HomeMy WebLinkAbout2402 LA MACARENA AVE; ; CB031295; Permit~)~~?
c!s-02.'.2003
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB031295
Building Inspection Request Line (760) 602-2725
Job Address: 2402 LA MACERENA AV CBAD
Permit Type: MISC Subtype: REROOF Status: ISSUED
05/02/2003
MDP
05/02/2003
05/02/2003
Parcel No: 2550702100 Lot#: 0 Applied:
Valuation:
Reference #:
$7,968.00 Entered By:
Plan Approved:
Issued:
Project Title: GAUTHIER RESIDENCE
28 SQUARES OF EAGLE LITE
Inspect Area:
Applicant: Owner:
GLYNN ROOFING GAUTHIER THOMAS A&BECKY0LBl. ,1 05/02/03 ".Xl02 ()1. CGF" 5428 ROCKINGHORSE LN
OCEANSIDE CA 92057
760 758-0833
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $141.00
PERMIT
2402 LA MACARENA AVE
CARLSBAD CA 92009
$141.00
$0.00
$0.00
$141.00
Total Payments To Date: $0.00 Balance Due: $141.00
02 1lfi "00
FINAL APPROV~L
JI;!\ DATE r;&:f? INSP._.;..,_,_--
CLEARANCE
FOR OFFICE USE ONLY
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
PLAN CHECK NO. Op::\'2. <;_)
EST. VAL.1( cy~q _,,-.YJ
Plan Ck. Deposit ____ :_ ___ _
Validated By __________ _
Date. ______________ _
Address (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units
Assessor's Parcel # Existing Use Proposed Use
# of Bathrooms
City State/Zip Telephone# Fax#
Name
State license # -.!-'-'c::'._.:::c:..-=:_ __
Designer Name
State License #
Address
•t~i~~---.• -. -.. lim-.-.--~---_--"ffllN-.-. -.. --1;-.:~-!'.:_?_, ,--;;;?~~i)@\;;:'1::,:,;:}}'::;:
;:ri~~'l11~•"t~~8_;~;,1,.~'4'"c'Ji-·
City State/Zip
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Telephone
O I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 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:
Insurance Company______________________ Policy No._____________ Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
N7' 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
~ome subject to the Workers' Compensation Laws of California.
WARNING: Failure to aecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand doJlartJI,• 0,0 , n ron jQ th cost of compensation, damages as provided for In Section 3706 of th abo c e1 Interest and attorney's fees.
:;::~::111~'111~-~~--~-~-~---!-~·---~m~. -.~r~~~~~§~~~~;]~~~~5E?--C::s DATE ~ t:> ;J I hereby affi~! that I am exempt from 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 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).
D 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).
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) 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 / address I phone number / contractors license number):
4. I plan to provide portion~ 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 I address / phone number / type of work): ___________________________________________________________ _
PROPERTY OWNER SIGNATURE ===c:-:=::--:-.,,,--:::,-,-::-c,-::,-:-:,:-:=,-:--::-:-,-c-----:-----:----
i!;Q_M_!!.liit!l:\l:i!l$;!$Ell1:tl)i',1(FQltN/JM/;f/~/f[iNJj/>,t.·Bµ(L'(liliQ•[~RMITS'PNL v.,,._
DATE _________ _
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 26605, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES O NO
Is tha facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE 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.
•a;f',1:i!ii>'.t,illii!l.tCTIIIML~QINGi"ilGINCY,·•·•.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME :-c---=-:--:--:--:--:---------------'ij;i1i,C\A;l',l'jj(;Al',(j'(C~l!Tlfie"/ifieiNi .. J>.i
LENDER'S ADDRESS. ________________________ _
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. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 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
authorize,t by such permit is not commenced within a s from the date of such permit or if the building or work authorized by s h permit is suspended or abandoned
at any tir , after the work is com~ced for a p days (Section 106.4.4 Uniform Building Code).
APPLICI r·s SIGNATUR~E[._ . ..2:2.~i:O.::"l:.::::~t~::::~i~:::::::::__ _________ _ DATE-5: Q o]
YELLOW: Applicant PINK; Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: :? '-/ 0-2 L .,__ /) ,,,_ c. o.... r eA 9..
2. TYPE OF BUILDING: RESIDENTIAL ><._ COMMERCIAL. __ _,
3. ROOF SLOPE: RISE ,.S-inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3
5. TYPE OF EXISTING ROOF COVERING-J)..fe SHEATHING..Sr(,p .
*6. NEW ROOF MATERIALL V 1/?e CLAss&wEIGHT PER SQ~RE 7::? CJ
7. -NUMBER OF SQUA¥S.,....,:J~8'--~
s. TRADE NAME ~>sle. l;Je M~NUFAcTuRER'""Ea..,,,,&..,,<;,...A~l::.==--__ _,
9. ROOF SYSTEM LISTING UL No. ____ lCBO No., ____ __.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? @ 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 instalfnew roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
::::~c.,..£---•~::-_-_-___ ,Date,cit&J
Contractor D<:., Owner ____ Contractor Narrie /7r <:-(a. '-/ C /yrJ..-.,
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built /p,
Other.
City of Carlsbad Bldg Inspection Request
For: 05/12/2003
Permit# CB031295
Title: GAUTHIER RESIDENCE
Description: 28 SQUARES OF EAGLE LITE
Type: MISC Sub Type: REROOF
Job Address: 2402 LA MACERENA AV
Suite: Lot O
Location:
APPLICANT GLYNN ROOFING
Owner: GAUTHIER THOMAS A&BECKY L
Remarks:
Total Time:
Inspector Assignment: JM ---
Phone: 7604701244
Inspector: JM.,
CD Description
19 Final Structural
Requested By: MICHAEL
Entered By: CHRISTINE ~ ComAZ ~~ Lhi/J
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
05/06/2003 15 Roof/Reroof AP JM OK TO COVER