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HomeMy WebLinkAbout2411 EL BOSQUE AVE; ; VARIOUS; PermitMODEL NO 9 BUILDING PERMIT APPLICATION city of CARLSBAD, CALIFORNIA 92008 'Applicant to complete numbered spaces only Phone 729-1181 Permit No JOB ADDR ESS 2411 £1 B9S(|ye 1^,^ C^li^ad ASSESSOR S PARCEL NUMB ER ,LEGAL 1 DESCR 118 BsEsc&o cbl Boniexos a #2 (I^SEE ATTACHED SHEET} MAI L ADDRESS 2 Wm^ms&& Holes, 140 Mszlm ^es« XMr., #104, Solaaa Beadli, 0^75 7S5«#?56 CON TRACTOR MAIL ADDRESS STATE LIC NO CITY LIC NO ARCHITECT OR DESIGNER MAIL ADDR ESS LICENSE NO 4 iat^, S^s^m % F4^3Xi^» S746 Csi^^ ISt* "^sssmt IBSSIK^ §^60 7S2-S924 €iB5 ENGINEER ^Al L ADDRESS LICENSE NO im 9416 COMPENSATION INS CARRIER MAIL ADDRESS 6 me j^lf^xs Self las., 40^ lll^ie MviS.» UA« ^Sl USE OF BJILDING NO BDRMS_ 4 NO BATHS 8 Class of work EW •ADDITION •ALTERATION •REPAIR •MOVE •REMOVE 9 Describe work msi^tial msm, 274 € 10 Change of use from Change of use to 11 Valuation of work $ 4^? y J- J 9 7 -' ' PLAN CHECK FEE $ ^) PERMIT FEE S / ,/J '"-"^ SPECIAL CONDITIONS Type of „k 1 Const f\J Occupanc^y'^ ^ Group ^^J^ ^ MICRO FILM FEE Type of „k 1 Const f\J Occupanc^y'^ ^ Group ^^J^ ^ MICRO FILM FEE Size of Bldg /'^-^ '^"> (Total) Sq Ft /f ^ No of J 'Stones Max Occ Load M Size of Bldg /'^-^ '^"> (Total) Sq Ft /f ^ No of J 'Stones Max Occ Load CZ4 Fire i.>.**-i-^ Zone Use i i zone A Fire Sprinklers Required •yes [HUo' APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPROVED%OR\ISSUANCE BY D A,T E Fire i.>.**-i-^ Zone Use i i zone A Fire Sprinklers Required •yes [HUo' APPLICATION ACCEPTED BY DATE PLANS CHECKED BY APPROVED%OR\ISSUANCE BY D A,T E No of 7 Dwelling Units jf OFFSTREET No ^-s^* Covered PARKING SPACES Sq Ft AA>'\open NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A Special Approvals Required Received Not Required NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A PLANNING DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A HEALTH DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A FIRE DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A SOIL REPORT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A OTHER (Specify) NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A ENGINEERING DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A WATER DEPT NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB ING HEATING, VENTIL.ATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS,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 PROVISIONS OF LAWS AND 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 ' - •'' Z' ^ A 'A 'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEl SIGNATURE or OWNER (IF OWNER BUILDER) (DATE) 'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEl SIGNATURE or OWNER (IF OWNER BUILDER) (DATE) 'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEl SIGNATURE or OWNER (IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH dA TOTAL FEES £ '^'^ ^ '^'^ INSPECTOR INSULATION CERTIFICATION This IS to certify that insulation has been installed m conformance with the current energy regulations, California Administrative Code, Title 25, State of California, in the building located at: SITE A.DDRESS J/ El Bosque Avenue, Carlsbad, California EXTERIOR WALLS Owens- Corning and *Friction Manufacturer Johns-Manvi11e Thickness/Type 3i" Fit *SEE CODE BELOW R-Value Owens-Corning and CEILINGS Batts: Manufacturer Johns-Manvi1leThickness/Type 6" Fit Blown: Manufacturer Thickness/Type Wt./Bag Friction Sq. Ft. Covered FLOORS Manufacturer SLAB ON GRADE Manufacturer Width of Insulation FOUNDATION WALLS Manufacturer Thickness/Type Thickness/Type Inches Thickness/Type R-Value R-Value R-Value 1 1 R-Value 19 R-Value R-Value GENERAL CONTRACTOR BY TITLE ONTRACTORS, INC, LICENSF # DATE LICENSE # 221517 C-2 TITLE Vice President DATE Insulotion Nomlnol only n Thicttneoa gVz" mi SVa" 3%" BIS (S iBVa" idontKlcQtion Sirlpo Permit No Applicant to complete numbered spaces only MECHANICAL PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Phone 729-1181 AA- 11 7 A A d m > D O m JOB AODR CSS 2411 IL E Am, ^ LEGAL IDESCR m k W33L 2 (QSEE ATTACHED SHEET) MAIL ADDRESS k mm, 149 msm mm m,., §m, mum WME mm 275-10^ CON TRAC TOR MAIL ADDRESS LICENSE NO KEW Am OGKP.s 2333 W> V1[MZam). 