HomeMy WebLinkAbout1015 CHESTNUT AVE; ; CB021730; PermitAd/
06-07-2002
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No: CB021730
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
.Project Title:
1015 CHESTNUT AV CBAD
MISC
2051902501
$5,117.00
Subtype: REROOF
Lot #: 0
DUQUETTE - REROOF 4300 SF
BUILTUP CLASS A ROOF SYSTEM
Status: ISSUED
Applied: 06/07/2002
Entered By: JM
Plan Approved: 06/07/2002
Issued: 06/07/2002
Inspect Area:
8758 06/07/02 0002 01 02
Applicant:
VISTA ROOFING CO. INC.
145 W BROADWAY
VISTA,, CA 92083
619-726-6460
Owner:
DUQUETTE RICHARD L*
1015 CHESTNUT AVE#A2
CARLSBAD CA 92008
I TOTAL PERMIT FEES $115:00
JI5.00
Total Fees: $115.00,
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
Total Payments To Date:
PERMIT
$0.00 Balance Due:
.. ;••'' .,- v. ..... ••'„,--' . \ •"•.; ••*",-• $115.00 \
•>. "• ; :$o.oo
", ; $0.00
$115.00
EXPIRED
PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
SECTION 106A4
.SIGNATUREDDATE.
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 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
fees/exactions of which vou 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
1. PROJECT INJfQBMATION
FOR OFFICE USE ONLY
PLAN CHECK NO/d Z
EST. VAL.
Plan Ck. Deposi
Validated By
Date
Business Name (at this adfiress)Address (include Bldg/Suite #)
Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #Existing Use Proposed Use
Description of Work, A /• ___/_
S-tfllt'°fi /•C/^^X>7 «3
2, CONTACT PERSON (if different from applicant)
SQ. FT.#of Stories # of Bedrooms tt of Bathrooms
Name Address
3. APPLICANT, J^t;ontractor D Agent for Contractor Q Owner
' 0/«frc
City
Agent for Owner
State/Zip Telephone #Fax*
Name ./Address City State/Zip Telephone #
1
Addresi State/Zip 'elephone #Name
5, CONTRACTOR - COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alteT, 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. Ar]j£ violation of^Section 7031,.5 by any applicant foe a permitisubjects the applicant to a civil pehalty<of not more than five hundred dollars [$500]).
Name
State License #
? Address
License Class C3?City . State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License #
6, WORKERS'COMPENSATION I
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q 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.
JjSf I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the Performa^qe^ofjhe work for which this permit is
issued. My worker's compensation insurance carrier-and-policy number are: . '4
' -F**J PoiicyNo. 2<Z5 'Pi <*'Insurance Company Expiration Date
(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: 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 (Vfob,000,Vm^»ddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE S^CT^X--^** . DATE 6' 7 ' °3
7. OWNER-BOLDER 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 sale).
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 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).
D 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, d YES dNO
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
l^ - :
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? [H YES Q 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 O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES fj 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 performance of the work for which this permit is issued (Sec. 3097(i) 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 all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV 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 Ofjielaiynder 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 commerjced within t8u 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 commenefjc/for a pe^djjMJO days (Section 106.4.4 Uniform Building Code). -.
APPLICANT'S SIGNATURE >/£>- ff^/0(/?j DATE ^T / -__^
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: ' 7O/$" Ck^t $1/^
2. TYPE OF BUILDING: RESIDENTIAL _ COMMERCIAL }( .
3. ROOF SLOPE: RISE '^f inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) O 1 2 3
5. TYPE OF EXISTING ROOF COVERING ^^ SHEATHING
*6. NEW ROOF MATERIAL yjt CLASS _ WEIGHT PER SQUARE
7. -NUMBER OF SQUARES ty 3 &" .
8. TRADE NAME ^ fnT* c MANUFACTURER _
9. ROOF SYSTEM LISTING UL No. _ ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN/SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? (YES") 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: 7,
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 y*~ ? -^™ _ Date~
Contractor ^ Owner _ Contractor Name VJ s/A no&l
--- ^ —*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up
Other.
