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Home My WebLink About2412 LA COSTA AVE; ; CB980194; PermitPERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 Legal Description Lot No. Assessor's Parcel II Description Unit No. Phase No. Total # of units Proposed Use Address City State/Zip Telephone# Name Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, attar, 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 (Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Codel or that he is exempt therefrom, and the basis for the alleged _..l[=J~•L·_1LA~•!:L~LLo~l•-•~lo~n~o~f-S_•..._~~7~0~3l1_ . ..i..sb_vL•~•~V~~••~•~l~lc_■_n~ttf.Jtal..::~~••1l;~'._•_u~b-1' ,,l<~~•--~•~c_=p~l~lc~•-nt-to_■J....lv_l~I ~••~na-l~yJ~of~=•l<ot~mLo~••~•h➔•-•-f~~v=,.h~~~~••-d--d~ol~l•W,tl~ll5..:..00JIIL. -~l) City State/Zip / _ T~hone # State License II ...:l-'-.;..;~Ll!L....:.__ License Class __ ....!,~-""'..-.\---City Business License # /4; ".) £( ) Z Designer Name Address City State/Zip Telephone State License # _________ _ 11~~:~~-~-mtf~~~~1w~Z~~:'.if~X7~C1~2:~LliS_;t;~~~~-:ji~00.;;s;2:;-,;:i£Ulli,'0<;;it0:Sl¥i~~!!~~~~tm?~~1~:f;,~:;:t4?iL½ifflS~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. -6KII 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 /4sued. My worker's comP. nsafon insurance ca~ie_r and policy number are: N I O lnsuranceCompany. 0 · PolicyNo, _ hJC.'.ift"JQL{3--03 Expiration Date {-1 ~q .!J. (THIS SECTION NEED NOT BE COMPLETED IF THE PER IS FOR ONE HUNDRED DOLLARS 111001 OR LESS! 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permrt is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. WARNING: Failure ,....,.cw• :;;:;~~~r.;:, coverage II unlawful, and shall IUbject an employer to ctlmlnlll penaltiu and clvll fines up to one hundred thouund dollars ($1 t of comP91'!!ation, damages u provided for in Section 3708 of the Labor code::::!:": attorney's fen. SIGNATUREgiii~ibii~mH~~,~~;;~~~~~~~~~~~i DATE / r Z22f_D_ ;iirW~#~a\UJ . "'1!0':~' ~-,et~~~~i~;A'\~iPS'r1tl~tt:i5?il~~~t'.~~::g;~~;7,1~15~~~§1'.~fi:~W-~~~;~~.-~~,~~\f~:~p;~J ,,ffl"i:~~~~': I hereby affirm that I a xempt from the Contractor's License Law for the following reason: 0 I, as owner of t property or my employees with wages as their sole compensation, will do the work and the structure is not intended o, 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 don 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 s_old 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), 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Profenlons Code: The Contractor's License Law does not apply to en owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am axemPt under Section ______ Business and Professions Coda for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 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 I addrus / 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 soma of the work, but I have contracted (hired) the following parsons to provide the work indicated (Include name / address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ ~-~"1~bN#Qli'~"lilll!:Pi8~m,i,'l!IJll!llltTill•~--liillilliii!!'-g{l!!t,1:c,,,.·:'~;~;,,,~,~c· Is the applicant or future building occupant required to submit • business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. I hereby affirm that there is• construction lending agency for the performance of the work for which this permit is issued {Sac. 309711) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS,,,_ _____________________ _ •E~atmJIWAffiN~ffi\t'.¥¾%$4-'.i;.~~iR~Nft'Si!Wkf~ill~~JIRimilll~~'i~~~~-~~;:,T~G:~~~;T\fn:~if,~~~0:f,~~~;- 1 certify that I have read the application and state that the above information is co"act 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 structures over 3 stories in height. EXPIRATION: Every permit issued b the Building Official und visions of this Code shall expire by limitation and become null and void if the building-or work authorized by such permit is t ommenced within o the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t 80 days !Section 106.4.4 Uniform Building Code). DATE _ ___J_l_-=2-=-~'--~---"-ff.L-lg'---- PINK: Finance 4\ • City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2Y l '2-Lo.. dos~ &te vvJ-e_ 2. TYPE OF BUlLDING: RESIDENTIAL X COMMERCIAL __ ~ 3. ROOF SLOPE: RISE Ct? inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3 M 5. TYPE OF EXISTING ROOF COVERIN • HEATHING 'vJ-q/_ ~~ · *6. NEW ROOF MATERIAL t\ CLAss4.15 WEIGHT PER SQUARE 7. NUMBER OF SQUARES 31 8. TRADE NAME Mr!--Pt:-ee MANUFACTURER. _____ ~ 9. ROOF SYSTEM LISTING UL No. ICBO No. 50] S:: 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ® NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following 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_-1--1--....:...__::.=--=: _ ___:=--___ Date / -~3 -Cf f ___ Owner __ ._Contractor Name ~i~Svcs ,.~, 'µ1{!, *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad ■ ~1 111& 11,1·1 •24·614 I ,,14 ,i I REROOFING PERMITS . A reroofing permit is required for all occupancies when: 1. Removal of the existing roof covering is required by Appendix, Chapter 15, 1994 Uniform Building Code, OR 2. A lighter weight roof cover is being replaced with tile. (Engineering calculations may be required for the supporting structure.) The attached Supplemental Building Permit Application must be completed in addition to our standard application. Our adoptive ordinance requires that all replaced roof coverings be CLASS A or higher. REQUIRED INSPECTIONS: 1. TEAR OFF: Inspection required for existing or new sheathing, prior to installing new underlayment or covering. 2. FINAL INSPECTION: 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 , PERMIT# CB980194 DESCRIPTION: REROOF WEIGHT TYPE: MISC 3700 SF, TILE CITY OF CARLSBAD INSPECTION REQUEST FOR 02/11/9!!' LIGHT WEIGHT -i{, .... feie. STE: INSPECTOR AREA TP PLANCK# CB980194 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2412 APPLICANT: ROOFING CONTRACTOR: LA COSTA AV SERVICES INC PHONE: 619 464-7500 OWNER: REMARKS: C/CINDY/619/464-7500 SPECIAL INSTRUCT: TOTAL TIME: --RELATED PERMITS-- LVL DESCRIPTION PERMIT# TYPE CB911547 PLUM CB920260 PATIO CD 19 ST Final Structural PHONE: PHONE: INSPECTOR STATUS EXPIRED EXPIRED ACT COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION 012798 Roof/Reroof ACT INSP AP TP COMMENTS EXISTING SKIP SHTING USED