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Home My WebLink About1017 DAISY AVE; ; CB031261; Permit04-30-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031261 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1017 DAISY AVCBAD MISC 2144221800 $10,39700 Subtype REROOF Lot# 0 NOLL RES-3700 SF LT WT CONCRET Status ISSUED Applied 04/30/2003 RMA 04/30/2003 04/30/2003 Entered By Plan Approved Issued Inspect Area Applicant SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Owner NOLL HERBERT TRUST 06-07-98^44 W30/03 0002 01 CGp2028 LEAFWOOD PL ENCINITAS CA 92024 179-CO Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $17900 $000 $000 $17900 Total Fees $17900 Total Payments To Date $000 Balance Due $17900 Inspector ALFINAL APPR 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 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 IS- PROiECTJNFQplVIATiOJ FOR OFFICE USE ONLY PLAN CHECK NO CJ\ U^ \Ab] //9 ^EST VAL ft/. Plan Ck Deposit Validated By / Date W ? n /A"")/ —J f^^^ Address (include BIdg/Suite #) Legal Description Lot No Assessor s Parcel # 10 Description of Work /-, ^ _ P M fn 4 Business Subdivision Name/Number Existing Use SQ FT. __^- /O #of Stories Name (at this address) Unit No ^Prop< , ^ Phase No jsed Use ._ II # of Bedrooms Total ft of units ft of Bathrooms Name ontraotprgVjE Address City r,<il[n Owner,,ftn Agent" for. Owner••' —is: ~•——° - •-- —DC, State/Zip Telephone #Fax i Name Address City State/Zip Telephone # WNBR:;!;.:..,," '[Din ryxj Name Address City 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 applicant to a civil penalty of not more than five hundred dollars [$5001)as 4E Name State License # Address License Class City State/Zip Telephone # City Business License # \7 C\?~)l f£->2-, Designer Name State License # Address City State/Zip Telephone Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 £3 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 0"V(3^C^ Fu,DC> _ Policy No 2_y?) ^l£ld - Q?) 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 ($100 QOO) in addition to the cost ot-eoHurensation damages as provided for in Section 3706 of the Labor code interest and attorney a fees SIGNATURE \./1//f//?J>U? ( h*AvU/J£fr> _ DATE I hereby affirm that I am exempt from the Contractor s License Law for the following reason 0 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/bt 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 provino*nat he did not build or improve for the purpose of sale) l~l 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) n I am exempt under Section Business and Pfofes§x5ns Code for this reason 1 I personally plan to provide the major labor and materials for/eSnstruction of the proposed property improvement d YES 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) tp/provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I number / contractors license number) hired the following person to coordinate supervise and provide the major work (include name / address / phone 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 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 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? Q YES CJ Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? d 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 NO 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 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 from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tirrn <ifter the work is commenced for a period of 180days (Seeheojpe 4 4 Uniform Building Code) APPLICAN S SIGNATURE /^/X3^/L/-<J? C<^A^~M^\ _ DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /till 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE RISE l/ii, inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING(circle one) (£) 2 3 5 TYPE OF EXISTING ROOF COVERING<^^ SHEATHING *6 NEW ROOF MATERIAL -TTkLs CLASS A WEIGHT PER SQUARED! 7 -NUMBER OF SQUARES 8 TRADE NAME-Ato5^C _ MANUFACTURER fti&}Cl 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 1 Tear Off/Pre-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.anature \AUdfa/L(AJL /y^/0/^S _ Date Contractor V Owner _ Contractor Name ^3 6CU/& Roof *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 05/14/2003 Permit* CB031261 Title NOLL RES-3700 SF LT WT CONCRET Description Type MISC Sub Type REROOF Job Address 1017 DAISY AV Suite Lot 0 Location APPLICANT SECURE ROOF INC Owner NOLL HERBERT TRUST 06-07-96 Remarks Inspector Assignment JM Phone 7605460254 Inspector Total Time CD Description 19 Final Structural Act Comment Requested By SECURE ROOF Entered By ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/01/2003 15 Roof/Reroof AP JM 01/02/2003^ Michael Ehrenfeld Company 2910 Jefferson Street, Suite 103 Carlsbad, CA 92006 (760) 730-2939 Fax (760) 730-2936 License #0537922 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AMD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED Wf THE POLICIES BELOW COMPANIES AFFORDING COVERAGE Admiral Insurance Company INSURED Secure Roof, Inc 2255 Barham Drive Escondido, CA 92025 COMPANY B State compensation Fund THIS IS TO CERTIFY THAT THg POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD 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 BY 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 A B TYPE OF INSURANCE GENERAL UABN.rrV £ X d! - COMMEXCUl AENDVtL UABurr [cumsmoE Ijxjacewft OWNERS » COMTRACnxra PROT J5000 DEDPw Claim TOMOBULUBILTTY AW AUTO AaOvmEOAUTOI satawjED AUTOS MREOAuras NOMJWtiSow/toa GARAGE LIABILITY 9«NVAuro EXCESS LIABUTY ~~~j UMIREIM FQBM —\\ OTHER THAHUMREUA WORKER} COMPENSATION EMPLOYERS' LWMUTY THE PROPRIETOR/ FT) ,.,/..rwn»ERS*XECunvE Lsj™*OFFICERS ARE | ]EXCL JTMEft POLICY NUMBER A02AG14454 285148603 POLICY EFFECTIVE DATEIMM/DIVYy] &V7/02 01/01/2003 DESCRIPTION Of OPERATlON3rt.OCATTONaVEHrCLEsaPeCtAI. ITEMS RE All Operations of the Named Insured performed for the Certificate Holder POUCY EXPIRATION DATE (WOO/TO 8^/03 01/01/2004 LMT3 GENERAL. AGGREGATE PRODUCTS - COMfTOP AGG PERSONAL 8. ADV INJURY EACH OCCURRENCE FINEOAMAGE (Anyoneftre) MEOEXP (Anyoneperaon) COMBINED SINGLE LIMIT BODHY INJURY per Penan) BODILY INJURY (PEfAtOOenQ PROPERTY OA^HGE AUTOOMLY EA ACCIDENT OTHER THAN AOTO OM.V EACrt ACCIDENT AGGREGATE EACH ACCIDENT AGGREGATE „ 1 WC STATIST 1 OTM.A I TORvinurrgl f p^ EL EACH ACCIDENT L CMSEASC . POLICY LIMIT L OI9EASE-EA EMPLOYEE 2.000.QOO 2.000.000 1.000.000 1.000.000 50.000 Excluded J1 000 000 $1.000000 91 nnn nan Insurance Verification SHOULD ANY op THE ABOVE OEBCRIBED POUCIES BE CANC£LLEO BEFORE THC EXPIRATION DATE THEREOF THE ISSUING COWANY WILL 6NOEAVOR TO MAJB. 10 DAYS WRITTEN NOTICE TO TH£ CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYjjSto UPQM- THE COMPANY fTS AG6NTS OR REPRESENTATIVE TOTflL P 01