City of Carlsbad
November 8, 2002
VISTA ROOFING
5366 OLIVE AV
VISTA CA 92083
Building Department
Permit Number:
Issue Date:
CB021730
6/7/02
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: MISC
ADDRESS: 1015 CHESTNUT AV
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 12/4/02.
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the
building or work authorized by such permit is stopped at any time after the work is commenced for a period of
180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance
date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection
approval of work authorized by the permit by the Building Official within 180 days of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection
approval of work by the Building Official within each 180 day period upon the initial commencement of work
authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall
be one-half the amount required for a new permit for such work, and provided that no changes have been made
or will be made in the original plans and specifications for such work, and provided further that such
suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration,
the permittee shall pay a new permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required
by this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once.
r
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
• No fee extension requested for 180 days, (attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760)602-2725.
If you have any questions, please contact the Building Inspection Department at (760) 602-2700.
PAT KELLEY
Principal Building Inspector
1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 6O2-27OO • FAX (760) 6O2-856O (
Building Counter • (76O) 602-2719 • FAX (760) 602-8558
City of Carlsbad
November 8, 2002
RICHARD L DUQUETTE
1015 CHESTNUT AVE A2
CARLSBAD CA 92008
Building Department
Permit Number:
Issue Date:
CB021730
6/7/02
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: MISC
ADDRESS: 1015 CHESTNUT AV
PLEASE CALL FOR AN INSPECTION IF WORK IS
COMPLETE
Our records indicate that your building permit will expire by limitation of time on 12/4/02.
The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the
building or work authorized by such permit is stopped at any time after the work is commenced for a period of
180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance
date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection
approval of work authorized by the permit by the Building Official within 180 days of the date of permit
issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection
approval of work by the Building Official within each 180 day period upon the initial commencement of work
authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall
be one-half the amount required for a new permit for such work, and provided that no changes have been made
or will be made in the original plans and specifications for such work, and provided further that such
suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration,
the permittee shall pay a new permit fee.
Any person holding an unexpired permit may apply for an extension of the time within which work may
commence under that permit when the permittee is unable to commence work within the time period required
by this section for good and satisfactory reasons. The Building Official may extend the time for action by the
permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances
beyond the control of the permittee have prevented action from being taken. No permit shall be extended more
than once.
Please check below indicating your intentions and return this letter to us.
Project abandoned. A new permit will be obtained prior to commencing work.
No fee extension requested for 180 days, (attach a letter of explanation)
Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760)602-2725.
If you have any questions, please contact the Building Inspection Department at (760) 602-2700.
PAT KELLEY
Principal Building Inspector
1635 Faraday Avenue • Carlsbad, CA 92008-7314 •
Building Counter • (76O) 602-2719
(76O) 6O2-2700 • FAX (760) 6O2-856O
> FAX (760) 602-8558
so
COMPENSATION
IN S UR A N CE
FUND
P.O. BOX 807, SAN FRANCISCO,CA 94101-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE: 01-O1-02
.POLICY NUMBER: 285-02 UNIT OO01204
CERTIFICATE EXPIRES: 01-01-03
CALIFORNIA DEPARTMENT OF MOTOR VEHICLES
MOTOR "CARRIER BRANCH
P 0 BOX 932370, MS G875
SACRAMENTO CA 9^232-3700
406: CA #146666
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 30 days' advance written notice to the employer.
We will also give you 30 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 pplicies 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.
ENDORSEMENT #2065 ENTITLED CERTIFICATE.HOLDERS' NOTICE EFFECTIVE 01/01/02 IS ATTACHED TO AND
FORMS A PART OF THIS POLICY.
EMPLOYER LEGAL NAME
VfSTA ROOFING CO., INC
PO BOX 2137
VISTA CA 92085
VISTA ROOFING CO., INC.
PRINTED: 12-18-01 P0409