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Home My WebLink About2401 LA PLUMA LN; ; VARIOUS; PermitMODEL NO. 3^1 Applicant to compiete numbered spaces only. BUILDTNG PERMIT APPLICATION LSBAD, CALIFOF Phone 729-1181 City of CARLSBAD, CALIFORNIA 9200& , . ,, Permit No.. •n.» JOB ADDR ESS ASSESSOR'S PARCEL NUMBER PASE I . LEGAL 1 DESCR. 1^0 -73 ^li^ 3 (I |SEE ATTACHED SHEET) zss Of MAIL ADDRESS CONTRACTOR 3 3<rl4 MlAIL ADDRESS STATE LIC. NO. CITY Lie. NO. ARCKITCCT OR DESICNCR 4 t» .1AIL ADDRESS LICENSE NO. MAIL AODRESS LICENSE NO. COMPENSATION INS. CARRIER .4AIL ADDRESS USE OF BUILDING NO. BDRMS. NO. BATHS. 8 Classofwork: DNEW ijKp^DOITION • ALTERATION •REPAIR • MOVE •REMOVE 9 Describe work: g^J PekffQ 10 Change of use frpcn Change of use to 11 Valuation of wo)-k:$ g , » Q A ^A^A'^ "-^ PLAN CHECK FEE $ S PERMIT FEE S SPECIAL CONDITIONS: Type of Const. Occupancy Group MICRO FILM FEE Type of Const. Occupancy Group MICRO FILM FEE Size of BIdg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Size of BIdg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Flre Zone Use Zone Flre Sprinklers Required •ves •NO APPLICATION ACCEPTED BY yy DATE PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE Flre Zone Use Zone Flre Sprinklers Required •ves •NO APPLICATION ACCEPTED BY yy DATE PLANS CHECKED BY APPROVED FOR ISSUANCE BY DATE No. Of Dwelling Units OFFSTREET No. Covered PARKING SPACES: INo. Sq. Ft. jOpen NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Special Approvals Required Received Not Required NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLANNING DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. HEALTH DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. FIRE DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SOIL REPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. OTHER (Specify) NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ENGINEERING DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. WATER DEPT. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. if' NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING, HEATING, VENTILATING OR AlR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. 1 HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVtSIONS OF LAWS ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED ACENT (DATEI SIGNATURE OP OWNER llf OWNER tUILDIRI V* ^> (DATE) SIGNATURE OF CONTRACTOR OR AUTHORIZED ACENT (DATEI SIGNATURE OP OWNER llf OWNER tUILDIRI V* ^> (DATE) SIGNATURE OF CONTRACTOR OR AUTHORIZED ACENT (DATEI SIGNATURE OP OWNER llf OWNER tUILDIRI V* ^> (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE! THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH TOTAL FEES $. INSPECTOR INSPECTION RECORD 'V^- ^'?>^? DATE REMARKS INSPECTOR * FOUNDATIONS: SET BACK TRENCH REINFORCING FOUNDATION WALL & WEATHER PROOFING CONCRETE SLAB FRAMING INT. LATHING OR DRYWALL EXT. LATHING MASONRY FINAL USE SPACE BELOW FOR NOTES, FOLLOW-UP, ETC. CITY OF CARLSBAD BUILDING DEPARTMENT (714) 729-1181 CERTIFICATION I certify that in the performance of the work for which this permit is issuetJ I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. If, after making this certificate, I become subject to the workers' compensation pro- visions of the California Labor Code, I will forthwith comply with Section 3700 of the Labor Code. I understand that if I fail to comply with the workers' compensation laws, this permit shall be deemed revoked. I further certify that if I should contract or subcontract with any person, including any firm or company, to do all or part of the work for which this permit is issued, 1 shall assure compliance by that contractor or subcontractor with Section 3800 of the California Labor Code. SIGNED ••^AlrlfArt PRINT NAME AND TITLE: A C .