HomeMy WebLinkAbout2711 JACARANDA AVE; ; CB111241; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-08-2011 Miscellaneous Permit Permit No: CB111241
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2711 JACARANDA AV CBAD
MISC Subtype: REROOF Status:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
2551050100
$9,029.28
O'CONNELL: 2600 SF SHAKE LT.
TILE
SAN DIEGO ROOF DOCTOR
1075 LINDA VISTA DR
UNITO
SAN MARCOS 92078
760-471-7131
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ESTRADA SOCORRO
2711 JACARANDA AVE
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
PERMIT FEE
TOTAL PERMIT FEES
ISSUED
06/08/2011
JMA
06/08/2011
06/08/2011
$197.00
$0.00
$0.00
$197.00
Total Fees: $197.00 Total Payments To Date: $197.00 Balance Due:
Inspector: Date: Clearance:
$0.00
approval of your project includes the Ml sition" o fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." Y u 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 capacity
changes, nor planning, zoning, grading or other similar application processing or se1vice tees in connection with this project. NOR DOES IT APPLY to any
lees/ xac i ns o whi h o ha e reviousl n iv n N TICE similar to hi or as to whi h the st lute limi lions has revlo sl otherwi e ex ired.
/'~" <~• ... ~v " -' '3/ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 I 2718 / 2719
Fax: 760-602-8558
www.carlsbadca.gov
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
SUITE#/SPACE#/UNIT# APN
PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSIN S NAME
DESCRIPTION OF WORK: Include Square Feet of Afl'ected Area(s)
PROPOSmUSE GARAGE (SF) PATIOS (SF) FIREPLACE
YES)II # _j_ NO □
CONTACT NAME <" Different Fom Appl/cant)
ADDRESS
CITY STATE ZIP
PHONE FAA
EMAIL
PROPE
ZIP
PHONE tSS-8 -77,r.. .J~ <t'D
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
SWPP
CONSTR. TYPE OCC. G OUP
AIR CONDITIONING FIRE SPRINKLERS
YES □ NO □ YES O NO □
,,,
(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 per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 70_00 of Div1s1on 3 of the Business and Professions Code} or that he is exem9.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500}).
WO"Kl!lU" COMPEIUATIO!il
Workers' Compensation Declaration: / hereby affifm under penalty of perjury one of the following declarations:
□ 1 have and wlll maintain a certificate of consent to self-Insure for won<ers' compensation as provided by Section 3700 of the Labor Code, for the pertormance of the won< for which this pennit is issued,
I!::; have and wlll maintain won<ers' compensation, as required ~Sectfon ;mlO Of the Labor Code, for the pertonnance of ~'Mln< for which this pennit is issued. My workers' compensabon insurance carrier and policy
numberare:lnsl!ranceCo. ~ ,-.~,JQ Policy No. 233-/(2 QO l"(,,13 Expiration Date /4'-/-//
This section need not be completed if the permit Is for one hundred dollars ($100) or less. □ Certificate of Exemption: I certify that in the pertonnance 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: Fallure 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
addition to the cost of compensation, damages as provided for In Sect 3706 of the Labor code, Interest and attorney's fees.
AS CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ 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 lor 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 wof\o:: 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).
□ 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 contra::ts for such prq'ects with contraclor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section~-~--Business and Professions Code for this reason:
1. l personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have I have noQ signed an application for a OOilcing pennit for the proposed work.
3. I have contracted with the follO'Ning person (firm} to provide the proposed construction (include name address/ phone I contractors' license number):
4. I plan to provide portions of the work, but l have hired the following person to coordinate, supervise and provide the major work (include name I address I phOne / 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 I address / plione / type of wor\l):
AS PROPERTY OWNER SIGNATURE l:JAGENT DATE
~ -~ ~
COMPLIIT1!2 THU Sli.CTIOI\I FOR 1110111-RliSll)lil\lTIAt 111:litl)ft,l!i PlilfMITJ ol!ltl'
Is the 8pplicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention prngram under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes "Iii No
Is the applicant or future building occupant required to obtain a permit from the air poMon control district or air quality management district? □ Yes 1§1. No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes !!.No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR JS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENcY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have 198d the application and state that the above infoonatlon is correct and that the lnfonnatlon on the plans ls accurate. I agree to comp~'Mth all Ctty ordinances and State laws relating to buildlng oonstruc:tion.
l hereby authorize representaHve of the Qty of Carlsba:I b enter u!X)ll the above mentKlned property for inspeclion pulJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE (Ji THE GRANTING OF THIS PERMIT.
OSHA: Ml OSHA penntt is required for excavaOOns over 5'0' deep and demolition or oonstruction of structures over 3 stories in height.
EXPIR/fflON: Every pennit issued by the Buikling Oflk:ial under the proVISK'.lns of this C.ode shall expire by limitation and become null and vOO if the buikling or'Mlrk authorized by such permit is not oommenced Wthin
1&l days from the date of such pennlt or if the building or 'Mll'k. autholized by such penntt is suspended or abandoned at anytime after the 'Mlrk IS rommenced for a perbd of 18Q days {Sectbn 100.4.4 Unifonn Buikling C.ode).
,,6$ APPLICANT'S SIGNATURE DATE
' ,,
REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION
,.1. JOB ADDRESS: .,.27 // Q,1t4MAl.()d
B-10
2. TYPE OF BUILDING: RESIDENTIAL X: · COMMERCIAL __ _
3. ROOF SLOPE: RISE I/ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE(!'.) 2 3
5. TYPE OF EXISTING ROOF COVERING_~::S~#t4"'"'"""~~-SHEATHING ,'(...ID
*6. NEW ROOF MATERIAL £.f/'J/Y& CLASS # WEIGHT PER SQ. /2 O
7. NUMBER OF SQUARES___.U.""""' ___ _
8. TRADE NAME ,4,._J,,eow MANUFACTURER ~,,{;t
9. ROOF SYSTEM LISTING:
UL NO. _____ I.C.C.E.S. Report# /o/ol)
ASTM _____ _
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 . ..
Signature._-,,_,..,._,...c..-::,f,,C.-----------Date ,¥c
____ Contractor
Name #Itri-4wJ ,.. 5-trJ PrcP Jf:,./ etJ~
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
Page 5of5 Rev. 03/09
. m City of Carlsbad Bldg Inspection Request
. For: 06/16/2011
Permit# CB111241
Title: O'CONNELL: 2600 SF SHAKE LT.
Description: TILE
Type:MISC Sub Type: REROOF
Job Address:
Suite:
2711 JACARANDAAV
Lot: 0
Inspector Assignment: PY ---
Phone: 7605333301
Location: Inspector:
OWNER ESTRADA SOCORRO
Owner: ESTRADA SOCORRO
Remarks:
Total Time:
CD Description Act Comments
19 Final Structural _14?--
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description
06/09/2011 15 Roof/Reroof
Act lnsp Comments
AP PY
----
Requested By: LESSLY
Entered By: JANEAN