HomeMy WebLinkAbout2410 JACARANDA AVE; ; CB972323; PermitB U I L D I N G P E R M I T
08/19/97 16:00
Page 1 of 1
Job Address: 2410 JACARANDA AV Suite:
Permit Type: MISCELLANEOUS
arcel No: 255-070-42-00 Lot#:
Valuation: 6,027
Occupancy Group: Reference#:
Description: REROOF 2100 SF, STANDARD TILE
Permit No: CB972323
Project No: A9702939
Development No:
Appl/Ownr : URBACH ROOFING
2131 PALOMAR AIRPORT
CARLSBAD, CA 92009
RD
760
Construction Type: NEW
Status: ISSUED
Applied: 08/19/97
Apr/Issue: 08/19/97
8248 ~~<t<>® 61 jlTb2
431-5113 C-PRHT 149-00
/( * * Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
* MISCELLANEOUS T0TAL
149.00
.00
149.00
*** Fees Collected & Credits
.00
,00
149.00
Ext fee
> 149,00
149.00
i"' LAPPROVAL
s DATEJ.d_!i"'11
,i.l.' ... J
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
***
Data
PERMIT Fl
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. p 7z 3Z,3
EST. VAL. __ __._t:'t ...... 4_~.,...,..7..,..... ___ _ CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(619) 438-1161
Plan Ck. Deposit __ j;.__·0...__q....,._~ .... a_.V.._ __
~:~:_at_e_d _B_y~-_-_-:_v~-C..__"""~:~:::/J:7:..... ..... ~=.J.-/◄ __ ,.,,~=l==
~C'tlNEORMAUON~~~~I~~~~~F;;!~~~,-;?~~-sJ:&Jt\lQT
2'fJO Yaca Y()..nc/q A:v-e ..
Address (insude Bldg/Suite I) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No.
A&sessor' s Parcel I Existing Use
255 -010 L/2 res,otwce, 2 Proposed UH
Total I of units
Name Address City State/Zip Telephone I
~~~~ ~ I~ii~ctg°r'~ [E.4gini'.fi>gQ/lii.i~!ii:'12.□..9Yiim.~Cl.A-11!1ntt2i~c:•,7~, • ·---~;;:, ~-::;;,;~· . ; 2 I I #t O v4-"1160 1.f3f: ....... .
State/2ip Telephone I
~ ee ws~m,.:5t:~~···~.: =-,. \
Or: 9200 <f 9YY-Ju,19
Name Address City Stata/Zip Telephone I
!&:i~.t>:eo~Ji~OMe~
(Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construe1, alter, Improve, demolish or repair any structure, prior to its
issuance. also requires the epplicent for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's Ucense Law
(Chapter 9, commending 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 mora than five hundred dollars 1$5001). r 7?o . z, · . ♦ J C4 q -
Address City State/Zip Telephone I
State Ucense I {J023 Jf? ~JA ~~~-City Business License I I 2 Db 2 1s' ,
Oesignar Address City State/Zip Telephone
State Ucense I _________ _
~•!r.WQIUC.EAStCOMPENSA TION..ili'; .. ~~~€il~IL:~L~~...: ·.,~~ci·~~L~£,~~;k,;:.i)j;~1,~~.-:-<r•ffl~~~~~Z'~{fi:~~:i ... ~: :.~~· .. ,e~~ ......
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of tha following declarations:
0 I have and will maintain a certificate of consent to aalf-inaura for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
IQ. 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
luued. My worker's compensation insurance carrier and policy number ara: /-
Insurance Company Sftvl...r, fud Policy No. zg2_ 'f] LJYU.J. '101.. Expiration Date J-CJ'S
(THIS SECTION NEED NOT BE COMPLETU> IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify thet in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: ·Failure to aacure•worltara' compensation coverage ia unlawful, and ahall aubject an employer to criminal penaltiu and civil finea up to one hundred
thouaand dol 00,000), in ad "tion to a coat compensation, damages u provided for In Section 3706 of the , lntereat and anomey'a fNa.
DATE __ +-+-,H--,1--.~--
~~;:..~~,a~'.::;w&'i~~-!"~~~~tp "'? ~::;~~~·\~:-!:~t.t ... :. :.:::.c -
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the w is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to • r of property who builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are ended or offered for aala. If, howavar, the building or improvement is
sold within ona yaar of completion, the owner-builder will hava the burden of pro · at he did not build or improve for the purpoaa of aalal.
0 I, as owner of the property, am exclusively conuacting with lica contractors to construe, the project (Sec. 7044, Businua and Professions Code: The
Contractor's License Law does not apply to an owner of pr011 who builda or improvaa tharaon, and contracu for auch projects with contractor(al licenaad
pursuant to the Contractor'• Ucens• Lawl.
0 I am exempt under Section ------:::::..,,,..-·
1. or and materials for construction of the proposed property improvement. 0 YES ONO
2.
