HomeMy WebLinkAbout2508 JACARANDA AVE; ; CB972990; PermitB U l L D I N G P E R M I T Permit No: CB97.G.:19fi
Pr0iect No: A9703810 10110;97 11:07
oaqe 1 of 1
Jiib Address: 2508 JACARANDA AV
Permit Type: MISCELLANEOUS
Parcel No: 255-070-38-00
Valuation: 7,290
Suite:
Lot#:
D ijfu .l.f?#Th~97 ~01: 01 02
C-PRMT 164-00
Construction Type :
Occupancy Group: Reference#: Status:
NEW
ISSUED
10/10/97
10/10/97
JM
Description: REROOF 3000 SF , GENISIS TILE
: ICBO 5310-PLASTIC ROOF
Applied:
Apr/Issue:
Appl/Ownr : CAHEY ROOFING
3048 VIA MARIPOSA
CARLSBAD, CA 92009
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee 1
* MISCELLANEOUS TO Ak
760
Entered By:
591-3132
Fe s..... Collected & Credi ts ***
.00
.00
164.00
Ext fee Data
164,00 PERMIT f
164.00
Elll p
Pl'RMJ:/'.HA§ EXP/fl ER,v:,-1
SECTION 106.4.4 ED IN ,~CCORDANCE W/Ti . ~-~~-~~~
SIGNATURE _),,?fc,11..
". ,...., .... ·-----1~
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(,60) 438-1161
Plan Ck. Deposit --=!:.ll:......i'-"-==::...-
Validated Byr __ _f.,Lj~::::;"=-=--
Date, _____ .u.~e:.,,;-,_.,,_L-__ _
1. PROjECT INFORMATION
2,s:O b :i tcC l, c c,,,o 'Q CA..-
Address !include Bldg/Suite I) Business Name lat this address)
SP
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel II ,o cC w
Existing Use
'"l, Ox, 0
Description of Work SO. FT. lof Stories # of Bathrooms
;2, , CONtAct PERSON 'iii dltt.Nllllt ·trom llj,pilUntJ
Name Address City
o Agent" tor 0wner
State/Zip Telephone# Fax#
13. APPLICANT
'.bn1,o
Name
·-er·contrictor
Ct..J, ,,,..,
4. PROPERTY OWNER
1?, 0~ £ ¼ !:, "-!<D1'.
Name
D Agent fOr Contniciol'
'3 J2 ':) £, \J ' (A
Address
Address
S. CONTRACTOR , COMPANY NAME
LLL LuJ ,..,.,_ """-½elf Q J L'-.. City
City
t\ LOO(\ J '1 , , \)) L'.}.
State/Zip Telephone II
(.r:J ,.s~·::i½1 '1
State/Zip Telephone#
·~~"."""'""""'"-
{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 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 Coda) or that he Is exempt therefrom, end the basis for the alleged
exemption. Anv violation of Section 7031.5 by any applicant for a permit subjects the applicent to a civil penalty of not more than five hundred dollars (t500)).
C.e1-H;:'I ~ooh---,,.. )0'-"'s? ..,,,, ""'•, v,osv,. t...._ l\llt,,.. ~lo D, SG I· -:i i'L»
Name l Address City State/Zip Telephone #
License Class _,C~•-1-"-l_,\ ____ _ City Business LicenH I _______ _
Designer Name Address City State!Zip Telephone
State License # _________ _
6, WORKERS' COMPENSATION '",-:r'1~,· -
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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.
~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: }
lnsuranceCompany s~(A.Tr f...l.t,p PolicyNo. L.\'--\b· "'"l ExplratlonDate J_ <;'3
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESS)
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 worken' compensation coverage Is unlawful, and shall subject an employer to crlminlll penalttea and clvll fines up to one hundred
thousand dollars ($100,000>, In addition to the cost of compensation, damages u provided for In Section 3708 of the Labor coda, hltereat and attorney's fen.
SIGNATURE~,-, .,.,,. DATE ID-10-C)"\-
7. OWNER-BUILDElt i>ECLAFIATION .. · ~,, , '' "".:~:f·.'if~•-er~::;.,'"t-!'.1·:,• .,.;.:.,y~,n·-r,.,_,.
I her_eby 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 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 bulld or Improve for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of propany who builds or Improves thereon, end contract• for such projects wlth contractor(sl licenaed
pursuant to the Contractor's License Law).