-^ "f" U ^ \ JOB ADDRESS: 'X <-) 6 i L^yp* ( u ^ <- . DATED: / / - I - ^ 7 INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: oA^ ViA / DATE : RECEIVED 1 iyC\^. NOV 1 1977 CITY OF CARLSBAD Building Department PLANNING DEPARTMENT ZONE P-C— LOT SIZE LOT WIDTH /u^p UNITS ALLOWED UNITS PROVIDED Mft PARKING SPACES REQUIRED % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED _PROVIDED_ PROVIDED PROVIDED SIDE SETBACK; REAR SETBACK; IU INTRUSIONS QL LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ ADDITIONAL COMMENTS OK TO ISSUE: ^ fj DATE ^fjljl'^ OK TO FINAL DATE ENGINEERING DEPARTMENT R.O.W, INDUSTRIAL WASTE IMPROVEMENTS SEWER CONNECTION GRADING PERMIT DRIVEWAY LOCATIONS EASEMENTS AA0AJ/^ JAJ ^x^G^ DRAINAGE LEGAL DESCRIPTION ADDITIONAL COMMENTS OK TO ISSUE: /f^^y^ DATE /^/lAOyvV PWI OK TO FINAL_ DATE FIRE DEPARTMENT SPRINKLING SYSTEM FIRE ALARMS FIRE HYDRANTS ADDITIONAL COMMENTS FIRE PROTECTION EQUIP. EXITS LOCATION OK TO ISSUE: DATE OK TO FINAL DATE WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET_ DATE '"^H" B<2«>.« as' |<m. (J V C V U fl H ''a'xa'xx?' l^ed- Wijad To|> Ca^e'r 1^<^^ ?^X6X 13.' f{c^i\cY<^ \'»-ea_ I'S'jA, Tei^t K«'^5<'^' ll I' It /111 To ^a\A^^'^ 3 U I L I () \) / 4 / 3 11:2 J Page i of 1 • Job /Vidress: ?,4r)l LA PLUMA LN Permit Type: MISCELLANEOUS p.,:ir.:ei No: Z 5 5-0 9 1-0 9-0 0 Valuation: 7,8 54 'on:jtructioii Type: NEW i.jccupancy Group: Description: 3 3 SQUARES OF TILE Appl/Ownr : PACIFICA ROOFING 613 CORTEZ AVE VISTA, CA. 92084 .[ N G PERMIT Suite: Lot# : Reference#: ;'e.rmit No: iJB931035 P roject No: A 9 3 0146 B Development No: 4^42 09/24/93 0001 01 02 Or\ as09 C-PRHT 165.00 Status: ISSUED Applied: 09/24/93 Apr/Issue: 09/24/93 Entered By: MDP 619 630-2216 *** Fees Required Fees : Ad ju stments: Total Fees: Fee description Miscellaneous Fee #f * MISCELLANEOUS TOT! Credits . 00 . 00 165.00 Ext fee Data 165.00 PC/BP 165.00 INiL APPROVAL/ _DATEmM. CITY OF CARLSBAD 2073 Las Paboas Dr.. Carisbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ^ City of Carlsbad Building Departnent 2075 Las Palmas Dr., Carlsbad, CA 92009 <619) 438-1161 1. PERMfr'IVPE A - L) Commercial U New Building U I'enant Improvement B - • Industrial • New Building • Tenant Improvement C - H'^esidential • Apartment • Condo • Single Family Dwelling • Addition/Alteration • Duplex • Demolition • Relocation • Mobile Home • Electrical • Plumbing • Mechanical • Pool • Spa • Retaining Wall • Solar Oy^ther RcX?f!n<^ 2. PROJECT INFORMATION .aaress LCi TlU Uu °^ Nearest Cross Street \_QC^ j ^^iS I /6\gHX> /^n0am<95C^ TEGAL DE5(:iRlPT10N Lot No. Subdm^on Name/Number O PLAN CHECK NO. EST. VAL PLAN CK DEPOSIT VALID. BY_ DATE 7 Q'5''\ Jfl FOR OFFICE USE ONLY Unit No. Phase No. THECK BELOW IP ijUMMITrtlU: • 2 Energy Calcs • 2 Structural Calcs • 2 Soils Report • 1 Addressed Envelope ASSESSOR'S PARCEL EXISTINC. PROPOSED USE DESCRIPTION OF WORK SQ. FT. 32> ^j. # OF STORIES NAME ADDRESS CITY 4. APPUi NAME CJffT Ht CITY V|t)fz^ •^ON'l'HAd'UR STATE ZIP CODE • ACENT FOR CONTRACTOR DAY TELEPHONE • OWNER 7NER—U ACENT FOR OWNER ZIPCODE '^SIQS^ DAY TELEPHONE ^30'^(9l<b STATE ADDRESS 5. PROPERTY OWNER NAME f^oberi- Bev-fuz-z^i CITY CWiSbad STATE CA 57 CONT NAME CITY ADDRESS SAsO\ La. PIUVT^VX t-^ ZIP CODE ^g^0O*1 DAY TELEPHONE 4? I"753' to39lg> ^*^^?S.afuQl^ iCcX^-fuaa ADDRESS STATE ZIPCODE DAY TELEPHONE STATE UC. # 62.^^20 UCENSE CLASS ^~ 3^ CITY BUSINESS UC. # CO | - ^ IO " 0000~ ^ j«4o ADDRESS UHSRiNHR NAME CITY 77 WORKERS' UUMPENSJATION STATE ZIP CODE DAY TELEPHONE STATE UC. # Workers' Compensation Declaration'. 