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FINAL APPROV l\L
INSP. ):2 DATE LO. q. rb
CLEARt .. JCE -----1
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92()()<) (619) 438-1161
r F
PERA';IT APPLICATION PLAN CHECK NO. ~, . ,. }/. ,,f •) / '{ . I
City of tarlsbad Building D-rtant / -' -_)
2075 Las Pal-Dr., tarlsbad, CA 92009 (619) 438·1161 EST.VAL. _________ ~,..
I. Pf:kM.il hPE = ~EPOOIT _____ f."' • .-,;>.,,4./-,µ!?
. --,.-,-=----1-,-... '-1---DATE ?1 f ,-
From Llst I (see back) give code of Permit-Type: ___________ _
--. ---. -. ---------------. -----------------.. ------------.
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Address Sf" Building or Suite No.
Nearest Cross Street
U:CAL DESCRIP'I ION Lot No. SubChvmon Name/Number Omt No. Phase No.
tHECR BEWW IF S0BMII 1£0: • 2 Energy Cales • 2 Structural Cales • 2 Soils Report • I Addressed Envelope
EXISTING tJSE PBOPPSEP USE
# OF BATIIROOMS
ADDRESS ) yl} \9
ZIP CODE q2oo DAY TELEPHONE Lf~\;, ~ 4~
(last name first) u\\. 'S'~ ADDRESS Z,(o S'S' &w..-Bd,(_ ~
Co.,.j__~ \ov.tl-... STATE C...0-... ZlPCODE C\, '2,0!) '8' DAY TELEPHONE tf":,l.{-~2
· NAME (lase name first) E,LW ~f,t-)(',. .:DJ(._ ADDRESS '7'½~ ) p~
CITY Ci..A.J ', VJ e,..of STATE 0,.._ ZIP CODE 't °2.0v9_ DAY TELEPHONE ( . .f~(p -~1.p,. I
STATE IJC. # '.lQ[\f 1~ IJCENSE CLASS (,. 2;,"l
ast name 1rst
CITY BUSINESS IJC. # )..o :t
CITY STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1.
SIGNATURE DATE
8. OWNF.R-B0nnrut LWARAiiuN
•
•
•
Owner-Builder Declarauon: I hereby ainnn that I am exempt from the Confracfofs 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 Llcense Ulw 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-bqilder 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 Ulw 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 Ulw).
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 pennit to file a signed stacement thac he is licensed pursuant to the
provisions of the Contractor's Llcense Ulw (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 [$5001).
SIGNATURE DATE
WMPLEIE IRIS SEC I ION FOR NON-kf:SIOEN IIAL B0IWING PERMll's ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? • YES • NO
ls 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 • NO
IF ANY OF nm ANSVil!RS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ~ AFI1!R JULY I, 1989 UNLESS 111E APPIJCANT
HAS MET OR IS MmllNG 11IE REQUIREMENTS OF 11IE omCE OF EMERGENCY SERVICES AND 11IE AIR POILU11ON mNTROL DISllUCT.
9. WNSI KOCI ION LENDING XCt:Nct
I hereby afhnn that there 1S a construcuon iendmg agency for the performance of the work for which lfos permit ts ~ued (Sec 3097 (!) CivU Code).
LENDER'S NAME LENDER'S ADDRESS
JO. XPPUCXNI cmtJOJCAJION
I certUY that I have read the appUcauon and state that the aixive miormat1on 1s correcc. I agree to comply w1ih all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the dry of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I }JS) AGREE m SAVE INDEMNIFY AND KEEP IIARMIJ!SS 11IE C1Y OF CAlllSBAD AGAINST AIL IJABIUl1F.S, JUDGMENTS, CXlSTS
AND EXPENSES WIUCH MAY IN ANY WAY MDUIE AGAINST SAID C1Y IN ffiNSF.QUENCE OF 11IE GRANTING OF 11IJS PERMIT.
C6HA:: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every pennit 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 sue nnit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or aban o at any ti af r the work is com'Pf~ced for a period of 180 days (Section 303(d) Unifonn Building Code).
APPIJCANT'S SIGNATURE I . .(). l'){.,W N ,]..'{-Cj ATE: __ _
F' e YEUOW: App 1cant PINK: Finance
.::,
PERMIT# CB961834
DESCRIPTION: RE-ROOF-1700
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 10/09/96
SF-BUILT UP ROCK
STE:
INSPECTOR AREA DC
PLANCK# CB961834
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2685 GARFIELD ST
APPLICANT: BLW ROOFING
CONTRACTOR:
PHONE: 619 436-8431
PHONE:
OWNER:
REMARKS: MW/B0/436-8431/PG 899-0628
SPECIAL INSTRUCT: CALLED MONDAY 3:13 AND
TOTAL TIME:
CD
15
LVL DESCRIPTION
ST Roof/Reroof
------------------------------------
PHONE:
INSPECTOR~ ASKED FOR TUifl---¥-PM _________ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION
092596 Roof/Reroof
ACT INSP
AP DC
COMMENTS
ORIG SHTH
1.
2.
3.
4.
5.
*6.
7.
8.
9.
10.
11.
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 2-&>~5 ~etc{ St--
TYPE OF BUILDING: RESIO~NTIALL COMMERCIAL --
ROOF SLOPE: RISE l/z.__.. inches in 12 inches
TYPE OF EXISTING ROOF COVERING ~l.\-lf fuc-t.--SHEATHING ______ _
NUMBER OF EXISTING ROOF COVERINGS (circle one)cj) 2 3
NEW ROOF MATERIAL &Af' ~~ ~ f\~ CLASS___rt_ WEIGHT PER SQUARE __ _
NUMBER OF SQUARES l 1 D.
TRADE NAME {Lco,b~ MANUFACTURER __ b_Af _____ _
ROOF SYSTEM APPROVAL 7'tll No. _____ Other ___ _
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 __ Class B __
I understand the following inspections are required!
l. 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 Name
•
Contractor ½J Owner __ _ --------------
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.