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Home My WebLink About1012 DAISY CT; ; CB983976; PermitSuite: BUILDING PERMIT 11/18/98 11 13 Page 1 of 1 Job Address 1012 DAISY CT Permit Type MISCELLANEOUS Parcel No 214-410-07-00 Valuation 6,890 Occupancy Group Referenced Description RE-ROOF,2600 SF LT WT CONCRETE Appl/Ownr CAHEY ROOFING 3048 VIA MARIPOSA CARLSBAD CA 92009 *A* Fees Required A** --" Permit No CB983976 Project No- A9805180 Development No Construction Type. NEW Status ISSUED Applied 11/18/98 Apr/Issue 11/18/98 Entered. By. RMA ~ 145.00760 59X-.0.0. c_.pRHT s Collected & Credits Fees Adjustments Total Fees Fee description Miscellaneous Fee * MISCELLANEOUS •v** 00 00 145 00 Ext fee Data 145 00 PERMIT Ft 145 00 :PERMST• ,- kil mBwyo B PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 106.4.4 DATE..SIGNATURE,UfrQ FINAL APPROVAL INSR DATE. CLEARANCE, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 FOR OFFICE USE ON PLAN CHECK, NO EST VAL r) Q&f () Plan Ck Deposit Validated By Date /I Address (include Bldg/Suite *) Legal Description Assessor s Parcel « fks- roof \J i L\ \t~ Descnption of Work Business Name (at this address) Lot No Subdivision Name/Number Existing Use VjO T CuoC, 2-VsUO SQ FT 'of Stones Umt No Phase No Total # of units Proposed Use * of Bedrooms 0 of Bathrooms CONTACT PERSON (If different from applicant) Name 3 APPLICANT Q Contractor k^tr— Ar-) ^j_ Name ' 4 PROPERTY OWNER Dl^N/ \f\ AT t-t.0 Name Address D Agent for Contractor T.VD^Yl \fl (A. * Address Address D Owner "^ Lvr -i /\V1 City D Agent for Owner Co City i^"~U K Cx r3 City State/Zip State/Zip 4 i. 0 D <"> State/Zip Telephone * Fax # J"7/-.l/^ Telephone # 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, end 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 I $500!) H> Name State License » Address License Class City State/Zip City Business License * Designer Name Address City State/Zip Telephone State License # 6 WORKERS'COMPENSATION ~ " " ~'~ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 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 Q- 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 S"Tt^q ^- ^"NJfN O Policy No MM k - *\ €> Expiration Date \ 1, 1 ^\ *1 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS (9100) 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 Lews of California WARNING Failure to secure workers compensation coverage Is unlawful, and ahall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000), hi addition to the cost of compensation, damages u provided for in Section 3706 of the Labor coda. Interest and attorney a fees SIGNATURE \\~s V\ Cc-A^-^ DATE //- / frj" $ *& 7 OWNER-BUILDER DECLARATION " " " """ *">'• ?•"" • ' *"" '~ I hereby affirm that I am exempt from the Contractor's License Lew for the following reason D !> as owner of the property or my employees with wages as their sole compensation, will do the work and the structure la not intended or offered for Bale (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 tor aale 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 aale) Q 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 Lew does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Lew) [3 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 Q YES QNO 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 end 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 e 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? Q YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or air quality management district? Q YES D NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q 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 A. 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 3097(0 Civil Code) LENDER'S NAME _ LENDER'S ADDRESS _ _^ _ 9 APPLICANT CERTIFICATION ..... " "" - — - ----- •" - - - --„-.-, -,.-,, - , - , -,„,,„ - 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 alt 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 m 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 365 days from the data 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 period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE Q^. \~\DATE / / - / 0 - *? WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: |OM_ 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE £ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 023 5. TYPE OF EXISTING ROOF COVERING JV»u4Lc SHEATHING j-fc\ P . *6. NEW ROOF MATERIAL T\ \< CLASS &\ WEIGHT PER SQUARE S 7. NUMBER OF SQUARESjTl _ , 8. TRADE NAME \>\/<IN-\-> W. MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ ICBO No. H I U I? 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /fEsT} 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 ^ rv t~^^- Date ' > Contractor ^ Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983976 FOR 12/02/98 DESCRIPTION: RE-ROOF,2600 SF LT WT CONCRETE TYPE: MISC JOB ADDRESS: 1012 DAISY CT APPLICANT: CAHEY ROOFING CONTRACTOR: OWNER: 'REMARKS: C/BRIAN/591-3123 SPECIAL INSTRUCT: INSPECTOR AREA PD PLANCK* CB983976 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 760 591-3123 PHONE: PHONE: INSPECTO: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS DATE DESCRIPTION 111998 Roof/Reroof ***** INSPECTION HISTORY ***** ACT INSP COMMENTS AP PD CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB983976 FOR 11/19/98 DESCRIPTION: RE-ROOF,2600 SF LT WT CONCRETE TYPE: MISC JOB ADDRESS: 1012 DAISY CT APPLICANT: CAHEY ROOFING CONTRACTOR: OWNER: REMARKS: B/591-3123 SPECIAL INSTRUCT: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB983976 OCC GRP CONSTR. TYPE NEW STE: LOT: 760 591-3123 INSPECTO: TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS SD _ PO BOX 807 SAN FRANCISCO CA 94101-0807 COMPENSATION I N S U R A N CE CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER 446-98 UNIT OOO0244 ISSUE DATE O1-01-98 CERTIFICATE EXPIRES 01-O1-99 STATE CONTRACTORS LICENSE BOARD-WORKER'S COMP. JOB LIC If 584362 BOX 26000 INCEPTION DATE O1-O1-98 SACRAMENTO CA 95826 D.O SAN DIEGO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,OOO,OOO OO PER OCCURRENCE STANDARD EXCLUSION. INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY EMPLOYER LEGAL NAME CAHEY CUSTOM ROOFING CAHEY, BRIAN AND 3048 VIA MARIPOSA CAHEY. MONICA CARLSBAD CA 92009