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HomeMy WebLinkAbout2704 JACARANDA AVE; ; CB011048; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03/19/2001 Miscellaneous Permit Permit No:CB011048 Building Inspection Request Line (760) 602-2725 Job Address: 2704 JACARANDA AV CBAD Permit Type: MISC Subtype: REROOF 0 Status: Parcel No: 2551131800 Lot#: Applied: Valuation: $7,685.00 Entered By: Reference #: Plan Approved: Issued: Project Title: MUGGE-REROOF 2900 SF #4660 Inspect Area: Applicant: PACIFICA ROOFING INC 1914 GRANDVIEW ST OCEANSIDE, CA 92054 760-966-2600 Total Fees: $140.00 Owner: MUGGE DANIEL P&AMY E 2704 JACARANDA AVE CARLSBAD CA 92009 Total Payments To Date: $0.00 ISSUED 03/19/2001 JM 03/19/2001 03/19/2001 Miscelaneous Fee #1 Miscelaneous Fee #2 PERMIT $140.00 $0.00 TOTAL PERMIT FEES Inspector: FINAL AP}~~VAL Date: '3 ;Z ?// I I $140.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer oonnection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in oonnection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise expired. FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK,~~m()//d/fl EST. VAL. -~Z~ro~~-"--"o~,<_----- Validated BY.1..L-ji!<c....>'-----:=-->'i'-:::,-,'':---,,- Date _______ __.-'-f+-W-'"'-4-- Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total# of units Assessor's Parcel # R,!'ff'RooF Existing Use .::2900 I Proposed Use Description of Work sa. FT. #of Stories , # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If dtfferent ~ applicant) JfJyt,) <7,4R4IN Name Address D Agent for Contractor / 4. PROPERTY OWNER = Mu m v~ G.,.,.- Name 6. CONTRACTOR • COMPANY NAME City 0 Owner O Agent for Owner <$-R~tJO\J/~ w City c',rso City State/Zip Telephone# Fax# Telephone# State/Zip 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 ~PP.!icant to a civil penalty of not more than five hundred dollars ($5001). b IEl t w o'.s=-1 of:: · Addre s City State/Zip T ele~hone # State License# 1f?}>/3 License Class ,C. City Business License# / ::2 0..:2,3 ~;)--. Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration; I hereby affirm under penaltv of perjury o:-1e of t,,e followir,g 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. ~ 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 insuran~e carrier and policy number are: a.,..,,-' / lnsu,ance Company,%T°~ Z-:t;?/v.D Pol;cy No. :loc> -} tf8::9 Exp;,at;on Date/ U /~ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / / 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 to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compensation coverage la unlawful, and ahall aubject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addidon to tha cost of compansation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE______________________________ DATE ________ _ 7. OWNER-BUILOER DECLARATION I hereby 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 saleL 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(sl licensed pursuant to the Contractor's License Law). 0 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. 0 YES ONO 2. I (have/ 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 / 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D 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? D YES D NO Is the 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY 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 NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPUCANT CERTIF1CA TION 1 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 AU 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 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 commencedf O days~n 106.4.4 Uniform Building Code). 3'/ O J .,.., 1 APPLICANT'S SIGNATURE ---:;,-~::giE'::::'0~~~~:::.1....___________ DATE -~-,-..,_/_ •~L.,c...,,_L}__V.__,_z_ ____ _ YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: :::l]O~ JAC'(f ~l:JA. 2. TYPE OF BUILDING: RESIDENTIAL_/ ___ COMMERCIAL __ ~ 3. ROOF SLOPE: RISE .Y inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ~2 3 5. TYPE OF EXISTING ROOF CO~RING~r.AQ/0 SHEATHING ___ ~ q_ V\H ~ *6. NEW ROOF MATERIALr,"'~ t f?Jf:"'i-CLASS A WEIGHT PER SQUARE 5 90 7. NUMBER OF SQUARES ~ 9 . 8. TRADE NAME ?o ND ~£fl MANUFACTURER cA G J....."£' . 9. ROOF SYSTEM LISTING UL No. ____ lCBO No. 44. I-CJ 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 install new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature __ __J __ O_H_N __ G~/~A_-R_L--_\_\J ____ Date ,1/ 20/oJ ~ I Contractor ~Owner ____ Contractor Name ______ _ *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 03/29/2001 Permit# CB011048 Title: MUGGE-REROOF 2900 SF #4660 Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2704 JACARANDA AV Lot APPLICANT PACIFICA ROOFING INC Owner: MUGGE DANIEL P&AMY E Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: AR --- Phone: 7609662600 Inspector: _ _..~ ...... Js....:...-_ Requested By: JOHN Entered By: CHRISTINE 19 Final Structural ..Ae.--------------------- Associated PCRs +--------------------- Inspection History Date Description 03/23/2001 15 Roof/Reroof Act I nsp Comments AP AR