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Home My WebLink About2548 STATE ST; ; CB962398; Permitde C.tlp M l I L [! N , P E ef renc #: s TI l, #: CITY OF CARLSBAD n ru 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 xt 6. b. l i t • PERMIT APPLICATION PLAN OIECK NO . City of carlsbed Building Departant 2075 Las Pal-Dr., tarlsbad, CA 92009 (619) 433·1161 i. PERMJ'i' NP£ From List 1 (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. PROJF.Cr INFORMATION FOR OFFICE USE ONLY Address 1-_ ~ q( Nearest Cross Street Building or Suite No. LEGAL bESCRIP l1oN Lot No. Subd1V1s1on Name/Number Unit No. Phase No. CAECR BEWW IF SOSMII !Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Repo11 □ 1 Addressed Envelope ASSESSOR'S PARCEL DESCRJPTION OF WORK C EXISTING USE PROPQSED USE '1 CJO ~#OF STORIES # OF BEDROOMS # OF BATIIROOMS I NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APP□CANI --:;:::0sCONIRACIOR DAGEN! FOR CONIRACiuR DOWNER DAGEN! FOR OWNER ___ ...,AME (last name first) [}fl:) /,.oo f,"J ADDRESS Z..'2...3,0 LtA. ,MI ;,i,.: c)~ J f,. CITY {/('} /0. STATE Gfl, ZIP CODE qzo ~ / DAY TELEPHONE J-'2.. f -bf)OO s. PROPERTY oWRER ' NAME (last name first) fr'\ / llt r 0~1-/J/ ADDRESS STATE ZIP CODE DAY TELEPHONE ADDRESS CITY STATE ZIP CODE D1 TELEPHONE STATE UC.# {, j 9961 LICENSE cu.ssfol -~ 3 CITY BUSINESS UC.# CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# Workers' Compensation Declaration: I hereby affirm that I have a ceruf1cate of consent to sell-insure issued by the Director of lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Depa11ment (Section 3800, Lab. C). INSURANCE COMPANY (5-c>l... d(!..~ ,,., i-t_ POLICY No.µ_.,.c / 'J,<7/ c:>( EXPIRATION DATE frl/ -1'?- SIGNATURE DATE s. oWNElt-B0llDElt DECtAltAlioN Owner-Builder Declarauon: I hereby afftrm that I am exempt from the Contractor's License Law tor the following reason: D 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 contractor(s) licensed pursuant to the Contractor's License Law). □ 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 permit to construct, alter, improve, demolish, or repair any structure, prior co 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]). SIGNATIJRE DATE COMPLETE l'Als SECTION FOR NON-RESibENiiAC BUILDING PERMITS 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? 0 YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CER11FICATE OF ocx:uPANCY MAY Nor BE ~ AFIER JULY 1, 1989 UNLESS 1llE APPLICANT HAS MET OR IS Mml'ING 1lIE RF.QUIREMENTS OF nm ornCE OF EMERGENCY SERVICES AND TI-IE AIR POlllJTION CDNTROL DISfRJCT. 9. CDNS'i1toCl1ON L£NDINC AC£Nct I hereby affirm that there IS a construcuon lending agency for the performance of the work for which this penn1t 1s tSSued (Sec 3097(1) C1VJI Code). LENDER'S NAME LENDER'S ADDRESS IO. APP□CAN I Ctltl1FICAl10N I cerufy that I have read the appllcauon and state chat the above inlormauon 1s correct. f agree to comply wllh 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 ALSO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLF.SS nm CTIY OF CARLSBAD AGAINST ALL UABilIIlES, JUDGMENTS, CDSTS AND EXPENSES WHIOI MAY IN ANY WAY Aa:RUE AGAINST SAID CTIY IN CDNSF.QUENCE OF nm GRANTING OF nns PFJlMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep a_nd 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 within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or aband-...._,,_._, time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildil}g ~),v' APPUCANrs SIGNATURE -72►-DATE: J.{.!__Z:._~'-.L.-L.'[' YEllOW: Applicant PINK; Finance n '-,J 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. ~ V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS J-, 5 q 'l 9T 1>,'/ t if- TYPE OF BUILDING: RESIDENTIAL:6_ COMMERCIAL __ ROOF SLOPE: RISE l/ inches in 12 inches TYPE OF EXISTING ROOF COVERING ~OJ-! SHEATHING.--"5<"'-17:::.LtwaJ"-. ___ _ NUMBER OF EXISTING ROOF COVERINGS (circle one) Q_7 2 3 NEW ROOF MATERIAL fdtt;f.,r;,7 CO&, f CLASS 8 WEIGHT PER SQUARE 2-J,f NUMBER OF SQUARES ...,'/'------ TRADE NAME O C J Tc:z b MANUFACTURER._----'-o----L..L_~ ____ _ ROOF SYSTEM APPROVAL UL No. /f Other ___ _ IS THE EXISTING STRUCTURAL D~G!J,SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES -~ NO u ~'}o/ g If the answer is no, a roof plan nrust be provided with this application. Fire rating of roof: Class AX 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. DATE . Contractor .JZl_t...5 Owner __ _ Contractor Name ;J?/c..5" ,,{ao/ / ,vj , *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST FOR 12/31/96 PERMIT# CB962398 DESCRIPTION: 800 STE SF RE-ROOF-COMPOSITION B TYPE: MISC JOB ADDRESS: 2548 STATE ST APPLICANT: DILS ROOFING CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA DC PLANCK# CB962398 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 727-6000 REMARKS: MW/CHRISTINA/727-6000 SPECIAL INSTRUCT: INSPECTOR+-'----------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 15 ST Roof/Reroof ------------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION 122396 Roof/Reroof ACT INSP CO DC COMMENTS NO LADDER I ;J1,7 , o//A,<L faA= A