HomeMy WebLinkAbout2412 MAJANO PL; ; CB031780; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-01-2003 Miscellaneous Permit Permit No: CB031780
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2412 MAJANO PL CBAD
MISC
2550810700
$7,306.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
07/01/2003
RMA
07/01/2003
07/01/2003
Project Title: BROW RES-2600 SF-STD WT CONCRE
Applicant:
PRENTICE ROOF CO
2917 ANAHEIM ST
ESCONDIDO CA 92025
760 737-9636
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $140.00
Inspector:
PAERMIT FEE
Owner:
BROW KARENA
2412 MAJANO PL
CARLSBAD CA 92009
Total Payments To Date: $0.00
Fl NAL APPROVAL
Date: -o
Issued:
Inspect Area:
$140.00
$0.00
$0.00
$140.00
Balance Due: $140.00
8591 07 /01/03 0002 01
CGP
Clearance:
NOTICE: Please take O roval of your project includes the ulmposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/ex · ns." Yo ve 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.
02
140-00
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. {13 dJ J ?£0
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. __ 7+--,__,,,_(...,.C,.....,(.., __ _
Plan Ck. Deposit
v0aatli8d_a_te_d_s_v:~~:•:~:~~-l~-t4:_..,,_..A-::~~~~= ZI, _l!L
Addrlr (include Bldg/Suite #)
7-I 7-\l\lt,Jq~ 4-rJo Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
-t5
Assessor's Parcel # Proposed Use
# of Bedrooms
3
Name Address State/Zip Telephone# Fax#
Address City S.tate/Zip Telephone#
c.:'.Ure . a -:-M:e~!'l.Y~l'ilAM~~~,,,-:iai!~;
(Sec. 7031.6 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 Code) or that he Is exempt therefrom, and the basis for the alleged
tion Any violation of Section 7031.5 by any applicant for a p~m_it subj cts the applicant to a civil penalty of not more than five hundred dollars [$6001).
, I m-t-i wt tP-1€7-Sf'6.3G,
Name
State License # --~~ .. / ~\ _'5?:d: __ ~--City State/Zip Telephone #
License Class ___ 6_-_s>/ _ _,__ ___ _ City Business License # _______ _
Designer Name Address
State License:.;.',.;:;:;;:;::::;:;::;-::;::;;:::;:;=::;;:.. ___ "'"-•--· ((. .c51'L~I\S' ~Ot,,PENSA:tlQN
Workers' Compensation Declaration:
City State/Zip
11\":"'!t'' ... !"✓.~
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.
r;;(' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which tz· pe~·t is
~ued. My worker's conp~surance carrier and policy number are: t/ ~ ..... /
Insurance Company ~ ~ Policy No. 6/ 11"7 j3MV"Jo--/ Expiration Date -:,:_ ~ 11 i
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) f {
O 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 become subject to the Workers' Compensation Laws of California.
WARNING: Failure to secure ~rs' compensation coverage Is unlawful, and shall subject an employer to criminal penalti s and civil fines up to one hundred
thousand dollars ($1 00 ), In ldd-W.n to the cost of compensation, damagH ea provided for In Section 3706 of the Labor c de, I erest and attorney's fees.
DATE r I t.B
O 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).
O I, as owner of t he 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 O NO
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 ______________________ _
~COMP~lt~l:!IS SECiiof.i FQR N])N.dlfSJPENTJAL B_UILPINQJPERMIJS ..PJM~ ,.
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? 0 YES O NO
Is the applicant or future building occupant required to obtain.a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
[8,; fH~l'.flUCTlQN'LiNPiNG ~GEN~'::;;
I hereby affirm that there is a construct ion lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
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 Cit\' 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 bv, e building Official under the provisions ol this Code shall expire by limitation and become null and void If the building or work
authorizec1 t,y such permit is not com en d within 180 days from the date of such permit or if the building or work authorized by sue perm is suspended or abandoned
at any tirr ,•1er the work is comma ced f r a p riod (Section 106.4.4 U Building Code).
APPLICA . SIGNATURE DATE
PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2417-tl-1.,4~~ fL
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. __ _.
3. ROOF SLOPE: RISE f inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (3) 2 3
5. TYPE OF EXISTING ROOF COVERING 'S';/(1:ffe SHEATHING /tt (JYJ
*6. NEW ROOF MATERIAL:Jlu. CLASS_&_WEIGHT PER SQUARE q.,v
7. -NUMBER OF SQUARES 24#
8. TRADE NAME C4f'17~ MANUFACTURER ~
9. ROOF SYSTEM LISTING UL No. __ ~_.ICBO No. ?Vi-L/,1, k,
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. CombU'Stible 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
inspection.
Signature.---"~-------~--,;;;;..-c-------Date _ _.,1-1-/4-'--+-;;-"-/-'S'--_ I I
Contractor Y Owner ____ Contractor Nal!'e ~ ec· /?.-4:
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 07/10/2003
Permit# CB031780
Title: BROW RES-2600 SF-STD WT CONCRE
Description:
Type: MISC Sub Type: REROOF
Job Address: 2412 MAJANO PL
Suite: Lot
Location:
APPLICANT PRENTICE ROOF CO
Owner: BROW KAREN A
Remarks:
Total Time:
CD Description
19 Final Structural
0
Act Comment /}
1JP_ /, p!aJ(
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment: JE ..:...,_ __
Phone: 7607379636
Inspector:
Requested By: CHRIS
Entered By: CHRISTINE
07/02/2003 15 Roof/Reroof AP JE 1147·G3·0KTOCOVER