HomeMy WebLinkAbout1705 TAMARACK AVE; ; CB950750; PermitB U I L D I N G ? E R M I T Permi~ No: CE9S 17
P1.oiect N<: A950 108
Develor:,ment No: Ob/01:1/95 12:52
Paqe 1 of 1
~ob Arlrlress: 1705 TAMARACK AV Suite:
Permit Type: MISCELLANEOUS
Parcel No: 207-260-b9-00 Lot#:
Valuation: o
Construction Type: VN
Occupancy Group: Reference#:
Description: 32 ::,QUARES OF COMP. RE-ROOF
Appl/Ownr : HOLMES, JEFF
3873 GRANDON AVE
SAN MARCOc , CA. 920~
Fees Required
fees:
A ljustments:
'.:'ota l Fees:
Fee description
Miscellaneous Fee
A MISCELLANEOUS T
619
CITY OF CARLSBAD
Statu.:;:
Applied:
Atr/Issue:
S~Ut:'D
6;(8/9
ll6/08/)5
MDP Entered By:
7'7-<!251
----------------------
t
.oo
. 0 (
104.00
Ext fr:le Deta
104.U0 permit
104.00
2226 06/08/95 0001 01
C-PRMT
02
104-00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION PIAN CHECK NO. 7,{"'#07 s0
City of Carlsbad Building Department
I ~ c..., c,-c') 2075 Las PalllllS Dr., Carlsbad, CA 92009 (619) 438·1161 EST.VAL. _____ ..,,_~ _ _J_,_ __ _
I. PIDlM1 I IWR PIAN CK DEPOSIT ________ _
VAIJD.BY __________ _
From List 1 (see back) give code of Permit-Type: _.:_11'l..:..,c,;__,,.,.,:;..~.,_. ______ _ DATE
. -. --------------------------. ---. ------------------. ----
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ___ 5.,_,_F.c.-_,A'----'--------------
Net Loss/Gain of Dwelling Units 0
2. PRUJECT INFORMATION FOR OFFICE USE ONLY
Address i'io .:J io...M..o.r-o...c.l,r... Av-.e.. Building or Suite No.
Nearest Cross Street ~r-k,
LEGAL DESCRIPIION Lot No. Subct,vis1on Name/Number Omt No. Phase No.
D 2 Energy Cales D 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
1 1 eren rom app 1can
NAME (last.name first) ADDRESS
CITY STATE
NAME (lase name first) H ol~e.s ,Jc.i4'.1.
CIT\~~C'.D s STATE C:,. 5. PROP , .,.. --
NAME (last name first) """° ""ec!.."-, '-" 0 A"' ·
"387.3 G; ..... ,do ...
ZIP CODE 'f21l)4': 9 DAY TELEPHONE "l:-l i -S?,B.,j·-/
ADDRESS 1'705 "7a"'4.,a.cJ.__,4.,,,, ,
CITY ~rpU STATE{;. 6. rnN 0
NAME (last name first) Uol-:s. Uc Jd.6'
ZIP CODEQ ~0 'if DAY TELEPHONE '7:il_'f -8 3G\'6
ADDRESS :fl 873 c;.,..., ... c{p., A.,.,,_
ZIP CODE {j,-0'-'f' DAYTELEPHONE 7~"1-'l~~/ CITY~M...rc.c:,-=-STATEC ...
STATE UC.# UCENSE CLASS c -59 CITY BUSINESS UC. #
ast name 1rst
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
7. WOkkEks WMP£NSAl10N
Workers' Compensauon Oeclarat1on: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director ol 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 .::,'fr.. POUCY NO. ,llf-'f,j-:_ O a:>G>EXlflrnoN DATE
ert1 1cate o xemptmn: ce
so as to become subject to the Workers' Compensation Laws of California.
SIGNATI/RE DATE
8. OWN£1l-BOilJJER DfilA.kAIION
D
D
□
Owner-BuiJder Oeciarallon: I hereby afhnn that I am exempt from the Contracto?s License Law for the iollowmg 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.S 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 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
COMPLEIE IFIIS SEC I ION FOR NON-RESIDEN IIAL B0ilDING PEHMIIS 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?
