HomeMy WebLinkAbout2610 JACARANDA AVE; ; CB071851; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-11-2007 Miscellaneous Permit Permit No: CB071851
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2610 JACARANDA AV CBAD
MISC Subtype: REROOF Status:
Parcel No: 2551132400 Lot#: 0 Applied:
Valuation: $9,951.00 Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: HOUSTON RES-3100 SF STD WT
CONCRETE
Applicant:
HOUSTON DAVID L&KELL YA
2610 JACARANDA AVE
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Fees: $166.00
Inspector:
Owner:
HOUSTON DAVID L&KELLY A
PERMIT FEE
2610 JACARANDA AVE
CARLSBAD CA 92009
Total Payments To Date: $166.00 Balance Due:
Clearance:
ISSUED
07/11/2007
RMA
07/11/2007
07/11/2007
$166.00
$0.00
$0.00
$166.00
$0,00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposttion 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
I Ix i n fwhi h h v r vi I iv n N Tl i h h limi j h v' I
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
Building Permit Application
JOB ADDRESS d&JO
/PR JECT# LOT# PHASE# # OF UNITS
DESCRIPTION OF WOR
Est. Value
Plan Ck. Deposit
Date
#BEDROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
BUILDING AREA (SF) ADDITION AREA (SF) GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES □#_ NO □
AIR CONDITIONING
YES □ NO □
FIRE SPRINKLERS
YES □ NOD
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME CONTRACTOR BUS. NAME
ADDRESS
CITY STATE CA.-CITY STATE ZIP
PHONE 7/f0-43/p-.;;..1, 0 FAX PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS CITY BUS. LIC.#
fSec. 7031.5 Business and Professions Code: Any City or County: which requim a permit to conmuct, alter/ improve, demolish or reP.air any stnr<ture,_ prior to its issuance, aha l'fquim the applicant for !UCh permit to file a signed siattmtnt that he is Gcensed .J!.Ursuant to tht provisions of the Contractor's License Law {Chapter 9, commending with Section 000 of Division 3 of the Business and Proiessions Code} or that he is exempt thel!fiilm, and the basis for the alleged eiemption. Any violation of Section ro31.S by any applicant for a permit subjects the applicant to a civ~ penalty of not mar! than fr,e hundred dollars {SSOO}).
WORKERS' COMPENSATION
Worktr1' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations:
D 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 worktr1' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ____________________ ~ Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 crlmlnal penalHee 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.
,-15 CONTRACTOR SIGNATURE DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ 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).
~ 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 !hereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
□ 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. □ Yes pJ No
~ (have I have not) signed an application for a building pennit for the proposed work,
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): S/-.t.-(/ L. Ft ·s·f,.e./\..,
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 I contractors' license number):
5. I will ovide soi;ne of the work, but I have ntracted {hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
,/!5 PROPERTY OWNER SIGNATURE DATE
" --"' COMPLETE THIS SECTION FOR NON-Rli:SIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business p!an, ocutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR lS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AJR POLLUTION CONTROL DISTRICT.
CONSTRUCTION LENDIIIIG AGEIIICY
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) C1v1I Code).
lender's Name lender's Address
APPLICANT CERTIFICATION
I oerHfythat I have read the applk:atlon and state that the above Information is oorrectand that the information on the plans Is aocurate. I agree to oomply'llith all City ordinanres and State laws relating to building construction.
!hereby aulhorize represenlative of~• Cityof Clllsbad ID enter upon the above mentioned properfy for inspeclon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARi.LESS THE CITY OF CARLSBAD
AGAINSf ALL LIABILITIES, JUDGMENTS, cosrs AND EXPENSES \'MICH W.Y IN Affi WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is required for excavations over 5'0' deep Md demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Buildirig Official under the prtr>Jisklns of this Code shaU expire by limitation and become nul and void If the building or work authorized by such pemit is oot corrmenced v.tthin
180 days from the dale of such permior rr~e ~ilg or~ ~/'Y 1.,rt, permit• SJspended or-doned at any line aflerthe V<Xk • com""'iced for a period of 180 days (Section 106.4.4 Uniform Bui~ng Code) .
..15APPLICANT'SSIGNATURE ~~ DATE / -/ ( ~01-
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: ;)-({' ID ~~va,,n.d~ f±ve_. Ccu--/s bd, Cl/--, q zoCJq
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL. ___ _
3. ROOF SLOPE: RISE +-INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)Ci) 2 3
5. TYPE OF EXISTING ROOF COVERING WtJod shtk"(_ SHEATHING __ _
•6. NEW ROOF MATERIAL C,ne,r..t.Z. 77/-L CLASS A WEIGHT PER SQ. ;coo ,~.
7. NUMBER OF SQUARES_"""3'-\ ___ _
8. TRADE NAME ?one/~ ros tL MANUFACT~ER fa!J!.e °?Joo{;o/J pwdu.tl:s
9. ROOF SYSTEM LISTING UL N0.(0-Cli:5 4-lt, ICBO NO. ____ _
10. IS THE EXISTING STRUCTU~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 classiflcatlon 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 })~ ~ Date 7-/(-0 J--:
Contractor ____ Owner ____ Contractor Name _______ _
*6. Rolled Roofing, Standard/Lite Tile, AsphafVComp fiberglass, Built Up, Other
City of Carlsbad Bldg Inspection Request
For: 08/17/2007
Permit# CB071851
Title: HOUSTON RES-3100 SF STD WT
Description: CONCRETE
Type:MISC Sub Type: REROOF
Job Address:
Suite:
2610 JACARANDA AV
Lot: 0
Inspector Assignment: JM ---
Phone:
Location: Inspector: -----
OWNER HOUSTON DAVID L&KELLY A
Owner: HOUSTON DAVID L&KELLY A
Remarks:
Total Time: Requested By: NA
Entered By: CHRISTINE
CD Description Act Comments
19 Final Structural ~-----
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
07/31/2007 15 Roof/Reroof
07/30/2007 15 Roof/Reroof
Act lnsp Comments
AP JM OK TO COVER
CA M