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Home My WebLink About2616 LA COSTA AVE; ; CB961902; PermitE, l • r L L I E H M I , I •.r :r, t ) : 1 ) . 11 - E , t> t 1 >t Ai lrF-..; : L.b16 LA l.vSfA AV .:-UtL. f, •rrrit , YPL: M.;:.,lE.. .... :::..Ar EOIJ.J • c1r cc 1 r ... > : , 1 ri-"ts -, -1-(, r ,t #: V r.1 -..c.l +-1 or. : 11 , b t 4 uc·-upd!'lC"Y '"r ,ur: .R 1er .net>#: L>e~ l .[ t :,,a: RF:. Rm f, 4~00 SF FIBER CEt-"E.NT L GH!' WI CONCRETE l(.;80 # l Ar,~. 1 :Jwr.t h .. J Ad~•,.stn1t'n t Total E'cE• : PAC'"FIC f<vdFING .; .::: 4 l HIGH LAND I>f.. CAR:...,~A .. > C'A ,W 09 M 1 ·ce:.:.ant. >u .... fee # * M .> £::..,LA~ f.Jt;S TO':' i, r 1 , e t tli A-, J / I > V > ·, t,. ,.., : 0 39 10/ ,3, ~6 ';1,, .... Jl C:' ,MT r.str:.1,t .... ,r. Tue: :-Jf-W 4 4 19 3b • t ,l' : ,. • .._ It .> Ar.'r 1 : -I) Apr/I-.::,.H: 10/0-3/':/') En+:'...r ·~1 ly: EMA • I. u ,_'i4.10 t.x t fee L d t -1 t.24. C' PEPM "2l • l Fl 1AL APPROVAL INSP. ~ DATE 10 ·I~· rtAJ CLEARANCE _____ , CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 r r r ' PERM,T APPLICATION PLAN CHECK NO. City of Carlsbad Building D-rt...t 2075 Las Pal-Dr., Carlsbad, CA 92009 (619) 438-1161 I. P£kM.il IYPR From Llsc l (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. PROJECf INFORMATION FOR OFFICE USE ONLY Butldmg or Suite No. LWAL DESC!RIP'I ION Loe No. Subd1vis1on Name/Number 0mt No. Phase No. CHECK BMW IF S0BMII 1£D: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope ASSESSOR'S PARCEi. EXTSTING USE PBOeoSEP USE DESCRIPTION OF WORK ;/~(JO #OF STORIES CJ~ # OF BEDROOMS # OF BA TIIROOMS NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 5. PROPEklY UWNmt NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. WN i'RXCIUK ~ ,-,=,</1 A I ~-1-} ~ ~ i:, D -R_ 4 31-[-193<8 NAME {last name first) ADDRESS CITY C .gD . STATEC:.,4-ZIP CODE 9d--0?8iAYTEI.EPHONE STATE !JC. # 7 / 91 ~ ENSE CLASS C::: 3 CITY BUSINESS !JC. # ast name 1rst CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WUR.kERS' WMPENSAI ION Worker.;;' Compensation Oedarat1on: i hereby aihrm that I have a ceruhcare of consent to seit-msure issued by the Director oi 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 Ins~tion Department (Section 3800, Lab. C). ~ INSURANCE COMPANY <;ou,EN I!{;)>. I:: Lk ro11cv ~o. e ~ .l, 1 >,,;,a,IRATION DATE ::l -/ 7-7 1c t 1s permit ts 1ssu , s a • not emp oy any person m any manner SIGNATURE DATE 8. UWNER-B0llDER Dm:!LARXliON Owner-Builder DeclaraUon: I hereby afunn that I am exempt from the Concractofs Llcense I.aw for the ioiiowmg 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 Ccxle: 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 chat 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 Ccxle: 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 License 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 pennit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such pennit 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 pennit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]). SIGNATURE DATE COMPlllE IRIS SECIION FUR NON-RESIOEN IIAL BOIWlNG PERMII'S 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? □ YES ONO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? 0 YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANYOF1l!EANSWERS AREYES, A FINAL CERTIFICATE OF OCCUPANCY MAYNOf BE~ AFrnRJULY I, 1989 UNLESS 11IE APPIJCANT HAS MET OR IS MEETING 11IE REQIJlllEMENB OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR POIJ.UTION OONTitOL DISTRICT. 9. wNS I KOCI ION I.ENDING AGENCY I hereby affmn that there IS a conscrucuon lendmg agency for the perionnance of the work for which this permit 1s issued (Sec 3097(!) Civil Code). I.ENDER'S NAME I.ENDER'S ADDRESS 10. APPDCAN I CEllOICAIION I certUY that I have read the application and state chat the above mlormat1on 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 AI.'iO AGREE 1U SAVE INDEMNIFY AND KEEP HARMIJ'.SS 11IE Cl'IY OF CARISIIAD AGAINST AIL LlABIUllES, JUDGMENTS, CXJSfS AND EXPENSES WHIOI MAY IN ANY WAY ACCRUE AGAINST SAID Cl'IY IN OONSF.QI/ENCE OF 11IE GRANTING OF nns 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 pennit 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 b h permit is not co ced within 365 days from the date of such pennit or if the building or work authorized. by such permit is suspended or a n ned at ny tim f ~-th~ork i~ommenced for a period of 180 days (Section 303(d) Unifonn Builc1iJlg Cod,..tl:... E!:J f APPIJCANYSSIGNATURE >¢::.-#-:::"lr"s ~ DATE: ~0:.:r 7 Jd File YEU.OW: Applicant PINK: Finance • 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. 8 • CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS .)t.. f ~ TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL ROOF SLOPE: RISE :{ inches in 12 inches -- TYPE OF EXISTING ROOF COVERING :5,J-1.4¥~ SHEATHING ..5?~0 NU~ OF EXISI,I.Wi. ROOF COVERINGS (circle one)('.j) 2 3 'Htfioof~t'(RI.ft.1c-fi i:'.W (1.Qi" ~v~ss ft WEIGHT PER SQUARE 59>C, NUMBER OF SQUARES o/f3 TRADE NAME L.t)(J1s,A NA-);½c 1 :E?~NUFACTURER "'?ATIJ'Fl= 61.) _;. 'R .D ROOF SYSTEM APPROVAL UL No.____ Other ) C:::. BO _JJ 5"J.;J..) 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~ Class 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. DATE Contractor ><, Owner ---Contractor Name JiA C /Fl~ Poo-1= 1N ~ *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. • ,, CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB961902 FOR 10/16/96 DESCRIPTION: RE-ROOF,4800 SF FIBER CEMENT- LIGHT WT CONCRETE-ICBC #512 TYPE: MISC AV STE: INSPECTOR AREA PLANCK# CB961902 OCC GRP CONSTR. TYPE NEW LOT: JOB ~DDRESS: 2616 LA COSTA APPLICANT: PACIFIC ROOFING CONTRACTOR: PHONE: 619 434-1938 PHONE: OWNER: REMARKS: MW/JOHN/434-1938 SPECIAL INSTRUCT: TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof ------------------------------------------------------ PHONE: INSPECT0~'-1------------- ACT COMMENTS .£ {:, ,1/,<J (/ ***** INSPECTION HISTORY***** DATE DESCRIPTION 100996 Roof/Reroof ACT INSP AP DC COMMENTS