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Home My WebLink About2618 JACARANDA AVE; ; CB021313; Permit.. \~ t:.\ 1c7'0 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-30-2002 Miscellaneous Permit Permit No: CB021313 Building Inspection Request Line (760) 602-2725 Job Address: 2618 JACARANDA AV CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED Parcel No: 2551132000 Lot#: 0 Applied: 04/30/2002 Valuation: Reference #: Project Title: Applicant: GLYNN ROOFING $8,430.00 GLESSNER RES-3000 SF LT WEIGHT CONCRETE 5428 ROCKINGHORSE LN OCEANSIDE CA 92057 760 758-0833 Entered By: RMA Plan Approved: 04/30/2002 Issued: 04/30/2002 Inspect "Nffi 04/30/02 0002 01 02 Owner: GLESSNER DANNY P&KAREN J 2618 JACARANDA AVE CARLSBAD CA 92009 CGP 153-00 Total Fees: $153.00 Total Payments To Date: $0.00 Balance Due: $153.00 f Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: PERMIT FEE Date: Clearance: $153.00 $0.00 $0.00 $153.00 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 lhat 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 FOR OFFICE USE ONLY ' PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. {li02 I 1(3 EST. VAL. j?C/3 Q Plan Ck. Deposit ________ _ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Total # of units # of Bathrooms Name Address City State/Zip Telephone# Fax# i!'i5ff~i'.leA111t,:; ~!l!•ll!itlfo' 'l:i!::liA11~nt!Q~¢91ltioolo<'; • t;J'Qwnei: 00 A~•!lt for Owner F 6-C ,..,, ',/ t, . ~ ,{ o ,-,J'€ t.,,,, a cc: S8-o City State/Zip Telephone# Telephone# (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 for such permit to file a 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 violation of SectioiyJ031.5 by any applicant for a ermit bjects the applicant to a civil pe alty of not.aiore than five hundred dollars [$5001). oc>'l?"-• oe, , • 6ce" C"T ,?-cJ?...J,J Address City State/Zip Telephone # License Class---=-+------City Business License# JJ? O .J~ t? 0 0 Designer Name Address City State/Zip Telephone State License # _________ _ &;,C",;W!l~K~~si:eoMeE~!!l\ TION ..•.. 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 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, 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 carrier and policy number are: Insurance Company______________________ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 6Ja.... 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 t n ~the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees . • s1G.N~TURE •. • .• ' &'-. ·"'" •~c·•.•· . . DATE ~ <ZJ/o 2,, ,1.,•• ,QW !8Ultl)E8;QECI/AIIA7'1QN•<, · · ,. ·· I hereby affirm that I am exempt from the 0 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). D 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 thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License law). D 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. D YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include 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, supervise and provide the major work (include name / address / phone number I contractors license number): ________________________________________________ _ 5. I will provide some of the work, but l have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone number I type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ 'c;l!r,'ir~I~&lt1$,'SEC'J'i!)i,i(FOR',VQ,V.:,{$!1i£NJUIL;JU'jt;:DING\PERMIJ$iQNtt\' ' 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 D 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 D NO ls the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 POLLUTION CONTROL DISTRICT. :a;;:tcPNST~UC]1Dl'f~~lll1>.1,iil:1iGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097:(il Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ 'll.;;1•0i'Ai!l',tCAt{l'1 CEijTl!'ICl\TIOlf '"' 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 Gitt 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 it'l 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 date of such permit or ii the building or work authorized by such permit is suspended or abandoned at any time after the work is comm ced for a peri 1 days ( action 106.4.4 Uniform Building Code). ~ £ ± APPLICANT'S SIGNATURE DATE ,'i;:/'3 p '< YELLOW: Applicant PINK: Finance I I • City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDREss:2C / 8 r/4. c. ""/\-4 ,..., A A-v e 2. TYPE OF BUILDING: RESIDENTIAL t><..__ COMMERCIAL . --~ 3. ROOF SLOPE: RISE .5; .S-inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (j} 2 3 5. TYPE OF EXISTING ROOF COVERING ..S ,(gtf' e SHEATHING .SA-7,o . *6. NEW ROOF MATERIAL ?;'./c LJ!f~s /c WEIGHT PER SQUARE T" ~ 7. -NUMBER OF SQUARES ..Yo 8. TRADE NAMEE<t(/e lre MANUFACTURER ~ q IE._ t7 (7. 9. ROOF SYSTEM LISTING UL No., ___ ~ICBO No. '7' ~ (; 0 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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 ! i 1. Tear Off/Pre-inspection prior to instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection.. . , /J / .. • . ~ ~/ ~/ Signatul-!'~ . ;;J:-,_______ Date z;/2 ~/4-;z_ Contractor .½-s Owner ____ Contractor Nawe /?1 c /"<-e / C Cy /7"4.._ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up( Other. City of Carlsbad Bldg Inspection Request For: 05/14/2002 Permit# CB021313 Title: GLESSNER RES-3000 SF LT WEIGHT Description: CONCRETE Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2618 JACARANDA AV Lot APPLICANT GLYNN ROOFING 0 Owner: GLESSNER DANNY P&KAREN J Remarks: Total Time: CD Description Act Comments Inspector Assignment: PY --- Phone: 7607580833 Inspector: ----- Requested By: MICHAEL Entered By: CHRISTINE 19 Final Structural flf----- Associated PCRs Inspection History Date Description Act lnsp Comments 05/02/2002 15 Roof/Reroof AP PY OK TO COVER