I A. A' £' .. l r • ti • r EI :AM 1r /( .. 4 V + ,n I , (. ., •• I n r , • £ • ~ ) -1 +-r : f ~ Jf, .., f A· r v.r. r h EK, • TF VL 14 LAf AYF "'rE Af L. f rl A ~ ' J; h~ I' 1 l l. d 'A * A l J tr, •n t ,t i:- ~ • c <> 1 :-11,ec,·1. , < e # * • cEL...,A~. 1 • 1., :-1 r ( u: r '1 ) N . E t L n T..., J • I I l • t I •#: q I, n +-1 tc • 1 ,.. v E ,, • : • E #: l l 4 t t-t : A ) l l I: • A r r · t.. Ir+-•~ E E I', I (.: Ht~ 1 J E ~" ! I Ft :~A.L APPROVAL INSP._ ~/l I~ j) DATE /d;oj{; CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 Pl;RMIT APPLICATION City of carlst.d Building D-rtant 2075 Las P■l-Dr., carlst.d, CA 92009 (619) 4311-1161 1. WWWI IYPE From List I (see back) give code of Permit-Type: _.,_/2....;;.~/J=G:cq';.,_::..'J9c.;./::..~-=.--- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2-PRWOCT INFORMATION FOR OFFICE USE ONLY Acldress Building or Suue No. ~3'1..3 L,4~/t YE77l::. t!-eV/<!.T C)<f/<?L58/'lb C,4 Nearest Cross Street Ct /'1 ~ I --fiA;L. D I llGAL DESCRIP i loN Loe No. Su6ci1vis1on Name/Number CHECK BEWW It SU &Mt l I £0: □ 2 Structural Cales I NAME (last name first) CllY □ I Addressed Envelope ADDRESS Omt No. Phase No. # OF BATIIROOMS ADDREss Yi3'7f' L4FA Yec~Cc!cJ£T STATE NAME (last name first) CITY (_-S~) STATE NAA-tE (last name first) CllY STATE STATE UC.# DESIGNER NAME (last name hrst) CllY STATE 7. WOR.RERS' WMPENSAiiON oo6 ... V6fDAYTEI.EPHONE (,,, '1.3 I ... 377 ZIP CODE ZIP CODE LICENSE CLASS ZIP CODE ADDRESS DAY TELEPHONE ADDRESS DAY TELEPHONE CllY BUSINESS UC. # ADDRESS DAY TELEPHONE STATE UC.# Workers' Compensauon Declarauon: I hereby aihnn that I have a cert1licate of consenc to seif-msure issued by the b1rector of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted insurer, or an exact copy or duplicate thereof cenified by the Di-rector of the insurer thereof filed with the Building Ins~tion Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DA TE 2- Certificate of f.xempuon: I certify that m the perionnance of the work for which tfos pennH 1s issued, I shail not employ any pem>n m any manner so as to become subject to the Workers' Compensation laws of California. SIGNATURE DATE 8. OWNM.-BUllDrut bwARA:lidN □ □ Uwner-BulJder Oedarafion: I hereby aiunn ilia[ lam exempt from ffie ConfradOfs Llcense Law tor the tonowmg 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 chat 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 Prof~ions 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 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 pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also require. the applicant for such pennit to file a signed sta~ement 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 e mpt ther rom, and the basis for the alleged exempcion. Any violation of Section 7031.5 by any applicant for a pennit subjects the icant civil penal of not more than five hundred dollars [$5001). SIGNATURE DATE / / -I 5 -r ls 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 Ace? □YES □NO ls the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 111E ANSWERS ARE YES, A FINAL CER11FICA11! OF OOCUPANCY MAY NOT BE~ AFl'ERJIJLY I, 1989 llNLESS 111E APPUCANT HAS Mirr OR IS MEETING 11IE REQIJIREMENTI; OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POU.UUON CDNTROL DISllUCT. 9. WNSIKOCIIUN LENDING XCENci I hereby alrinn that there IS a construcbon lending agency for the pedormance o[ the work for wfoch this penn1t 1s issued (Sec 3097(1) Civil Code}. LENDER'S NAME LENDER'S ADDRESS JO. XPPDCAN I CEJliiFICAJION I certify that I have read the apphcat1on and state that the above inionnac1on 1s correct. I agree to comply with all Cny 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 MSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 111E ClTY OF CARlSBAD AGAINST AIL LIABIUllES, JUDGMENTS, CXJSI'S AND EXPENSES WHICH MAY IN ANY WAY AO:ll.lJE AGAINST SAID ClTY IN CDNSEQIIENCE OF 11IE GRANTING OF TIIIS PERMIT. OSHA: An OSHA pennit 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 fficial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such it is t commenced within 365 days from the date of such pennit or if the building or work authorized by such permit is suspended or abando t a time after th~ work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). APPLlCANl"S SIGNATURE a DATE: //-1.5 -'1~ TE: F" e YELl.OW: App icant PINK: Finance 0 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. a • CITY OF CARLSBAO SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS ;')3q 3 L.4-'FAV-& t I 5 ~, TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL --ROOF SLOPE: RISE----.-inches in 12 inches TYPE OF EXISTING ROOF CDVElifN'~DSAAl::'.t: Sf-fti-1~1..E SHEATHING -------- NUMBER OF EXISTING ROOF COVERINGS (circle one) (Y 2 3 NEW ROOF MATERIAL &mfo;;,-,-E CLAss_A_ WEIGHT PER SQUARE_2_s'_c:i_l_b s- NUMBER OF SQUARES ..;;53 TRADE NAME Lbyg CJA-~12.tl>~E ROOF SYSTEM APPROVAL UL No. MANUFACTURER Ou.J8'.\ S Co~ 1 ~ q- 7q o -411other __ _ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES __ v---__ NO ___ _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A V 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. ~. ,,-"~~----~---~--------------------//-IJ-'1£ SIGN DATE Contractor __ _ Owner /" Contractor Name. _____________ _ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. DATE UNSCHEDULED BUILDING INSPE~~,4 #-:S ~;;;i_,r·· J~/J{}f!l/j INSPECTOR J) ' -=-------- PERMIT # 9'02,;711) cf-1 C ..,:i 2-/ J JOB ADDRESS -?39 ,i' lz,{./:49'8,7& PLAN CHECK# ____ _ DESCRIPTION ____________________ _ TIME ARRIVE: ____ _ TIME ____ _ CODE DESCRIPTION ACT COMMENTS tl~i')-,;;,1/ ~ ~,~,,~ . +f L-rr ~ -~~=II-~-"-'-~~--~---~/C-----------'--