HomeMy WebLinkAbout2608 JACARANDA AVE; ; CB990084; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-21-2007 Miscellaneous Permit Permit No: CB990084
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2608 JACARANDA AV CBAD
MISC
2551132500
$5,300.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: 2000 SF TO STD TILE
Applicant:
KAISER EDWARD O&MARY J
2608 JACARANDA AV
CARLSBAD CA 92009
760-942-0961
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $161.00
Inspector:
Owner:
KAISER EDWARD O&MARY J
PERMIT FEE
RENEW
2608 JACARANDA AV
CARLSBAD CA 92009
Total Payments To Date: $161.00
FINAL
Date:
Balance Due:
Clearance:
ISSUED
01/08/1999
BT
09/21/2007
01/08/1999
RB
$131.00
$30.00
$0.00
$161.00
$0,00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ··tees/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
fees/exacti n f whi h h ve r vi I Tl E similar t thi r whi h h f limi · n h r viou I h rwi
PERMIT APPLICATION
FOR OFFICE USE ON½a l}
PLAN CHECK NO. ~( -( C) 0 f /
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. 5 af!U
Plan Ck. Deposit ' ~
~::i:ated By
1
%\ =
I
.(,,i. PROJECT INFORMATION . _ J 1-~o'.1, :;;, u,,,,,._,._,,,.,,.
Address (include Bldg/Suite II Business Neme ,,t this addlusl
Legal Description Lot No. Subdivision N1m1/Numblr Unit No. Phase No. Total I ot units
Assessor's Par£! I Existing Un
·1.0 2k5-
Proposed Use I+ f?.e<' "7 Description of Work SO.FT. #of Stories I of Bedrooms I of Bathrooms
2. __,_....,.. .................. ~~---'""'.' _...,,.,..,..__ ..... .,._,.,._ ___ ,. ---:-~---... ···· -··
N•m• Address Chy Stall/Zip Telephone I Fax I
3. APPLICANT O Contractor £d k'.a., 5'.e,,.
D Agontior t:onirocioi ll,l'Ownor . D Agent ioi Owner . . . .. ·-_, .. · . ... .. . .
2,&0 S J':i.ca,·•cn~(,, f4v <,> Gu·( 5 /:,,uf Cit CJ 2.0 O"'( ( 7.,0 )<r 'f ).-0?£ (
Name
l 4. PROPERTY OWNER
AddrHs City State/Zip Telephone I
e . 't"r-2(0 0( _;;,,,,c,~a«I; 11;;,· --··-z{;/~k,,; J. (IF ,,fzao"i (7~ t)'"il/?-U7b I
Name Addreu Ctty State/Zip Telephone I
S. CONTRACTOR • COMPANY NAME --,_._.,. ........ -,-~ ....... ~~:-····.---:::-,,,...,._...,,.....'._~·~ ~--·..-•-
(Sec. 7031.5 Business and Professions Code: Anv City o, County which rlQVirn • perml1 to construct, alter, improve, demolish or repair any structure, prior to Its
issuance, also reQuires the applicant for such permh' to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's Ucense 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. Anv violation of Section 7031.5 by any eppllcant for a permit aubjects the applicant to• civil penalty of nat more than five hundred dollars 185001).
Name Address State/Zip Telephone I
State License I _________ _ Ucense Class _________ _ City Business Ucense I _______ _
D~signer Name Address Ctty State/Zip Telephone
State License I _________ _
6. WORKERS" COMPENSATION -.--.-..........
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D I have and will maintain a certificate of CONent to 111t-lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, es 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____________________ Polley No. Expiration Date. _______ _
ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor which this permit ts ls1ued, I shall not employ eny person In any manner so es
to become subject to the Workers' Compensation Laws of C•lifomia.
WARNING: Failure to secure worktn' compensation awarws,e .. unlawful, end lhal aubJect an employer to c:rlrNnal ,......... Ind clvll fines up to one hundred
thousand doll.,. ($100,0001, In addition to the colt Df compenution, damagea • provided for In Section 3706 of the Labor coda, 1nt .. st and attomey'1 ten.
SIGNATURE,____________________________ DATE,-_______ _
""'· OWNER-BUILDER DECLARATION '.•··~·· ... ---•... '' ··:'"'.""'r.;-,:.-,,,.;,,_·...,·• .... ,;: • ., .. -,.~1, .• -.'
1_ he_!llbY affirm that I am exempt from the Contractor's License Law for the following reason:
1!r"" I, as owner of the property or my emploveu wh'h w■gu as their sole compensation, will do the work end the ltructura II not intended or offered fo, ute
(Sec. 7044, Busineu and Profusions Code: The Contractor's Ucens■ Law does not apply to ·an owner of property who builds or Improves thereon, and who doe1
such work himself or through his own emptoyees, provided that such lmprovementt ere not Intended or offered for ula. H, however, the bulldlng or Improvement II
sold within one year of completion, the owner-buUd■r will have the burden of proving that he did not build or Improve for the purpaae of eelel.
