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Home My WebLink About1001 DAISY AVE; ; CB011926; Permit06/01 #001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB011926 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1001 DAISY AVCBAD MISC 2144221000 $10,11600 Subtype REROOF Lot# 0 Status ISSUED Applied 06/01/2001 RMA 06/01/2001 06/01/2001 TRINH RES-3600 SF LT WT CONCRE Entered By Plan Approved Issued Inspect Area Applicant SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Owner TRINH LANH T&ANGELA T 1001 DAISY AVE CARLSBAD CA 92009 Total Fees $17900 Total Payments To Date $000 Balance Due $17900 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $17900 $000 $000 $17900 0933 06/01/01 0002 01 06 179, -00 Inspector FINAL APPROVAL 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 "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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY 'OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By ^ , Date /f-) ////{/' f Address (include Bldg/Suiti Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work 2 CONTACT PERSON different from ap: t /toc_ ?^o^//riplicarrf) f* __ #of Stories tt ofaBedrooms # of Bathrooms &•¥ Name 3 APPLICANT Address City factor d Agent for Contractor CD Owner ^ CD Agent forOwner State/Zip Telephone # Fax # Name 4 PROPERTY OWNER ~7f Address City State/Zip Telephone # loov Name Address City State/Zip Telephone ff 6!.',' CONTRACTOR ^COMPANY NAME ' ? ,: ... " ••:<' .:">f : sn ' •'• ' -^'2*" ... •• • : « (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 [$500]) Name State License # Address License Class City State/Zip Telephone # City Business License # l*-0 9 (r&G> Designer Name Address City State/Zip Telephone State License # 6 :MWORKERSV COMPENSATION ' -^"""'• ' ' .-."' , .;." '" . . :J* 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 issuedaI 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 led My worker's compensation insurance carrier and policy number are Insurance Company STTA-VC ^U^^. Policy No C &S / Ho^» O» Expiration Date |- (•• O*^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($MO,000), in addition tftthe ctst of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE /. *gg"- tl\£/^- <4-y/VJ- DATE £- /- Q| 7 OWNER JftjILDER DECLARATION ^ " ^-"~<, 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason n 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) n 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) l~l 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 l~| YES PINO 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 FORNON-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? l~l YES f~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? C] 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 : s i 3! " ,: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER S ADDRESS 9 .^APPLICANT CERTIFICATION ?: 4i ;, " 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 City 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 days>rom 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 commenced for a peno(^180^lays (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE (»• \- WHITE File YELLOW Applicant PINK Finance City Of Carlsbad I SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: \OO ( 2. TYPE OF BUILDING: RESIDENTIAL )C COMMERCIAL 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (T) 2 3 5. TYPE OF EXISTING ROOF COVERING /jw R SHEATHING *6. NEW ROOF MATERL4L "t~l I •*- CLASS T\ WEIGHT PER SQUARE S". 6 7. NUMBER OF SQUARES 3 C? 8. TRADE NAME PW/t \i-kU\W MANUFACTURER fKOw 9, ROOF SYSTEM LISTING UL No. ICBQ No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YEiT) NOv.—•? 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 OffTPre-mspection 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. ~/S ign attire / Contractor Owner., ' Contractor Name "6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 06/20/2001 Permit# CB011926 Title TRINH RES-3600 SF LT WT CONCRE Description Inspector Assignment AR Type MISC Sub Type REROOF Job Address 1001 DAISY AV Suite Lot 0 Location APPLICANT SECURE ROOF INC Owner TRINH LANH T&ANGELA T Remarks Phone 8586937663 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By TAMI Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 06/04/2001 15Roof/Reroof AP AR SHEATHING A * I 4*11 (UTFiuu/nn/wi PRODUCER < • • Michael Ehrenfeld Company 2655 Camino Del Rio North, Suite 200 San Diego, CA 92108 (619) 683-9990 Fax (619) 683-9999 License #0537922 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANY COMPANIES AFFORDING COVERAGE A State Compensation Insurance Fund INSURED Secure Roof, Inc 7356 Trade-Street San Diego, CA 92121 COVEF COMPANY COMPANY c COMPANY D THIS I INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DO/YYI POUCY EXPIRATION DATE (MM/DD/YY)LIMITS GENERAL UABIUTY COMMERCIAL GENERAL LIABILITY ~J CLAIMS MADE [ [OCCUR OWNER'S 4 CONTRACTOR'S PROT GENERAL AGGREGATE PRODUCTS - COMP/CP AGG PERSONAL & ADV INJURY EACH OCCURRENCE FiRE DAMAGE (Any one fra) MED EXP (Any one person) AUTOMOBILE UASIUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE UWIT BODILY INJURY Per Person) BODILY INJURY Per Accident) 'ROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY EAACC.DENT OTHER THAN AUTO ONLY EACH ACCIDENT: AGGREGATE EXCESS LIABILITY R UMBRELLA FORM OTHER THAN UMBRELLA EACH ACCIDENT AGGREGATE WORKERS COMPENSATION EMPLOYERS LIABILITY THE PROPRIETOR/ ARTNERS/EXECUTIVE OFFICERS ARE fJC oTA i U- I TORY LIMITS I 285 1486 01 01/01/2001 01/01/2002 L EACH ACC.DENT S1.000.000 '-DISEASE POLICY LIMIT SI .000.000 EL DISEASE-cA EMPLOYEE St.QQQ.QQO ITHER DESCRIPTION Cf OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE All Operations of the Named Insured performed for the Certificate Holder 'CERTIFICATE HOLDER ?ng.CANra Evidence of Insurance Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY JOtjD UPON THE COMPA^ /TS AGENTS OR REPRESENTATIVE CERT 6/95 .;^?i*