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Home My WebLink About2612 JACARANDA AVE; ; CB071866; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-13-2007 Miscellaneous Permit Permit No: CB071866 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: 2612 JACARANDA AV CBAD MISC 2551132300 $0.00 Subtype: REROOF Lot#: 0 Project Title: NEWKIRK RES-25.5 S CONCRETE TILE REROOF Applicant: Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 0711312007 LSM 0711312007 0711312007 GLYNN ROOFING NEWKIRK DIANA D REVOCABLE TRUST 5428 ROCKINGHORSE LN OCEANSIDE CA 92057 760 758-0833 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $153.00 lnspecto. PERMIT FEE 2612 JACARANDA AVE CARLSBAD CA 92009 Total Payments To Date: $153.00 $153.00 $0.00 $0.00 $153.00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions: You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f I x c i n I h' h h v r vi I iv n N Tl E imil r hi h h t f . h r vi I h rwi City of Carlsbad Plan Check No. (!.£,Q7 .. I S' (o C,, 1635 Faraday Ave .. Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application SU1TE#/$PACE#/UNtT# Est. Value Plan Ck. Deposit Date , t3{07 APN CT/PR JECT# LOT# # OF UNITS # BEDROOMS #BATHROOM TENANT BUSINESS NAME CONSTR. TYPE C. GR UP DESCRIPTION OF WORK: ove. {J,.,~,j Y). ,"Oc!f ,-, E,_, o// ¼, O.S EXISTING USE PROPOSED USE GARAGE (SF) CONTACT NAME (If Different Fom Applicant) ADDRESS CITY STATE ZIP PHONE FAX EMAIL PROPERTY OWNER NAME / t<Vl"-. STATE CA ZIP ',lco i FAX ARCH/DESIGNER NAME & ADDRESS STATE LIC. # PATIOS (SF) DECKS (SF) APPLICANT NAME 1- PHONE Ylo 1.z Y EMAIL ADDRESS I o ,(q_ ,, c: /4 c1rv, ,_ !?'-v r ..i r« EMAIL STATE UC.# NOD FAX STATE Q v't FAX CLASS AIR CONDITIONING YES □ NO □ ZIP .zag'--/ CITY BUS. LIC.# FIRE SPRINKLER YES O NOD /.S(.l<J CJ J.? ,S;.?<:JO IS«. 7031.5 Businm and Professions Code: Any City or Count,: which requires a permit to construct. alter/ improve, demolish or reP.air any structure, prior to its issuana, also requires the applicant for mh ptrmit to file a signed statement that he is ticensed J!l!nuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for die alleged mmprion. Any violation of Section 7031.5 by aPy applicant for a permit subjecu the applicant to a civil penalty of not more than five hundred dollars {$SOO}). WORKERS' COMPENSATION Workers' Compen11Uon Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wltl maintain a certificate of consent to self-Insure for workers' compensaPon as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is Issued. j!!J._1 have and will maintain workeri' compenaatlon, as required by: lion 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy numberare:lnsuranceCo. ~ Te Fu.,, PolicyNo. ,2/YO,] -Jc,QG° Expiration Date ,/4/ ·~/-07 This section need not be completed if the permit is for one hundred dollars ($100) or less. 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: Fallure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensaUon, dama!! as provided r In~ 3706 of the labor code, interest and attorney's fees. ,/!5 CONTRACTOR SIGNATURE _-;?' 11 ~ 1 4_ , I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, wil! 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 iml)foves 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). □ 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) □ I am exempt under Section ____ ,Business and Professions Code for this reason: 1. I personally plan to provide the major lalxlr and materials for construction of the proposed property improvement. D Yes □ No 2. I (have I 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 I 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 I phone I contractors' license number): 5. I will provide some of lhe work, but I have contrcK:ted (hired) the following persons to provide the work indicated (include name I address/ phone/ type of work): .Jt5 PROPERTY OWNER SIGNATURE DATE -~~ 1) r f ~w WW " ~ =s ' VO W W ~ ~' t, ~ V j0 COMPLETE 1"HIS SECTION FOR NON•l?ESltillNTIAti IIUILIHNG Pl!!ltMltS ONLY Is the appllcanl Of future building occupant required to submit a business plan, cK:utely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is !he applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the focility to be coristructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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. I oo;tlfythat I haw read the appllcaUon and state that the above lnfonnaUon Is oorrectand that the lnfonnatlon on the plans is accurate. I agree to oomptywlth all City ordinances and State laws relaUngto building construction. l hereby au\honze represenlallve of lhe City of Carlsbad to enter upon lhe abcwe mentioned prnperty for inspection purposes_ I ALSO AGREE TO SA VE, INDEl,tllFY AND KEEP HARMLESS THE Cm' OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID Cm' IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA pennlt is requi'ecl for exca;ations ~ 5'0' deep and demolition or construcoon of structures~ 3 stories in height. EXPIRATION: Every pennlt Issued by the Buikling OffK:ial under the plOYisklns of this Code shall expire by fmitation and become null and void if !he building or v.ak authorized by such pennlt is not commenced within 180 days from lhe dale af sucll penriloc. Wlhe ~"; c,-~-ft ssuspended c, abandoned ata,y lime after lhe-• 0011,.,K>!d for a period71 days (Section 111M4 lJniform ~ildiig Code), .,,, • / -4 .... ~ 7 J ~ 7 4>APPLICANT'SSIGNATU~>--,___,c->-. -:-. 7-. DATE / / / .:r () REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOBADDRESs:.?(,'/,2 C/4.c..c../t:Jirt~ /1:v~ 2. TYPE OF BUILDING: RESIDENTIAL_C><1....,_ __ ......__ COMMERCIAL. ___ _ 3. ROOF SLOPE: RISE,...;C=----_ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)(;) 2 3 5. TYPE OF EXISTING ROOF COVERING (..J •o / ,J,< o-/4 "'--SHEATHING ,s;,(1,/:? •6. NEW ROOF MATERIAL~9,(~~rtd CLAss_ft_wEIGHT PER SQ • .ZZ..Cl 7. NUMBER OF SQUARES ~_£. S 8. TRADE NAME t&-,.~c ~ ca.11 &ke.J.~MANUFACTURER '7 .... f /4 / V-e 0 9. ROOF SYSTEM LISTING UL NO. ____ ICBO NO. yr;[; 0 10. IS THE EXISTING STRUC~SIGN 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 Install new roof covering 2. Final Inspection I agree to pro.vlde a laj~ extending at least 2 rungs above the roof for Inspection. ~?~-:1 Slgnatur,e,;:-:: __ ;: ... z__ ·/~---Date t/2-J/-O 7 ~ l Contractor Cx::, Owner ____ Contractor Name /7, c ,(<1.. e /~#'I ~ Gl711 ... 1?ocj<(~ r,, c:..... *6. Rolled Roofing, Standard/Lite Tile, AsphalVComp fiberglass, Built Up, Other m . . City of Carlsbad Bldg Inspection Request . For: 07/24/2007 Permit# CB071866 Title: NEWKIRK RES-25.5 S CONCRETE Description: TILE REROOF Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2612 JACARANDA AV Lot: APPLICANT GLYNN ROOFING 0 Owner: NEWKIRK DIANA D REVOCABLE TRUST Remarks: Total Time: ----- Inspector Assignment: Phoo, ,,~ lnspecm Requested By: MICHAEL Entered By: CHRISTINE CD Description 19 Final Structural ~ f-C-o_m_m_e_n_ts ________________ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 07/17/2007 15 Roof/Reroof Act lnsp Comments AP PD