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HomeMy WebLinkAbout1730 KIRK PL; ; CB960803; Permit( I ,( F 'r r fl I l ** ~\ I T I t T J ) 1 0 t ,rt£ t "' : 1 • t r 7167 05/03196 OOOt 01 0 ( ot 0 I: C 11 ,tr•JC' IC" y ( ) ,_, ~ : i: 1cn: R L kflO ~;c•~ l,F Rl ~hf D f = w., L L1 ,.; £ / e r:o L Y "' r o o ,-. · o L _ r E T ~II r : F ~e •tr I ·, t l I t t: t: _1 r (; ,., . 8"1 F..I CITY CONSTRl.iCT 'C.N 619-dl/l4/ I [' '( X l , u , r ed It. ') I f e .., r' TOf i -;c i (Jl 910:J CITY OF CARLSBAD INS CLE., 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 : F~Mt or ,r • ·t w J td f Lu• p-j: v Ai..,r I-=-u • 0 f ' J • • J ( f) ) 7 t , Ex t f e LJ 1 ., > 0 ' R"' • /t 0 Pl!RMIT APPLICATION PLAN CHECK NO. 1 b Oto , City of carlsbad Building D-rt-,t 2075 Las PalES Dr., carlsbad, CA 92009 (619) 438-1161 I. PPJlMl1 I-WE From Ust 1 (see back) give code of Permit-Type: ___________ _ For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ____________________ _ Net Loss/Gain of Dwelling Units 2. PRWECT INFORMATION FOR OFFICE USE ONLY Address/ 7 '3 c, /?',-1, }:: j5/; Ce_. Hu1ldmg or Sune No. Nearest Cross Street /qft"C' 1'71 c {.__ LEGAL DESCRlPIION Loe No. Subd1V1s1on Name/Number 0 mt No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy Cales D 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ,._,...,.,.. • # OF STORIES rom app 1can ADDRESS ,;l/1(1'i// 'I" CflY f':Ji1Ct}; # OF BEDROOMS # OF BA TIIROOMS CITY STATE DAY TELEPHONE NAME (last na n::;:.. ••'fl'/,; I-lo--~ ADDRESS j 'Y /391.f CITY Visk~ STATE CA ZIPCODE <'./,Y1fS DAYTELEPHONE i. r .. -6 NAME (last name first) I 1../. c)duL . )4L {p/....., ADDRESS J J 3 [; -I<., r--/:'. p L,, C <';_ CITY ~Is 6,, d . , STATE C'f'o, ZIP CODE 12L.J or DAY TELEPHONE 1 -J:s:')--] NAME (last name first) cITY V , sf-,~- ~,r/-/i.::,.'j J J,./cL~ ADDRESS fitJx' /Sjtj . __ {/{ J (!Ar-'j STATE [',y.\ ZIPCODE72OfS' DAYTELEPHONE 7,;(J-//1/2_ STATE !JC. #:-i'S Zl LlCENSECLASS C..-. .sc; CITY BUSINESS !JC. # as name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOkkERS4 WMPENSXIION Workers• Compensation Declaration: I hereby affmn that I have a ceruhcate of consent to seif-msure issued by the Director 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 In07tion-~partme..n,t (Section 3800, Lab. C). INSURANCE COMPANY Sh; /2, !--Z, 1\J._., roucv do. 7 (,:;:::-, i,,r -'i':::, EXPIRATION DATE l,- SIGNATURE DATE 8. OWNER-B0fiDRk Dfi!OOtAJIDN □ □ □ Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confracfofs Llcense Law for the followmg 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 Llcense 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 chat 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 Llcense 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 Llcense 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 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 Llcense 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 [$5001). SIGNATIIRE DATE COMPLEIE IHIS SECIION FUR NUN-RESIDENIIAt B0UDING PERMIIS ONLY: ls 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? □ YES □ NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCJCUPANCYMAYNOT BEISSUEIJ APTER JULY 1, 1989 UNLESS nmAPPUCANT HAS MET OR JS MEETING nm REQlllREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POillfl10N CDNTROL DISI111CT, 9. WNSI KOCI IUN mNDlNG AGENCY I hereby affirm that there is a construction lending agency for the perfonnance of the work for which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPllCAN I CEJllU:ICAilON I cerufy that I have read the apphcat1on and state that the above mformation is correct. I agree to comply with ail 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 AI.50 AGREE ID SAVE INDEMNIFY AND KEEP HARMLESS nm CTIY OF CARISBAD AGAINSf AIL UABIIJTIES, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID Cl'IY IN CDNSEQUENCE OF nm GRANTING OF nus PERMIT. ~ 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 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 abandoned at any time after the wo · ced for a period of 180 days (Section 303(d) Uniform Building Code). APP!JCANTS SIGNATURE s-J _ DATE: ___ _ ,cant PINK: Finance 0 • ' CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS / 7 'Sb I<, )'L •'PL1 C<:__-.c 2. TYPE OF BUILDING: RESIDENTIALX. COMMERCIAL -- 3. ROOF SLOPE: RISE L/ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERINl'c-''~k /{; SHEATHING. ______ _ S. NUMBER OF EXISTING RO C VERINGS (circle one( D 2 3 *6. NEW ROOF MATERIAL ,,r1,.,lc ~ CLASS f) WEIGHT PER SQUARE. ___ _ 7. 8. 9. 10. NUMBER OF SQUARES _ _;;;;4~·""· __ _ TRADE NAME MANUFACTURERU/..-v'C /1 f-Cl, TI'--! /1 '> -----------· 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 y· Class B__ • 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. 5-s-?k SIGN DATE · Contractor X Owner __ _ Contractor Name J J<i r,L An-1-/v,I~j *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. ' • CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB960803 FOR 05/10/96 DESCRIPTION: RE-ROOF W/SHAKE,FIRE RATED-A W/CDX 4/8 PLYWOOD&30 LB FELT TYPE: MISC JOB ADDRESS: 1730 KIRK PL APPLICANT: TRI-CITY CONSTRUCTION CONTRACTOR: OWNER: REMARKS: MW/PAM/758-7142 SPECIAL INSTRUCT: AM PLS TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA DC PLANCK# CB960803 OCC GRP CONSTR. TYPE NEW STE: LOT: 619-758-714 CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS c!i!.. _____ _ --------------------------------------------------------- ***** INSPECTION HISTORY***** DATE 050696 050696 DESCRIPTION Roof/Reroof Roof/Reroof ACT INSP CO DC AP DC COMMENTS 1:00 NOT READY 3:00 OK TO COVER