HomeMy WebLinkAbout1150 CHINQUAPIN AVE; ; CB062156; Permit07-28-2006
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB062156
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1150 CHINQUAPIN AV CBAD
MISC Subtype
2062612500 Lot#
$5 292 00
BRUNACHE RES 4200 SF SHAKE TO
COMP HOUSE&GARAGE
REROOF
0
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Applicant
A 1 ALL AMERICAN ROOFING
4901 MORENA BLVD
SAN DIEGO CA 92117
760 753 9066
Owner
BRUNACHE GERARD F
1150 CHINQUAPIN AVE
CARLSBAD CA 92008
ISSUED
07/28/2006
KG
07/28/2006
07/28/2006
Miscelaneous Fee#1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT FEE $11500
$000
$000
$11500
Total Fees $ 115 00 Total Payments To Date $11500 Balance Due $000
Inspector
FINAL AP
Date -UL
'VAL
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 vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otheiwise expired
PERMIT APPLICATION
C4TY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave , Carlsbad, CA 92008
FOR OFFICE USE OJ&ILY
PLAN CHECK
EST VAL
Plan Ck Deposit
Validated Bv
Date / "~
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units
Assessor's Parcel #Existing Use Proposed Use
State/Zip Telephone tt Fax tt
(Sec 7031 6 Business and Professions Code Any City or County which requites 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
emption Afly violation of Secuofl-7031 5 by any applicant for a pernkit subjects the applicant to a civil penalty of not more than five hundred dollars [4500])
" D CA Gj Kit, f -* -
Name O Address , ^. City State/Zip * ^TetophoppJt
State License # T \*7$ \~L& License Class ("" D ^ City Business License # ^Lr)*7%^
Designer Name Address
State License tt
City State/Zip Telephone
• t&'&tfk*
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
<Q 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^earrier aqd policy number are
Insurance Company _PoHcy No <=>°^Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS)
O 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 Wod&rs Compensation Laws of California
WARNING Failure to serafra/workers dbrApensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100 Q00>/ln addltloil to^he^cost of compensation damages as provided for In Section 3706 of trm Labor codf interest and attorney s fees
SIGNATURE / /L. / DATE
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
Q 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 Coda 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)
0 I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business end 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)
[3 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
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 D 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 NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? C] 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 wn » MK i mu
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
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 50" deep and demolition or construction of structures over 3 stories in height
EXPIRATION Every permit issued by tlWbuilding OfficiaKurider 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 commer/e/w,thin 180 days/from the date of such permit or if the buildmg or work authorized by such permit is suspended or abandoned
at any time after the work is commence/ foi a period of/80/days (Section 106 4 4 Uniform Building Code) • 8uspenaea or aDanaonea
APPLICANT S SIGNATURE
7
DATE
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1 JOB ADDRESS'
2 TYPE OF BUILDING RESIDENTIAL ^T COMMERCIAL
3 ROOF SLOPE RISE ^' INCHES IN 12 INCHES
4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (J> 2 3
5 TYPE OF EXISTING ROOF COVERING ^<=><?<^ SHEATHING
*6. NEW ROOF MATERIAL /UoWl^ fco^CLASS ^ WEIGHT PER SQ,
7 NUMBER OF SQUARES * ' ~"
8 TRADE NAME L,e>*^O MANUFACTURER
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-1 nspection prior to install new roof covering
2 Final Inspection
I agree to provide a Ja/lder exjfepdmg at least 2 rungs above the roof for inspection.
Signature / rU^ I/ ^ Date *{{'&*'{ O(t> .
K f hi A"
Contractor ^^ Owner Contractor Name M~( ^ll '^***>
*6 Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
City of Carlsbad Bldg Inspection Request
For 08/23/2006
Permit* CB062156
Title BRUNACHE RES 4200 SF SHAKE TO
Description COMP-HOUSE&GARAGE
Type MISC Sub Type REROOF
Job Address 1150 CHINQUAPIN AV
Suite Lot 0
Location r
OWNER BRUNACHE GERARD F
Owner BRUNACHE GERARD F
Remarks
Inspector Assignment pc
Phone 8585375177
Inspector
Total Time
CD Description
19 Final Structural
Act Comment
Requested By GREG
Entered By CHRISTINE
Comments/Notices/Hold
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
08/02/2006 15 Roof/Reroof AP PC
ACORD^ CERTIFICATE OF LIABILITY INSURANCE
PRODUCER OC44706 1-619-238-4367
Gaslamp Insurance Services
739 4th Avenue
suite 206
San Diego CA 92101-6878
Producer Emilio Figueroa
INSURED
A 1 All American Roofing Co Inc San Diego
4901 Morena Bvd Suite 812
San Diego CA 92117
1
DATE (MM/DD/YY)
07/11/06
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 THE POLICIES BELOW
INSURERS AFFORDING COVERAGE
INSURER A State Compensation Insurance Fund
INSURERS Gemini Insurance
INSURER C
INSURER D
INSURER E
COVERAGES
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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR
LTR
B
A
TYPE OF INSURANCE
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
| CLAIMS MADE j x | OCCUR
GEN L AGGREGATE LIMIT APPLIES PER
] POLICY 1 1 JE °T 1 1 LOC
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON OWNED AUTOS
GARAGE LIABILITY
ANY AUTO
EXCESS LIABILITY
| OCCUR 1 | CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
OTHER
POLICY NUMBER
VCGP012821
229 0032983 06
POLICY EFFECTIVE
DATE (MM/DD/YY)
06/11/06
01/01/06
POLICY EXPIRATION
DATE IIWM/DD/YYI
06/11/07
01/01/07
LIMITS
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS COMP/OPAGG
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
(Per accident)
AUTO ONLY EA ACCIDENT
OTHER THAN
AUTO ONLY
EAACC
AGG
EACH OCCURRENCE
AGGREGATE
y WC STATU
* TORY LIMITS
OTH
ER
EL EACH ACCIDENT
EL DISEASE EA EMPLOYEE
EL DISEASE POLICY LIMIT
$ 1 000 000
$ 50 000
$ 5 000
$ 1 000 000
$ 2 000 000
$ 2 000 000
$
$
$
$
$
$
$
S
$
$
S
$
$ 1 000 000
$ 1 000 000
S 1 000 000
S
i
$
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
10 Days Cancellation for Non-payment 30 Days for All Others
CERTIFICATE HOLDER N ADDITIONAL INSURED INSURER LETTER CANCELLATION
California Contractors State License Board
P 0 Box 26000
Sacramento CA 95826-9074
USA
1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 ° DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED REPRESENTATIVE ^^ r—^.
— ==- — "=~-=-3^ i"
ACORD 25 S (7/97) Alsandiego
4605799 QACORD CORPORATION 1988