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Home My WebLink About2712 JACARANDA AVE; ; CB030154; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-16-2003 Miscellaneous Permit Permit No: CB030154 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2712 JACARANDA AV CBAD MISC 2551060300 $8,992.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: ISSUED 01/16/2003 SB 01/16/2003 01/16/2003 Issued: Project Title: NORMAN RES 3200 SF TEAR OFF WD SHAKE TO LT WT CON TILE Inspect Area: Applicant: R.T. ROOFING 13115 RIDGEDALE DR 92064 858-486-4977 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $153.00 Inspector: PERMIT FEE Owner: NORMAN SAMUEL R 2712 JACARANDA AVE CARLSBAD CA 92009 Total Payments To Date: $0.00 5984 01/16/03 000.2 01. $153.00 $0.00 $0.00 $153.00 Balance Due: Clearance: CGP $153.00 NOTICE: Please take NOTICE that 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 lhe 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 service fees in connection with this project. NOR DOES IT APPLY to any f · of hi h uh v revi I b n iv naN Tl Esimil r his or to which h stat flimitai n h s r vi I oth iwis e ir . <:)2 153,,00 FOR OFFICE USE ONi:£.. PLAN CHECK NO .. C (~3>c ( 6'~ EST. VAL. 8 iCf? PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit__,-=c------- Validated By--,-.,.;;;.7}_7;''""",::,------- Date ( '"-[ fo-O~ Legal Description Assessor's Parcel # Business Name (at this address} Lot No. Subdivision Name/Number Existing Use e,,-N -t' L< Unit No. Phase No. Proposed Use Total II of units #of Stories II of Bedrooms II of Bathrooms ( Name Address City State/Zip Telephone# Name Address City S.tate/Zip 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 exemptio'}'.)An violaf n of Section 7031.5 by any applica t for a ~ermit subjects the a plicJ,nt to a ~vii penalty of not more than five hundred dol rs ($500)). -~. . cror-1µ6 /'3>11 ,IDGrtj) /)K. rc1w 04,CfZP~ d T ?7 Name \ Address City State/Zip Telephone State License II ' l,'6 ~ /{e ~ License Class C. ?J:t City Business License II _______ _ Designer Name Address City State/Zip Telephone State License II !MiB~ !.,O..MPiN,SATI.,O~.,_ ____ __,.,. W~ Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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 co?:ensation insurance carrier and policy number are: SP' Insurance Company ?~ft: G,t':Q Policy No. /C4. {,, '7 '7 ~ ,. O 'Z.-Expiration Date Z,,.--/ -O > (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED D0LLAl!S ($1001 OR LESS} 0 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 rkers' Com pen ion Laws of California. enaatlon coverage Is unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred of compensation, damages aa provided for In Section 3706 of the L , Interest and attorney's fees. :.::.,::;::;;;~1:;;:;~_~!t!i~:O~ec~iRAT~B~A~~ •. !ii==:=~::.:r::;:=•:.i:.:.~:.~i:.:.~i':.:.i:.iii:.':.ii:.i~i~--DATE-;-:;;;t;'",;;;;;;;;t:;;:.:;;;::::;;;;;;;;;;;;;;;;:;~----- I hereby affirm 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. 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 en 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 / 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 / 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/ address / phone number / type of work}: ________________________________________________________ _ 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 25506, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO 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 l!!'L.lC_;~ttLC~;~W~l::;;FJ.1:;;;:CA;::;;T:;;:;I0:;;:;::::;::=;;::::;;---;;;;::::;;;:::;::;:-- 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 ~omply 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. 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 issue building Offici 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 wit ay 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 co a pe· d of 18 days Section 106.4.4 Uniform Building Code). . / ! APPLICA IT'S SIGNATURE ~4-_JC~Q:ij;;:::::2~L-------------DATE -Lf,f-'!(-'<,WIC..1-ft..---->"'------- YELLOW: Applicant PINK: Finance -r City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 211 :1 '::)-'\c!..A4,AK"'t)A \:vt, 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL __ ~ 3. ROOF SLOPE: RISE 5"' inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) <:i) 2 3 5. TYPE OF EXISTING ROOF COVERING ___ SHEATHING ___ _. *6. NEW ROOF MATERIALf1 \....1:;? CLASS]lQNEIGHT PER SQUARE 7. -NUMBER OF SQUARES '3--Z.... 8. TRADE NAME !:::\J\µSl)c, MANUFACTURER (-\1'.\L?Sc:ll...) 9. ROOF SYSTEM LISTING UL No .. __ ~_ICBO No. '?7 '--l Ifs' 1 o. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? @ NO All roof coverings are required to be ctASS 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 instalinew roof covering. 2. Final Inspection I agree to provide a ladder ext nding at least 2 rungs above the roof for inspection. Contractor / Owner ____ Contractor Narre *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/16/2003 Permit# CB030154 Title: NORMAN RES 3200 SF TEAR OFF WD Description: SHAKE TO LT WT CON TILE Type: MISC Sub Type: REROOF Job Address: 2712 JACARANDA AV Suite: Lot Location: APPLICANT R.T. ROOFING Owner: NORMAN SAMUEL R Remarks: CAN FINAL? Total Time: CD Description 19 Final Structural 0 Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: Inspector: ✓""4, Requested By: CHRISTINE Entered By: CHRISTINE 01/17/2003 15 Roof/Reroof AP JM OK TO COVER