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Home My WebLink About1025 DAISY AVE; ; CB023536; Permit11-21-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB023536 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference ~ Project Title Applicant BUDGET ROOFING 1795 ROCKSPRIMGS RD 92069 760752 105..! 1025 DAISY AVCBAD MISC 2144011800 83,296 00 Subtype REROOF Lot# 0 CARTERETTE RESIDENCE 32 SQUARES OF COMP REROOF Owner Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 11/21/2002 MDP 11/21/2002 11/21/2002 CARTERETTE FAMILY TRUST 1821 11/21/02 OQ(P 01 CGP1025 DAISY AVE CARLSBAD CA 92009 90-00 Tot?! r.:>0s S9000 Total Payments To Date $000 Balance Due $9000 Misce'ancous Foe £1 Misccia'ieous Fee #2 Ariclitioi i\ Fees TOTAL PERMIT FEES PERMIT $9000 $000 $000 $9000 inspector FINAL Date Clearance ,' :01 ICr 3!oaso take MO i ICE that approval of your project includes the Imposition' of fees dedications reservations, or other exactions hereafter collectively •efe: rid l<;. :••: lees.-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 fo low •!».- piotes; crocedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for process' •;.-1!- accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, .•ovhv.v " ;i asicir; vc-c: or annul their imposition You arc- hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity change' 'v p'cirnng zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any •?^'e>:: : <jr. ?' v hch vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION i 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 T Address (include #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units 2 CONTACTpERSONdf different from applicantlitos Name Address APPLIC ANT TJjijJ Contractor , Q Agent for Contractor City Owper :jn Agent for Owner State/Zip Telephone Fax # Name O 4 /^PROPERTY OWNER Address ity State/Zip ihL -h "elephone # :i Address City State/Zip TelephoneName 5 CONTRACTOR ^COMPANY NAME v ; '• 1 •••••'• -''•: "'••• (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 violatteo of Settion 703^1 5_bp4ny appjipajjl for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])*"" .^**^ C\ - t \* * J w At"*\ Name <-> State License # "") Address | TI' License Class :ity State/Zip City Business License # j^ Telephone tt Designer Name Address City State/Zip Telephone State License # 6 :. ^WORKERS COMPENSATION ; fl ; £ Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations [~| | 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 "tt 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-egmpensauon insurance carrier and policy number are UPC. £>"Z-13 S^O^O ^- Insurance Company \_ jQ-^~~&f~^Jt. Policy No LC.'Y- £>Q *-f "7 <t3 Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) HI 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 tha Workers Compensation Laws of CaliforniaI •- 'NWARNING Failure to secure workers compensation^coverage is^unlawfyul and shall subject an employer to criminal penalties and civil fines up to one hundred thousand deHarsiSJOO" 000) inj "" SIGNATURE / m damages as provided for in Section 3706 of the DATE code and attorney s fees /' MJierebjy^affircQjha'f I am exempt from the Contractor s License Law for the following reason [~l 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) |~| 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 Q 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 {l 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 WOW RESIDENTIAL BUILDING PERMITS ONLY A 1 ;:C ^>i; 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? Q YES n 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 Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES [~1 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 . I hereby affnm 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 APPLIC ANT 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 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 period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS:_ 2. TYPE OF BUILDING RESIDENTIAL X COMMERCIAL 3 ROOF