0 I, as owner of the property, am exclusively contracting wfth licensed contractors to construct the project (Sec. 7044, Business and Profulions Code: The
Contractor's License Law does not apply to an owner of property who builds or improvu thereon, and contracts for euch projecU with contractorlsl llcen1ed
pursuant to the Contractor's Licente Law).
D I am exempt under Section ______ BuslM11 and Professions Code far this re■1on:
1 . I personally plan to provide the major labor and materials for construction of the propond property Improvement, D YES ONO
2. I !have/ hava notl signed ■n application for a building permit for the proposad w01k.
3. I have contracted with the following person ffirm) to provide the propo11d construction Clnclude name I 1ddrnI / phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, aupervise and provkte the mejor wortc Onclude name I adchas I phone
number I contractors license number).,_---------------------------------------------
5. I will provide some of the work,
of work): I have contract~ lhlredl the following peraon■ to provide the work Indicated (Include n■ma I address / phone number I type
"1>ROPERTY OWNER SIGNATURE
COMPLETE THIS SECTION FOR ~ iUII.DiNCi PiliMITii OM. f.'''>c'-
DATE J-8-';"f
Is the applicant or future building occupant required to submit • bu8ineas plan, acutaly haurdous materials registration form or riak managemant and prevention
program under Sections 25505, 25533 or 25534 of tha Prnlev•T■nntr Haurdoul Substance Account Act1 0 YES O NO
Is the applicant or future building oct:upant required to obtain• permit f,om the air pollutton control dist~ o, air quaNty management district? 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of• school site? D 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 CONTRDL DISTRICT. r.a. ... CONSTRUCTION LENDING AGENCY ' ' .. ;•,~.• ..., .• ~----,~·~ >)·-,· .. • :·--r·~;'--:"."··~"".""~~::'~.,., ...... , ..... , .. ._ .... ,. ,-.. ,-.; ::-· .... -~· ., ·~• ... ,... .• -.. ,, .....
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit ls lssued ISec. 3097fl) Civil Code).
LENDER'S NAME_____________ LENDER'S AODRESS=:=========::-=-==---------[9. APPLICANT CERTIFICATibN ..,.,.-.-~ .. ~. -... ·--,,.-.,._..,.. ~,-. .,..,.,.,._0 ,, .. "!"M···.,,,.,,.--.;;:.--r,,:-:,·,·,,.,.,.....,.,r:•n'!':''"'!'.::l~r•'··"'!"" ·'·r.r:~,.,.,.'i"F-f1""!':
I certify that I have read the application and state that the above information ls correct and that the Information on the plans ls accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize represent1tiv11 of th■ Cttt of Certsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMWS THE CrTY OF CARLSBAD AGAINST ALL LIABILfTIES,
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• deap and demolition or construction of ttructures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Offlclal under the provisions of this Code shall expire by limitation and become null ind void if the building or
work authorized by such permit.~t commenced ~ith· 385 days from the date of such permit or If the building or work authorize.d by such permit is suspended
or abandoned at any time after~ is co P"9J for a period of 180 days !Section 108.4.4 Uniform Building Code).
:l<APPLICANT'S SIGNATURE · Vi'~ -DATE J-l-11 ------------WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
Permit# CB990084
Title: 2000 SF TO STD TILE
Description:
For: 09/25/2007
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2608 JACARANDA AV
Lot: 0
APPLICANT KAISER EDWARD O&MARY J
Inspector Assignment: RB ---
Phone: 7609420961
_.)
Inspector: ~ 1
Owner: KAISER EDWARD&MARY FAMILY TRUST 10-11-00
Remarks:
Total Time:
CD Description
19 Final Structural
Requested By: ED KAISER
Entered By: CHRISTINE
Act Comments a !A.J l{kd~ ry&rfr de
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
01/28/1999 92 Compliance Investigation
01/15/1999 15 Roof/Reroof
Act lnsp Comments
CO RB INSTALL HEAVY TILE ROOFING
AP RB FOR LITE TILE
·~-......._.,.
INVOICE
Myers Engineering
PO Box 893219
Temecula, CA 92589-32 I 9
(95 I) 325-8507
(619) 421-4211
Fax: (951 )325-8506 .
Date: 5:£fr. ~ ( Z6<'.> 7
Owners: _____ __JR3'f'.Y'.___:-:-:=~~~Wi~==--~
Contractor:
City of CARLSBAD
Bl Ill DING DEPT
----------------------
AfJ ~Sl)/Jb R~11--l b 1f(o ~
Project Description: Structural Calculations for a Ber F g F:sject Single Family
Services Rendered By:
Myers Engineering
Burton S. Myers
RCE #24928
Total Amount Due:
I S00.00
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