HomeMy WebLinkAbout250 TAMARACK AVE; ; CB931061; PermitPERMIT APPLICATION PLAN -.HECK NO.
City of Carlsbad Building Department
2075 Las Pahnas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL
PIAN CK DEPOSIT VAIJD.BY __________ _
DAIB
D New Building O Ienant Improvement
B -D Industrial □ New Building D Tenant Improvement
C -0 Residential O Apartment O Condo D Single Family Dwelling D Addition/ Alteration
D Duplex □ Demolition □ Relocation D Mobile Home D Electrical D Plumbing
□ Mechanical D Pool D Spa D Retaining Wall D Solar ID Other R,ooF
2. PROJEGf INmRMA110N FOR OFFICE USE ONLY
Bulidmg or Su1Le No.
um >er nu o. ase o.
□ 2 Energy calcs □ 2 Structural Cales □ 2 Soils Repon □ I Addressed Envelope
' ss
DESCRIPTION OF WORK I: R.oc, p A DD
SQ.fT. /Soc
' NAME (!,,.A lt.L
CI1Y STATE ZIP CODE DAY TELEPHONE 1#'8-/II" g...,,1.-N-1
4.Al'PUCI\NJ □WNIRACIOR UALit:NltUHCUNIHACIUK ~WNER □AG£NIFOR~-l'-fc l"f!.:F!J'4
NAME C-Alll. -::JEF-Ffll!:'( ADDREss 7-.'°o T7rWIARAc?.t::.
CI1Y lA~(},A O STATE e,,A. ZIP CODE q"l--C:(g DAY TELEPHONE
NAME
CITY STATE
STATE UC.#
ADDRESS
ZIP CODE DAY TELEPHONE
UCENSE CLA<;S CI1Y BUSINESS UC. #
DESlt,NER NAME C-Afll.... 'J"EFFF/l~
CI1Y tAtLs/l:AP STATE e..A Alllll\ESS •-z_l;o 'TJlrMA/2.llet::..
ZIPCODE 2~9 DAY IBLEPHONE STAIB UC.#
Workers1 Compensation Oeclara11on: I hereby all1rm that I have a cerllhcate of consent to selt-msure issued by the Director oi 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 POLICY NO. EXPIRATION DATE
□
□
I cerufy that m the performance of the work lor which this permit 1s issued, I shall not employ any person m any manner
e Workers' Compensation Laws of California.
DATE &:f f-2.,.&J J
wner-u1 er ere ya ,rm t at am exempt w or t e o owmg 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 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 petmit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such petmit 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.S by any applicant for a petmit
subjec,,th~~can to a civil penalty of not more than five hundred dollars [$500]).
SIGNATIJRE '-<J.,J.-DAIB '1 z_e; 3
Is the applicant or future bmlding occupant required to submit a business plan, acutely hazardous materials registration fotm 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 (X!rmit 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 TIIE ANSWFJlS ARE YFS, A FINALCERTIFICAIB OF 00'.:UPANCY MAY NITT BE ISSUED AFIBR JULY 1, 1989 UNLESS TIIE APPUCANT
HAS MET OR L5 MF.1!11NG llIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND 11IB AIR POLLUTION OON"IROL DISI1UCT.
9. WNSIRUCIION IBNDING AGENCY
I hereby ail1rm that there 1s a construcuon lendmg agency for the perlormance of the work for which this pennJC 1s issued (Sec 3097(1) C1vtl Code).
I.ENDER'S NAME LENDER'S ADDRESS
IO. APP□l!ANI CRRIIFICAHON
I certify that I have read the apphcat1on and state that the above mlormat1on 1s correct. I agree to comply with all City ordmances 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 Al.SO AGREE 10 SAVE INDEMNIFY AND KEEP IIARMLF.SS TIIE O'IY OF CAJUSBAD AGAINST All~ JUDGMENTS, CDSTS
AND EXPENSES WIIlCII MAY IN ANY WAY AOCRUE AGAINSf SAID CITY IN OONSEQUENCR OF TIIE GRANTING OP nns PERMIT.
OSHA: An OSHA pennit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every petmit 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 dace 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 Buiid"v,Codc).
APPLICANTS SIGNATURE LJ~ DATE: q/1.tJri3
File YELLOW: Applicant PINK: Finance
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10.
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS 1...t5o TB tY\A ie.A4,~ Av E
TYPE OF BUILDING: RESIDENTIAL~ COMMERCIAL __
ROOF SLOPE: RISE .1f; inches in 12 inches
TYPE OF EXISTING ROOF COVERING ASPHALT SHEATHING --------
NUMBER OF EXISTING ROOF COVERINGS (circle one) (v 2 3 ('.}
NEW ROOF MATERIAL /eollE'P ROOnLAss __ WEIGHT PER SQUARE -10-=IF
NUMBER OF SQUARES -+l-5~--
TRADE NAME ____________ MANUFACTURER __________ _
ROOF SYSTEM APPROVAL UL 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.
11. Fire rating of roof: Class A __ Class BX
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 Owner Contractor Name ---------------------
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
--
PERMIT# CB931061
DESCRIPTION: RE-ROOF 15 SF+
ICBO #3933
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/10/94
5 SKYLIGHTS
INSPECTOR AREA PY
PLANCK# CB931061 ace GRP
CONSTR. TYPE VN
JOB ADDRESS: 250 TAMARACK AV STE: LOT:
APPLICANT: JEFFREY, CARL
CONTRACTOR:
OWNER:
REMARKS: MH/CARL/729-5227
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE: 619 448-1114
PHONE:
PHONE:
ACT COMMENTS
=1=5== =S=T ==R=o=o=f=/=R=e=r=o=o=f=H~=~W)~~~=J===========-/Je---------------
DATE
111093
110993
101893
DESCRIPTION Roof/Reroof Roof/Reroof Roof/Reroof
***** INSPECTION HISTORY*****
ACT INSP
AP PY
AP PY
CA PY
COMMENTS
SHEATHING
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