HomeMy WebLinkAbout2407 LA MACARENA AVE; ; CB042337; Permit~ dfJJ<::>
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n City of Carlsbad 'Q.®e fi Yt'A/ 1635 Faraday Av Carlsbad, CA 92008
D · "ZJ Miscellaneous Permit Permit No: CB042337
Building Inspection Request Line (760) 602-2725
Job Address: 2407 LA MACERENA AV CBAD
Permit Type: MISC Subtype: REROOF Status: ISSUED
06/11/2004
FM
06/11/2004
06/11/2004
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2550704700 Lot#: 0
$6,463.00
MCGREGOR RES 2300SF STAND
WEIGHT CONCRETE TILE
Owner:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
JMV ROOFING INC. MCGREGOR FAMILY REVOCABLE TRUST 09-24-96
SIUTE #200
504 WEST MISSION AVE 92025
740-0379
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $128.00
Inspector:
2407 LA MACARENA AVE
CARLSBAD CA 92009
PERMIT FEE
Total Payments To Date: $0.00
$128.00
$0.00
$0.00
$128.00
Balance Due: $128.00
4217 06/11/04 0002 01 02
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or seNice fees in connection with this project. NOR DOES ff APPLY to any
f I xactionsofwhi h h v r vi u I be n iven NOTI Esimil r hi rs whi hth tat eof · i in h herwis
128-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. (: /)c,t{J 5 ?7
EST. VAL. b tj" .5 CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit~~-------
Validated By_~E~#'----,------
Date (p -11-otf
Business Name (at this address)
Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel # Existing Use <'""
;::.1.u rr1..,. fu1M-, l Proposed Use
Description of Work ')eo..y C -. SO. FT . #of Stories ds.. .. . . . # of Bedrooms 5, . •· .. • ... . # of Bathrooms
lcWi@?s4i 1,.,;,i; fa~m~-~?1~Bm1~,i.~;,,a~~w,:a'ili11,!!t,0,iisiil.j;' ,:. ~,,,,,,,, ;
Name Address City State/Zip Telephone# Fax#
Name Address City State/Zip Telephone #
;!~~~ c.M!!,11!_..,~~~·nl{_~~~~;~:T~•~~~i+l-~t,: 'cxili,ij,;i"•·
Name Address City S.tate/Zip Telephone #
IIW 7 ffl'?Wll!IIMIIIB I J '7118ll!11!1!~7:mill!lil~~~,--IMl!l!!lill!'MW~
(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 License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Coda) 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 civilyenalty of not more than five hundred dollars 1$6001). ;r:V\,\V (u'>::f??Y\ f<c,c,f:M.>G +N'-S,'-( lo M,S~•""--,tVf z..,~ CA '1r<>d'-S c\.9-1'-lo-D'>,'1
Name Address City State/Zip Telephone I
State License# b 15 b '5 '").. License Class C.. 1,, '1 City Business License# / d f b 3C,/
Designer Name Address City State/Zip Telephone
State License # _________ _
Mffl!WP-~~,.ll&'filli!1~~0t~d~~ihlkt€0~til~~;ig\(11ffl~JE1i~Wl;l~!i,t{ttt;tfe'..lff!li1J:t?';Mit:;4;,J~j]li:;;~'._;F:i.~:;;t,t"fa~t:1;;f :::~'.tf!:Y,,21.,'.~t'~;.;·:,;,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
~ 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.
C-1 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:
lnauranceCompany\/ltl.J'.o,A)\,:\, $v\.y-e:::b,. PolicyNo.(!)6"SJ CX>Ol 'S'--t OJ Expiration Date O(-bl--OS
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERklT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS)
D 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 becom8 subject to the Workers' Compensation Laws of California.
WARNING: FaUura to HCWa worken' compenaatlon coverage ll unlawful, and ahall •ubject an employer to criminal penahlea and clvll fines up to one hundred
thouund dollars 100,000 addition to the coat of compensation, damages a, provided for In Section 3708 of the Labor code, lntere,t and attorney'• fees.
SIGNATURE DATE (.,,_ ({ _ C.:, '-(
I he;eby affirm t t 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 Profenions 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 s■le. 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).
O 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(&) licensed
pursuant to the Contractor's License Law).
D 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 / phone number / contractors license number):
4. I 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 ,........,,,,.,,.-.,,,-=,-c,--,......-,,..-=,-,....--------------------DATE ________ _ ~-~Nlllil/-lllllllmllllllll!DllllllBll!lllll--ai!l\lj;l._ii,,fit,"ll,,,t1,, ,,,,,,,,liliil'!,:,,
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 26606, 26533 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 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 D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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.
J 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 LENDER'S ADDRESS
IIIIITIT"IIDIRIIIBlfillm!
I certify that I have read the application and state that the above information is correct and that tha 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 Cht 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 ANO 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 buildlng or work
authorized by such permit Is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit Is suspended or abandoned
et any time after the work is comm,ced for« p~~d of 180 ~ys (SKf:ion 106.4.4 Uniform Building Code).
APPLICAN r·s SIGNATURE ':J C<'.l '-.9.. 5 2 2 DATE (, -( I-CJ 4,
WHITE: File YELLOW: Applicant PINK: Finance
,
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
I. JOB ADDRESS: ~ IJ\.CT7 Le,,.._ w'.]4 ( 0. Y--€ v,.;C,... A-v-e-
2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL __ .....,
3. ROOF SLOPE: RISE· l.( inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) C}) 2 3
5. TYPE OF EXISTING ROOF COVERING wool/) SHEATHING "::>k-'f
*6. NEW ROOF MATERIALC:w<.,,,_..k_ CLASSi±._WEIGHT PER SQUARE
7. -NUMBER OF SQUARES.~a~S~-~
8. TRADE NAMECA(ts~ MANUFACTURER "iA{...(-<.
9. ROOF SYSTEM LISTING UL No .. ____ .lCBO No:'7--l (., b 0
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 instali new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Slgnatu,e ~;c.;: :::, Date 6-10--0 ':J
Contractor/ Owner ____ Contractor Nawe S6 ';:>H '\J \c...::tt.f)IL
*6 • Rolled Roofing, Standard/Lit~Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 06/28/2004
Permit# CB042337 Inspector Assignment: JM
Title: MCGREGOR RES 2300SF STAND
Description: WEIGHT CONCRETE TILE
Type: MISC Sub Type: REROOF
Job Address: 2407 LA MACERENA AV
Suite: Lot 0
Location:
APPLICANT JMV ROOFING INC.
Owner: MCGREGOR FAMILY REVOCABLE TRUST 09-24-96
Remarks:
---
Phone: 7607400379
Inspector: ----
Total Time: Requested By: TIM
Entered By: ROBIN
CD Description
19 Final Structural
Act Comment
~ A/4
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
06/14/2004 15 Roof/Reroof AP JM OK TO COVER