1 hereby attirm that 1 have a certiticate ot consent to sell-insure issued by the Director ot Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Insfj^^n Department (Section 3800, Lab. C). INSURANCE COMPANY GoldcV^ Sc\C{\t -W\5> POUCY N0.2QQ-17p-Q ) EXPIRATION DATE Certiticate ot Exemption: I certity that in'toe pertorrnance " "' . i 'zr ~ " ^^^.T^T • • • •• - • •2QQ"17Q-Q) EXPIRATION DATE : Exemption: I certity that in'tde^rtorrnaTice ot the work tor which tliis permit is issued, 1 shall r so as to become subject to the Workers' Compensation Laws of Califomia. DATE not emptoy any person in any manner SIGNATURE i. OWNER-BUILDER DEOARATION Owner-Builder Declaration: t hereby attirm that I am exempt trom the Contractor's License Law tor the tollowmg 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 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 Ucense 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 Ucense 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 requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions ofthe Contractor's Ucense Law (Chapter 9, commencing with Section 7000 of Division 3 ofthe 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATUHE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMI TS ONLY: 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O 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? • 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 CERTIHCATE OF OCCUPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNIESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFOCE OF EMERGENCY SERVICES AND THE AIR POLLUTION OONTROL DISTRICT. UUNt;mU(jnON LENULNt; AGENCV 1 tiereby attirm tliat there is a construction lending agency tor the pertormance ot ttie work tor which this permit is issued (Sec 3097(0 Cmt Code). LENDER'S NAME 10. APPUCANT CER'm'lCATlON LENDER'S ADDRESS t certity that 1 have read the application and state that the above intormation is correct, t agree to comply with alt 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 ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE OTY OF CARLSBAD AGAINST ALL LIABIUTIES, JUDGMENTS, COSTS AND EXPENSES Winm MAY IN ANY WAY ACCRUE AGAINST SAID OTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMFT. 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 pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANTS rS^GNATiaiE I f DATE: WHITE: FUe YELLOW: Applicant PINK: Finance PERMIT* CB931035 CITY OF CARLSBAD INSPECTION REQUEST FOR 10/04/93 DESCRIPTION: 33 SQUARES OF TILE TYPE: MISC JOB ADDRESS: 2401 LA PLUMA LN APPLICANT: PACIFICA ROOFING CONTRACTOR: OWNER: REMARKS: MH/SUE/630-2216 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof INSPECTOR AREA PLANCK# CB931035 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 630-2216 PHONE: PHONE: INSPECTOR ACT COMMENTS Ml DATE DESCRIPTION 092893 Roof/Reroof ***** INSPECTION HISTORY ***** ACT INSP COMMENTS AP PY T CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS M0\ \M T\\)ma Lqnty 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE 5 inches in 12 inche JS in L/l inches 4. TYPE OF EXISTING ROOF COVERING DmLt (MJQJ/ SHEATHING ' 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) (£) 2 3 *6., NEW ROOF MATERIAL ~T\\0 CLASS A WEIGHT PER SQUARE S^S 7. NUMBER OF SQUARES 33 8. TRADE NAME Tr^mium bvraU^C MANUFACTURER Honi-CM^ 9. ROOF SYSTEM APPROVAL UL No. Other TCBQ - 2-0^3 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES >/ NO If the answer is no, a roof plan must be provided with this application, n. Fire rating of roof: Class A y 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 DATE Contractor \/ Owner Contractor Name "Tajaftcc^ Rooflko^ *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.