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HomeMy WebLinkAbout2801 JACARANDA AVE; ; CB022635; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-05-2002 Miscellaneous Permit Permit No: CB022635 Building Inspection Request Line (760) 602-2725 Job Address: 2801 JACARANDA AV CBAD Permit Type: MISC Subtype: REROOF Parcel No: 2551033100 Lot#: 0 Valuation: $8,430.00 Reference #: Project Title: HANSEN RES-3000 SF LT WT CONCR Applicant: Owner: DOO RITE CONSTRUCTION HANSEN YURIE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/05/2002 RMA 09/05/2002 09/05/2002 5587 09/05/02 0002 01 02 751 SESAME ST 91910 800 525-7929 2801 JACARANDA AVE CARLSBAD CA 92009 CGP 153-00 Total Fees: $153.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Date: ~cJ.3 Balance Due: Clearance: $153.00 $0.00 $0.00 $153.00 $153.00 NOTICE: Please take oval of your project includes the ~Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/e clions: You e 90 days from the date this permit was issued to protest imposition of these fees/exactions. II 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 service fees in connection with this project. NOR DOES IT APPLY to any hv r ivn NTI ii!r hihhs •· · h rvi · ir. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C6o 'J__ Z/s,]5 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Address (include Bldg/Suite #) Business Name fat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units ::PD Assessor's Parcel # /Z!!!!}_OVe ~IIIJ71N6 Yz"tJ~ ~Hel/:7f//H4 Proposed Use 1/(6!1}/...L.-el/§ltUTE 71 le #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# ilffliillia!m-e~li~!, Name Address City State/Zip Telephone # W'"M•:aca10-m!illllittill:llllllll•!JIIIS'illlnliliUlro~-!l~!.\l1lAll•ii,'::ti."••k·'.il.1~L•:!;:i,!\l~•...:tMPllil~oi0,;., •• J't:,,;. (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 Section 7031.5 by any applicant for a permit subjects the a plicant to a civil penalty of not more than five hundred dollars ($5001), 75/ e I I{) 005:z€ Name State License I _,,&/1<....!7_3"'-"'t)'-~""-f __ Address License Class City State/Zip yqhone # B J.f}(!, c;ty Bu,;n,ss License# / 2/ 2..q Designer Name Address City State/Zip Telephone State License # __________ _ !J,)$~ii ...... ~----D•l.W•lilllllillf·IGll!!ll:l'<;rt•ta:?f4~■;,i;~;~;;;.,:,,;~z•;;i~!li~t 1,:;.{ -:.,_:;i~(n[;:i~~ -!;l~f.;'.'.l'~~.:.f,~--•>t /;ii-.:" ·'·,,:-,1;;i>:'.1;r:::-' i' Workers' Compensation D•olaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. (:i""" 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 polic number are: ln,u,ance Company I !NIA Pol;cy No. (J ![-0000 2,{p'/,3 Exp;,at;on Date () /' () / ,() "3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) O 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 workers' compenaatlon coverage la unlawful, and ahall aubject an employer to criminal penaltlH and civil flnea up to one hundred thousand dollars I 00 00), In dlt to tha coat o compensation, damagH as provided for In Section 3708 of the Labo c e, Interest and attorney's fees. ' (J DATE t am exempt from the Contractor's license law for following reason: O 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). O 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 end materials for construction of the proposed property improvement. D 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. 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 I 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 tuiure 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 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 Quatltv 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 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309710 Civil Code). l.ENOER'S NAME _____________ _ 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. 1 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 s•o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the bullding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed by such permit 1s not commenced w1th1n 180 days from the date of such permit or 1f the bu1ld1ng or work authonzed by such permit !s suspended or abandoned at any time after the work ts comma ed f r l'l period of days (Sectio 106.4 4 Uniform Building Code) l} I uf ol, APPLICANT'S SIGNATURE --,,4JLM:..::,,._.,c_i,e,-4-cuc..i.,CLL-!f"'-µ.L!...1<.._________ DATE _7_,_,_~~1----------- PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 1,5/o 1 .JltCl'rR..ltNT>A ftVG C/ff!.,L,$f?/ff> 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL, __ ....: 3. ROOF SLOPE: RISE 't;;z inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) {;) 2 3 5. TYPE OF EXISTING ROOF COVERING WOOV SHEATHING {)ezf3 *s. NEW ROOF MATERIAL A CLAss1,2--WEIGHT PER SQUARE 7. 'NUMBER OF SQUARES ';?0 8. TRADE NAME Pf>N p,.efZ{½)Pr MANUFACTURER £;,,t/€,(;£ LfTl3 9. ROOF SYSTEM LISTING UL No •. __ ~_ICBO No. fH..t~ 0 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES ~ 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 instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature lu ~ aft li\f1 ~Th'L Date 9/ifa?/ Contracto9J Owner ____ Contractor Narrie poo., /?I re OON 07 *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 02/18/2003 Permit# CB022635 Title: HANSEN RES-3000 SF LT WT CONCR Description: Type: MISC Sub Type: REROOF Job Address: Suite: Location: 2801 JACARANDA AV Lot 0 APPLICANT DOO RITE CONSTRUCTION Owner: HANSEN YURIE Remarks: Total Time: CD Description Act Comment 19 Final Structural -tl-t \f\O.,\_ Associated PCRs/CVs lnsQection Histo!Y Date Description Act lnsp Comments Inspector Assignment: JE --- Phone: 7607530913 Inspector: ----- Requested By: YURIE HANSEN Entered By: ROBIN 09/17/2002 15 Roof/Reroof AP JE OK TO COVER BRACING INSTALL 09/12/2002 13 Shear Panels/HO'S NR JE CONTRACTOR CALLED TO CANCEL 09/12/2002 15 Roof/Reroof NR JE BRACING NOT IN 09/11/2002 83 Roof Sheathing/Ext Shear co JE see notice attached 09/10/2002 15 Roof/Reroof co JE SEE NOTICE IN FILE 6 ITEMS