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Home My WebLink About2503 JACARANDA AVE; ; CB020072; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-08-2002 Miscellaneous Permit Permit No:CB020072 Building Inspection Request Line (760) 602-2725 Job Address: 2503 JACARANDA AV CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED 01/08/2002 JM 01/08/2002 01/08/2002 Parcel No: 2550703500 Lot #: 0 Applied: Valuation: $7,868.00 Reference #: Project Title: THOMPSON -REROOF 2800 SF LIGHT TILE #2656 Applicant: SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 aoo 338-6868 Entered By: Plan Approved: Issued: Inspect Area: Owner: GONZALEZ ROSENDO&MARIA 2503 JACARANDA AVE 8376 Oi/08/02 ~02 Ql 02 CARLSBAD CA 92009 GP 140 • 00 Total Fees: $140.00 Total Payments To Date: $0.00 Balance Due: $140.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $140.00 $0.00 $0.00 $140.00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NOLJ3d.Z _, 7-i, CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit :---i:l,.....-=-------,,'---r-- Validated By_---.:--+-+-¥--b---,--+....,,..+-.~ Date __________ .....,......,-'-fl---="- Address (include Bldg/Suite #I b Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units I Proposed Use :3 #of Stories # of Bedrooms # of Bathrooms Address City A~~qfilr@.qtorfMD .Qwner v:·□-Agent for 01Nper . ~ ~ Name Address City f4 'li:.:.:~t:ir:,,..1'J~~~.,---h••~~- Name Address City State/Zip " State/Zip Telephone If •,C I.JI. Telephone# ... State/Zip Telephone If ., ·.••. ,-:::S; "J!.-:,,~,-· Fax If (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 ha 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, end the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civiJ..penalty of not ll)D[e than · hundrei_dollars 1$6001). 0EQ.M. (.2.G '2-60 f (N C. 4 -rf2.A tr:_ S,7 · '::l i) ~ A ~(f \fet 3 ~ 7 Co (, ? Name State License # __ Si_q_o_i_~_<..( ___ _ City State/Zip Telephone If City Business License # 120? 4, ~ 2. Address License Class ___ A __ ..,.... ___ _ Designer Name City State/Zip Telephone State License # __________ _ •'W.ORKERSf c.dMe.1;NSA'i'i:ON~~ l"'l<; ,r:',f'l<l' " Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 'ji!J 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 or the work for which this permit is Issued. 0 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company __ -e-=-·n'-'w_r~E,-~P_u._fv~J)~-------Policy No._~t?~-g,~G"~'~<f:_&~6_D~~"'2. __ Expiration Date. __ f_-_f_-_o __ 5 __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 workers' compenHtion coverage la unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (~OQJ,, In addition t~he coat )lf companHtlon, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATUAE•~r.;;;~~~~~~~rW,~;;::::~;;:;~;=.:;;;;;;;:;;;;;;;;;;ffl;;;;;;:--,;:;:;;;,;;;;;;;:-;:;;::::;:;~;::;,;~~. DATE /-? -0 ~ tt p_w"tftR°lliijj~ii_u;.QE.Ql.'.ABAT!QNJ ........ -..-~ , -~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 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 Coda: 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). 0 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(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 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 (firml 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) .. ·_----------------------------------------------- 6.' I will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name / address / phone number/ type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATUAE~w.;~~~m ~~~w~m~:;;;;;;u:;;;;;;;;;:;;;:-;;i,~.,;:;-DATE -.,....---------(eQMeC[i°"tfij31~11_~]H_d§i~To~emidf:f.1!0N~Y ""!91 :'t·•·,. •.1/ .,.,..,., , · , "r 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, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO . Is the applicant or future building occupant required to obtain a permit from tha 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 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(H Civil Codel. LENDER'S NAME c~ .. ~~m , ....... ~ti 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 Citt 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 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 6'0" 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 llmilation and become null and void If the building or work authorized by such permit is not commenced within 180 day 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 ls~nce~r a period of 180 ys (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE '----==:_...:::~~::::::::::__:~f;;;i_...k.::::?:'.::::~~~=--------DATE / r-(J f" .-o ).._ WHITE: FIie YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENT AL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: ~503 'JA CA /'JDR/\ 2. TYPE OF BUILDING: RESIDENTIAL 'f-COMMERCIAL_~ 3. ROOF SLOPE: RISE_:!,l.L~_inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTING ROOF COVERING ~a:.-6._ SHEATHING ¼.v?.. *6. NEW ROOF MATERIAL TIU: CLASS A WEIGHT PER SQUARE 5 -8' 7. -NUMBER OF SQUARES ~ 'i{ 8. TRADE NAME J:Wf.2.At..lTE t11UA MANUFACTURER M6 N 1E:f2.-· 9. ROOF SYSTEM LISTING UL No. ___ ~ICBO No. 2<:,~{:, ' IO. IS THE EXISTING STRUCTURAL DESIG_!:!-~IENT 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: , @ear Off/Pre-inspection prior to instal~ew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature C:::;;h, R... 'e, .. ~ , , J Date __ ,_-_0_'\s_-_0 _1 __ Contractor ½' Owner_· ____ Contractor Narrie S~ !f2°Y£ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. ' City of Carlsbad Bldg Inspection Request For: 01/17/2002 Permit# CB020072 Tille: THOMPSON • REROOF 2800 SF Description: LIGHT TILE #2656 Type:MISC Sub Type: REROOF Job Address: 2503 JACARANDA AV Suite: Lot 0 Location: APPLICANT SECURE ROOF INC Owner: GONZALEZ ROSENDO&MARIA Remarks: Total Time: ----- CD Description Act Comments Inspector Assignment: GG --- Phone: 8586937663 Inspector: ---- Requested By: TUA Entered By: KAREN 19 Final Structural -11f!_ ____________ _ Associated PCRs Inspection History Date Description 01/10/2002 15 Roof/Reroof Act lnsp Comments AP GG