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Home My WebLink About2501 JACARANDA AVE; ; CB973173; Permit8 U I L D I N G 10/G2/Y7 14: .:S6 Paqe 1 of 1 Job Address: 2501 JACARANDA Permit Type: MISCELLANEOUS Parcel No: 255-070-34-00 Valuation: 6,075 AV P E R M I T Suite: Lot#: Occupancy Group: Reference#: Description: 25 SQUARES OF TILE RE-ROOF : WITH CALCS. Permit No: CBY7~17_ Project No: A9704Go0 Development No: Conwfo-t101~,{rf:~fp1~~% ~ App RW" 1 0121 /El.;90 Apr/Issue: 10/22/97 Entered By: MDP Appl/Ownr : URBACH ROOFING 760 431-5113 2131 PALOMAR AIRPORT CARLSBAD, CA. 92009 "** Fees Required *** Fees: AdJustments: Total Fees: Fee description Miscellaneous Fee l * MfSCELLANEOUS TO AD ROAD #300 ) CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 .00 .00 148.00 *** Ext fee Data 148,00 PERMIT 148.00 / / FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. <j],,,.. 2)/13 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date ______________ _ ~ECT.1NE:ORMATJON~i.~..h::;F~?~ .. ~~Y]J~~(~:~~-{;;:4S>t,~'!;;~::'.i";.V~1.-~- g SO { J ~ C..~o..... Address (include Bldg/Suite I) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Assessor's Parcel I Existing Use Proposed Use Total , of units Name Address City State/Zip Telephone # Fax 11 ~:z~~.:!:i.:0".'.'eiirrtr,a~Qrj.: [liA~tnJ~f9~9.l1~-~!irl::~,D..9~iu1:·:hO!A-"g~ro-{QLP-~~1i ai...f~"ir.~~S,;,"'ffir~~;i;-_;-,~::it~: ... ic . _ (Li ha.ch, Roowri; Jn~ a,~, PaJwp..u4YfA.t:: ~!--"3oq1@4a1.to4 c..A 9)-()()'f ,r,tJ-'-{~1-s113 Name Address City State/Zip Telephone I ~~.f.~0~q:;_~.f~~f1.w?°M~~+'~£:er:rmrffl"'f2SR~b .. z~~:fil°'::~;'.'~~-;")_:,.:._::.;;_c•., I.snacio ... ma.-uo.-b,.,t-a.:fr}r?I?, e.J. ,R5o I Ja lM~"-, (4..,&h@&-Cft '1~1.V'i ?~o-'l'l'l-,9~, Name ddress r City State/Zip Telephone I (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 Code) or that he is exempt therefTOm, and the basis tor the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). LWQe.cJ, l(oo'W?1j Jnc,. . 0 / , / (PJ.rro,o-t,. C4¥mJ: f?tl ~ ~ ~ ~Ao~ GA-9J.OO'i ? ~ 0-'I ?,J·S II?, Name I Address City State/Zip Telephone I State License I ~ () )i ? ? 3 License Class C -~ <f City Business License I J 'I Ob~ °lf'9 Designer Name Address City State/Zip Telephone State License I __________ _ ~!:3lQRJ(.EJjs:~oMPENSATIO,U:~;2~~nl~~.£:~~.l_:-·,,~.::_~J~~::~~,;::~t;_L~;iu;f;":;~ff~:::,t11~'5'S:~~~~.tc,~ .. t;;-£_~o.;,:i~~.-J:_~,.~~-.. _ Workers' Compensation Declaration: I hereby affirm under penalty of perjury_ one of the following declarations: 0 I have end will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of tha Labor Code, for the performance of the work for which this permit is issued. g/ I have and will maintain workers' compensetion, 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 Sjp.:il d,~ Expiration 0ate __ /_·_/_ .. _q_;J __ _ (THIS SECTION NEED NOT BE CDMPL.ETa> IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING:°. Failure to aecure•worlters' compenaation coverage ~ u a...,ful, and ahall aubject an employer to criminal p.na!tiea and civil finH up to one hundred thousand dollan {$ 00), in to th st of com , damages II provided for in Section 3706 of the l.abqr code, lntarut and anomey'a feo. DATE IO·~).-lj 7 I hereby attirm 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 work and the structure is not intended or offared 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 yur of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpoae of aale). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, BIJSinesa and Professions Code: The Contractor's License Law does not apply to an owner of property who build• or improves thereon, and contracu for auch project, with contr■ctor(a) licensed pursuant to the Contractor's Ucenae 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 / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work (includa name / address / phone number / contractors license number): __________________________________________________ _ 5. I will provide some of the work, but I have contracted (hirad) the following persons to provide the work indicated (include name / address / phone number / type of work): _____________________________________________________________ _ PROPERTY OWNER SIGNATURE ________________________ _ DATE _________ _ t., ~~., t~~lic::-:t er future tuHdlr,,; vccup•nt r•qUf,ad to ,ubmit • bu~ine~ µIan, acuteiy hazardoua materials reg1strat10n term er ns5c management and preven!1on program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obuin a permit from the air pollution control district or air quality management district 7 O YES O NO ls the facility to be constructed within 1,000 fHt 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 APPUCAHT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POUUTION CONTROL DISTRICT. :Sb::i'f~.NSTRUCTION l.ENDING~GENCY·7~?,;~~z._~~l~" ~ ~;u~~~,:,:;:-" ... -;:~;;~2~~ .