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Home My WebLink About2122 PLACIDO CT; ; CB971445; PermitPERMIT APPLICATION FOR OFFICE USE O~ Y PLAN CHECK NO. Y7/1/f:~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL -""'-""""'-........ ---,,-=--:--:--- 1. PROjEc~FORMA:N . ~l'22 YIQf)CJC? &T. Address (include Bldg/Suite II s :+ Business Name (at this addrassl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units s f-H-~ Ftt Assessor's Parcel I Existing Use . Proposed Use ·3 R:€h,ooe..ah.oi:<e-~ I r,,rt>o£ (,zd:h eaigyeJd:e,, ±,lr Description of Work ' '-SO. FT. lot Stories I of Bedrooms II of Bathrooms 6,()0, b Telephone II "?../ 0 -~~, .. • (Sec. 7031.6 Business ind Professions Code: Any City or County which requir■s I permit to construct, altar, Improve, demolish or repair any structure, prior to Its l11uance, also requires the applicant for such permit to file • signed statement that ha is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Coda) or that ha Is exempt therefrom, and the b■sis for the alleged exemption. Any violet' n of Se ion 7031 . 61 anZ.a°1~nt for I permit subjects the •1lic1nt to I ci ii penalty of t more ~•n Ii a hundr0 q llz It 500)/ s 2 Address City State/Zip Telephone I State License I hb 8 g ~ L License Cl■ss _________ City Business License I I J. C> l-/ 1 4 b Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compens■tion Declaration: I hereby affirm under penalty of perjury one of the following dacl1r1tions: 0 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. !'If( I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is ~d. My worker's c mp n ation ins~anca carrier and policy number are: _ / Insurance Company -<e.. Policy NoJ)WC... ~"l.[ h.S-9 0 C.. Expiration Date ~ q / (THIS SECTION NEED NOT BE COMPLETE THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ eny parson in any manner so es to become subject to the Workers' Compensation Laws of California. WARNING: Fallura o H Ufl worker•• compenutlon coverage la unlawful, and ■hall aubject an employ■, to criminal panaltlH and clvll flnaa up to ona hundred thou■and dollara ($ ,0 I, ddltlon to the coat of compenutlon, damage• H provided for In Section 3706 of the FJ'Joda, lnt■rHt and attorney'• fHa. DATE k __1__lq7 RATION . ' -. · · -· -. . 1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 Coda: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does such work himsell or through his own employees, provided that such improvements are not intended or offered for sale. II, 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 a■lal. D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contractor's License Law). 0 I am exempt under Section ______ Business and Professions Coda for this rotason: t . 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 parson (firm) to provide the proposed construction (include name / address / phone number / contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following parson 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 persons to provide the work Indicated (include name / address / phone number / type of work I: _________________________________________________________ _ PROPERTY OWNER SIGNATURE________________________ DATE _________ _ 'COMPLET£THISSECTiONFORNON-RESID.EN7i..v:iutloiNOPERMITS-ONL . W"';-,r.c;-q~r ••ffr;lt,,, ""llr" T0 l::r."I '"".,.~,...,~;. ' • 1·-·• ,... If•,, ....... 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, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D 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 feat of the outer boundary of a school site? 0 YES D 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. ie,.,,, CONSTRUCTION 'LffiDIN<rAGEHcV:"":'l:'"':I ~c~ .:--:;:0~~""';-~t ~•~---:r '';. .. "::~ •:· ~-· -· ft ~·. -•• ,.... ., ,.,._ . -• "I, ... : ~ , I hereby affirm that there Is a construction lending agency for the performance of the work for whlch this permit is issued (Sec. 3097(i} Civil Code). I certify that I hive read the application and state that the above information Is correct and thlt the Information on the plans is accurate. I agree to comply with 111 City ordinances and State law• relating to building construction. I hereby authorize represent1tivH of the Cltt 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 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 excevations 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 wi in 366 days from the data of such permit or If the building or work authorized by such permit is suspended or abandoned at any time after the work d for a period of 180 days (Section 106.4.4 Uniform Building Coda). DATE PINK : Finance r I 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. I!!\ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS !:2.122. Plac,ido C,T, TYPE OF BUILDING: RESIDENTIAL V'-. COMMERCIAL -- ROOF SLOPE: RISE l{ inches in 12 inches SHEATHING Y2., ,, f J>t pl1wro_t') l 2 3 WEIGHT PER SQUARE s I b TYPE OF EXISTING ROOF COVERING 11)CQO.i:bCt1<€.S NUMBER OF EXISTING ROOF COVERINGS (circle one) NEW ROOF MATERIAL l1+(, hie. CLASS ft NUMBER OF sQuAREs l c= TRADE NAME :=so.<;,0e(c ~,~ MANuFAcTuRE~En~k bl£... ROOF SYSTEM APPROVAL UL No._____ Other \ ('.,\sQ_:gb_l0 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 All_ 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 __ _ Contractor Name ____________ _ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. City of Carlsbad M =-¥• I Id 11,1·1 •14·614 ;, ,14,i I REROOFING PERMITS A reroofing permit is required for all occupancies when: I. Removal of the existing roof covering is required by · Appendix, Chapter 15, 1994 .Uniform Building Code, OR 2. A lighter weight roof covering 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 B or higher. REQUIRED INSPECTIONS: 1. TEAR OFF-Inspection required for existing or new sheathing, prior to underlayment or covering. 2. Fl NAL INSPECTION 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 PERMIT# CB971445 DESCRIPTION: REROOF 1900 SF, ICBO 4660 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/18/97 EAGLE LITE JOB ADDRESS: 2122 PLACIDO CT APPLICANT: JAEGER ROOFING CONTRACTOR: PHONE: PHONE: OWNER: PHONE: INSPECTOR AREA DC PLANCK# CB971445 OCC GRP CONSTR. TYPE NEW STE: LOT: 909 244 1521 REMARKS: R/ALAN/909-244-1521 SPECIAL INSTRUCT: INSPECTOR ...:4----------- TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof DATE 060497 060497 DESCRIPTION Roof/Reroof Roof/Reroof ACT COMMENTS Al{,,,~._, ***** INSPECTION HISTORY***** ACT INSP CO DC AP DC COMMENTS NR 10:20 ORIG SHTH 1:00