HomeMy WebLinkAbout2603 JACARANDA AVE; ; CB033334; PermitBuilding
Job Address:
Permit Type:
2603 JACARANDA AV
MISC
Parcel No: 2551141100
Valuation: $7,868.00
Reference #:
Project Title: MEL TON RES 2800 S
WO SHAKE TO LTW:
Applicant:
GLYNN ROOFING
5428 ROCKINGHORSE LN
OCEANSIDE CA 92057
760 758-0833
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $140.00
lnspecto
Total
NOTICE: Please take NOTICE that approval of your
referred to as "fees/exactions." You have 90 days fro
follow the protest procedures set forth in Govemmen:
processing in accordance with Carlsbad Municipal c~
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your righl ·
changes, nor planning, zoning, grading or other simile:
f x i n ofwh' h h v r io n iv
] ('I
·, of Carlsbad
!:iy Av Carlsbad, CA 92008
:cllaneous Permit Permit No: CB033334
.• .. n Request Line (760) 602-2725
C
· • !1typu: REROOF
Lot#: 0
Owner:
MELTON WILLIAM J
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/02/2003
SB
12/02/2003
12/02/2003
2603 JACARANDA AVE
CARLSBAD CA 92009
$0.00
£.,L. ,PPROVAL (2 -r 2--6 ~
$140.00
$0.00
$0.00
$140.00
Balance Due: $140.00
9995 12/02/03 'J◊02 01.
CGP·
Clearance:
, .,. ;'" ,"tion" of fees, dedications, reservations, or other exactions hereafter collectively
, 1. · issued to protest imposition of these fees/exactions. If you protest them, you must
:,i: :, :ind file the protest and any other required information with the City Manager for
,',_:re to timely follow that procedure will bar any subsequent legal action to attack,
0
c/ed (,·es/exactions DOES NOT APPLY to water and sewer connection fees and capacity
i ':l _,r service fees in connection with this project. NOR DOES IT APPLY to any
+ • n-·.-or w · h h f Ii i i n h revi u I th rw·
140 ,, 00
FOR OFFICE USE ONLY
PLAN CHECK NO. e,7:>ef;/pS1
EST. VAL. _7.L...:::B::...;b~e,=---~--
Plan Ck. Deposit~=-------
PERMIT. APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008 Validated By,_, _,S,;;c:...,_'!?.,_..._ _____ _
Date I z iz ]~ p-I
Address {include Bldg/Suite #)
Legal Description
Assessor's Parcel #
Business Name (at this address)
Lot No. Subdivision Name/Number
Existing Use ----;> 0 ~eo
Unit No. Phase No.
Proposed Use
Total # of units
Name City State/Zip Telep one #
State License # -"-'~"--=-'--'-'""-'--City Business License # / ;] 0 S 2 0 0
Designer Name Address City State/Zip Telephone
State License # _________ _
l~mMR~WfQNl~Yi1!1h2filliLli)Lli2f:12;:i:2:'~;fldfi); :1~1"0;#:ALW, :·~;,h ,: ,:
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following
0 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.
D 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 _____________________ Policy No._____________ Expiration Date _______ _
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI
hi r.:ERTIFICATE 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
:-'~me subject to the Workers' Compensation Laws of California.
kers' compensation coverage la unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred
a co t of compensation, damages•• provided for In Section 3706 of the L coda lnte_rest and attorney's fees.
DATE • cl _7
License Law for the following reason:
D 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).
D 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).
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 permit for the proposed work.
3. l have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number);
4. t 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): ______________________________________________________ _
PROPERTY OWNER SIGNATURE_______________________ DATE _________ _
tou'lmilI!l!IIG:!Ii:lllliiilJ(iil/n!i!,Mll!RlliP,1~411iil)lli!ili{liil'l1i!Mlnl!lN~diil,:;n,Jli/e1llt;llh1,iil.'£'0!!1\11,~2~2'iiili::JJJ;l1'wii'kfilM',iii,iilli:fu11,"1'.itiF0,,,,,\
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 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO
ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
----1:bal.iZSDIIW:IUWl~.:."ii:~~':SrJi;~ilit·: ::_:\!~~: ~:;1~~f!;;;~~:~~~.~~li~Mii'.i::~:;,;;1;'.i~/.::~5;)_;~;_, r.;,:~_;,;,;1~;,;; .. ~ ;:,:f::~;'.ei~:.~ ::, ·. · ... ,.,lj~,~-. ; .. _:.-;,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _
I certify that I have reed 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 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 butlding or work
authorized by such permit is not commenced within 180 from the date of such permit or if the building or work authorized by suc0pe~mit is uspended or abandoned
at any time after the work is commenced for a Re!io f 1 day c 10n 6.4.4 niform Building Code).
APPLICANT'S SIGNATURE ~;;;, DATE / ,< Q _J ~ I
PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: ,2 C 6 j J,.._, c, r <, ~ /f v e
2. TYPE OF BUILDING: RESIDENTIAL i?(_ COMMERCIAL __ _,
3. ROOF SLOPE: RISES½ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 6J 2 3
5. TYPE OF EXISTING ROOF COVERING54' ,~,{!:..SHEATHING _r,4~ /;J •
*6. NEW ROOF MATERIAL L,"Te Y:le CLASS # WEIGHT PER satlARE 7 2 <.1
7. -NUMBER OF SQUARES .:Z [?'
8. TRADE NAME ;""c,"c/.,r-c..,---~--M ...... ~NUFACTURER f:._,, ,y/~I '{ e__.
9. ROOF SYSTEM LISTING UL No. ____ lCBO No.O" 1/('.;' C)
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: -.·,
' 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. ~--_---, .
<,-··· /
Signa~ Y ~ Dam / 5/¢ :J
Contractor ':<., ""Owner ____ Contractor Na!)'le /] 1 c. t( c... e,. / C-}-'--u--i
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 12/11/2003
Permit# CB033334
Title: MEL TON RES 2800 SF REROOF
Description: WD SHAKE TO LT WT CON TILE
Type: MISC Sub Type: REROOF
Job Address: 2603 JACARANDA AV
Suite: Lot
Location:
APPLICANT GLYNN ROOFING
Owner: MEL TON WILLIAM J
Remarks:
Total Time:
0
Act Comment
Inspector Assignment: PD ---
Phone: 7604701244
lnspecto(J_L
Requested By: MICHEAL
Entered By: ROBIN
CD Description
19 Final Structural f-----
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Associated PCRs/CVs
Inspection History
Date Description
12/04/2003 15 Roof/Reroof
Act lnsp Comments
AP PD