~ I hereby affirm that there is a construction lending agency tor the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ LENDER'S ADDRESS _________________________ _ '$;.. . ...:APPUCANT-CERTIFICA TION I certify that I have rud the application and state that th• above information is correct and that th• Information on the plans ls accurate. I agree to comply with all City o,dinances and State laws relating to building construction. I hereby authorize representatives of the City of Cartabad to enter upon th• above mentioned prcpetty for insp.ction purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CAR.LSBAD 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 p.rmit is required fo, excavations over s•o· deep and demolition or construction of structutu over 3 stories in height. EXPIRATION: Every p.rmit iasued by the Building Otticial under the provisions of this Code shall xpire by limitation and become null and void if the building or wo,k authorized by such permit ls not commenced within 365 days from the date of such permit r if the building or work authorized by such permit is suspended or abandoned at any time after the is commenced f period 80 days (Section 106. Uniform Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance ..... ea V CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS J So I Jac~- 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL __ 3. ROOF SLOPE: RISE 'j inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING _..:::S:..:..h~"4t-=~--SHEATHING _______ _ 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) CI) 2 · 3. *6. NEW ROOF MATERIAL st,n,;l4.4 l<&(~t-'f,~tfss__fr__ WEIGHT PER SQUARE 9 so 7. . NUMBER OF SQUARES ____,,,J..,.5'----- 8. TRADE NAME _ C.-ba,/!/1", MANUFACTURER Js/•-b·/.1, ~ce ,u.,u.w 9. ROOF SYSTEM APPROVAL UL No. _____ Other '® -dollSw·t° 10. 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. 11. Fire rating of roof: Class A~ Class B __ I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN Contractor Owner ------ DATE URBACH ROOFING, INC, 2131 PALOMAR AIRPORT RD., #300 Contractor Name . CARLSBAD, CA 92009 -----1M6'f'l,9ft1-,j~~)t,:.t;;11-ft1S:t------ 1~0 *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB973173 DESCRIPTION: 25 SQUARES OF WITH CALCS. TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 11/04/97 TILE RE-ROOF STE: INSPECTOR AREA TP PLANCK# CB973173 OCC GRP CONSTR. TYPE VN LOT: JOB ADDRESS: 2501 JACARANDA AV APPLICANT: URBACH ROOFING CONTRACTOR: OWNER: REMARKS: C/KAREN/431-5113 PM PLEASE SPECIAL INSTRUCT: ~~~~: _4_3,~~d-5_1_1_3 _______ _ TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof _p_ --------------------------------------------------- ACT COMMENTS ~ ~,f u!lll. 5~te pvt-, ,v,,'1'"(! .4£!.... ------------ ***** INSPECTION HISTORY***** DATE 103197 102997 DESCRIPTION Roof/Reroof Roof/Reroof ACT INSP CO TP CO TP COMMENTS SEE CARD ROOF FELTED & STACKED A/PT~/ /?o,:,~ c,...,,of ,e~,-n,:11!7 _,.. .r;-,:,;:.):',t:.-0 /.JI 77M~ ,:,,e ;,./~~ e::o/VT7llOC/'Z,/4.....; t,.J~ /Jrkt!CJ ./-b t,~d-,,J A-AEN< !ff!. ;9 11/l,.,>-<tJ;.,r,. ,r::: 7ii5i I 77b rs; "'-,e::-e,~ t//fvwl-1 ;v~,.,.J e-,e. A/A/~17 · Ce,,.;n?t.14£-"1"'W'--" 4,1/H AS-1£~.0 7e1 $"1.A(//1'1~ A t-e.rr~+t> ~ ci7 S'TA17"'6/l'v,/J r"J-'I"~ f~I""? v.r~ n pv,17 /VXJ11.,1.,A,J ,S";::µt:7 5,e?o-r ~/:::._ / AP/fl~A~f(? I . e1te Ao1,~ t,/j{"1,,/Jl/~x:7 f/~er17 ~ ,,(J,'/0£115'° 4o A/0 r~,o • URBACH ROOFING, INC. 2131 Palomar Airport Road, Suite 300 Carlsbad, California 92009 (619) 431-5113 FAX (619) 431-5114 ucense #602378 October 31, 1997 Tim Phillips, Inspector Carlsbad Building Dept. 2075 Las Palmas Dr. Carlsbad, CA 92009 RE: Permit #CB973173 2501 Jacaranda Ave. Dear Mr. Phillips, We are presently reroofing the house at 2501 Jacaranda Ave. We removed the existing shake roof and installed CDX plywood. Per the engineering report,additional bracing was not required. We installed the plywood to code, 6 11 boundary nail on the joints and 1211 in the center of the sheets. We then installed 40 pound felt underlayment and Lifetile standard weight tile. Sincerely, C?r~ Roger Urbach President