D 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. D YES ONO
2. I (have / have not) signed an application for a building i,ermit 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 me}or work (Include neme / address / phone
number/ contractors license number):. ____________________________________________ _
6. J 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):. ______________________________________________________ _
:~~:::;~ ~::E:e:~~~: :~~E N-.ON-limD-. -. --•• -ElfrlAJ.-.. -. -.. -.-■-U-ILD-.. -1-N_Q_PE_'_li_M_iT--.. s-· 0-,N-.-L i-:---,?-·r-J-,,,.-, -_---(f-)-:'ff".,...._~----. _ --r-··-t--''.-m"'f'J~;; .. ~~'";;.,:-;';;";;"~;;~,~;;;,: ;;;_., .;;;,;;~;;; r;i-½ ...... :c:.:;;_,_~;;,.,;;,::'~· :--;:-:;:;-.• , • ' ,,, .• , ... , ........ , "
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 25605. 25633 or 26534 of the Presley-Tanner Hazardoi.ls Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air qualltV management district? D YES O NO
Is the facility to be constructed within 1,000 fut of the outer boundary of a school site? D YES D 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.
la ... cotisTRucnoMl1:t101r.10 Aoolcv •· · ... , ..... ., .. "'·"' .... , ......
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code).
LENOER"S NAME ____________ _ LENDER'S ADDRESS., _______________________ _
11[ APPLICANT CEil'iiFICATiON ·, r: '
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 Cltt of Carlsbad to enter upon the above mentioned
propeny 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 structures over 3 stories in height.
EXPIRATION: Every permit Issued by the Building Officlal under the provisions of this Code shall expire by limitation end become null and void if the building or
work authorized by such permit is not commenced within 366 days from the data of such permit or If the building or work authorized by such permit is suspended
or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT"S SIGNATURE ~ rl C '-"'----DATE \ 0 -\ o · (( ':/-
wH1TE: File YELLOW: Applicant PINK: Finance
1.
2.
3.
4.
5.
*6.
7.
8.
9.
10.
11.
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
JOB ADDRESS '25D 'fl .'.\ I/'--c u r L<->, D °'-'
TYPE OF BUILDING: RESIDENTIAL .-/' CO,..,.ERCIAL __
ROOF SLOPE: RISE '--'\ inches in 12 inches
TYPE OF EXISTING ROOF COVERING 'l. '-' k~v <-SHEATHING.--'$;.....:-c:::..:...' ?...:...._ ___ _
NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3
NEW ROOF MATERIAL C"' c0 c .i,;;,, CLASS P-. WEIGHT PER SQUARE )St,.
NUMBER OF SQUARES _,._._a_• __ _
TRADE NAME _£.<a;..l.<w"""'"',\""f--________ .MANUFACTURER:._;£e::...._.,l<(n~· "" __ E:_a::.-'------
ROOF SYSTEM APPROVAL UL No. $'°'3) D Other ----IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES / NO ----
If the answer is no, a roof plan must be provided with this application.
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
Contractor Name (.q Ii, :s-g 'Q.0 0 C,.
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
.._.o'i: CA,9~-S-<P
!.:: -·, 'P' U • -0 ~~, l'·ltff!J
<'4 _,,'1-
ltFO'i<"'
City of Carlsbad
■ :.jl II &II,,. I •24-814 ;_,, 14, I I
REROOFING PERMITS
A reroofing permit is required for all occupancies when:
I. Removal of the existing roof covering is required by
Appendix, Chapter 1s, 199-11 _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. TEAR 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
f
CITY OF CARLSBAD
INSPECTION REQUEST
P~IT# CB972990 FOR 10/14/97
DESCRIPTION: REROOF 3000 SF, GENISIS TILE
ICBO 5310-PLASTIC ROOF
TYPE: MISC
JOB ADDRESS: 2508 JACARANDA AV
APPLICANT: CAHEY ROOFING
CONTRACTOR: ) I I J._ 'I r-Lf: OWNER: , '-'?
PHONE:
PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB972990
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
760 591-3132
REMARKS: C/CAHEY/591-3123 AM PLEASE
SPECIAL INSTRUCT:
INSPECTOR --~/J___;_F ______ _
TOTAL TIME:
CD
15
LVL DESCRIPTION
ST Roof/Reroof
------------------------------------------------------
ACT COMMENTS Af _______ _
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
H