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Home My WebLink About1019 DAISY AVE; ; CB002608; Permit07/14/2000 City of Carlsbad Miscellaneous Permit Permit No CB002608 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1019DAISYAVCBAD MISC 2144221900 $2,080 00 Subtype REROOF Lot# 0 DUFFY RESIDENCE 20 SQUARES OF COMP RE-ROOF Status Applied Entered By Plan Approved Issued Inspect Area Applicant SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Owner DUFFY JOHNJ&KAYA 1019 DAISY AVE CARLSBAD CA 92009 ISSUED 07/14/2000 MDP 07/14/2000 07/14/2000 2925 0'/!•*/00 0001 C-FRMT 87 = 00 Total Fees $8700 Total Payments To Date $000 Balance Due $8700 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES , PERMIT $8700 $000 $8700 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 CITY OF CARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 JECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL JZ S-I2 Plan Ck Deposit Validated By Date I Address (include Bldg/Suite it)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Existing Use Proposed Use Description of Work CONTACT PERSON (if di .S^Qjui/vji— SQ FT #of Stories # of Bedrooms # of Bathrooms htractor" Address 0 Agent for Contractor City I Owner ; d Agent for Owner State/Zip Telephone tt Fax tt Name PROPERTY 0^ Address City State/Zip Telephone tt 3&S*Name Address City State/Zip Telephone # CONTRACTOR '"'COMPANY NAME (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 703JU5 by any applicant for a permit subjects the applicant to a pivil penalty a^ not more than five hundred dollars [$5QQ1 Srf~ Name State License tt Address License Class City State/Zip City Business License tt / Telephone tt 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 f~l 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 /-«xn *—/lfQ<£i. ("2.C Insurance Company ^yftX-JMc I-"Ce^l(Di. Policy No C-?^Q >—^ ' / & (S) / 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 0001, in addition to-the cost Decompensation damages as provided for in Section 3706 of the Labor /code interest and attorney s fees SIGNATURE Uf Y1 ^J ~ <J^&^-<^ DATE ^ / / V f Oft 7 OWNER BUILDER DECLARATION ^*3 ~ ~ 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) d 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 COMPLETE THIS SECTION FOR NQN RESIDENTIAL BUILDINGi PERMITS ONLY! 7 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 l~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? l~l 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 AND THE AIR POLLUTION CONTROL DISTRICT 8. CONSTRUCTION LENDING AGENCY « ; L; ,f , : : 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 APPLICANT CERTIFICATION :i• J """" *• - ; 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 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 commenced for a^nod/oj 1flO j^ays (Section 106 4 4 Uniform Building Code) ^~. -\ .1 APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1 JOB ADDRESS 2 TYPE OF BUILDING RESIDENTIAL V COMMERCIAL 3 ROOF SLOPE RISE */~ inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) (Q) 2 3 5 TYPE OF EXISTING ROOF COVERING JM&f SHEATHING *6 NEW ROOF MATERIAL WW:? CLASS fV WEIGHT PER SQUARE 7 NUMBER OF SQUARES **^& 8 TRADE NAME (&-F~ _ MANUFACTURER 9 ROOF SYSTEM LISTING UL No ICBO No 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF'? /^ES) NO\^J 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 ^HooDDate Contractor ° Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other Inspection List Permit* CB002608 Type MISC REROOF Date Inspection Item 7/27/2000 19 7/26/2000 19 7/20/2000 15 7/19/2000 15 7/19/2000 15 Final Structural Final Structural Roof/Reroof Roof/Reroof Roof/Reroof Inspector JL JL TL TL JL Act DUFFY RESIDENCE 20 SQUARES OF COMP RE-ROOF Comments CA AP AP NR NR ALREADY DONE Friday November 17 2000 Page 1 of 1 City of Carlsbad Bldg Inspection Request For 7/26/2000 Permit# CB002608 Title DUFFY RESIDENCE Description 20 SQUARES OF COMP RE-ROOF Inspector Assignment JL Type MISC Sub Type REROOF Job Address 1019 DAISY AV Suite Lot 0 Location APPLICANT SECURE ROOF INC Owner DUFFY JOHN J&KAY A Remarks Phone 8586937663 Inspector^ £_ Total Time CD Description 19 Final Structural Act Comments '2.7 £4 Requested By SECURE ROOF Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 7/20/2000 15Roof/Reroof AP TL 7/19/2000 15Roof/Reroof NR TL 7/19/2000 15Roof/Reroof NR JL CERTIFICATE OF LIABILITY INSURANCE DATE(UM/DOPTO 04/19/00 PRODUCER El Camino Insurance Lic0539016 3156jVasta Way, Ste 300 Oceanside,CA 92056 760 721-3232 THIS CERTIFICATE IS BSUEO 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 POUC1ES BROW INSURERS AFFORDING COVERAGE INSURED Secure Roof, Inc. 7356 Trade Street San Diego, CA 92121 INSURER A. State Compensation Insurance Fund INSURER 8 INSURER C; INSURER D: INSURER E. COVERAGES THE FOJCES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE WSURED NAMED ABOVE FOR THE POLICY PEHOD MDKATED NOTWITHSTANDMQ ANY REQUIREMENT TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMCH IMS CERTfiCATE MAY BE ISSUED OR MAY PERTAM THE NSURANCE AFFORDED BY THE POUCCS DESCRBEO HEREM IS SUBJECT TO ALL THE TERMS, EXCUISPNS AND CONDITIONS OF SUCH POLICES AGGREGATE UMTS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAMS MSB LTR A TYPE OF INSURANCE 8 EN ERA I LIABILITY COMMEBClALQENERALLIABItnY __j CLAIMS MAOE[ | OCCUR GEN LAGSRE3ATEUMITAPPLIESPER | POLICY HI aeoT f ILOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY 1 OCCUR \ ] CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER 285148600 POLICY EFFECTIVEOATEIMM/OD/Yn 01/01/00 POLICY EXPIRATIONDATEtMIMOItfY« 01/01/01 LIMITS EACH OCCURRENCE FIRE DA MAG E {Any on* fir* UEO EXP(Anyona parson) PERSONAL &ADV INJURY 3ENERAL AGGREGATE PRODUCTS -COMP/OP AGG COMBINED SINGLE LiMIT (E» accident; BODILY INJURYper person) 90OILYINJURYpcracadenlj «OB«ITY DAMAGE<PBrgcQdanlJ Ai!~O ONLY EA ACC DENT tvrwep TwiM EA ACC A.TOONLY- AGQ SACHOCCL.HOENCE AG3aS3ATE X WCSTATU 1 JO7H-DRY LIMITS 1 1 EP El- EACH ACC:OENT £_3ISEASE EA EMPLOYEE S i t S I S * S $ S S S I S S « s S si, 000, 000 tl, 000, 000 E-DISEASE J=OLICYUMlT|sl , 000 , 000 OESCRIPTION OF OPERATIONS/LOCATIOMS/VEHICLES/EXCLUS IONS AOOEO BY EN OORSEU EMT/SPECIAL PROVISIONS *30 day cancellation notice except 10 days for non-payment of premium. CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION Insurance Verification SHOULOANYOFTHEABOVE DESCBBED POLICIES a ECANCELLEO BEFORETHE EXFHATO» OATETHEREOF THEISSUINQ INSURER WILL ENDEAVOR TO UAiL±3H DAYS WRITTEN NOT1CETOTHECERT1RCATE HOLDEflNAMEDIDTHElEFT BUT FAILURE TO OOSOSHALL IHPOSENOOBLIQATION OR L1AB:UTY Of ANYKINO UPON THEINSUREaiTS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE fat+tL&ZK -&£Si&e**^ " ACOHO25-3(7/97)1 of 2 #S52908/M52907 JMW 8 ACORD CORPCRAT1OM1338