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Home My WebLink About2709 JACARANDA AVE; ; CB020346; Permitj . ,:(' . r-,<1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 02-04-2002 Miscellaneous Permit Permit No:CB020346 Building Inspection Request Line (760) 602-2725 Job Address: 2709 JACARANDA AV CBAD Permit Type: MISC Subtype: REROOF 0 Status: ISSUED 02/04/2002 JM 02/04/2002 02/04/2002 Parcel No: 2551050200 Lot#: Applied: Valuation: $6,463.00 Entered By: Reference #: Plan Approved: Issued: Project Title: HENRY -REROOF 2300 SF LITE TILE -ICBO #3748 Inspect Area: Applicant: GLYNN ROOFING 5428 ROCKINGHORSE LN OCEANSIDE CA 92057 760 758-0833 Total Fees: $128.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: Owner: 0194 02/04/02 J002 01 02 HENRY EDMUND V&ROSEMARY S TRS CGF" !28 oc, 2709 JACARANDA AVE CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT Balance Due: $128.00 $128.00 $0.00 $0.00 $128.00 FINAL APPROVAL Date: ,z/4.:i/, Z... Clearance: _____ _ NOTICE: Please take NOTICE that approval of your pro}ect 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 r11ht to protest the specttied tees/exactons 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 fee&"exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of lim~ations has nreviouslv otherwise emired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHEC5 NO. ':-&2-~ 3tt'/; EST. VAL. W £16 ~ Plan Ck. Deposit~,'l-,------,-..,.--- Validated By•_~+J.:.....-~---;~s--;,--- Date, ______ ___.4-4,.µ..u."---- 1 •. -: PROJECT l~R.M~TION /4 ..;J 7 () L t/ <1. C <I r Cv? 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 # of Bedrooms IJ?,./{;,,// ~,nS0-'1 ,t,.c.. II of Ba;t;rooms ~•T Ueb7""f T,/e_ Name City State/Zip Telephone# Fax# 3. □:Agent.tOr Owner ~ C.,,f 1205 ,!__ /..,,-1 C) Cc: ~A.SI e City State/Zip Telephone# ,,el., f?ue C L '/f'S7 City State/Zip Telephone# 5. CONTRACTOR' COMRANY' 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 exem tion. Any violation~ Section 7031.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five-:-hundred ~o!!,!rs [$500]). _ '"" ,,, ',;l,Y & or'. /. OceG,-'\.SI e. C/r £OS ~$-o&'JJ' Address City State/Zip Telephone # State License # 7/.f '":/ 0 License Class __ _;..cc..__L____ City Business License # / ~ ~ S ti' (p Cl Designer Name Address City State/Zip Telephone State license # _________ _ 6. WORK~~$' COMP~NSATION 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 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. O 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 [$1001 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 to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure w kera' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred 100,001!!!,tff'~~• he cost of compensation, damages ea provided for in Section 3706 of the La or co , Interest and attorney's fees. DATE OJI._ 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 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). 0 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). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. 1 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. I have contracted with the following person (firm) to provide the proposed construction (include name/ address I phone number/ contractors license number): 4. J 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. I will provide some of the work, but J have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work).,_----------------------------------------------------------- PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ COMPLETE'THIS SECT!0N,F0RN0N-RESIDENT/AL BUILDING PERMITSO.NLY 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 O 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 Is the facility to be constructed within 1,000 feet of the outer boundary of a 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8, CON$JRUCTION 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. APPLICANT 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 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. , . . -----·-·-·-· -___________ .,_ --------·--- City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ;2 7 0 1 ;r;,., cc,,"-,,-, ~ /-1 v e 2. TYPE OF BUILDING: RESIDENTIAL [>.'.'.'.___ COMMERCIAL __ ~ 3. ROOF SLOPE: RISE G inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (v 2 3 5. TYPE OF EXISTING ROOF COVERING t,., .. ,.~tSHEATHING ,..SA1p . *6. NEW ROOF MATER1At,7i/e,f ci1ss OOWEIGHT PER sduARE 7. -NUMBER OF SQUARES ;) ,3 . 8. TRADE NAME Weq1k,ef Jii1':e_ MANUFACTURER /fc>,J] SC!(\ 9. ROOF SYSTEM LISTING UL No. __ ~_ICBO No. 3 7 7'. fr IO. 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. Tear Off/Pre-inspection prior to instali new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. s;gnatu,e~~ Date .2/4<, Contractor k Owner ____ Contractor Narrie /7, c /,.. e/ C 6,-/1'1_. I *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request Permit# CB020346 Title: HENRY -REROOF 2300 SF Description: LITE TILE -ICBO #3748 For: 02/12/2002 Type:MISC Sub Type: REROOF Job Address: 2709 JACARANDA AV Suite: Lot O Location: APPLICANT GLYNN ROOFING Owner: HENRY EDMUND V&ROSEMARY S TRS Remarks: Total Time: CD 19 Date Description Inspection History 02/06/2002 15 Roof/Reroof Act lnsp Comments AP JC Inspector Assignment: JC --- Phone: 7607580833 Inspector: Q( ./ Requested By: MICHAEL EnteFe<l-l~v: CHRISTINE