SLOPE- RISE 5 inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) (£) 2 3 5. TYPE OF EXISTING ROOF COVERING LOr^vOSHEATHING *6 NEW ROOF MATERIAL do ^0, CLASS AT WEIGHT PER SQUARE 7. -NUMBER OF SQUARES ^>"ZOQ. 8 TRADE NAME \P-L-V>> MANUFACTURER, 9 ROOF SYSTEM LISTING UL No. ULPflO ICBO No. 10 IS THE EXISTING STRUCTURAL DESIGN SU/FICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF"? O^EsH^ 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 Date Contractor r<C/_ Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 03/14/2003 Permit* CB023536 1 itle CARTERETTE RESIDENCE Description 32 SQUARES OF COMP REROOF Inspector Assignment JM Type MISC Sub Type REROOF Job Address 1025 DAISY AV Suite Lot 0 Location APPLICANT BUDGET ROOFING Owner CARTERETTE FAMILY TRUST Remarks CAN YOU FINAL' Phone Inspector Total Time CD Description 19 Final Structural Act Commentent //ft Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 11/22/2002 15 Roof/Reroof AP RF OK TO COVER AUG-20-2002 TUE 03 59 Ptl COMMERCIAL fiUG-20-2002 12.19 FROrl ORISKfl FAX NO 9147476340 315-736-0731 TO 914747&340 P 03 CERTIFICATE OF LIABILITY INSURANCE 08/20/2002 Onskg Insurance Co 1310 Utlca Street PC Box 855 Orfskany, Nftw York 13424 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 TH5 POLICIES SELOW INSURERS AFFORDING COVERAGE U S Management Inc ET AL L/C/F Budget Roofing and Tear Off Service, Inc 129 South fl"1 St BrWklyn,NY11211 INSURER A 'NSURER B INSURER C INSURER D INSURER g Orlska Insurance Company COVERAGES THE POLICIES OF INSURANCE USTEO BELOW HAVfi 0SFN ISSUED TO THE INSURSD NAMED ABOVE FOR THE POUCY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMKNT WITH RESPJcT TO VVWICH 1HIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN TM» INSURANCS AFFORDED BY THE POLICIES OESCRIBBD HEREIN is SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AOQR60ATE LIMITS SHOWN WAY WAVE BESN REDUCED BY PAID CLAIMS INSH I,TB_TYPE Ph IMSUftAHq:_POLICV NUMPFR POUCY ETrt CWF rOuCr EXPIRATION OATIi (MWDQ/YY) OCNgRJO. LIAblLITY _ff)MME ~ ) LLAIMSMADE [_ OCCUR CACH QCnjRSbNOE /•mi OAVASt (Anyont H MtD Dtp (Any e"« ptr GENKfVS- AOCREOATC QCNI WttWOATELIMITAPt'UtbrCR. ^ PRO POLICY PfiOOULTS - COWWOP *CiO COWBlNPO ilNCLt LWIT ANY MJTO ALL OWNED AUTO-, ICHFDWUCOAUTOI flODILY IMJURf MOH-OWSCO AUTOS BODILY IWURY (P.r J (P./ nwid<nt) AUTOONLV-RAACClUl-KT &AACC ALTO ONLY AQO k>LE9S UTILITY OCCUK LJ (!"1 Civ" OCCURRENCE IMS MADE ACCRECATE OCDUCTIOIF LIAburr WC02135006 LCF00475 6/17/02 5/1/03 TQKYUMITH J I 000 OOU C L OlSEAit - 8A EMPIOYCC 61 OlSfcASH-PDUCr LIMIT 1.000,000 S I.UOOOOO N&w York State Statutory DlsabW.'olUAIpTloti o> 6penXTiOKSi i oCAf IONSI vEHirLts/ txauNOMs ADDED BY eNuoxaeMeNT? "sptem. PROY IDIOMS Statutory Named IneuroJ Lj S Managomsnt Ins A B«at Manaeomcnl Inc SP AC All Fresh Produce Inc All Prasn Supermarket Inc , Bronley Nuralng Sla/f Bud^«( Sarvlcas Inc Hti»«m Patrol Sarvlc* Ino , Immedlalo Homb Care Miron Prodi/c« Inc , N S W Agency Inc , N i vy Keglslry 5»rvlca ino , Prime Service* 05 Inc , Prompl Nursing Employmflni Agency LUC, Qualified Agency Inc Sadclllo Agency MS Inc Sstollli* Ag«noy WMMS Inc Soulh 3lde Agency Inc Tarrifto services Inc. Tgp Notch $orvlces Ino , Town* Nuwlng Stjff The P E 0 Group Inc Tn» Power P E 0 I, The PowerPEO II The Pow»; f e o Inc Tn« Power P e 0 of California The Pcwtf P E 0 of California II , The Power P £0 of Nevada, Profosalondl Busmes> Partners of Csllfemla LLC dping b«3lnasa Undo/ Th» Povvw P E 0 of New York Inc ooflriQ and Tear Off Service, Inc added for coverage as of 7/13/02 CERTIFICATE HOLDER AOPITIQMAl INMUED INgUACR IFT1 th.CANCELLATION Budget Roofing and Tear Off Service, Inc 1796 ROCK Springs Rd San MarcoE, CA 92069 SHOULD ANY o? THE ABOVE DESCRIBIJP POLICIES BECANCEu.tD BEfose THE EXPIRATION PATE THEREOF THE ISSUING INSURER WILL ZNDBAVOR TO MAIl. _30 _ DAYS WWTTEN NOTICE TO THb CGRTIFICATE HOLOeR NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OC ANY KINO UPON THE INSURER ITS AGENTS OR REPRESENTATIVES ____^ AUTHORIZED Re<*RESENTATIVe ai (7/00)