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Home My WebLink About2704 LA DUELA LN; ; CB930966; Permit-----·--· - PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departlllellt 2075 Las Pal"""' Dr-, carlsbad, CA 92009 (619) 438-1161 A-UCommerc1al □New BuJJdmg Li lenant Improvement B -□ Industrial U New Building Li Tenant Improvement C -l(flesidential D Apartment D Condo flJiingle Family Dwelling □ Addition/ A1teration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing □ Mechanical O Pool D Spa □ Retaining Wall D Solar □ Other 2. PRQIECJ" INFORMATION FOR OFFICE USE ONLY Nearest Cross Street ll:GAL DEsCRIJYi ION Lot No. CHECK BEWW IF SOBMI 11 ED: ,;x:,mg or Suite No. Sutxl1vis1on Name/Number □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Add~ Envelope Omt No. Phase No. ASSESSOR'S PABCEJ: EXISTING USE PROPOSED USE DESCRIPTION OF WORK .\=, \ €., SQ. FT. g_ 7 s~ # oF sroRrns L 3. WN IACI PERSON (1~erenf from appJJcanO NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME Kc::oer+ 1h.c.-NtP5o"' ADDREss :l.7041..A "'l>ve:..-1 (4-ltJ, CITY CA-n.s STATE c... . ZIP CODE DAY TELEPHONE NAME AG l=to-4-'P._cClf=fl\l'j ADDREss c1TYV/cf... sTATE C!A z1PcoDE ~If DAYTELEPHONE~-'-3o • '2-7-lp ~ "\-STATE LIC. # fn'J.'t@LICENSE CIASS C ~ :"fl CITY BUSINESS LIC. # q,o 6 L£ DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. wrnooms• WMPENSXIION Workers' Compensation Uedarat1on: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the 01rectorof lndustnal O J\ /_ 1 C Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified 11 ..,_ f""\,Jl./ by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cerllhcate of Exemptmn: I certify that m the performance of the work for which tills permit 1s issued, I shall not employ any per.,on many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNmt-B0llDkk Dfi!LARXllUN Owner-Builder Deciaratton: I hereby afhrm that I am exempt from the COntractor's License Law for the foilowmg 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 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 Llcense law). □ I am exempt under Section ________ Business and Professions Code for chis reason: (Sec. 7031.S 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 pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License law (Chapter 9, commencing with Section 7000 of Division 3 of the 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]). SIGNATURE DATE COMPl'FIE I'AIS SECIION FOR NON-RESIDEN IIAt BOtLbJNG PERMII's 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? □ 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 CERTIFICATE OF OOCUPANCY MAY NOT BE ISSUED AFrnR JULY I, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ.IITION WNTROL DISTRICf. 9. WNSIROCIION LENDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit ts issued (Sec 3097(1) Civil CooeJ. LENDER'S NAME LENDER'S ADDRESS 10. APPLICANI CRklfiliCAfioA I certify that I have read the apphcatton and state that the above mformatmn 1s correct. I agree to comply with 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 A1.'iO AGREE m SAVE INDEMNIFY AND KEEP IIARMIBSS THE CTIY OF CARISBAD AGAINSf ALI. LlABIIJTIES, JUDGMENTS, CDSfS AND EXPENSES WIIlCH MAY IN ANY WAY ACCRIIE AGAINSf SAID CTl"Y IN WNSEQIIENCE OF TIIE GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0'' deep and demolition or construction of structures over 3 stories in height. YELl.OW: Applicant PINK: Finance • " 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. I!\ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS ;).. 7 0 <-/-LIi+-Dvfr,I / t4 /_,,tJ · TYPE OF BUILDING: RESIDENTIAL_K_ COMMERCIAL __ ROOF SLOPE: RISE .s inches in 12 inches TYPE oF ExisTING RooF covERING 9-,o/tfi,<; sHEATHING_s~k..~,-f'P~---- NUMBER OF EXISTING ROOF COVERINGS (circle one)(!) 2 3 NEW ROOF MATERIAL u9(f-We1s 1'vt::0 tE,.. CLASS__A_ WEIGHT PER SQUAR~ NUMBER OF SQUARES 'o--) . TRADE NAME fYlim tG-l'L b uQ A,. Lcfit,.MANUl]-½,1;URER ~ IY160u&a, ROOF SYSTEM APPROVAL UL No. _____ o~Bo c¥fl3- 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. Fire rating of roof: Class A_K__ 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 Contractor ;<: Owner --- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. .. PERMIT# CB930966 CITY OF CARLSBAD INSPECTION REQUEST FOR 09/20/93 DESCRIPTION: 27 SQUARE TILE ROOF TYPE: MISC JOB ADDRESS: 2704 IA DUEIA LN APPLICANT: PACIFICA ROOFING CONTRACTOR: OWNER: REMARKS: MH/SUE/630-2216 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB930966 OCC GRP R-3/M-l CONSTR. TYPE NEW STE: LOT: 619 630-2216 CD LVL DESCRIPTION ACT COMMENTS 15 ST Roof/Reroof I.' ~ 4f -----------11='-----"-Vb!...J.'-,;{2.f-t-----"'V'.\ Q_ -------------- ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS