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Home My WebLink About2394 LAFAYETTE CT; ; CB962211; PermitV t [ (; • "-c f t .~.dr, 4 ',A,.A'x • t,'.~ ·vr-,: !".t.•'EU.I\.JEO". r -.. ,' ) 1 t (JI i .... .. t I l . 1 "r.,.:t.rJ. y ( r ...l[.,: l • ( t r' : f E. R )c ~ • > [ J l , l[E;K, .'IE,'"· I •. , r :-, ., [,(tC.t:tt, •pt,• ,t -·, )"' ti. .... T( N i: • t t '\ t, ·• ':'Ii,. A' 1 ' ' , ",, ,~ l ,r, 11"' I l::. t f' : • It : . n r - • l 'i II. ~ , l l yll C t :) t- A[ i:_, .. l E l \£,,l: I [ .-.L : Ent r • ✓: T 1. . . I • ..>l LAEAYE~"E AhI HA:-> A ' "" :-" 1u .... r ... d f'( ~ : A • 1 l • IT,f r, t • , t-, 1 F (• _ f l' l; +- , l l ;J. t t f ' FINAL APPROVAL INSP. --;;;g/,\) DATE })-ijq,jf /J CLEARANCE _____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . PERMIT APPLICATION . (9 PLAN CHECK NO. . City of carlst.i Building D-rtant 2075 Las Palm, Dr., carlst.i, CA 92009 (619) 4311-1161 I. PF.kdh fiPE From Llst 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PROJECI' INFORMATION FOR OFFICE USE ONLY Lime No. Phase No. CHECK BEWW IF SO BMI 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEi EXISTING 1 TSE PROPQSEP USE DESCRIPTION OF WORK SQ. IT. ~ .:> tri?J # OF SfORIES # OF BEDROOMS # OF BATHROOMS 3. WN IALI PERSJN (I[ duierent from applicant) NAME (last name first) ADDRESS STATE ZIP CODE !.J>E"k. ~ ADDRESS ( ,:Sq-,..~ E /t S ,1>/UU/aiCr /'Jt:J~~,:-) CITY STATE ZIP CODE '?fJ QO~ DAY TELEPHONE --, ✓ 4 -cl--707 S. PKUPER iY oWNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE NAME (last name first) CITY STATE STATE !JC.# ZIP CODE IJCENSE CLASS ADDRESS DAY TELEPHONE CITY BUSINESS !JC. # DESIGNER NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WokkERS' WMPENSA 110N Workers' Compensation beclarat1on: I hereby affirm that I have a cerubcate of consent to self-msure issued by ffie Director oi lndustnai Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Director of the insurer thereof filed with the Building Ins~tion Department (Section 3800, Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE Ceruhcate of Exemption: I cerufy that m the performance of the work for which this permit 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 A. OWNM-B0UD£1t Dfi'.DJtXlloN □ □ Owner-Builder Declaration: I hereby athnn chat I am exempt from the Confracfofs License Law ior the iollowmg 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 che 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 che 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 License Law). I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.S 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 che applicant for such permit to file a signed statement that he is licensed pursuant to che provisions of the Contrac;:tor's License Law (Chapter 9, commencing wich Section 7000 of Division 3 of the Business and Professions Qxle) or that he is exempt refrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit subjects th pplica o a civil penalty of not more than five hundred dollars [SS00]). SIGNATURE ~ DATE / /-/ J-'1 _h ls the applicant or future building occupant required co 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 Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management disaicr? □ 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 THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE~ AFrER JULY I, 1989 UNl£SS THE APPLICANT HAS MET OR IS MElmNG THE REQUIREMENTS OF THE omCE OF EMERGENCY SERVICES AND THE AIR POIJ.IJTION OONTROL DISfRICT. 9. WNSIR0CIION LENDING AGENCY I hereby a fit rm that there lS a construcuon lend mg agency for the performance of the work for which this permit 1s ~ued (Sec 3097 (I) LlvU C@e). LENDER'S NAME LENDER'S ADDRESS lb. APPUCANI CEJlliFICAIION I certUY chat I have read the apptlcauon and state that the above miormatJon 1s correct. I agree to comply wain 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 ICEEP HARMIJ!SS THE CfIY OF CAIUSBAD AGAINSf AU. IJABIUl'IES, JUDGMENTS, CX>SfS AND EXPENSES WHICH MAY IN ANY WAY MDUJE AGAINSf SAID QTY IN OONSEQUENCE OF THE GRANTING OF 11{IS PERMIT. OSHA: An OSHA permit is required for excavations over S'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 it is no ommenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aband at any · e after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildinl-:Cod_e}. APPIJCANTS SIGNATURE ~ DATE: / l'.J-:'[ /, TE: File PINK: Finance _, I!\ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS .?.,3"!± -lA--F.14 Y~ C£; c) .R.r- 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL -- 3. ROOF SLOPE: RISE ___ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING UlooDSM.K-€"" SHEATHING 5. *6. 7. 8. 9. 10. 11. NUMBER OF EXISTING ROOF COVERINGS NEW ROOF MATERIAL <!.o1Y1fos rl& NUMBER OF SQUARES .J5 -------- (circle one) CJ) 2 3 CLAss_£ WEIGHT PER SQUARE_~_o_ TRADE NAME (/o y,.e 0/f/<:£IDGc" MANUFACTURER 0uJ9\I~ &RAJ1/I] Cr ROOF SYSTEM APPROVAL UL No. 7qo-q17 Other ___ _ 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. Fire rating of roof: Class A Vclass 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 DATE Contractor ---Owner V Contractor Name ·-------------- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.