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Home My WebLink About2606 JACARANDA AVE; ; CB011676; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05/08/2001 Miscellaneous Permit Permit No:CB011676 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2606 JACARANDA AV CBAD MISC Subtype: 2551132600 Lot#: $11,322.00 FROKE RESIDENCE 34 SQUARES OF TILE W/CALCS REROOF 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/08/2001 MOP 05/08/2001 05/08/2001 WILLIAM GAUTHIER ROOFING CO FROKE KIM S&CHERYL A 2005 ACACIA DR SAN MARCOS CA 92069 760 598-7545 Total Fees: Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: PERMIT 2606 JACARANDA AVE CARLSBAD CA 92009 8723 05/0B/01 0002 01 02 $192.00 $0.00 $0.00 $192.00 FINAL APPROVAL Date: sA11J Clearance: _____ _ / / NOTICE: Please take NOTICE that approval of your project includes the "lmpositon" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this perm~ 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 Cansbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been oiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise ex aired. 0 , . ., PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. 6 \ ---L~ 1 b CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date. _______________ _ Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No, Phase No. Total # of units Assessor's Parcel # I Proposed Use Des~tio~f Wo~k ,, L SQ. FT. #of Stories # of Bedrooms # of Bathrooms V<._ Q/<.C>D ~~1--~ f\CI.....__ JL 2. CONTACT PERSOPl'!lf.dlfferent from epplicantl Name Telephone# 7 (, 0 State/Zip Fax# City 0 Agent for Owner 9. q:)0 6S: S 9 8 1 S' Telephone # ( CJ q Name State/Zip Telephone# 6. CONTM CTOR " COMPANY NAME (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 tor such permit to file a signed statement that he is licensed pursuant to the provisions of the Contract?r's License Law (Chapter 9, commending with Sectlon 7000 of, Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged exempt]"· Any violation. of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of not m_Rre ~an five hundred dollars ($500]). kt'l (C\M, c~--<"tr\,tf\.. ;)oGS ACOOA/\f-5'.t)_t:? toAA<o\ \h'!~c.J6? 7GO 5C(87S'{S Name J, , Address °<. 0 City State/Zip ~epho~~/_ . State License # l.f g Cf ( -e, fJ License Class C -.) I City Business License # '!, ( .'"7° ~ Designer Name Address City State/Zip Telephone State License # _________ _ ,6. WORKERS' COMPENSATION ,._ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ I have and will maintain a certificate of consent to self-insure tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the 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 cwier and policy number are: , 7 7 !' y //-0 ' "-0 r Insurance Company 21 A { e F '1 ,&iJX Polley No. () (2_ _ b i Expiration Date_,__ _ _,_ __ ,__ __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000}, In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code. interest and attorney's fees. SIGNATURE. ______________ _;_________________ DATE ------------- 7. OWNER-BUILDER OECLARA TION ' I hereby 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. It, however, the building or improvement is sold within one year of cornpleJion, the owner-builder will have the burden of proving that he did not build or improve tor the purpose of sale). O I, as owner of the property, am exclusively contracting wit h 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(sl licensed pursuant to the Contractor's License Law). O 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 O NO 2. I (have / have not) signed an application for a building permit tor 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 person to coordinate, supervise and provide the major work (include name / address I 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 __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING 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 O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS M ET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency tor the performance of the work for which this permit is issued (Sec. 3097Iil Civil Code}. 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 Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required tor 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 within 180 days from the dale of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after !he work Is comme?ff,d for a p~i~ of 180 a s (Seclion 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE tw ~ FJ DATE )-z;'r Joo( WHITE: File YELLOW: Applicant PINK: Finance 'I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ;)_ G tJG j f\ C &A ~f's 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL, __ ----' 3. ROOF SLOPE: RISE 5 inches in 12 ~hes 4. NUMBER OF EXISTING ROOF COVERING (circle one) (y 2 3 5. TYPE OF EXISTING ROOF COVERING >f(f>i(;e SHEATHING 5'.}?"''--~ ------ <:_· "-\-()0 *6. NEW ROOF MATERIAL f,~L/"-CLASS A WEIGHT PER SQUARE 1 1 O'\j':) x.,~, 7. NUMBER OF SQUARES 3 '-{ . 8. TRADE NAME Gt ~cl< o SA MANUFACTURER_G_A_'{..,_cl'--=e.~ _ __, 9. ROOF SYSTEM LISTING UL No. ____ lCBO No. '---/ (; C 0 10. IS THE EXISTING STRUCTURAL DESIGN ~CIENT 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ( v L. JJc, 4,, c: ' l Date Contractor_'_{.;____Owner ____ Contractor Name lu; 1 l Fl'""-~u._ f-~'1 (l[l *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/29/2001 Permit# CB011676 Title: FROKE RESIDENCE Description: 34 SQUARES OF TILE W/CALCS Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2606 JACARANDA AV Lot 0 APPLICANT WILLIAM GAUTHIER ROOFING CO Owner: FROKE KIM S&CHERYL A Remarks: Total Time: CD Description Act Comments Inspector Assignment: AR --- Phone: 7605987545 Inspector: ---- Requested By: WILLIAM GOTHIER ROOFING Entered By: CHRISTINE 19 Final Structural dlQ ______ _ Assoc'•""' PCs,; T Inspection History Date Description Act lnsp Comments 05/11/2001 15 Roof/Reroof AP AR