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HomeMy WebLinkAbout1033 DAISY AVE; ; CB031924; Permit07-14-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB031924 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1033 DAISY AVCBAD MISC 2144012200 $8,711 00 Subtype Lot# REROOF 0 SHEDD RES 3100 SF REROOF WD SHAKE TO LT WT CON TILE Applicant SAN DIEGO ROOFING 615NORTHAVE VISTA, CA 92083 760-758-1800 Status Applied Entered By Plan Approved Issued Inspect Area Owner SHEDD ROBERT A PO BOX 1581 MAMMOTH LAKES CA 93546 ISSUED 07/14/2003 SB 07/14/2003 07/14/2003 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $15300 $000 $000 $15300 Total Fees $15300 Total Payments To Date $000 Balance Due:$153 00 9537 0?/iV03 0002 01 CGP 02 153-00 Inspector J5K,FINAL 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 tees/exactions of which vnu have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION1 i CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated / /Date Address (include Bl Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel It Existing Use Proposed Use Name Address State/Zip Telephone If Fax It (Sec 7031 6 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 sublets, the applicant to a civilDensity of not more than fjvehundred dollars I $500]) Name State License # Address License Class City State/Zip , Telephone # City Business License # /^•OT'/.3 / Designer Name State License It Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0 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 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 c-Syg^Ti^ •f~~Z~<-'* ^l Policy No^y6g~ CXjLj(0 7^ j Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q 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 Failurejp secure workers'Aompensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollarjKfflOajiTO), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor cod*, interest and attorney's fees SIGNATURE/^x^Z^^o >^£<-^-a-&-v- DATE "7/7/ft ^ 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason l~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) 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) 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 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 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 NO 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 Q 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 HMMWHWI»r^^ * •• •'• 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 \ 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 authorize'! by such permit is not comrrjenepd within 180 days Mim the date of such permit or if the building or work authorized by such permit is suspended or abandoned atanytir after the work is comm^ffcedloj^-ienod of 180^ays (Section 10644 Uniform Building Code) / / •f ^ !*^ ~ ~ __ —. . . — * / *-*^ ^"^^ WHITE File YELLOW Applicant PINK Finance / / APPLO 'S SIGNATURE City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: /£> 3 3 I JM. 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE £~~ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle,one) (£) 2 3 5. TYPE OF EXISTING ROOF *6. NEW ROOF MATERIAL *U CLASSTM/VEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE NAME ^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: h 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^ ^g^t>~ V^coo^— Date / / Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 12/04/2003 Permit* CB031924 Title SHEDD RES 3100 SFREROOFWD Description SHAKE TO LT WT CON TILE Type MISC Sub Type REROOF Job Address 1033 DAISY AV Suite Lot 0 Location APPLICANT SAN DIEGO ROOFING Owner SHEDD ROBERT A Remarks CAN YOU FINAL? Inspector Assignment JM Phone Inspector Total Time CD Description 19 Final Structural Comment Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 07/24/2003 15 Roof/Reroof AP JM OK TO COVER License Detail Page 1 of 2 California Home Thursday J California HOLLYWOOD License Detail Contractor License # 686318 CALJFQRNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, an icon will appear below Click on the icon to obtain additional complaint information • Per B&P 7071 17, only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base Extract Date 07/03/2003 * * * Business Information * * * SAN DIEGO ROOFING INC 625 NORTH AVENUE VISTA, CA 92083 Business Phone Number (760) 758-1800 Entity Corporation Issue Date 03/30/1994 Expire Date 03/31/2004 * * * License Status * * * This license is current and active All information below should be reviewed. * * * Classifications * * * Class||Description| C39 ((ROOFING * * * Certifications * * * |Cert| HIC| L Description | HOME IMPROVEMENT CERTIFICATION] * * * Bonding Information * * * http //www2 cslb ca gov/CSLB LIBRARY/License+Detail asp 7/3/2003 License Detail Page 2 of 2 CONTRACTOR'S BOND: This license filed Contractor's Bond number 137974 in the arm $7,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date 07/06/2001 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) FRX BARON STERLING III certified that he/she owns 10 percent or more of the voting stock/eqi corporation A bond of qualifying individual is not required Effective Date 05/03/2000 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 046-0006955 Effective Date 01/01/2000 Expire Date 01/01/2004 Workers Compensation History Personnel listed on this license (current or disassociated) are listed on other Hcei Personnel List Salesperson List Other Licenses License Number Request Contrac^pi^Name Request Personnel Name_Request Salesperson Request Salesperson Nanre^ Request © 2002 State of California Gray Davis Governor Conditions of Use Privacy Policy http //www2.cslb.ca gov/CSLB LIBRARY/License+Detail asp 7/3/2003