0 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 ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:!JPANCY MAYNOf BE ~UED AITERJULY I, 1989 IJNI.ESS nm APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POIJ.UTION ffiNTROL DISl1UCT.
9. WNSI KOCI ION ffiNDING AGENCY
I hereby afhrm that there 1s a construction lendmg agency for the perfonnance of the work for which this permit 1s issued (Sec 3097(1) CiVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I CEklOiCAIIUN
I certify that I have read the apphcat1on and state that the above mformat1on 1s correct. I agree to comply with 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 ro SAVE INDEMNIFY AND KEEP HARMLESS TIIB CflY OF CARlSBAD AGAINSf AIL IJABIIITIES, JUDGMENTS, <DSfS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID CTIY IN mNSEQUENCE OF nm GRANTING OF 11IlS PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 a a a~ims.,aftf~th; work is commenced for a period of 180 days (Section 303(d) Uniform Buildin~-C9(1e);-
APPUCANTS SIGNATIIRE XJ. ~ DATE: t,{.!(_(:j.-S
WIBTE: File YEllOW: Applicant PINK: Finance
City of Carlsbad
-=a•iibhh·l•JA•LiihhAeli
ROOF COVERING INSTALLATION CERTIFICATION
The roof covering applied to the structure located at the address indicated below must comply
with the current Uniform Building Code standards or approved testing agency standards. This
cert i fi cation report must be comp 1 eted by the contractor and posted with the inspection
record car prior to final inspection.
Address of structure: /'70£ T,><,vracik Aue
City, State, Zip: C: u-l:s 0a.J.-, 1 Ca ·
Permit number: 91'[ -'7SO
Roofing manufacturer: __._-___,_L.::<'-----'-'-------------
Listing agency:
Listing Agency approval number:
Manufacturers specification or tY,pe : %', % j
O
;, td:--: .4 :51)1/( -/:J 3'0l &
Roofing type: f::;1,,,,,.3/a.-:-';:5~;'!_,J.s Roof slope: ~ $½~..._0,'\e lo._y12 ~ -StJlb .
Fire retardant: Yes No ~Lr~ f',..,_ CV\. -t-h~5 •
Fire rating class: --A~-•--------------'~..> oiA...b{e... ""3o{b
()v\. '-th.es~ ~ 1> e o.. -s •
INSTALLATION:
I hereby certify that the roof installed at the above listed address does comply with the
approved plans, manufacturers installation standards and all listing requirements. The
Owner/Builder, General or Roofing Contractor may sign. Only one signature is required.
Date
License No.:
Company and address: 3 87:3 Cra>rJ'c," /J.r->e ~
:5:,,u !#a r C ~ ;r I lc:t , ? ..;;i(j C 2 ·
Telephone number: ( C,tf ) 7,,,..1 / -?p.5 /
original:
copy:
copy:
Project
Contractor Installer
Building Department
2075 Las Palmas Drive•Carlsbad, California 92009-4859•(619) 438-1161
11/1 /88
PERMIT# CB950750
DESCRIPTION: 32 SQUARES OF
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 06/19/95
COMP. RE-ROOF
STE:
INSPECTOR AREA PD
PLANCK# CB950750
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS: 1705
APPLICANT: HOLMES,
CONTRACTOR:
TAMARACK AV
JEFF PHONE: 619 727-9251
PHONE:
OWNER: PHONE:
REMARKS: RS/JEFF/727-9251
SPECIAL INSTRUCT: FINAL ON ROOF---CARD BY INSPECTOR -ff)~;---"'b'---------FRONT DOOR UN~h PORCH
TOTAL TIME:
--RELATED PERMITS--PERMIT# TYPE
CB950546 MISC
STATUS
ISSUED
ACT COMMENTS CD
15
LVL DESCRIPTION
ST Roof/Reroof 41?-----------------------------------------------------------
***** INSPECTION HISTORY*****
DATE
061495
061395
DESCRIPTION
Roof/Reroof
Frame/Steel/Bolting/Welding
ACT INSP
AP PD
CO PD
COMMENTS
SHEATHING