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Home My WebLink About2602 JACARANDA AVE; ; CB033446; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-11-2003 Miscellaneous Permit Permit No: CB033446 Building Inspection Request Line (760) 602-2725 Job Address: 2602 JACARANDA AV CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED 12/11/2003 KMT 12/11/2003 12/11/2003 Parcel No: 2551132800 Lot#: 0 Applied: Valuation: $8,711.00 Reference #: Project Title: RAMIREZ RES-REROOF-TILE 31 SQ CONCRETE TILE Applicant: A PREMAN ROOFING 4385 TWAIN AVE 92120 619-280-8391 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Entered By: Plan Approved: Issued: Inspect Area: Owner: RAMIREZ MENDOZA SALVADOR&KATHERINE M 2602 JACARANDA AVE CARLSBAD CA 92009 $153.00 $0.00 $0.00 $153.00 Total Fees: $153.00 Total Payments To Date: $0.00 Balance Due: $153.00 ,/ Inspector: 0781 12/11/03 [)002 '.J.:L C:[iF" Clearance: 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 f whi I Tl E imil o hi r ow i h oflimi in ha r vi 1 )2 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK No .G/20 33(/(/~ EST. VAL. [, 7 / /, Oc) Plan Ck. Deposit ~-,-------- Validate~m ~/[JL Date L Ii W;i i 0, IIBOjECT INFORMATJ,P!'<L · .. '7 Z v, 0 Z. ,'l_a C t:i r a.,,,. pt c, Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Ass_»ssor' s Parcel # Existing Use 3 {()O I Proposed Use 3 lfe -MtJ/zn!J- Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms State/Zip Telephone# Fax# Name Address City State/Zip Telephone# City (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 therefrom, and the basis for the alleged exem~ Any violatiof½I' Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). a..~ r M~ ~3er &--;,, k $.o. o1 rz12e1 {(,/'f) 2¥0 -r311 Name Address City State/Zip~ / • Teiepho,o9 # State License # 7 (t, '1'1 I 7 License Class C -3 1 City Business License # _(!tJ l.l.,0/ ror--1 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WJIB.!WiS' ~~N§AJ'ION 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. i7f' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of t he work for which this permit is ~d. My worker's co ensation insurance carr rand policy number are: , / / lnsuranceCompany ·r: rVNt) SC5 PolicyNo. YD2-ZTo -200} ExpirationDate '-flj{O'/ (THIS SECTION NEED OT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 1 / 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. rkera' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred additi o th ost of compensation, damages as provided for in Section 3706 of the Labor od interest end attorney's fees. DATE /2 '/I () 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 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). O I am exempt under Section ______ Business and Professions Code f,or 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 I 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 ______________________ _ DATE __________ _ COMe!,Il~ THIS SECTION FOR @N:BESll?Ffi71A(B!J1.l.,DlfiQ~llt,1J.Ii..ON!,. Y,_._ __ _ 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. [!! ~Q!llfilf!\!CIJQt,.i LJNDING AGENC _ --'--••---"'-'-"'-·- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3og7(i) Civil Code). LENDER'S NAME ______________ _ (v; 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 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 Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced ithin 180 ays 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 commen 80 s (Section 106.4.4 Uniform Building Code). /4 ! APPLICANT'S SIGNATURE __ ...,c:.._11--..e..,,.:...._,11-....,#.---------------DATE '0 LP} l WHITE: File YELLOW: Applicant PINK: Finance 1 City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: 2-(e:02--~Cara'7/q /4 . • 2. TYPE OF BUILDING: RESIDENTIAL K COMMERCIAL. __ _. 3. ROOF SLOPE: RISE t/ %__ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTING ROOF COVERING ,5/::i'j) -SHEATHING wood' f /4~ , *6. NEW ROOF MATERIAL @c CLASS A-WEIGHT PER SQUARE / o{Pi)._ 7. -NUMBER OF SQUARES __ 3_/_~ 8. TRADE NAME [;A&>L-lc MANUFACTURER ______ _. 9. ROOF SYSTEM LISTING UL No. __ ~_ICBO No. </{p(po 10. IS THE EXISTING STRUCTURAL DESIGN ~CIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (::!!Y 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: .,, i'( 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_...,._Sfc.._... . .;;......L-~--1---L/l~L~_:-_-_· ___ Date_-'-/ 2-,-,1f--/4-=--//'>">/4_,o~)- Contractor ~ Owner X Contractor Na!Jle ~ · /4.#uv1 *6 • Rolled Roofing, ~Lite~ Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 04/30/2004 Permit# CB033446 Title: RAMIREZ RES-REROOF-TILE 31 SQ Description: CONCRETE TILE Type: MISC Sub Type: REROOF Job Address: 2602 JACARANDA AV Suite: Lot 0 Location: APPLICANT A PREMAN ROOFING Inspector Assignment: PD --- Owner: RAMIREZ MENDOZA SALVADOR&KATHERINE M Remarks: SAID YOU SIGNED OFF ROOF ON 12/11/03 Total Time: Requested By: KATHY RAMIREZ Entered By: CHRISTINE CD Description Act Comment 15 _R_o_o_f/_R_e_ro_o_, ______ 1: f ( µ ft-v- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments