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Home My WebLink About2811 JACARANDA AVE; ; CB050716; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-09-2005 Miscellaneous Permit Permit No: CB050716 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2811 JACARANDA AV CBAD MISC 2551032600 $7,250.00 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: GOOTEE RES-2500 SF LITEWT CONG Inspect Area: Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $140.00 Owner: GOOTEE HAL D&CHRISTINE H PERMIT FEE 2811 JACARANDA AVE CARLSBAD CA 92009 Total Payments To Date: $0.00 Balance Due: ISSUED 03/09/2005 RMA 03/09/2005 03/09/2005 $140.00 $0.00 $0.00 $140.00 $140.00 3383 03/09/05 0002 01 CGF" VAL Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions.~ You have 90 days from the date this pemiit was issued to protest imposition of these fees/exactions. If you protest them, you must follow fhe protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnation 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 OOES 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 x in fw. h h I Tl E ii r whi Ii 'n h h iwi FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {;&;:;s // 7/ 6 Esr. vAL. --;;z So CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit ________ _ Validated By•---.,,..+---r-41,.1:.!::.._ Date, ______ .:::._,1....J'-1-...f..J."-'<'~-- Business Name (at this address) Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Name Address City State/Zip Telephone# Fax# Telephone# Telephone# (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improv.e, 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 pti Any iolatio f Se ·9n 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Address License Class _,{_-_3.,,__7_,_ ____ _ City State/~ Telephone # City Business Licerlse 1/ ~/C) '2/,, Designer Name Address City State/Zip Telephone State License # ------------------fffl-W§~ml'.fQN'~/41)i~it];]ritf>\);Ji:;;_:c.i,i's¼dfit:' ,,'.li'..\~'.,;fb'.'.c: ;:c ', ,.: -;~-.; ; ' [C",;'L , ,,.,,w ;!;i~;~:;1;-,,b; J;;-,}'.9}:H~~it.:1;1:]1i,};:;~t'.[11:;;;,i/i~i-;'ji.t~~:Ji~!l:;i.~~!,tt'l~tt:~:i< iiS1~l1k;. Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following deoleretione: D 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. D 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 and policy number are: / / Insurance Company __:~~u.:t1'----J::U~1J'.:j,/'__________ Policy No.I to 7 7 a I 2 Expiration Date a/() r (THIS SECTION NEED N T BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOL[ARS ($100) OR LESS) IQ D 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 t secure workers' compensation coverage la unlawful, and 1hall 1ubject an employer to criminal penalties and civil fine• up to one hundred thouaand dollar, ($1 0), in addl n to the cost of compensation, damages a1 provided for in Section 3706 of the Labor code, Interest and attorney's fee1. :=~j·jj·ij·ij.~fi~~.~-·~· ·~·~·ij·jQ~il11~'"~~R~"~~~· ~,~~~;~L;Jii!'tii•~iff·i;1·ij11_'"'m.ii_~-i1·\i~ii·i;~-,~··ji,iji,:ij··iij·"-ij_··:~¥&~6~lfil~;~ijJ~fl1!!. ""ii:i~'~Yrill~>ii·tr~S\:'¾j;n~'r~s:;::~;;:;;.;i:,'~~~~)iLWf~,;,1:~;,,0;;;i,0:J;§F~f~~~-~~y~~!~~~+E~4:0*~~o/~!£1t\iw~t.fS~:2;gi I hei"eby affirm that I am exempt from the Contractor's License Law for the following reason: D 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). D 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). D 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. D YES ONO 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. / 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 I address / phone number/ contractors license number): ________________________________________________ _ 5. I wilt 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 ________ _ r®,MHmmttnJiiiS!CilOilf~Bf~-bEMOOtBlliBl8m,~~l:iYlii&iJP1FX\611%M~~~tct!il·f~~•m1?i"J~~~~;J¾{;k11t~~~i]1£bi;¼1fLiiTSf1A?:~:-;'Ji;'a1l~'.~·,;:;_ Is the applicant or future building occupant requirnd to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 26606, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D 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 D NO Is 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. •...aoaa1:~mllRii8illlaUllffff~t~·.:iz~:';~.t~~llr7.~.r=1\i~;;~;-~4!§tl!~'.!;~4~\t~. ,;:;:;,~-;i::,,v :-: 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 _____________ _ LENDER'S ADDRESS, ______________________ _ 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. 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 issued by the building Official 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 c mmenced within 180 days 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 com en d for a peri of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE _.,,3,_-_?~-_<J_T~---- WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JoB ADDREss: Jx /I .Iac a;,and w 2. TYPE OF BUILDING: RESIDENTIALtf COMMERCIAL. __ __. 3. ROOF SLOPE: RISE S::: Inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (Y 2 3 5. TYPE OF EXISTING ROqf coyERING shw SHEATHING Si?! p . *6. NEW ROOF MATER1ALJ1-b h l.e cLAs~EIGHT PER SQUARE 7. -NUMBER OF SQUARES 2 ) 8. TRADE NAME IJ,µJa lifJ:i MANUFACTURER U.1n IPI/ 9. ROOF SYSTEM LISTING UL No., ____ ICBO No. ?(o 5} 10. IS THE EXISTING STRUCTURAL DESIGN S~IENT 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 classlflcatlon are prohibited. I understand the following Inspections are required: •;, ,.,. 1. Tear Off/Pre-inspection prior to lnstalf'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection • . Signature '*bo M ..iw4e Date J---"}-OS Contractor~Owner ____ Contractor Na!fle ______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. . m City of Carlsbad Bldg Inspection Request . For: 04/01/2005 Permit# CB050716 Title: GOOTEE RES-2500 SF LITEWT CONC Description: Type: MISC Sub Type: REROOF Job Address: 2811 JACARANDA AV Suite: Lot 0 Inspector Assignment: JM --- Phone: 7605222285 Location: Inspector: OWNER GOOTEE HAL D&CHRISTINE H Owner: GOOTEE HAL D&CHRISTINE H Remarks: Total Time: CD Description 19 Final Structural __a::Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments ---- Requested By: NA Entered By: CHRISTINE 03/30/2005 19 Final Structural 03/22/2005 15 Roof/Reroof CA BN RE-SCH FOR THURS. PM PLEASE AP JM OK TO COVER