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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