HomeMy WebLinkAbout2393 LAFAYETTE CT; ; CB962210; PermitC_t7tl)l3~
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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
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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
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