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Home My WebLink About2613 JACARANDA AVE; ; CB983368; PermitB U I L D I N G P E R M I T Permit No: CB983368 Project No: A98U4375 Development No: 10/02/98 13:36 1Page 1 of 1 Job Address: 2613 JACARANDA AV Suite: Permit Type: MISCELLANEOUS Parcel No: 255-114-06-00 Lot#: Valuation: 6,360 Occupancy Group: Reference#: Description: RE-ROOF,2400 : ICBO #2093 SF-LT WT CONCRETE Construction Type: NEW Status: ISSUED Applied: 10/02/98 Apr/Issue: 10/02/98 Entered By: RMA Appl/Ownr : SPECIALTY ROOFING 131 S INDIANA AV VISTA CA 2084 *** Fees Required Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee #1 * MISCELLANEOUS TOTA *** 760 940-9474 *** 1806 10/02/98 0001 01 02 c-~ 145.00 .00 145.00 Ext fee Data 145.00 PERMIT FEE 145.00 _____ ,_,_, ___ APP ROVAL INS\.:,..6ooo.__ __ DATE (o . f 7 · y f_ CLEARANCE _________ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE OJ4;;,' '1 j / r) PLAN CHECK NO. 'jJ .5, . bo CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ----..-i--r---- 1. PROJECT INFORMATION 2/4>13 ::1AcAeAND,4, A))£. Address hnclude BldgfSuite I) Busineu Name lat this addreuJ Legal Description Lot Na. Subdivision N1m11Numbtr Unit No. Phase No. Total I ot units Propotled UH Description of W #of Stories • of Bedrooms I of Bathrooms Name Address Cltv 3. APPLICANT ~Contr■ctor □ Agent ior contrictor □ Owner '" 0 Agint ·ror Owner State/Zip Telephone I Fax II Name Address City State/Zip Telephone I Name Addran City State/Zip Telephone I S. CONTRACTOR. COMPANY NAME . .,. ....... ._ ........... ~..,.,....,-,_ ......... ,...,.,,....... .......... _._,,,_, _____ .. .,..... ~•--.:-.,. ... -..... . 1sec. 7031.5 Business and Professions Code: Anv Ch:y or County which ,.qu;,u I permit to construct, ■tter, 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 pursu■m to tht provisions of the Contractor's License Law (Chapter 9, commanding with, Section 7000 of Division 3 of the Business and Prot■nions Codi) or that he Is exempt therefrom, and the basis for the alleged exemption. Anv viol tion of Section 7031.5 by any applicant for a parmtt IUb,iects the applicant to• civil penatty of not more thtn five hundred dollars 1950011. N l . ~ t'.& CJ ~ . State Ucense • .....<7c..a.3..:.. ... U=-'t../'-'-/ __ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION j rkers' Compensation Declaration: I hereby affirm under penattv of perjury one of the following dact■r■ttOna: I have and will maintain a certificate of consent to salf•lnsura tor workers' compensation as provided by Section 3700 of the Labor Code, for the performance he work for which this permit is issued. ¥ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, tor the performance of the work tor which this permit is fsslhtd. My worker's compensation insurance carrier and p(Micy number are: Insurance CompanvC,JA12€.1'11J)n /\Jt<.tJ iM,;>) Policy No.Q zl:<f?.. ·t-/f 5t./ · // !> Expiration Date <t' · 2 · 9'1 !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDREO DOLLARS 1noo1 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is inued, I shill not ■mploy ■nv person in ■nv manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Fal to ucure workert' compens■don COfll1lfll ls unlawful, ■nd nll subj■ct an ■mployer to crlrniMI p■natUu and clvH fine• up to CN1e hundred thousand da:-:•~•t•~o~0~-~020~0:l•Q~•:d:d~j~lho~~~~f~~=::~• d■:-:::•~u:pro:•:-:::'°'~"'~S■:--: 37·06· of the~ .. code)~. and ■nomoy. •• ten. SIGNATURE DATE ~ IZ+--.- 7. OWNER-BUILDER DECLARATION . . . . · .• '° " -, .-.-+ ..... 1-'",.:::,-,,l'-.-' .. '-, It-,·,~--. -.-, .-.. -•.. · ' ,,.._~ ,: ,. • I hereby affirm that I am e,cempt from the Contractor's License Lew for the followmg rHson: 0 I, as owner of the property or my employees with wages IS their sole compensation, will do the work and the structure Is not intended or offered tor nle !Sec. 7044, Business and Prof■sstanS Code: The Contractor's License Law does not apply to 1n oWMt of property who bulldl or improyn thereon. and who dou such work himself or through his own ■mPtoyeas, provided that such Improvements ■re not Intended or offered for nl■. It, however, the building or Improvement ls sold within one veer of completion, the own■r•bl•Hder will have the burden of proving that he did not build or tmprove tor the purpose of aale). 