HomeMy WebLinkAbout2402 SACADA CIR; ; CB032389; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
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08-27,-2003 Miscellaneous Permit Permit No: CB032389
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2402 SACADA CR CBAD
MISC
2161904001
$2,775.00
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
ISSUED
08/27/2003
SB
08/27/2003
08/27/2003
Project Title: ELIA RES 2500 SF REROOF
WO SHAKE TO COMP SHINGLE
Applicant:
JMV ROOFING INC.
SIUTE #200
504 WEST MISSION AVE 92025
740-0379
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE
Issued:
Inspect Area:
Owner:
ELIA PATRICIA A TRUST
2402 SACADA CIR #B
CARLSBAD CA 92009
$77.00
$0.00
$0.00
$77.00
Total Fees: $77.00 Total Payments To Date: $0.00 Balance Due: $77,00
Ins ector:
2853 08/27 /03 0002 J1
CGP
Clearance:
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseNations, 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 the 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 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
fhi h vii iilr r hi limi h il i
77 .. 00
FOR OFFICE USE ONLY
PERMIT APPLICATION
70-0 ~ \r c-z ... -7.-7JO
PLAN CHECK No.a 8;:, z:3Sj
EST. VAL. -z._ 7? 5 CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROJECT INFORMATION
Business Name (at this address)
).)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # • / Existing Use
{;rrei.K.
Proposed Use
~t°'\.)
Description of Work S . F p #of Stories # of Bedrooms # of Bathrooms
Qvvw-te.. E ,c,f't ,r(}<k I so\\ <k ~Y\~•;\> \ '"'"' ""' \ ~, ... ~ 2. CONTACT PERSON (If different from appUcant) ~ \ 3
Name
3. APPLICANT ~ Contractor
Address
0 Agent for Contractor O Owner
City
0 Agent for Owner
State/Zip
Name '::,"("ny ~oo~,~-. \~'-.
4. PROPERTY OWNER I
'?o_\-y I( \"'-. (.\\0.....
Name
6. CONTRACTOR • COMPANY NAME
Address "5o,c\ 't,l . 0\,-.,,o-f'I -fl,.~~
q,;._, \ ¾. II\ "Z.0 0
2A 02. ~OJNb C.HC \.t
Address
City C~l .. ~0.'()..o State/Zip (.l).
~'.2..0'2.'i c CA.vi ~\.:z;.Q.., CA--
city State/Zip
L---
Telephone# Fax#
Telephone # 1 l.U) -74'-'-0:17,
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
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500)).
l,)TI'>Y ~,ov,,NC..· '::04 '1-,\. 'N\\':s:,\\)/\, ~ c,.~.1\--'2.ou p.c..o'ry:\'6,..o ; c...~ q29z.c; 1w>-74.0--0~7'1
Name Address City State/Zit Tele~hone #
State License # 9. \ ~ I.Q'S L-License Class C. 4:::."\ City Business License # fJ=-?f/; eel 1[f'e1 r
Designer Name City State/Zip Telephone
State License # _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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.
pfl 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 C.oW\\:>1"'-"':-s~~ \ '('\.\)~,N..(_. Policy No. C)O'S -OQQ, \ Q\ z.. Expiration DateO\ \o' I o4
(THIS SECTION NEED NOT BE COMPLETED IF T PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 1
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
to become subject t Workers' Compensation Laws of California.
WARNING: F · re o cure workers' compensation coverage i• unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
,000), In addition to the cost of compensation. damagH as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
DATE o\2..c 10~_
R CLARATION
am e empt from the Contractor's License Law for the following reason:
0 I, as owner operty 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 contractorls) licensed
pursuant to the Contractor's License Law).
D
1.
2.
3.
I am exempt under Section ______ Business and Professions Code for this reason:
I personally plan to provide the major labor and materia~s or ctnsf'-r;tion of the proposed property improvement. 0 YES ONO
I (have / have not) signed an application for a building r it r fe't'oposed work.
I have contracted with the following person !firm) to ro de he proposed construction (include name I 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 ________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 26505, 25533 or 25534 of the Presley-Tanner Hazz i us Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from h i~llution 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 s ool 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 AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the perfor.m~~e~f the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME_______________ LEND~ }J,dREss __________________________ _
9. APPLICANT CERTIFICATION
I certify t hat 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.
EXPIRATION: Every
authorized by such per
at any time after the w
APPLICANT'S SIGNA T
oui-1-ftlNiLXcavations over 6'0" deep and demolition or construction of structures over 3 stories in height.
by the uilding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
nee within 180 days from lhe date of such permit or if the building or work authorized by such permit Is suspended or abandoned
ce f r a period of 180 days (Section 106.4.4 Uniform Building Code).
DATE
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2--?\0 2-SrN,_;,., ~ ~
2. TYPE OF BUILDING: RESIDENTIAL~ ___ COMMERCIAL --~
3. ROOF SLOPE: RISE -4 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 ~ 2 3 '--!...) -1-'\N>(o
5. TYPE OF EXISTING ROOF COVERING 'W00P SHEATHING t'i-0 ~"l<-~ =~'(?
*6. NEW ROOF MATERIAL') "-'Y'-<-, \o CLASS£WEIGHT PER SQUARE 0
7. -NUMBER OF SQUARES 3 D ----~
8. TRADE NAMED'{'IC"''> C.>Y-"_:Y MANUFACTURER'3Dj..,__ S 'r) ''ft)~
9. ROOF SYSTEM LISTING UL No .. ___ ~.ICBO No .. _____ _.
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: -.-, ,.-,.
1. Tear Off/Pre-inspection prior to instalfnew roof covering.
2. Final Inspection
I agree t.o prcwide"11 ladder extending at least 2 rungs above the roof for
inspection.
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request.
For: 09/04/2003
Permit# CB032389
Title: ELIA RES 2500 SF REROOF
Description: WD SHAKE TO COMP SHINGLE
Type: MISC Sub Type: REROOF
Job Address: 2402 SACADA CR
Suite: Lot 0
Location:
APPLICANT JMV ROOFING INC.
Owner:
Remarks:
Total Time:
Inspector Assignment: JM ---
Phone: 7607400379
Inspector: 3'vv\,
Requested By: JOSH
Entered By: CHRISTINE
CD Description
19 Final Structural
Act Com)/4 &.coi ✓/ {J:;_/J U-~~
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments