HomeMy WebLinkAbout2408 JACARANDA AVE; ; CB013034; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-19-2001 Miscellaneous Permit Permit No:CB013034
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2408 JACARANDA AV CBAD
MISC Subtype:
2550704300 Lot #:
$8,711.00
CUNNINGHAM RESIDENCE
31 SQUARES OF TILE W/CALCS
REROOF
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/19/2001
MDP
09/19/2001
09/19/2001
PIVA ROOFING, BOB CUNNINGHAM STEPHEN ~NMJY.Md! 0002 01
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Total Fees: $154.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PO BOX 849 CGP
FALLBROOK CA 92088
Total Payments To Date: $0.00
PERMIT
Balance Due: $154.00
$154.00
$0.00
$0.00
$154.00
Inspector: ~tµ ·
FINAL APPROVAL
Date: /0/111/o; ~ i
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 capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviousl" otherwise exnired.
02
154-00
FOR OFFICE USE ONLY
PERMIT APPLICATION . PLAN CHECK No . ....+--0--'\_· ~~o-~_c...~
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. ___ ,-L.._,_l...._~-'--1----
Validated By __________ _
Date ______________ _
Address (include Bldg/Suite I ) Business Name tat this address)
Legal Oucnpuon :,~s -{)7tJ -'-13
Unit No. Phase No. Total # of un,ts
Assessor's ParcoJ, I /<e-A. d ,r f
Proposed Use
Description of Work SQ. FT. lof Stories I of Bedrooms. # of Bathrooms
N•mo Addrou .,..,.,.,,.,.,..,,,,_. City State/Zip Telephone II Fax # ~:~°1~:~=Miior;.~;;~~5!~7%~~tiilil#~~~:-~~~w:~~x~~;~sr~~;~J:;•.
Namo Address City State/Zip Tolophone I ~;2:::,~o~~:7~·:·~·-~:~~Jf~~~~~~~~~~r~:~:.m;~~~~~1i~-~:~'.;; i':}~§:i:~~9-
Namo V Address City State/Zip Tolophono I
~.s~--=:--:-.coNTR:AcTOR.~ COMPANY ·NAMl?5i~:.£'-t';il~r.:;a,~~i.f~~~~~J;~~~~~~~;X~:a~7e~~.r.;;.;~-;,:,~~::; .. :~~;.~.~:•;:~~ .... ~:::: ~~ =~~( ~~----·
tSoc. 7031.5 Business end Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its
issuance, also requires tho applicant for such permit to file a aigned statement that he Is licensed purauant to the provtsIons of tho Contractor's License Low
(Chapter 9, commending with Section 7000 of Division 3 of tho Business and Professions Codo) or that ho Is oxompt therefrom, ond tho basis for tho allogod
oxo ption. A y violation of So<=}i_on 7031.5 by any applicant for a_pormit subjects the applicant to a civil pontlty of not moro1 then five hundred dollars ($500)).
6 ,Au ~ oo,C r w //f,,J. I ..._ ,,. , t,tst.o.-,-d dc<r:J 6 . f~<JJ-P 7/tJ-7'-IS-'t7dO
State License I d l '6'° 'I 3 S,
Address
License Class __ C __ 3_9'--~_.5 __ _
City Stoto/Z1p :'l,eQhono I
CitV Busineas License I _ _.¢"'-,._ __ ..:.. __ ~--
Oos1gn11 Name Addreas City State/Zip Tolophono
State License I __________ _
e>~ -WORKERS": COMPENSATION-~;·tf~'7~~7,;:-~:.fi~~~~~~~~l::;~.~~;-.;.~;.~ ;...'~-~~,P1:,~7_~Z;~:.;~.,:~~~~~:~;~t•-=-:~:;:'_:·~~-:-~: :-":.;.:_ ·.;: :· :·:~ ~ :•::,;::-~ ·~: "·:-:-..
Workers' Componaation Declaration: I hereby affirm under penalty of perjury ono of tho following declaration1:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation os provided by Section 3700 of tho Labor Code, for tho performance
of tho work for which this pormlt is Issued.
~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Ccdo, tor tho performance of tho work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company 5rA ;-&-FIA IV ,0 Policy No. '7" 17 7 ~ Expiration Oate __ tf-_-_O_J( ___ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED OOUARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of tho work for which this permit is issued, I &hall not employ any person in ony monner so as
to bocomo subject to the Workers' Compensation Lows ol California.
WARNING: Failure to aec:ure worllera' compensation cov1H11ge la unlawful. and shall aubject on employer to criminel ponllltlH and civil fine■ up to one hundred
thouaand dollara ($1 ,00 , Jn to the coat of compenaatlon, demagea a■ provkled lot In Soctlon 3706 of the r code, Jntareat and anomey'a fou.
SIGNATURE_-A~L..i~...£~=:::::J,::==:==------------------DATE 9-/o/'-0 I
7 .. -~;:~OWNEff .. BUlt:eER· 0EcL:ARA110N~~-:~~~~S.•t:~:~~: ... ,i:t.;Z~;;;;,:.::~~-7!3;;;~~l;~"'!!~'~7..:·~;-=:---J;?,:::;.:::~~~£:;:"i~f.-::'~;:~~~ ~~~~-~.-~;::~-:·:· :.·_:-~~.: ~-7~~Ji:~er!'.:.
I horoby affirm that I am oxompt from tho Contractor's License Law for tho following reason:
0 I, as owner of tho property or my employoos with wages as their ,ole compensation, will do tho work and tho atructuro is not intended or offered for sale
(Sec. 7044, Busoness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who dooa
such work himself or through his own employees, provided that 1uch improvements aro not intended or offered for sale. If, however, tho building or improvement ia
sold within ono yoer of completion, tho ownor•buildor will have tho burden of proving that ho did not build or improve for tho purpose or sale).
0 I, as owner of tho 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 proJocts with contractor(s) licensed
pu11uant to the Contractor's License Law).
0 I am exempt under Section ______ Buaineu and Profusions Code for this reason:
1. I personally plan to provide tho mejor ~bor 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 tho proposed work.
3. I hevo contracted with tho following person (firm) to provide tho proposed construction (include name / address / phone number / contractors license number):
4 . I plan to provide portions of tho work, but I have hired tho following person to coordinate, supervise and provide tho major work (include nome / address / phone number/ contractors license number): __________________________________________________ _
5. I will provide some of tho work, but I have contracted (hired) the follow,ng persons to provide tho work indicotod (include name / address / phone number / typo of work): _____________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _
COMPlflE 11ilS SECTION 'FOR NON-flt'S/DSVJW:llUIWING'l•EftMtr,&;Q~~~t=~!flf.-3';.filr:::,::_':_::~J,:t ~:·:;;:,::·_:";~~l'.:°:'.:::".".-S-'Zi':::
Is tho applicant or future building occupant required to submit a busineaa plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of tho Preslay•Tannar Hazardous Substance Account Actr O· •-¥E&--Q-NO .
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed w ithin 1,000 foot ol tho outer boundary of a schoo< aita7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POU.UTION CONTROL DISTRICT.
a.:_;::_cQNSTRUCTION. LfNDJNG'AGENCr~{~~~\~:;:~~£;':~1~~:~?:~ij'!;~i•::!~_;r:~?;lt~t~{J~,G~~fi;~'":JU{~f;~~_r:~.-~-~f.:~ :: -~_.::~;:~-.-:::_ ... ; •.· .·.~ ·,.,:/_;· · -·. :~ ... ·: ~ :_ -F:.
I hereby affirm that thoro is a construction lending agency for tho performance of the work for which this permit is issued (Soc. 3097(i) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
s:::t~APPUCANT.:;:.C::ER::;T;;l;A;;C"A~TI:;;O~N::--::~:;-:~;::~-==j;:~~;;:!r;::,:;;:;-;.~~-':""=;..~.,;_;::~:;;.,.,,~~~•-::<:-;:; .. !F;;:_:,.;?.1f,:,.,..,,.:~~.!~~~~;; __ ..... :;:r,;,~:::;,~;::.'r:;ft;_;_~;;:.::;:~;F.,.;::•;,:~:;:-~._=➔::,.:.::;: ... .;::rfi:..,:;:._::::~:;.....,;:::7;:;.:..,;:~ ___ ::::r;:-.!7;~.L-::~-::;".'.:'.';;:1!~:;::-r:::.,:-::_':'::-,,::: •• :::.:-=.~:-:_:-:/::: .. ,-:,.:-~.--=-.-::,.::,-:.::._.;:-_-_ =-._=--=.=_:.:,::-::,,:-::;:: .... :-: ...
I ~ortify that I have road tho application and state that tho above information is correct and that the information on tho plans is accurate. I agroo to comply with all
Coty ordinances and State laws relating to building construction. I hereby authorize representatives ol th& Citt of Carlsbad to ontor upon the above mentioned
proportv for inspection purposes. I ALSO AGRE.E TO SAVE. INDEMNIFY ANO 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 s•o• doop and demolition or construction of structures over 3 stories ,n height.
EXPIRATION: Every permit is~u.od by tho Building Official under tho provisions of this Codo shall oxpiro by limitation and become null and void if tho building or
w ork autho11zod by such permit Is not commenced w1th1n 365 days from tho date of such permit or if tho building or work author,zod by such permit is suspended
or abandoned at anv limo after the ork s co on cod for a ponod of 180 days (Section 108.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: Filo YELLOW: Applicant PINK: Finance
.. I'
City Of Carl$bad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1, JOB ADDRESS; ,;;' '-10<(' ;>"",;.A ✓.._,,,),._
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. __ ..,
3, ROOF SLOPE: RISE :z' inches In 12 Inches
4, NUMBER OF EXISTING ROOF COVERING (circle one) a') 2 3
s. TYPE OF EXISTING ROOF COVERING zlre SHEATHING .5 k, ·,,;; .
*6. NEW ROOF MATERIAL •'A, CLAssGIJO WEIGHT PER SQJp;E ·
7. NUMBER OF SQUARES 3/ . ,
8. TRADE NAME /Voi~ sf MANUFACTURER )/4_,,, ;b ,,J .
9. ROOF SYSTEM LISTING UL No., ___ -ilCBO No. 3 7 't t'
10, IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? lfi,i} NO
All roof covering a are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inapecttona are required:
1. Tear Off/Pre-lmipection prior to Install new roof covering.
l, Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
Inspection.
Signature · UL_
Contractor X Owner . · Contractor Name,,6.,J /,v" l<cill fp
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
m City of Carlsbad Bldg Inspection Request
For: 10/05/2001
Permit# CB013034
Title: CUNNINGHAM RESIDENCE
Description: 31 SQUARES OF TILE W/CALCS
Type:MISC Sub Type: REROOF
Job Address: 2408 JACARANDA AV
Suite: Lot O
Location:
APPLICANT PIVA ROOFING, BOB
Owner: CUNNINGHAM STEPHEN M&JENNIFER D
Remarks:
Total Time: -----
CD Description Act Comments
15 Roof/Reroof
P 111J-ll-L I( 4ot=
Associated PCRs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: RCB
Phone: 7607454700
Inspector: /< C.f,
Requested By: PETER
Entered By: KAREN
09/26/2001 15 Roof/Reroof AP RC OK TO COVER
09/24/2001 15 Roof/Reroof NR RC SEE NOTICE ATTACHED