3. e following person (firm) to provide the proposed construction (include name / add, ... / phone number / contractors license number!:
4. I plan to pr de portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ co ctors license numberl: _______________________________________________ _
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 workl: _________________________________________________________ _
..
13 th~ a;,:,Hc::1t er future t:uildir.v occupant raq..,;ra.:I to •ubmit • bu~inna plan, ac hazardous materiala registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hu Substance Account AC17 0 YES O NO
Is the applicant or future building occupant required to obtain a per · rom the air pollution control distrie1 or air quality management district? O YES O NO
la the facility to be constructed within 1,000 fNt of the o O YES O NO
IF ANY OF THE ANSWERS ARE YES, A RNAL C CATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFRCE OF EMERG SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
[i~<ro.NiTRUCTlON LENDING.AG . ~.,~~~~~~Z,.:;t;~~,. . .;,:;":_~g"f;;:,;:.::" ... ~~;;;-~~A · ~ -i~~-;,;-:·~~;: · -:·~·~-.
truction landing agency for the performance of the work for which this permit ia is•ued (Sec. 30970) Civil Codel.
LENDER'S ADDRESS -----------------------------
'\\_•.•
I certify that I hava read the application and stata that tha above information is correct and that tha information on the plans is accurate. I agree to comply with all
City ordinancaa and State laws relating to building construction. I hereby authorize rapreaantatlves of the City of Carlsbad to entar upon the abova mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 strue1uru over 3 atories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Coda 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 work is enced for a period of 1 8 days (Se ion 106.4.4 Uniform Building Code). 1/ L
APPLICANT'S SIGNATURE ____ .fL._µ::::....:;-;p.:::1.,--""c....,t-,,:.~.d.'...CJ:::.~6--===-------DATE ~/9:_97
WHITE: File YELLOW: Applicant PINK: Finance
·~ V CITY OF CARLSBAD
1.
2.
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SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS a.LI (I> Q :3:'0,.6vv)...-1:J.th) fllco a hP?
TYPE OF BUILDING: RESIDENTIAL / COl'flERCIAL --ROOF SLOPE: RISE ------1:l__ inches in 12 inches
TYPE OF EXISTING ROO~ING , Sp~
NUMBER OF EXISTING ROOF COVERINGS (circle one) 2 3
NEW ROOF MATERIAL C«f:x°i t Q R2 CLASS fc WEIGHT PER SQUARE 9 ,50
NUMBER OF SQUARES ~_j
TRADE NAME ea~o Ro-n<lih,o 'SC\.. MANUFACTURER Lui::½-, :t,.,Q o
ROOF SYSTEM APPR~AL UL No. T:.c,eo Other ____ c:r-------
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES V: NO __ _
If the answer is no. a roof plan must be provided with this· application.
Fire rating of roof: Class A VClass B. __
I understand the following inspections are required:
C) Tear Off/Pre-inspection prior to installing new roof covering.
{i) Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN DATE
Contractor ~Owner ---Contractor Name &~ ~
*6 -Rolled Roofing. Tile. Shake. Shingle. Asphalt/Comp Fiberglass. Built up.
City of Carlsbad
■=-1 1 1 I t!ll,1•1 •24 .g;;;, ,14,1 I
REROOFING PERMITS
A reroofing permit is required for all occupancies when:
I. Removal of the existing roof covering is required by
· Appendix, Chapter 15, 199-4 _Uniform Building Code,
OR
2. A lighter weight roof covering is being replaced with tile.
(Engineering calculations may be required for the supporting structure.)
The attached Supplemental Building Permit Application must be completed in
addition to our standard application.
Our adoptive ordinance requires that all replaced roof coverings be CLASS B
or higher. ·
REQUIRED INSPECTIONS:
1. T·EAR OFF-Inspection required for existing or new sheathing,
prior to underlayment or covering.
2. FINAL INSPECTION
2075 Las Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161
PERMIT# CB972323
DESCRIPTION: REROOF 2100 SF,
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 09/11/97
STANDARD TILE
JOB ADDRESS: 2410 JACARANDA AV
APPLICANT: URBACH ROOFING
CONTRACTOR:
PHONE:
PHONE:
OWNER: PHONE:
INSPECTOR AREA NF
PLANCK# CB972323
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 431-5113
REMARKS: C/ROGER/431-5113 OR989-1929 INSPECTOR ____ AJ._._r ______ _
SPECIAL INSTRUCT: AM AS EARLY AS POSSIBLE. VERIFY FRAMING AND ROGER HAS TAKEN
PICTURES.
TOTAL TIME:
CD
15
LVL DESCRIPTION
ST Roof/Reroof
ACT COMMENTS
kf ______ _
------------------
--------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
090897 Roof/Reroof
ACT INSP
CO NF
COMMENTS
SEE NOTICE