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Home My WebLink About1199 TAMARACK AVE; ; CB940108; PermitB U I L D I N G P E R M I T Permit No: CB940108 Project No: A9400153 Development No: 01/26/94 12:46 1 Page 1 of 1 Job Address: 1199 TAMARACK AV Suite: Permit Type: MISCELLANEOUS Parcel No: 206-261-03-00 Lot#: Valuation: 1,0~4 Construction Type: NEW Occupancy Group: Reference#: Description: 11 SQ REROOF HOT MOP Appl/Ownr : MD ROOFING 8616 B COMMERCE AVENUE SAN DIEOG, CA 92126 619 271-7321 T Status: ISSUED Applied: 01/26/94 Apr/Issue: 01/26/94 Entered By: DC *** Fees Required *** *** Fees Collected & Credits *** Fees: Adjustments: Total Fees: Fee description 46.00 .00 46.00 Total Credits : Total Payments: Balance Due : Units Fee/Unit .00 .00 4 6 .00 Ext fee Data ---------------------------------------------------------------------------Miscellaneous Fee #1 * MISCELLANEOUS TOT~L 46.00 REROOF 46.00 APPROV INSP. ~~DATE____,_~, CLEA CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 920()() (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departllletlt 2075 Las Palaas o, .• ca,Lsbed, CA 92009 (619) 438-1161 I. PEkMI I IYPE A -0 Commercial D New Buildmg D lenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -~idential □ Apartment □ Condo □ Single Family Dwelling D Addition/ Alteration D Duplex O Demolition O Relocation O Mobile Home □ Electrical D Plumbing D Mechanical D Pool D Spa D Retaining Wall D Solar □ Other 2. PROJECT INFORMATION /119 ;1e,-,, flll..4_C. (, #u vT... Address > uiJding or u1te No. Nearest Cross Street LEGAL DESCklP I ION dc~llA--· S~s100 Name/Number □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope FOR OFFICE USE ONLY Unit No. Phase No. EXJSTING USE PROPPSEP USE 3. WN IACI PFllSON (If dnferenl from apphcani) NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 4. APPLICAN I NAME i!rtflNtRACIOH DAGEN! FORWNIRACIOR DOWNER DAGEN! FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE s. =?"D, ow~ v AA; <-f CITY £~1t{s ~p. /) STATE C,4 6. ~~~2, . /l_cn,,,C,,--) ADDRESS ZIP CODE DAY TELEPHONE 7 ~ o/ -"f VY 5 -- ADDRESS CITY$";+,-.... J:) /"'-5 0 STATE C;,Li STATE LIC. # f'.7:rOY j ZIP CODE 7'<-I L (.. DAY TELEPHONE ~ 7 / -7 ·3 -._ / LICENSE CLASS c:-3] CITY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORkERS' WMPENSAIIUN Workers' Compensation Declaration: I hereby afiirm that I have a cert1hcate of consent to self-msure issued by the 01Cector 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 4;1. POLICY NO./J -ZG/ 1'1-~RATION DATE Y rt1 1cate o xemptt so as to become subj SIGNATURE y a I t at am exempt ram t e ontracto s wmg 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.). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Ccxle: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with concractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ________ Business and Professions Ccxle for this reason: (Sec. 7031.5 Business and Professions Ccxle: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to 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 91 commencing with Section 7000 of Division 3 of the Business and Professions Ccxle) 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]). SIGNATURE DATE COMPLE IE I HIS SECI ION FOR NON-RESIDEN I IAL B0IIJJING PERMI IS ONLY: Is the applicant or future building occupant required to submit a business plan1 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? □ YES D NO IF ANY OF TIIE ANSWERS ARE YES, A FINALCERTIFIC'.ATE OF oa:IJPANCY MAY NOT BE ISSUED AFTER JULY I, 1989 UNUlSS TIIEAPPIJCANT HAS MET OR IS MEETING lllE REQUIREMENTS OF lllE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILtmON ffiNTROL DISllUCT. 9. WNSIR0CIION LENDMG AGENCY I hereby afhrm that there 1s a construction lending agency for the perlormance of the work for which this permit JS issued (Sec 3097(1} CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANI CERIIFICAJIUN I certify that I have read the appJJcat10n and state that the al>Ove mformat1on 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 AlSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS TIIE CTIY OF CARISBAD AGAINST AIL LlABILlTIES, JUDGMENTS, CDSTS AND EXPENSES WIIlCH MAY IN ANY WAY A{x:IUJE AGAINST SAID CTlY IN ffiNSF.QUENCE OF TIIB GRAN11NG OF TIIIS 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 Ccxle 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 Ccxle). DATE: ______ _ WHITE: OW: Applicant PINK: Finance 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS LI Us: (,/,;CJ,;-v 'i_ ~ TYPE OF BUILDING: RESIDENTIAL~C MERCIAL -- ROOF SLOPE: RISE -Z..-.-inches in 12 inches TYPE OF EXISTING ROOF COVERING ~/J=--=v/'-=--4--~ NUMBER OF EXISTING ROOF COVERINGS (circle one) 3 NEW ROOF MATERIAL ,C, ,5) CLASS J!3> WEIGHT PER SQUARE ·; 7 5 - NUMBER OF SQUARES // ' TRADE NAME {f //2.. [2 MANUFACTURER. _________ _ J 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. Fire rating of roof: Class A__Lc'lass 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 . .... ......,_ Contractor--~-Owner __ _ Contractor Name. ______________ _ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.