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Home My WebLink About2703 JACARANDA AVE; ; CB012456; Permit1/1'127 07/23/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB012456 Building Inspection Request Line (760) 602-2725 Job Address: 2703 JACARANDA AV CBAD Permit Type: MISC Subtype: Parcel No: 2551140200 Lot#: REROOF 0 Status: Applied: Valuation: $6,463.00 Entered By: ISSUED 07/23/2001 CB 07/23/2001 07/23/2001 Reference #: Plan Approved: Issued: Project Title: DUDEK RES./ 2300SF REROOF Inspect Area: REMOVE SHAKE, APPLY OSB, LIGHT WEIGHT CON. TILE Applicant: GLYNN ROOFING 5428 ROCKING HORSE LN OCEANSIDE CA 92057 Total Fees: $128.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: ,,1/.lknl,,;, Owner: DUDEK THOMAS J 2703 JACARANDA AVE CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE 5344 07/23/01 0002 01 02 CGP 128-00 Balance Due: $128.00 $128.00 $0.00 $0.00 $128.00 FINAL APPROVAL Date: 7-11-d( Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectlvely 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 Ca~sbad 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 specffied fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.C--!3o 124 <CV CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit,,-_...------- Validated _!3~ C.E, Date 1-2 3-0: / 1. PROJECT INFORMATION ,f o2 7 D,3 ,Z:a..cO\,Y'<>-~ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use :l,300 8 e .,..,_ e 11e S #q.f, s: :i~';f ;J(c!la r Tile.-SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON '(If different. from applicant) Name State/Zip Telephone# Fax# City 4~:-Glo;NEt?l-< oleA:. Name Jz?oJ Address co.d.riJ CA: yoo 1 y:1r:.-E:?/6 City S.tate/Zip Telephone # 5. CONTRACTOR • COMPANY NAME (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 Sectiory?031.5 by any a licent f~e per it sub· cts the applicant to a civil penalty "not '!!'lre thap.f e hugpr dollars ($50 ~· ,:!,. '"!:» a,O.,.. A• " c-ea."I.S/t:'~ L. 7. 0~ 03'. --5 Address City State/Zip t!"" Telep one # State Ucense # JI Sf, :l C) license Class C .:J 1 City Business license# /;)0.-> ",l {) 0 Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORK£RS" 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 consent to setf•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 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. _______ _ S SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as come subject to the Workers' Compensation laws of California. WARNING: Failure to secure worken' compenHtlon coverage la unlawful, and •hall aubject an employer to criminal penattlea and civil flnea up to one hundred thouHnd dollars($ 0,000) di n to coat of compenaation, damagea •• provldad for in Section 3706 of the ~1>9' cod •• i~ereat and attomey'• fees. SIGNATURE·""'.;~~~~~~~~;-;:.,,_e::::=~c------,-----------DATE 7!'Y2 ~L<z> I 7. OWNER•BUILDER OECLA I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 l, 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. l have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. 1 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/ contractors license number): ________________________________________________ _ 5. l 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 _________ _ coM,UTE THIS SECTION FOR NON-RESIDEN11AL BUILDING PERMITS QNLY. 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? D 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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 CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ 9. AfPLICANT CERTIFICATION 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 Citt 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" deep and demolition or construction of structures over 3 stories in 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 if the building or work authorized by such permit is suspended or abandoned at any time after the work is comme ced for a of mo (Section 106.4.4 Uniform Building Code). ?(~ / ~ J APPLICANT'S SIGNATURE~a~~~t::r~~~~~=-------------DATE ~~,..___,;_~-->~-~-,..._.,, _____ _ YELLOW: Applicsnt PINK: Finance ... City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: c2 Z O ,J ck c.,°'-. re,._ /\£. It v €__ 2. TYPE OF BUILDING: RESIDENTIAL ~ COMMERCIAL ~ ' --~ 3. ROOF SLOPE: RISE_...) __ .inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (V 2 3 5. TYPE OF EXISTING ROOF COVERING.5¼~e_ SHEATHING sA,o *6. NEW ROOF MATERIAL 1t /e CLASS If-WEIGHT PER SQ~ARE 7 J() 7. NUMBER OF SQUARES ~ 3 ·-=~--' 8. TRADE NAME £vf?/' ue.r Y MANUFACTURER /fa__-'1..fo.r\.__ 9. ROOF SYSTEM LISTING UL No. __ ~_ICBO No. :J 'i 18' :fllfl? '25 l'-1/ 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 inspection. z.A ....... ~ ~~--- Contractor ~Owner ____ Contractor Na111e fi c.J 0\ € / C !y'-1 "1_ Date 7/?J~( t *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. • City of Carlsbad Bldg Inspection Request For: 07/27/2001 Permit# CB012456 Inspector Assignment: GG --- Tille: DUDEK RES./ 2300SF REROOF Description: REMOVE SHAKE, APPLY OSB, LIGHT WEIGHT CON. TILE Type:MISC Sub Type: REROOF Job Address: 2703 JACARANDA AV Suite: Location: APPLICANT GLYNN ROOFING Owner: DUDEK THOMAS J Remarks: Total Time: CD Description Lot 0 Act Comments Phone: 7607580833 Inspector: ----- Requested By: MIKE Entered By: ROBIN 19 Final Structural ltR----------- Associated PCRs Inspection History Date Description 07/24/2001 15 Roof/Reroof Act lnsp Comments AP GG