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Home My WebLink About2816 JACARANDA AVE; ; CB032883; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-22-2003 Miscellaneous Permit Permit No: CB032883 Building Inspection Request Line (760) 602-2725 Job Address: 2816 JACARANDA AV CBAD Permit Type: Parcel No: MISC Subtype: REROOF ..;!'.55 103.;liOU Lot#: O Status: ISSUED 10/20/2003 SB 10/20/2003 10/20/2003 JM Valuation: $6,463.00 Reference #: Project Title: CASHMAN RES 2300 SF REROOF WD SHAKE TO LT WT CON TILE Applicant: GLYNN ROOFING 5428 ROCKINGHORSE LN OCEANSIDE CA 92057 760 758-0833 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: JEREMIAH ANTHONY&SWEET MARY E 2618 JACARANDA AVE CARLSBAD CA 92009 $128.00 $0.00 $0.00 $128.00 Total Fees: $128.00 Total Payments To Date: $128.00 Balance Due: $0.00 FINAL APPROVAL INSP. :T VV\ DATE 1t(=:, & 3 ' 'CLEARANCE FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. {fo3 Z:&'~ __3 EST. VAL. 0 ?lbs Legal Description Lot No. Plan Ck. Deposit===------ Validated By~~?: Datep:> ~-_ l Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units ame Address City S.tate/Zip Telephone # ·--~------■~ire!.ttil!!WCriiiil~iR~;!~i'liiJt~!~i~~:~~~)-¥t:!1t:is~1~,t'.~.~~l~~~~~~l~!!?~~ii\~li4.U!!Sl~~-tlft1lj~t!i'.111■lill=.J11iii!~~~f.:l,i~lt~rbs (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 C exel]l?tion. Any violation of Secti 031.5 by any j!IPPlicant for a permit subject he applicant to a civil lty of not more than five hundred o lars 1$500 J. ~C.re:..L/p".L.!..L....1:'..LQ...Q~/~/1:,L-_.!./~,l~oµ/(~=a ,{_~:?-<i...C.,LJU./'.s.£!......L:J~(LL..!L..:::"'-,__.:::C'fcS.f"-lLa'1.....t:=.,.,,,.,Lf....:G\L_-L!?!,-f... y Name Address City State/Zip Telephone # State License # ~Z_'/~S~_C~,J~· ~O~-License Class C 3 J: City Business License # / 2 C, S .Z (!) CJ Designer Name Address City State/Zip Telephone State License # _________ _ ~WQM~f.ilEfJJiTJO:rl)}!igs_i.;~~~½\'¾CtilfJ'.Jt};J',;[t.iffh;ri ; '.,'.t;{t_.: :;)_';i, T:':;., -(:;:>--· Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following 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 compensation insurance carrier and policy number are: Insurance Company______________________ Policy No. Expiration Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) hK'.' 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 t0 b~ome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure worker ' compensation coverage 11 unlawful, and shalt subject en employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,0001, In e c st of compensation, damages as provided for In Section 3706 of the Lab~ code, lntpre1t and attorney's fees. SIGNATURE -. DATE /C>L-::? (!)L__<III :) rtiMmfltl ,_ -: __ 71~ifJ:~lii~~l~!'t1kll~J,;;t~ .. ~p0:~~l~;;i_¥t~ff«:~;;t-•Atf<~~f:i.;s,,{Wi?¾,~~il~tl--t,Wt;;ij10¼F~i;i;~:<TJ;s$i?ii•:;\j;li1@i~f:;;4(i;+,:;f: 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). 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). 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. J 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): ______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ ICQ:MemJiHiUE~[Q~Foft!MO~~m.~t•Jl\lUJNli!PERMtt~;Qijli,;'('~#1Z~l&:£ri'.1!1tC4)!1!J&?ti:M~~j¥filii~;;tillJr;!U1iJilli:'t5UlSli~~JiJlli¼¼ll16~1:ii;fui~b'.iilli~\d~i: :'.f'.:~:rs2::0!1}1Ji:!;; 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 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? D YES D NO ls tha facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES D 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. !lliiiltril:ll:'fiidl'fU!llcililaDl!ij;!tr:rH:l.1.iitiJ!'.2fl(it::~;;;:~~it?.fi't1:if\:12:.iti:i~j;;L,;~r\itI];~ft,;,;;i_~-.t'i(,'-:~t'.t:'.;.~~;:;r;:i:i~::i;),,;;.;;;:,~i:;:;~:,k.;;~tit~ji';;-,f,-, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S ADDRESS __________________________ _ 1 certify that l 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 commenced within 180 s from the date of such permit or if the building or work authorized by such permit is suspen ed or abandoned at any time after the work is commenced for ape ·o days (Sectio 106.4.4 Uniform Building Code). YELLOW: Applicant PINK: Finance '· City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: -< ~ cA cc. ye," ct /-f v~ 2. TYPE OF BUILDING: RESIDENTIAL c<" COMMERCIAL'-----'-<:: 3. ROOF SLOPE: RISE £ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (!) 2 3 5. TYPE OF EXISTING ROOF COVERINGf l,,;,J <::.SHEATHING ,J ,,< t,& . *6. NEW ROOF MATERIAL L1 'fe r✓'/4 CLASS fl-WEIGHT PER SQ~ARE 7 :Z C? 7. -NUMBER OF SQUARES 2 ,7 . 8. TRADE NAME /°o,,, d' .. ,o.J'O, MANUFACTURER E °' 9-f{, __ / flE:;_ 9. ROOF SYSTEM LISTING UL No. . ICBO No. V 1/ G; (; (j. 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: •.-, i'( 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. . _?,.l .• . Slgnatu,e/c ~-- Contractor ~ Owner ____ Contractor Narrie /71 c/ 0c, e/ F &-7-1 /'\_ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 11/03/2003 Permit# CB032883 Title: CASHMAN RES 2300 SF REROOF Description: WD SHAKE TO LT WT CON TILE Type: MISC Sub Type: REROOF Job Address: 2816 JACARANDA AV Suite: Lot 0 Location: APPLICANT GLYNN ROOFING Owner: SCHROEDER THOMAS&ELIZABETH Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7604701244 Inspector: ---- Requested By: MICHEAL Entered By: ROBIN 19 Final Structural a_ ______________ _ Associated PCRs/CVs Inspection History Date Description Act tnsp Comments 10/22/2003 15 Roof/Reroof AP JM OK TO COVER