HomeMy WebLinkAbout2603 JEFFERSON ST; ; CB052529; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-07-2005 Miscellaneous Permit Permit No: CB052529
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Building Inspection Request Line (760) 602-2725
2603 JEFFERSON ST CBAD
MISC Subtype: REROOF
1551704800 Lot#: 0
$22,800.00
PARKPLACE APTS 20,000 SF COMP
INGLE RE-ROOF/2603 THRU 2611
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/07/2005
KG
07/07/2005
07/07/2005
PARK PLACE CARLSBAD APARTMENTS LL C
C/0 SPtERS l:ITTERPRISES
760 497-3487
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $332.00
23 CORPORATE PLAZA DR #139
NEWPORT BEACH CA 92660
RE-ROOF PERMIT FEE
Total Payments To Date: $0.00 Balance Due:
$332.00
$0.00
$0.00
$332.00
$332.00
2125 07107 /05 0002 01 02
CGP 332.00
Inspector:
FINAL APPROVAL /
Date: 9, I,)' PJI 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 '1ees/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 Cartsbad 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Lot No. Subdivision Name/Number
Assessor's Parcel #
'TZ.b-,{2--t: .~ Co t>1 p'
Des~on of Work
~-CONJACT; ~IJSON llf dlff"*'t fr(l_ffl appllct1nt)
Existing Use
::;2,, D.oo~
SQ. FT.
-"l:
#of Stories
,3. ~CANT O Contraqtor ,ti. Owner O Agent for Owner
Name Address City
Name Address City
II, ®Nt~CTOR.~ COMPANY~~
FOR OFFICE USE ONLY
PLAN CHECK N~)._9
EST . VAL. 22, 8:6
Plan Ck. Depos;t 9
Validat~By ,,,,...-
Date -7-tif': 1
Unit No. Phase No. Total # of units
Proposed Use
'2
# of Bedrooms # of Bathrooms
-c:Vt.. J
Telephone # Fax #
State/Zip Telephone#
State/Zip Telephone II
(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
exemption. An'if violation of Sectioi;,. 7031.5 by any applicant for a permit subjec~he applicant to a c~enalty of not more than five hundred dollars [$500)).
~e_>-.o ..:>«) .... '"~ LT. ~ Sc1 ~ a I '9 d ~l < 0
Name Address c· y . . . State/Z!: I/: jf e~ei>9 #
State License # License Class ("' 3 '7' City Business License # _!!!5_--'.._)/-"VJ--"'j(/'--'-,~--{.()_
Designer Name Address City
'
State/Zip Telephone
State License II----------
f. ·YV~C,OM~TIQN .1
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
'fSl 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
;;fthe work for which this permit is issued.
O 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 ,re: _1
Insurance Companyf2..l:J fvC:Cf~'--C.E Ge, ht ,4 J.,rsn JCA Policy No.'!,, <,D ?O I 0403d oo~J Expiration Date J ~C>t,
(THIS .SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI \
0 'CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Failure to HCWe worken' compensation coverage la unlawful, and shall aubject an employer to criminal penaltiaa and clvY flnaa up to one hundred
thousand dollars ($ 00), coat of compensation, damagaa aa provided for In Section 3706 of tha Labor f~e, inJareat and attorney'• feea.
SIGNATURE DATE O") /(:5)'2 /dJ;:
17, OWNER-JIU _ -. . ~T · . ·
I hereby affirm that I am exempt from the Contractor's License Law for the following 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 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 salel.
0 I, as owner of the p·roperty, 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 contractorlsl 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 I have notl 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 I address I phone number I 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 I address I phone
number I contractors license numberl=----------------------------------------------
5. I will provide some of the work, but I have contracted (hired! the following persons to provide the work indicated (include name I address I phone number I type of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE------------------------
'COMP.l,iTE TI!IS JECTIQN FOJI NO~l)fNTIAL B!JILDINQ PERMITS ONLY.
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 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.
t8, ~~TRUCTIO~ 1,ffiRJN9.l\Gi.rtCl
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971il Civil Codel.
LENDER'S NAME--------------
l, -YPUCANT'C~JlOfll~
LENDER'S ADDRESS-------------------------
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 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 comma within 180 days fr the dat of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work is com of 18 s (Sec · 106.4.4 Uniform Building Code).
YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
~
1. JOB ADDRESS: :bk O 3 ['1n.'IA ~it! J JC JTE-n_s;#J~
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 'I
3. ROOF SLOPE: RISE ,;:-inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) ~ 2 3
5. TYPE OF EXISTING ROOF COVERING 'c' 112, SHEATHING +
*6. NEW ROOF MATERIAL 's0,,12 CLASSi:Q WEIGHT PER SQUARE 7_(;,c>
J
7. -NUMBER OF SQUARES ?_o & •
8. TRADE NAME Ar;~ hMI i A.A: MANUFACTURER & /) F
9. ROOF SYSTEM LISTING UL No. ICBO No. '.3 .J-8 /
1 O. 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.
Slgnatu~~ Date oyap~~
~
Contractor .. ':/-Owner Contractor Nawe l2o ,.._ ¢ho ~F J A.'; l:} D
*6 -Rolled Roofing, Standard/Lite Tile, Aspha~~Built up,
Other. ··
City of Carlsbad Bldg Inspection Request
For: 09/08/2005
Permit# CB052529 Inspector Assignment: RB ---
Title: PARKPLACE APTS 20,000 SF COMP
Description: SHINGLE RE-ROOF/2603 THRU 2611
Type: MISC Sub Type: REROOF
Job Address: 2603 JEFFERSON ST
Suite: Lot
Location:
APPLICANT RANCHO ROOFING
Owner:
Remarks:
Total Time:
CD Description
19 Final Structural
0
Act Comment
Phone: 6199n6392
Inspector: ----
Requested By: MARVIN
Entered By: CHRISTINE
Rf~~~~~~~~
Associated PCRs/CVs
Inspection History
Date Description
07/19/2005 15 Roof/Reroof
07/13/2005 15 Roof/Reroof
07/08/2005 15 Roof/Re roof
Act lnsp Comments
AP RB COMPLETE -CALL FOR FIND WHEN READY
AP JM EXISTING PLY SEE CARD (GATE 6477#)
PA RB BLDGS 2609 & 2611 OK -NOTE GO TO 2609 STE I FOR MANAGER.