0 l, as owner of the propanv. ■m exclusively contracting with licensed contractors to construct the PfOi■ct (Sac. 7044, Buaina1 and Profuskms Cod■: The Contractor's License L■w dou not apply to an owner of prop■ny who builds or improves thereon, and contracts tor auch pro;ecta wtth contractorCs) lic-■d pursuant to the Contractor's Licenn Law). 0 I em exempt under Section ______ Business and Professions Code for this r■Hon: 1 . I personally plan to provide the major labor and materials for construction of the proposed propany tmproyement. 0 YES QNO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson lfirml to provide the prapoted construction tlnclude name I address/ phone number/ contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supe,viu and provide th■ rn■)or work Cinctude name I address / phone number/ com,actors license number!,:.--------------------------------------------- 5. I will provide soma of the work, but I hav• contract•d lhirlldl the following i,«1ona to provide the work indicated Clndude name / address / phone number / type of work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE_______________________ DATE _________ _ COMPLETE THIS SECTION FOR NOIUIESIDENTIAi. iWILi>INO PERMITS ONLY:·._::~~-•·: -i-...,,..,,,., •. ·i-. --or"!"'l:"·•·,r~ ·"'"-:·t~•►•.~~,, .-. •••t••h•••••• • Is the 1pplicant or future building occupam required to submit a bus;r\fls pi■n, ■cutely hlnrdous m■t■ri■le regiatf■licH1 form or riak management and pr8V9nbon program under Sections 25505, 25533 or 25534 of the Presley•T■nner Hazardous Substance Account Act? 0 YES □ NO Is the applicant or future building occupant raquir•d to obtain • permit from the air pollution control district or air quaHty management district7 D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of ■ 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 MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POUUTION CONTROL DISTRICT. s.. CONSTRUCTION LENDING AGENCY ... ,., .... ~-····· ..... :"l"'.,, ........ ,,,~-~ ...... , ..... ,. .,.,.,-, ,,,., ····-·····.·..,,.. .. , •. , •. , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(il Civil Codel. LENDER'S NAME _____________ _ 's. APPLICANT CERTIFICATION LENDER'S ADDRESS, _______________________ _ ... , ---~-.-·' -~·-.. ·,· ,.,..,.... ' ·1,-_,·:···· ,··:-;-•·,,,. . ... ~-.;,, ... , ~ ...... ;-. , .. -~ 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 ■11 City ordinances and State laws relating to building construction. I hereby authorize repr .. emativfl of the Cht 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 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· dnp end demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit i■s by the Building Official under the provisions of this Code shall expire by limitation and become null end void If the building er work authorized by such per i not commenced wit n 366 days from the date of such permit or 11 the building or work authorized by such permit is suspended or abandoned at any time aft r th ed 180 days !Section 106.4.4 Uniform Buildin 0 gACToEdel. io!,fc:} APPLICANT'S SlGNATUAEs/)..~!f..~Gt:!.t::....£.~-!:::.~~~2:\.::L___________ 11 ~ C/ /Q_ I I WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL >( COMMERCIAL. __ ___. 3. ROOF SLOPE: RISE 5 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (i) 2 3 5. TYPE OF EXISTING ROOF COVERING ___ .SHEATHING . *6. NEW ROOF MATERIALL..d·£T1l£ CLASS A:. WEIGHT PER SQUARE 500 7. NUMBER OF SQUARES----'""0'-4 __ ___. 8. TRADE NAME ff/(fy\ Lev J)UYC:\ LdiMANUFACTURER /YlC5Yt ~ 9. ROOF SYSTEM LISTING UL No. ____ ,ICBO No. ,-?Q 9 3 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for ::~~::•~ U)®@½ Da~ ;o/'2/fff Contractor-X--owner ____ Contractor Name *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. PERMIT# CB983368 DESCRIPTION: RE-ROOF,2400 ICBC #2093 TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 10/14/98 SF-LT WT CONCRETE STE: INSPECTOR AREA PD PLANCK# CB983368 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2613 JACARANDA AV APPLICANT: SPECIALTY ROOFING CONTRACTOR: PHONE: 760 940-9474 OWNER: REMARKS: R/940-9474 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: /'Ji '7-> PHONE: ~ INSPECTO~ ACT COMMENTS _1_5 __ s_T _R_o_o_f_f_R_e_r_o_o_f _________ t/J_--------------- ------------------------------------ ***** INSPECTION HISTORY***** DATE 100798 100598 DESCRIPTION Roof/Reroof Shear Panels/HD's ACT INSP AP DH NR PD COMMENTS 1:15