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Home My WebLink About2703 SOMBROSA ST; ; CB950451; Permitl:IUILDIN< (1 ,, / 3 l /. 1 2 : r, ti Page of 1 .Jo , Addi es::;: 2 i'03 ~,OMBRu.,A ST Pe1mi Typ1:>: MISCE LANEOllS Par~el No: 2$5-112-01-00 Va"ua in: ~,oui Const UCtl n Ty p· NEW p E M I SUl e: Lo#: .i?rojec >evelopme No: l'B9$l 51 Ni: I 5 Ot>52 No: 1303 03/31/95 0001 01 C-PRMT 02 120-00 On::u ancy G.r:our,: Refe.t encett: a us: I :UED Apilie : OJ/ 1 9c Apr1Izsue: 1 3/':!l/ c:. Desc 1ption: tl ~o LIGHTWEIGHT TILE A:-ipl/Own1 TRI CITY CO. ST~UCTI N PO BOX 1434 VISTA, CA I,. tr Fees Re JU.LL ed Fees: Ad us rnen s: To al Fe0s: Mis~ellaneouJ Fee M· .. cELLA E-,us Tl En -• rt d By : DC h19 7C,8-7142 .c ed & .::rec1i s .OU • 0 120.00 Ext fee [la a 120.0U REROOF 120.0 ~flAPPROVAi __ , . .,, ~DATE ~ RANC E ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad , CA 92009 (619) 438-J 161 PERMIT· APPLICATION PLAN CHECK NO. f 5' --1/..S-I fity of carlsbad Building Department 2075 Las Palms Dr •• carlsbad, CA 92009 (619) 438-1161 FSf.VAL ___________ _ 1. PERMIT lYPE PLAN CK DEPOSIT ________ _ VAUD.BY ___________ _ DATE ____________ _ From Llst 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. PROJECT INFORMATION FOR OFFICE USE ONLY Address a,o1. :Sc'""' b.-c-l« s.t-Buddmg or sune No. Nearest Cross Street /f!_c,,....J,-... S · .. _.,f-C. l:c'! ::> '"' ~ , Omt No. Phase No. D 2 Energy Cales □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL ;:,21S1JNG USE DESCRIPTION OF WORK Ja._......_, , c. 5 Ji"~ E ,-uc.: PROPOSED USE I# OF STORIES # OF BEDROOMS # OF BATIIROOMS l NAME (last name first) ADDRESS /?, 0 /.3.0 ·..£ I 'i J '-f CI1Y \...J1 ~ .... STATE ~ ZIP CODE C/ ;J_..::, ~ r DAY TELEPHONE '7 S-oL-'j fa > NAME {last name first) A ~ 3 <;.:,,._-t_ .,....... ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE S. PROPER'IY dWNmt ..J...JJ ....._ NAME (last name first) rr-' l ., ...., (' < ... 'J-J ' ADDRESS r::;_ 7 ° J S<;.,:,---..J,-...o.5 ,, .s-~ & 'J,=i-01,~<-f-, CI1Y C., l, \7 ... ..,\ STATE L.<-4,. ZIP CODE DAY TELEPHONE 6. mN'rnACmR ·-r-c_ ~ C::. rt ~ ~ LI ,,., NAME (last name first) I ,-(-f , / _ <J ..... .:a. ,. ...., ADDRESS ,-.. , C ' ;, .:..r CITY Ur .. +...._ STATE c..._ ZIP CODE G\~0°6')"' DAYTELEPHONE STATE UC.# 1~-t~, LlCENSE CLASS C -3 o/. CITY BUSINESS UC. # DESIGNER NAME (last name first) ADDRESS Cl1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoRKERS' OOMPENSA libN Workers' Compensauon Declaration: I hereby affirm that I have a cerulicate of consent to sell-insure issued by the Director of lndustnal 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 Department (Section 3800, Lab. C). INSURANCE COMPANY POLlCY NO. EXPIRATION DATE Ceruhcate of Exempuon: I cernfy that m the performance of the work tor which this penrnt 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE /),1{.,...r~ DATE M----k.. '3 t I l "( i) B. OWNEH-mnrnmt u Owner-Builder Deciarabon: I hereby alflrm that I am exempt from the ContractoPs License Law for the following reason: O 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 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 permit 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE COMPLETE 'I'Als sECIIbN FOR NON-RESIDEN MAL SUiilllNG 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 ONO 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 ONO IF ANY OF 1llE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOT BE~ AFfER JULY l, 1989 UNLF.SS TIIE APPUCANT HAS MET OR IS MEETING nm REQUIREMEN1'S OF TIIE OFFICE. OF EMERGENCY SERVICES AND 11IE Am POILUTION CDN1ROL DISllUCT. 9-wNsmuc110N ffiNDING AGENCY I hereby alhrm ffiat there is a construction lending agency for the pertonnance of the work for which this permit 1s issued (Sec 3097(1) C1V1l Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CERIIFICA:IION I certify that I have read the apphcanon and state that the above mformatlon 1s correct. I agree to comply with au city ordinances ana 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 TO SAVE INDEMNIFY AND KEEP HARMLESS TI-IE Cl1Y OF CARISBAD AGAINSf AIL UABIIlTIFS, JUDGMENTS, CDSTS AND EXPENSES WlllCH MAY IN ANY WAY ACXJUJE AGAINST SAID Cl1Y IN CDNSF.QUENCE. OF nm GRANTING OF nns 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 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 abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPUCANrs SIGNATURE ,..--J,--v-'L.,... ___ ,,.....Ct_ -•• DATE: !?1 --A. )t, WHITEe File ~licant PINK: Finance 1br 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERNIT APPLICATION FOR REROOFING JOB ADDRESS d-7 ° 3 S-.::.-~.,._,b .-... ~~ -5.+ TYPE OF BUILDING: RESIDENTIAL '-i C0""1ERCIAL --ROOF SLOPE: RISE l.f inches in 12 inches ._._,i$:.l~ ~£__ ~ t::",'if S h.t.,_+-, TYPE OF EXISTING ROOF COVERING L,J I,:(~ • ~HEAT;;NG ~- NUMBER OF EXISTING ROOF COVERINGS (circle one) Ci3 2 3 NEW ROOF MATERIALLr:r"-""' ~ L<..,""'--l'*L CLAssL WEIGHT PER SQUARE ~~u ,u.-..1.) NUMBER OF SQUARES / Y-- TRADE NAM~ / ,+L MANUFACTURER !_IA -1----f / ~ , ROOF SYSTEM APPROVAL~~-;;Jo 65 Other ___ _ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF y ES X NO ----If the answer is no, a roof plan must be provided with this application. Fire rating of roof: Class AL 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 K-Owner __ _ Contractor N~-r (, 7 C.~:r+---- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/C0111p Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950451 FOR 04/07/95 INSPECTOR AREA PD PLANCK# CB950451 OCC GRP DESCRIPTION: 18 SQ LIGHTWEIGHT TILE TYPE: MISC JOB ADDRESS: 2703 APPLICANT: TRI CITY CONTRACTOR: OWNER: REMARKS: MW/758-7142 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION SOMBROSA ST CONSTRUCTION CONSTR. TYPE NEW STE: LOT: PHONE: 619 758-7142 PHONE: PHONE: -2.i_ INSPEC~-= _-' ACT COMMENTS _is __ sT _R_o_o_f_l_R_e_r_o_o_f ________ ~ __ 6_,_Al_tb_~ __ · ______ _ ------------------------------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 040395 Roof/Reroof ACT INSP AP PD COMMENTS SHEATHING/NOT FINAL