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HomeMy WebLinkAbout1624 JAMES DR; ; CB970874; PermitFOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PLAN CHECK NO. !1.Jrz !J7 'f EST. VAL. 5 YJd Plan Ck. Deposit--~~----- Validated By pk Date k\ \l\r:\/{_:'.'.{ Address (include Bldg/Suite II Bus1nus Name lat thia addreaa) Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I Existing Use P,oposed UH #of Stories I of Bedrooms II of Bathrooms Name Address City State/Zip Telephone I Fax# i!~~· >Eir~L,;~.;i~onii,_gprfi:O.Qwim;::til3,.\11!1!itt0&~ IT A dlt&ttt.:-iY~:~I 1\NM oof LILI ~---~ D/Z-, B>, Name ..:>f\A. M c..A t\'202.b" 73.1 -O 177 State/Zip Telephone I ~:· S)oU(.i MOO\Z G .. O(L Name Addreaa City State/Zip T elaphone I (Sec. 7031 .5 Business and Professions Code: Any City or County which requires· a permit to construct, alter, improve, damoHah or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed atatement that he is licensed puquant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Profusions Code) or that he ts 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 hundr•d dollars 1$500)). 'TWM ~OQflNC. ':il.\-L\-'5 E!,.1"1'!1'¢ O(i.. f:P,u.e,(2,,0<, c-A "l.'2<72$ ,31-0777 Name Address City State/Zip Tetephone # State License # -, \"Ill'¼ 'S'" License Cle1$ C 3'"\ City Business License I f ;)Oo'fq f Designer Name Address City State/Zip Telephone State License # _________ _ il.i;.t1::lYQJIKElis;:,COMPEN.$.lt)()fu~;1; . ..,{~:i..::i'.flr'~:.'.::.:~~i~ ~--~:.....,,..~~,~~-~~',l,...~;'.;;.;..i.iJJ:.~\¾¾kt:'i&PMrmm•~.;:IPV"if:¾:ila"r:/.:., ~-::'.:t .. ~ .... , ... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to aeJf•insura for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ':la' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for _.which this permit is issued. My worker's compensation insurance carrier and policy number are: l I Insurance Company C\J\.-Q6z,I G<:rc, 1-6' Policy No. Nl/',IC -4:,):733-00 Expiration Dote '1'_ )\e j7 !THIS SECTION NEED NDT BE COM= IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1'1001 0R LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which thia permit is iaaued, I shall not employ any peraon in any manner so aa to become subject to the Workers' Compensation Laws of California. WARNING: Failure to ncure•wOlkera' companaation coverage ii unLllwful, and shall subject., employ• to criminal penaltiea and civil flnea up to one hundred thouaand dollara 1$100,000), in addition to }!le co,t of compensation, damegH u provided for In Section 3708 of the ~• lnterut and ■ttomay's fen. SIGNATURE "';;Jew, --:rn,,.,.,d,fL DATE -~ 7~, ,OWNER-BUILDER DECLARATION ~ •, "~. •:_":..~~·@ijij Bfi:L."""' -~'it'V.::_~~~,:~:;)}.t I hereby affirm that I am exempt from the Contractor's License Law for the following 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 builda o, Improves thereon, and who dou such work himself or through his own employees, provided that such improvements are not Intended or offered for aale. If, however, the building or improvement ii sold within one year of completion, the owner•builder will have the burden of proving that ha did not build or Improve for the purpose of ule). D I, as owner of the property, am exclusively contracting with licensed contractora to construct the project CSec. 7044, Buainua and Profeaatona Code: The Contractor'& Ucan11 Law dou not apply to an owner of property who builds or improvu thereon, and contracts for euch pro}acta with contractorCa) liceneed purauant to the Contractor'• License Law). D I am exempt under Section ______ Buaineaa and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the propo11d property improvement. D YES ONO 2. I (have / have notl signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / addrua / phone number / contractors license number): 4. l plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number):. ____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated !include name / address / phone number / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ;J;O~JlllS,~C'llO!VQII ~~UlUl!NII--IU:lllll.Y&i1c':.cii~~:"'· Is th-, 11:~plic::it er future tuildir,w OGcupant requir.O ti> iMJbmit a bw.inna pian, acuteiy hazardous materiala registration form or riak management and prevention program under Sections 26606, 26633 or 26534 of the Pre.av-Tenner Huardoua Substance Account Act? 0 YES D NO la the applicant or future building occupant required to obtain I permit from the air pollution control district or alr quality management diltrlct7 D YES O NO Is the facility to be constructed within 1,000 fHt of the outer boundary of a achool site? 0 YES D NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIRCAlE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT • • ,&\~:CC,_r.TRUCTION''lENDING"~GENCY,~;,;, ,,~~~~,,~t¾f~.'. •''~'',~!,l!~,.. '">\"::?t:~),_i ·· · :,:~r,;~;0'< _., I hereby affirm that there is a construction lending egency for the performance of the work for which this permit i. iaaued (Sec. 3097(i) Civil Coda). LENDER'S NAME-------,------ il!c: APPLICANT CERTIRCA TION I certify that l have read the application and state that the above information is cor,ect and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction, I hereby authorize repreaentativH of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over s•o• deep and demolition or construction of structuru over 3 1toriu in height. EXPIRATION: Every permit iaaued 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 366 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 is commenced for a riod of 180 days (Section 108.4.4 Uniform Building Code). APPLICANT'S s1GNATURE -'~~t?-vi~'-l'Yl.1-!..!Jf:!:,:ld~;._-----------DATE -~t.f.,.L~r-i:~/~1~7 ______ _ WHITE: File YELLOW: Applicant PINK: Finance ~ • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS \ ~;} Lj 3/t-1>1~ 1)(1.. 2. TYPE OF BUILDING: RESIDENTIAL )c COMMERCIAL -- 3. ROOF SLOPE: RISE Lf inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING SM~ SHEATHINGc........:S:..i:P..;.;i>r<--6Pc.......::;;__ ___ _ 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) u) 2 3 *6. NEW ROOF MATERIAL l-t' NP((<J.l'-s= 4.1)..,,.,µJ CLASS A. WEIGHT PER SQUARE '5'60 7. NUMBER OF SQUARES ._..!:..)'....1q ___ _ a. TRADE NAME 1\11,---c-,.iu G"'~ s~ MANUFACTURER l0v-1$A..,I'\ Pl'<,,F,c.. 9. ROOF SYSTEM APPROVAL UL No._____ Other \c.&> "51;}-I 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES X NO __ _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A )( Class 8 __ 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 X Owner ---Contractor Name ------------- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass. Built up. City of Carlsbad ■ :.Jf lldl I 11· 1 •14·&14;, ,14 ,; I REROOFING PERMITS A reroofing permit is required for all occupancies when: 1. Removal of the existing roof covering is required by · Appendix, Chapter 15, 199-4 .Uniform Building Code, OR 2. A lighter weight roof covering is being replaced with tile. (Engineering calculations may be required for the supporting structure.) The attached Supplemental Building Permit Application must be completed in addition to our standard application. Our adoptive ordinance requires that all replaced roof coverings be CLASS B or higher. REQUIRED INSPECTIONS: l. TEAR OFF-Inspection required for existing or new sheathing, prior to underlayment or covering. 2. FINAL INSPECTION 2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161 ' I PERMIT# CB970874 DESCRIPTION: RE-ROOF,2400 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 04/18/97 SF,FIBER CEMENT STE: INSPECTOR AREA DC PLANCK# CB970874 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1624 JAMES DR APPLICANT: TWM ROOFING CONTRACTOR: PHONE: 760 731-0777 PHONE: OWNER: REMARKS: RS/TOM/731-0777 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof PHONE: INSPECTORJ;)~_,___ _________ _ ACT COMMENTS I £cf,/l1J;/ ------------------'--/, ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS