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Home My WebLink About2615 JACARANDA AVE; ; CB990183; PermitCity of Carlsbad 01/15/1999 Miscellaneous Permit Permit No:CB990183 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2615 JACARANDA AV CBAD MISC Subtype: 2551140500 Lot#: $6,131.00 24 SQUARES OF RE-ROOF REROOF 0 Applicant: Owner: SPECIAL TY ROOFING 131 S INDIANAAV 92084 760-940-94 7 4 Total Fees: $131.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector: FINAL APPROVAL Date: /-.).-7~97 Status: ISSUED Applied: 01/15/1999 Entered By: MDP Plan Approved: 01/15/1999 Issued: 01/15/1999 Inspect ~,rf,i 01/.15/99 0001 01. C·PRMT $131.00 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 "fees/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 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 nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otheiwise exnired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 131,. '.)C, PERMIT APi>LICATION FOR OFFICE USE ONL y -I ~> PLAN CHECK N0 .. _...1_q __ _ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. \ ~ { Plan Ck. Deposit ________ _ Validated By __________ _ Date. ______________ _ Legal Description r,iame I ~1.\f / Lot No. Subdivision Name/Number Existing Use Name Address Unit No. Phase No. Total # of units Proposed Use I of Bedrooms. I of Bathrooms r&:a=-t:t1N.UiActo!f¥ct>Mii.imNAM.fif~ =m! m-... . ~~~m~~- tsec. 7031.5 Business and Professions Code: Any City or County which requires ■ permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file I 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. Any vi«\!! tion of ectio?--7031 . 5 by any applicant for a permit sw,jects the applicant o a civil penalty of not more than five hundred dollars 1$ 500)), 1-.\ R\ \'3.\ ~-1::V\c\.:~0-l'\v,. t\.v~ -~ C 0: ell ..q .._ Name Address City State/Zip Telephone I State Ucense , __ ,:_=-=-:""-.;..i.__ License Class C I.Fi -City Business License " \),cJoV:i'c? Designer Name Address City State/Zip Telephone State License I _________ _ '.8'.-:;;;'":NIOltl(ERS'':cOM~sATJOti,~;ffi:t~~m~~~\-~~l:t~~~~;~!~f~l•,;-;W'.,t\'.}${;;~!~~~,r:· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. ~ 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 compensati n insur■ e •frier •'ld. policy number are: \, I, _ / Insurance Company { \{\ Ci l \ ~ s.. C Policy No, a),-~"'1---'-\\';:> l\\l':2__ Expiration Date ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED OCULARS 1$100) 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 es to become subject to the Workers' Compensation Laws of California. WARNING: Failure to •-wofll■ra' compen■atlon coverage I■ unlawful, and ■han aubject ., employer to crlmlnal peneltie■ and civil flnH up to one hta'ldr■d thou■end doU■r■ ($100,0001, In addition to the coat of compensetlon, damage■ u provided for In Section 3706 of the labor code, lnt■rHt end attorney'■ fN■• SIGNATURE. ______________________________ DATE _________ _ 'i~~~lfWNERrauiCDEt,D!ctAMilHN4:~~~it~~~~4~~~~,\¼~~~1fi:fif.i'~~~1\'i~~~~!~*"~~~~!tr.~~ 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 i1 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 doH such work himself or through his own employees, provided that auch 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. 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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 Ucense 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/ have not) signed an appllcation for I building permit for 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 / addreas / 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 _________ _ toMPl:E't!JtQ1s·secnoN'Fofi.~~emAii'OIQiJJio.~trJ:Q~~~~~~""L~t~:':fil!j:Zi!:~;;;~!~:st?"..:E Is the applicant or future building occupant required to submit a buslnus plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?-D ·-¥EG-----Q-NO . Is the applicant or future building bccupant required to obtain a permit from the air pollution control district or air quality management district 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of I school sit■ 7 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 AND THE AIR POUUTION CONTROL DISTRICT. fil~ P~V'Cffi~P.fNci'A'G!f/~~~E~~~'}~~J!llt~~lii.?:K5~i:,.;~JiJ.:r?;;,:;;~~rtz.,;J,~- I hereby affirm that there is• construction lending agency for the performance of the work for which this permit is issued (Sec. 3097111 Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS. ________________________ _ ~~C/itnl:CERTIFlt'AfioN&~.:.:~~~~~~~:i£"~~.'.,:~~:~'"".:._:,,_::':..\:U.:(;: I ~ertlfy _that I have read the application and state that the ebove information is correct and that the information on the plans is accurete. 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 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 ermit i~ued by the Buildln O~i~lal under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by rm~ Is not commence in 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tlm period of 180 days (Section 106.4.4 Uniform Building Codel, .l APPLICANT'S SIGNATURE -....r:~~:.;::.:,;;..-:li;::,..+=-....:::::-.:::::!iiii:::::::::.--.L.=:::::-_.1.____ DATE _,..,1)._~.,__,,>.,._~_.._,~,,_.>....:,._ _____ _ YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 6--61-e;-~~c..,<u-J..<>-. kl.le, Cu.As~(}.. ,C~. C\i..ocA 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL __ __,_ 3. ROOF SLOPE: RISE G inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) u) 2 3 5. TYPE OF EXISTING ~~"-r£~~NG~-€ SHEATHING s\~Q . *6. NEW ROOF MATERIALf1~f 'tte{ CLASS I\ WEIGHT PER SQUARE $7o \\,~ 7. NUMBER OF SQUARES d-l.\. 8. TRADE NAME ~,~-ene~ Q\,~\lll\r·(MANUFACTURER Qe,,Co'f, 9. ROOF SYSTEM LISTING UL No. 7g.Q ICBO No. $Q]5 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: I. Tear Off/Pre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a la der extending at least 2 rungs above the roof for inspec Contractor Lowner ____ Contractor Name Spec~~~ ~o£1'\~ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. S~ lv\u-\\e~ s\w~e. City of Carlsbad Inspection Request For: 1 /25/99 Permit# CB990183 Title: 24 SQUARES OF RE-ROOF Description: Type:MISC Sub Type: REROOF Job Address: Suite: 2615 JACARANDAAV Lot 0 Location: APPLICANT : SPECIAL TY ROOFING Owner: STONE ALLEN E&MARIA C Remarks: Total Time: CD Description 19 Final Structural Inspection History Date Description 1/21/99 1/19/99 Inspector Assignment: RB --- Phone: 760940947 4 Inspector: Requested By: SHAWN Entered By: CHRISTINE Act Comments fj_f ___ _ Act lnsp Comments NR RB AP RB