9m5 mr'im 158688 10774 ARCHITECT OR DESIGNER MAtL ADDRESS LICENSE NO MAIL ADDRESS LICENSE NO MAIL ADDRESS USE OF BU I LDI N G 8 Class of work EW •ADDITION •ALTERATION •REPAIR 9 Descnbe work msmi. loo.ooQ vm wm Type Of Fuel Oil • Nat Gas • LPG • PERMIT FEES SPECIALCONDITIONS No Type of Equipment Fee Air Cond Units-HP Ea $ - Refrigeration Units—H P Ea Boilers-H P Ea Gas Fired AC Units-Tonnage Ea -Forced Air Systems—B T U M Ea 4. APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Gravity Systems-B T U M Ea APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Floor Furnaces—B T U M APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY Wall Heatera-B T U M NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 Unit Heaters-B T U M ^ NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 Evaporative Coolers NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 Clothes Dryers NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 Ventilation Fan NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 Range Hood NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 Air Handling Unit- CFM NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 Incinerator NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, 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 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WOf»K 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 SISNATirHE OF CON TRAC TORPOR AUTHORIZED AGENT (DATE|— " " SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) SISNATirHE OF CON TRAC TORPOR AUTHORIZED AGENT (DATE|— " " SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) PERMIT $ SISNATirHE OF CON TRAC TORPOR AUTHORIZED AGENT (DATE|— " " SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) TOTAL FEE $ —U WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH INSPECTOR 1 9 • PLUMBING PERMIT APPLICATION City of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only PhORG 729-1181 Permit No JOB ADDR ESS TRAC.<T ^ - ^ ^ / ^/f^A^ AAAzAZ^f.-L»A: iA Z'^A^^. OWNjER/ ^ ' / XMAIL^ADPRELSS *'^-#s ^' ^'^ i^'j* PHONE •I f<i4/Az-Z/M^f Ai'WA /AM/.A^t' ^VH/\^J?/^/yt<.' S'z^^Ai 9^a7^ CONTRACTOR ^ MAIL ADDRES 5,^^ STATE LIC NO CITY LIC NO ARCHITECT OR DESIGNER MAiL ADDRESSA LICENSE NO ENGINEER MAIL ADDRESS LICENSE NO COMPENSATION fNS CARRIER MAIL ADDRESS U SE O F BU la DING 4 A 8 Class of work [b^iNEW • ADDITION • ALTERATION • REPAIR 9 Describe work PERMIT FEES No Type of Fixture or Item Fee SPECIAL CONDITIONS "A" WATER CLOSET (TOILET) A BATHTUB LAVATORY (WASH BASIN) /- SHOWER KITCHEN SINK & DISP /SO DISHWASHER APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY r LAUNDRY TRAY CLOTHES WASHER WATER HEATER z 3^ 73^ NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND 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 URINAL DRINKING FOUNTAIN FLOOR-SINK OR DRAIN SLOP SINK GAS SYSTEMS NO OUTLETS WATER PIPING & TREATING EQUIP WASTE INTERCEPTOR VACUUM BREAKERS LAWN SPRINKLER SYSTEM SEWER NUMBER CLEANOUTS, 'A CESSPOOL & AP SEPTIC TANK & PIT ROOF DRAINS SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ISSUANCE FEE SIGNATURE OF OWNER (IF OWNER BUILDER) TOTAL FEES WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH INSPECTOR ELECTRICAL PERMIT APPLICATIQN aty of