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HomeMy WebLinkAbout1469 TURQUOISE DR; ; CBR2023-0218; Permit                                                            (Cityof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Plan Check Est. Value PC Deposit Date Job Address Unit:APN: CT/Project #:Lot #: Year Built: Fire Sprinklers:YES NO Air Conditioning:YES NO Electrical Panel Upgrade:YES NO BRIEF DESCRIPTION OF WORK: PRIMARY APPLICANT PROPERTY OWNER Name:Name: Address:Address: City:State: Zip:City:State: Zip: Phone:Phone: Email:Email: DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:Business Name: Address: City:State: Zip: Phone: Email: Architect StateLicense: Address: City:State: Zip: Phone: Email: CSLB License #:Class: Carlsbad Business License # (Required): APPLICANT CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT):SIGN:DATE: 1635 Faraday Ave Carlsbad,CA 92008 Ph: 760 602 2719Fax:760 602 8558 Email:Building@carlsbadca.gov 1 REV. 07/21 Solar:KW, Modules, Mounted: Roof Ground, Tilt: Y N, RMA: Y N, Battery: Y N, Panel Upgrade: Y N Reroof: Plumbing/Mechanical/Electrical Only: Other: Additional Gas or ElectricalFeatures?Pool/Spa:SF Is the area a conversion or change ofuse? Y NRemodel:SF of affectedarea New SF :_Living SF, _ Deck SF, Patio SF, Garage SF Is this to create an AccessoryDwelling Unit? Y N New Fireplace? Y N , if yes how many? S40583 75 1999 212 191 41 001469 Turquoise Drive, Carlsbad, CA 92011 1469 Turquoise Drive, Carlsbad, CA 92011 92011 David A. French and Jennifer L. Egemo- French 1/16/2023 Partial Lift and Lay Tile. 600 sqft. 6 squares. Right start UDL/ Malarkey Partial Lift and Lay Tile. 600sqft. 6 squares. Right start UDL/ Malarkey. □ □ □ Iii ~ □ □ (_ Cicyof Carlsbad O® 00 Hannah Chiotakis 2120 Harmony Grove Rd Escondido Ca 760 546 6000 behepermits@baker-electric.com OQ Hannah Chiotakis 0 ® 00 ® 92029 0 0 00 00 0 0@ O® Carlsbad CA 760-546-6000 behepermits@baker-electric.com Baker Electric Home Energy 2120 Harmony Grove Rd Escondido Ca 92029 ---760 546 6000 behepermits@baker-electric.com 858088 C10 I C46 BLOS1221102 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: __________________ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHORIZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations (CHOOSE ONE): I have and will maintain a certificate of consent to self insure for workers’compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. PolicyNo. -OR- I have and will maintain worker’s compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers’compensation insurance carrierand policy number are:InsuranceCompany Name: Policy No. _____________________________________________________________ ExpirationDate: -OR- Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers’compensation Laws of California.WARNING: Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney’s fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender’sName:Lender’sAddress: CONTRACTOR CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT):SIGNATURE:DATE: Note: If the person signing above is an authorized agent for the contractor provide a letter of authorization on contractor letterhead. OR (OPTION B): OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor’s License Law for the following 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 whodoes 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). -OR- I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor’sLicense 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). -OR- I am exempt under Business and Professions Code Division 3, Chapter 9, Article 3 for this reason: AND, FORM B 61 “Owner Builder Acknowledgement and Verification Form”is required for any permit issued to a property owner. By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner builder if it has not been constructed in its entirety by licensed contractors.I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER CERTIFICATION: I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. NAME (PRINT):SIGN:DATE: Note: If the person signing above is an authorized agent for the property owner include form B 62 signed by property owner. 1635 Faraday Ave Carlsbad,CA 92008 Ph: 760 602 2719Fax:760 602 8558 Email:Building@carlsbadca.gov 2 REV. 07/21 1/16/2023 1/16/2023 0 Old Republic Insurance Company MWC31255521 03/01/2023 0 Hannah Chiotakis ,tt,., of ;mthoriz,ition on contr,ictor 0 a 0 □ Hannah Chiotakis i/a;uud Cbtzdu Jde form B-62 signed by property c B-10 Page 6 of 6 Rev. 04/14 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS:_______________________________________________________ 2. TYPE OF BUILDING: RESIDENTIAL__________ COMMERCIAL_________ 3. ROOF SLOPE: RISE_______ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 2 3 5. TYPE OF EXISTING ROOF COVERING________________SHEATHING________ *6. NEW ROOF MATERIAL ________________CLASS_____WEIGHT PER SQ._____ 7. NUMBER OF SQUARES________________ 8. TRADE NAME__________________ MANUFACTURER______________________ 9. ROOF SYSTEM LISTING: UL NO. ______________ I.C.C.E.S. Report #________________ ASTM ______________ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classification are prohibited. I understand the following inspections are required: 1. Tear Off/Pre-Inspection prior to install new roof covering 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature________________________________________Date______________________ Contractor__________Owner___________Contractor Name__________________________ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other 1469 Turquoise Drive, Carlsbad, CA 92011 X Concrete Tile Plywood Concrete Tile A 220 6 6 Right start UDL Malarkey 790 ESR-1561 E 108 1/16/2023 X Baker Electric Home Energy t B f X X                                      {city of Carlsbad