HomeMy WebLinkAbout258 JUNIPER AVE; ; CB022413; PermitL¥--~ •-;;_\c City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
08-20-2002 Miscellaneous Permit Permit No: CB022413
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
258 JUNIPER AV CBAD
MISC
2042405501
$3,330_00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
08/20/2002
SB
08/20/2002
08/20/2002
Project Title: CASA DE LA PLAYA 3000 SF COMP
TEAR OFF OLD COMP REPLACE WITH COMP
Applicant: Owner:
Issued:
Inspect Ar,ea;, ,. .. '!J
EXCALIBUR ROOFING CRUM ROBERT S&SUSAN S
2447 LA RAMADA LN
ESCONDIDO CA 92027
760 275-7384
Total Fees: $89.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector:
158 ACACIA AVE
CARLSBAD CA 92008
Total Payments To Date:
PERMIT FEE
FINALAP!JR~AL
Date: 1/ f% 2.
$0.00 Balance Due:
Clearance:
$89.00
$0.00
$0.00
$89.00
$89.00
NOTICE: Please take NOTICE that approval of your project includes the ~Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 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.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
i n f w . . ·v n N Tl h' h h ·m· i n h I h r...vi i
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK NO. C-~oz:z..L-1 I)
EST L s,°5 3o CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
. VA . ___ .,_ _____ _
Plan Ck. Deposit-=-------
Validated By~ __ ¢,..oc_ ______ _
Date 9z" [P -oL
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
Name Address City State/Zip Telephone II Fax#
Name Address
ooQ
ti<'" ~,)':ff;:_J<~±f*1ii/f;'. ./:-:;k;X'-' ' . :: · -~ .':-?,:~·· ~ q'l.O"L 7 7<-o---i •'¾ l -C T"\I
1 __ ma~~~i~~~~t~iET0~e~r:11~,~(S ,;:;s;?J~r&"'c·
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City State/Zip Telephone#
Name ..,.,.,.....,,.,, Address City S.tata/Zip Telephone #
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{Sec. 7031.5 Business and Professions Coda: 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
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). f,.:: C II c I i3 ~ ,'?.-R«,17 Nu--S ('fY'1'\ I::"
Name Address City State/Zip Telephone #
State License # ]O[o§: ( \,o License Class C -:;> °J City Business license # 7Cit> S>( k,
Designer Name Address City State/Zip Telephone
State License # _________ _
---~--':i!l.rb~1~j~;~~jl~l~1¥J~t~i,f~~%ij~f41:u¾~,;i~hl~i~:}k/:P..t~:£~;i:r, :i;1,i\:r:'i:~;\ ·:· 1c,,-,
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have snd 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 la issued.
~ 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: ! l
lnsuranceCompany -5:JA-:Ie:. furJ? PolicyNo."'-"'5 ,t,.C,,4 ExpiretionDate I_ I _O "3
ITHIS SECTION NEED NOT BE COMPLETED 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 aubject to the WOrkers' Compensation Laws of California.
WARNING: Failure to ■ecura worker,' compensation coverage I■ unlawful, and shall subject an empoyer to criminal penalties and civil fines up to one hundred
thousand dollars 1*100,0 01, kl addition to the coat of compensation, damagH •• provided for In Section 3706 of the labor code, ntereat and attorney's fees.
SIGNATURE DATE 2...6 ""l._
WWMWJall . .. ,, . _
I hejeby affirm that I am exempt from the Contra.ctor's License law 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 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 w'ork himself or through his own employees, provided that such improvempnts are not intended or offe_red for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of prbving that he did not build or improve tor 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 l~bor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have/ have not) signed an apl)$1catlon for a building permit for the proposed work.
3, I have contracted with the following person (firm) to provide the proposed construction (include name I 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 (hired) the following persons to provide the work indicated (include name / address / phone number / type of work):, ______________________________________________________ _
Is the applicant or future building occupant required to submit a businass 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 buildlng occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is tha facillty to be constructed within 1,000 feet of the outar boundary of a school sitai' 0 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.
Wimff!.ll!ii---l-f~lliilli-~~!i~1·/?~}!'J:,,~: .. · • .. · ',r,'lrh:~',,::•:r; .. • ' ,,, ,,,.·
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) 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. 1 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 s·o· 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 shatl expire by limitation and become null and void if the building or work
authorized by such permit Is not commenced within 1 BO 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 co~or a period ~80 days (Section 106.4.4 Uniform BuHdmg Code). /
APPLICANT'S SIGNATURE ~ DATE g:f 2.,:,, r D <--
WHITE: File YELLOW: Apphcant PINK: Finance
Jr?ffgli,m
.~·······.; .. • City of Carlsbad Bldg Inspection Request
For: 08/29/2002
Permit# CB022413
Title: CASA DE LA PLAYA 3000 SF COMP
Description: TEAR OFF OLD COMP REPLACE WITH COMP
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
258 JUNIPER AV
Lot
APPLICANT EXCALIBUR ROOFING
Owner:
0
Remarks: 8029400 CELL.. ?ii 71 Si SF
Total Time:
Act Comments
Inspector Assignment: RF ---
Phone: 7607410771
Inspector: /( F
Requested By: JIM
Entered By: GIOVANNA
CD Description
19 Final Structural AL_ ______ _
Associated PCRs/CVs
//Db-€7
Inspection History
Date Description
08/22/2002 15 Roof/Reroof
08/21/2002 15 Roof/Reroof
Act lnsp Comments
AP RF
NR RF SEVERAL SHEETS OF PLYWOOD DRYROT 11 :45AM
..
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: jjiS't. .! Si :JR .. i-i;, ~~ fa<'!~
2. TYPE OF BUILDING: RESIDENTIAL ~COMMERCIAL c__ _ _,
3. ROOF SLOPE: RISE :Z: inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) @ 2 3
5. TYPE OF EXISTING ROOF COVERING ('<JMp SHEATHING (?L+ .
*6. NEW ROOF MATERIAL (C>M Q CLASSAWEIGHT PER SQUARE
7. -NUMBER OF SQUARES o C) ()( .'-1)
s. TRADE NAME £LI<-MANUFACTURER Wcftie&w-4.
9. ROOF SYSTEM LISTING UL No. e_ :> .,_ I..;--ICBO No. _____ _,_
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. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required: •c, ,-,
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.
Date __ &'__,_(_?c:i__,/_o_'"L___ __ Signature %
Contractor*Owner ____ Contractor Narrie 0i ~ Cc,-.i Ct'lJ
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.