CARLSBAD, CALIFORNIA 92008 Applicant to complete numbered spaces only Phon© 729-1181 " Permit No 74- 3oAj^' JOB ADDRESS jS.it /? J /? ,LEGAL 1 DESCR LOT NO //i BLK ' TRACT , , ^^^^ ATTACHED SHEET) OWNER MAIL ADDRESS ZIP V^^-*^i2S/, W/f/Am> ^Zei'^Mh ,0/^^, JiA^re SfaeJc^Ad f-7^7S PHONE CONTRACTOR MAIL "^A'm^M'^^Af'-Tuii^/^S' A^ 7-^)^^rJrHt, ja ADDRESS PHONE STATE LIC NO C ITY LIC NO ARCHlfECT OR DESIGNER 4 MAIL ADDRESS PHONE LICENSE NO ZJ EN3 INEER 5 MAIL ADDRESS PHONE LICENSE NO COMPENSATION INS CARRIER MAIL ADDRESS BRANCH USE OF E 7 UILDING i' sr 8 Classofwork (yNEW •ADDITION • ALTERATION •REPAIR 9 Descnbe work A. LdA^ee. • ii SPECIALCONDITIONS APPLICATION ACCEPTED Bl^ PLANS CHECKED BY APPROVED FOR ISSUANCE BY NOTICE THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS.OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COM MENCED I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND 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 AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) PERMIT FEES No Each Fee SWIMMING POOL WIRING, NO INCREASE IN SERVICE • NEW CONSTRUCTION, FOR EACH AMPERES OF MAIN SERVICE, SWITCH, FUSE OR BREAKER NEW SERVICE ON EXISTING BLDG FOR EA AMPERE OF INCREASE IN MAIN SERVICE, SWITCH, FUSE OR BREAKER REMODEL, ALTERATION, NO CHANGE IN SERVICE, FOR EA AMPERE OF INCREASE TEMP SERVICE UP TO AND INCLUD- ING 200 AMP TEMP SERVICE OVER 200 AMP PER 100 - ISSUANCE FEE / TOTAL FEES ^7 WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT PLAN CHECK VALIDATION CK. M.o CASH PERMIT VALIDATION CK M O CASH INSPECTOR LOT _ ///- BUILDING FOOTINGS FOUNDATION / V^t Ai REINFORCED STEED MASONRY GUNITE OR GROUT SHEATHING rdd^ hd) j INSULATION 'J^Jc^?/^ /t^/ EXTERIOR LATH INTERIOR LATH & DRYWALL PLUMBING SEWER AND PL/CC^^I^^^ WATER dd?.4. PLUMBING UNDERGROUND ^/^h/L kd^ COPPER "7/^ TOP OUT ill 1 ^ TUB AND SHOWER GAS TEST 9/7//^ ELECTRICAL UNDERGROUND ROUGH f//f^y^ CEILING HEAT BONDING MECHANICAL DUCT & PLEM, REF. PIPING HEAT--AIR VENTILATING SYSTEMS FINAL: 06-08-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB052151 Building Inspection Request Line (760) 602-2725 Job Adciress Permit Type Parcel No Valuation Reference # Project Title 2411 EL BOSQUE AV CBAD MISC 2550820500 $6,960 00 ROMERO RES 2400 SF RE-ROOF FROM SHAKE TO CONCRETE TILE Subtype REROOF Status Lot # 0 Appliecj Entered By Plan Approved Issued Inspect Area plicant PteENTIGE ROOF CO irANAHEIM ST ESCONDIDO CA 92025..^\ 760 737-9636 f ^\ Owner ROMERO FRANK P&FRANCES C 2411 EL BOSQUE AVE CARLSBADCA 92009 Q2^ ISSUED 06/08/2005 KG 06/08/2005 06/08/2005 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees RE-ROOF PERMIT $128 00 $0 00 $0 00 TOTAL PERMIT FEES $128 00 Total Fees $128 00 Total Payments To Date $0 00 Balance Due $128 00 0155 06/08/05 0002 01 CGF- 0? 28»00 Inspector JA FINAL Date -Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, (dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has oreviousiv othew/ise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbaci, CA 92008 1 PROJECT INFORMATION TMW t^ ^t^6?ue FOR OFFICE USE ONLY^ PLAN CHECK NO (Z W^Z/o / EST VAL (j 9(oO, Plan Ck Deposit Validated By Address (inclij[dB BIdg/Suite tt) Business Name lat this address) Legal Description Lot No Subdivision Name/Number Unit No Phas 3 No Total tt of units Assessor's Parcel # Existing Use Proposed Use Description of Work ^ 1 „ |/_ 1. ^ , i -ISO FT ShaXsi'iO cone, Uie. #of Stories # of Bedrooms # of Bathrooms 2 CONTACT PERSON (if different from applicant) Name Address City State/Zip Telephone # Fax # 3 APPLICANT A^ Contractor ' D Agent for Contractor Q Owner • Agent for Owner Name Address City State/Zip Telephone tt 4 .PROPERTY OWNER Name 5 CONTRACTOR - COMPANY NAME Address City State/Zip Telephone # (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 License Law IChapter 9, commending with Section 7000 of Division 3 of the Business and Professions CodeJ 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 l$500l) fkJ^~kn<^ fVoT^ Name State License It •7(l<'zA Address License Class City State/Zii^i, City Business License [e/^ip.i ^Telephone tt ^ Designer Name Address City State/Zip Telephone State License # 6 WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued n I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My worker's compensation insurance earner and policy number are Insurance Company Policy No Expiration Date ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) CERTIFICATE OF EXEMPTION I certify that m the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to Become subject to the Workers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to cnmmal penalties and civil fines up to one hundred thousand dollar^^l OCOOOrliTaSSitio^^ the costjd-compensation, damages as provided for in Section 3706 of the^a{^r p>de, interest and attorney's fees SIGNATURE / - I ^ DATE4>/£>/ 7 OWNER-WnCDER DECLARAl'lON , ^ I hereby affirm that I am exempt from the Contractor s License Law for the following 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractorls) licensed pursuant to the Contractor's License Law) l~l I am exennpt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement Q YES |I]N0 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) ^^^^^^^^ 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS, SECTION FOR NON-RBSIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous maienals registration form or nsk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous 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? • YES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT '8 • CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER'S NAIVIE LENDER'S ADDRESS 9 APPLICAIMT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection purposes I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5'0" deep and demolition or construction of stiuctures over 3 stones 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 aulhorizerl by such permit is not commenced within 180_days from the date of such permit or if the building or work authonzed by such permit is suspended or abandoned at any tin • after the work is comfrienc^ to^-pOTrOcTof 1 SoJiaysJSeGtwn 106 4 4 Uniform Building Code) 'S SIGNATURE ( jA^ / ^ DATE WHITE File YELLOW Applicant PINK Finance APPLICA City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: ^11 ^ %>cs^£?u^ 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (3; 2 3 5. TYPE OF EXISTING ROOF COVERING^4^ SHEATHING P . *6. NEW ROOF MATERIAL CLASS A WEIGHT PER SQUARE^ ^ 7. 'NUMBER OF SQUARES 8. TRADE NAME H^-^^irn L~ MAmFACT\JRER/4u^<x^ 9. ROOF SYSTEM LISTING UL No. ICBO No._ , 10. IS THE EXISTING STRUCTURAL DESIGNJIJEFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^ESj NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the foiiowing inspections are required: , 1. Tear Off/Pre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature \ Date lc> / & Oi^ Contractor Owner Contractor Name_ *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 06/16/2005 Pernnit# CB052151 Title ROMERO RES 2400 SF RE-ROOF Description FROM SHAKE TO CONCRETE TILE Inspector Assignnnent JM Sub Type REROOF 2411 ELBOSQUEAV Lot 0 Type MISC Job AcJidress Suite Location APPLICANT PRENTICE ROOF CO Owner ROMERO FRANK P&FRANCES C Remarks Phone 7607379636 Inspector Total Time CD Descnption 19 Final Structural Act Comment Associated PCRs/CVs Requestecd By CHRIS Entered By CHRISTINE Inspection History Date Description Act Insp Comments 06/09/2005 15 Roof/Reroof AP JM OK TO COVER