HomeMy WebLinkAbout2809 JACARANDA AVE; ; CB053592; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-18-2005 Miscellaneous Permit Permit No: CB053592
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2809 JACARANDA AV CBAD
MISC Subtype: REROOF Status:
Parcel No: 2551032700 Lot#: 0 Applied:
Valuation: $8,988.00
Reference #:
Project Title: ARTINIAN RES 2800 SF FROM
SHAKE TO STD WT.CONCRETE TILE
Applicant:
PATRIOT ROOFING
1042 EL CAMINO REAL
ENCINITAS, CA 92064
760-577-2935
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
ARTINIAN FAMILY TRUST 04-18-05
2809 JACARANDA AVE
CARLSBAD CA 92009
ISSUED
10/18/2005
KG
10/18/2005
10/18/2005
$154.00
$0.00
$0.00
$154.00
Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due:
Inspector: Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpositionff of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions.~ You have 90 days from the date this pennit 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 Ca~sbad Municipal Code Section 3.32.030. Failure to timely folbw 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 nght 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 . . .
PERMIT APPLICATION
FOR OFFICE USE ONLY r-;:;u·~-a-
PLAN CHECK Nc{;/jJ__~-2_27_ tC.
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit-----;,-'------
Business Name (It this address)
Subdivision Name/Number Unit No. Phase No. Total II of units
Existing Use Proposed Use
Fax II
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Citv Businus License II //J/l((J 1y
Designer Name Address City State/Zip Telephone
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pen a I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of conHnt to self-Insure for workers' compensation ■a provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit la lnued.
0 I have and will ma' taln workers' compensation, ■a required by Section 3 700 of the Labor Code, for the performance of the work for which t 11 pe
:~:~;=~c:~o:;:~:•
0
ns~ti insuranc errier and policy number are: Polley No. / ') i/fJL/:l/ l(: Expiration Date_O-1,..-,..--,---,.-
ITHIS SECTION NE OT BE COMPLETED IF THE PERMIT I FOR ONE HUNDRED DOLLARS 1•100) OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that In th• performance of the work for which this permit la iaaued, I shall not employ any person in any manner so aa
to become subject to the Workers' Compenaatlon Lawa of California.
WARNING: Failure to aacura workwa' companaatlon covwaga la unlawful, and 8hall aubjact an amployw to criminal panoltlaa and clvU fin•• up to one hundred
lhouaend dollars I 1 ,000), in tlon to the coat of compensation, damagaa u provided for In Section 3708 of the Labo, coda, interest and attorney's fHa.
SIGNATURE DATE / 0 . /g..-0 £
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I he;eby affirm that I am exempt from the Contractor's Ucenaa 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, Buslnaaa and Professions Coda: The Contractor' a License Law doea not apply to an owner of property who builda or improves thereon, end who does
such work hlmaalf or through hla own employees, provided that such Improvements are not Intended or offered for aale. 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 purpoae of sale).
0 I, H owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Busineaa and Professions Code: The
Contractor'• License Law doea not apply to an owner of property who bullda or improves thereon, and contracta for such projects with contractor(sl licensed
pursuant to the Contractor's Ucanaa Law).
0 I am exempt under Section ______ Bualneaa and Professions Code for this reason:
1. I personally plan to provide the major libor and materials for construction of the proposed property Improvement. 0 YES ONO
2. I (have / have not) signed an application for a buildlng 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 llcense 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):. ________ -'----------------------,---------------~-------------
PROPERTY OWNER SIGNATURE ---------------------,----DATE mMRl!itiftilillGln~Blia~~~,~~-••~~•·-,,-~-_. -:. -... -. -. --, ---;i-tm.-J~---.• -!U1i~..iis1t~~'\1fr.:.:11;~.i:
I• the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program und,r Sections 26606, 26633 or 26634 of the Pre,ley-Tanner Hazardous Substance Account Act7 0 YES O NO
la the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 O YES O NO
la the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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.
t1l2Wti!:iitID1:~1ii.iif~if~~l~Jll:iJ;;~~ifm~t'il'.(t~J-1.:.~lci?ii'i~~~t~J:1~t!i~tl!i;~' i'i:.:ii!.0:sii'.i'i:'.v;:>fill~\; . .;>,' · . , , .-_;·· ;,, .. ,
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
•.• $~~17~~;~;~;~~_,D1~~~i£1~-~~~!~~~§~;W.@.l~~~~~\\l,;~~
I ?•rtlfy _that I have rHd the ~ova Information la correct and that the Information on the plans la accurate: I agree to comply with all
Ci:1ty ordmancaa and State laws relating to building conatruction. I hereby authorize representatives of the Citt of Carl1bad to enter upon the above mentioned
property for Inspection purposes. I ,4LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAOAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. •
OSHA: An OSHA permit Is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories In height. ·
EXPIRATION: Every permll Issued by the building Official under the provisions of this Code shall expire by llmilalion and become null and void If the building or work
authorl~ed by such permit !s not co menced wlthl~ 180 days from the date of such permil or If the building or work authorized by such permil is suspended or abandoned
at any lime after lhe work 1s com en ed for a p of 180 days (Seclion 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE -7'~J...&o<:..a.:~tlcJ4-<~4'--------------DATE /6 ,-I 8 -0)
YELLOW: Applicant PINK: Finance
I
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 8&2q ,racaJ) QM d a.
2. TYPE OF BUILDING: RESIDENTIAL x'.; COMMERCIAL • I
3. ROOF SLOPE: RISE if inches in 12 inches · .
4. NUMBER OF EXISTING ROOF COVERING (circle one) AJ 2 3
5. TYPE OF EXISTING l,90F fOVERING S1n6.1U SHEATH~ 9fup .
•s. NEW ROOF MAT~lxl vJb(~onc:-CLAss!I/f)vE1GHT PER sauARE
7. -NUMBER OF S<?PARES z_ S::
8. TRADE NAME .ll(UQV)C\ MANUFACTURER 11 PS±i(Q
9. ROOF SYSTEM LISTING UL No. ____ lCBO No. ES 39 1fL/: .
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? eJ NO _
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classlflcation are prohibited.
I understand the following Inspections are required: Xi
I. Tear Off/Pre-inspection prior to instalf'new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature :;lt~B . Date !{)-/g~o s-
Contractor y) Owner ____ Contractor Narpe @.fr:i () r Roaf; ny,,.,.,...
*6 •Rolled~. Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, (j
Other.
City of Carlsbad Bldg Inspection Request
For 11/29/2005
Permit# CB053592
Title: ARTINIAN RES 2800 SF FROM
Description: SHAKE TO STD WT.CONCRETE TILE
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2809 JACARANDA AV
Lot
APPLICANT PATRIOT ROOFING
0
Owner: ARTINIAN FAMILY TRUST 04-18-05
Remarks:
Total Time:
Act Comment
Inspector Assignment:
Phone: 7608456191
Inspector: ----
Requested By: JAMES
Entered By: CHRISTINE
CD Description
19 Final Structural ~;r; ----------------
Comments/Notices/Hold
Associated PCRs/CVs
Inspection History
Date Description Act I nsp Comments
11/14/2005 15 Roof/Reroof AP JM ROOF DRIED IN -OK TO COVER