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HomeMy WebLinkAbout1630 BASSWOOD AVE; ; CB061953; Permit07-10-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB061953 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1630 BASSWOOD AV CBAD MISC 2050602800 $8,500.00 Subtype: Lot#: REROOF 0 STEIN RESIDENCE 32 SQUARES OF COMP, 10 SQUARES OF BUILT UP Status: ISSUED Applied: 07/10/2006 Entered By: MDP Plan Approved: 07/10/2006 Issued: 07/10/2006 Inspect Area: Applicant: SCHOTT ROOFING INC 225 ECARMEL STREET #1 SAN MARCOS, CA 92069 619-744-6450 Owner: STEIN LLOYD E TRUST 07-03-86 1630 BASSWOOD AVE CARLSBAD CA 92008 Miscelaneous Fee #1 PERMIT Mtscelaneous Fee #2 Additional Fees $141.00 $0.00 $0.00 TOTAL PERMIT FEES $141.00 Total Fees:$141.00 Total Payments To Date:$141.00 Balance Due:$0.00 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 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 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work 3!;:: !jC$$i«^"F£R$Gl!l^MJt-T^KKV SO. FT.#of Stories # of Bedrooms ff of Bathrooms State/Zip Telephone # _ Fax * Owner Q Agent for Owner State/Zip Telephone # 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 bv any applicant for a permit subjects the applicant to a civil penalty of not more Than five hundred dollars if-Name State License # Address License Class State/Zip City Business License # Designer Name State License # Address City State/Zip Telephone 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 t 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 carrieijand policy number are: . ^^ +9*\ A ^ Insurance Company ^rmjf& ^l)M&. _ Policy No. £2*T^ >*~£.£)£}& Expiration Pate (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 *° tna VVtykers' Compensation Laws of California. WARNING: Fall ire\jo saqurd words' compensation coverage is unlawful, and ihaH subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($1DO,Oep),jin addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE ^A—V *—\ --- — ^ DATE "7 »/ ^I hereby affirm that I am exempt from the Conlj/actors License Law for the following reason: Q I, as owner of the property or my employeWwith 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). 0 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). Q 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 LJNO 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. 1 will provide some of the work, but I have contracted (hired) the following poisons to provide the work indicated (include name / address / phone number / type of work): __ ^^^ PROPERTY OWNER SIGNATURE DATE iw&ifecmp^f^ -••: :..".-:;i. :-^/.::^:-^VV;.K^'^^ 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 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 NO 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. I^i^CTliU^ ••'... • . • '•'-..-' ' .; ..• vV:>: ':;.i-;v.--".^..-"'. .-, -.vi'.; ' :' 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 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 commeodedj^r a period of 1£Q daysWSectejtloAAAJJniforrn Building Code), APPLICANT'S SIGNATURE T/£-^~^r^«&-^£**^*lS'Ll DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL _ a 3. ROOF SLOPE: RISE finches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 /© 3£0wapV' ^ , • , 5. TYPE OF EXISTING ROOF COVERING J&^SHEATHING S0//d . *6. NEW ROOF MATERIAL^^^ CLASS^ WEIGHT PER SQUAR 7. -NUMBER OF SQUARES C^WOf ' ?% H0T* 10JCrvfec *9j*ifs, TRADE NAME r/w^g>Y//)g ^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 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-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 y<-0~* ffLf~ Date Contractor *^ Owner " Contractor Name Sr^^ll K£&rW% 6 • Rolled Roofing, Standard/Lite Tile, As pha It/Com p Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 07/24/2006 Permit# CB061953 Title: STEIN RESIDENCE Description: 32 SQUARES OF COMP, 10 SQUARES OF BUILT UP Inspector Assignment: MC LUc, Sub Type: REROOF 1630 BASSWOODAV Lot 0 Type: MISC Job Address: Suite: Location: APPLICANT SCHOTT ROOFING INC Owner: STEIN LEONE E TRUST 05-12-86 Remarks: Phone: 7607446450 Inspector: Total Time: CD Description 19 Final Structural Act Comment Requested By: PAM Entered By: JANEAN Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 07/17/2006 15 Roof/Reroof AP MC SHEATHING OK 07/13/2006 15 Roof/Reroof PA MC EXISTING 2 XT & G OK POLICYHOLOER COPY SD COMPENSATION IN SUR ANCE P.O. BOX 420807, SAN FRANCISCO.CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-O1-20O6 GROUP: 000285 POLICY NUMBER: OOO2245-2OO6 CERTIFICATE ID: 10 CERTIFICATE EXPIRES: 01-O1-2007 01-01-2006/01-01-2007 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 BOX 26OOO SACRAMENTO CA 95826 SD LICENSE NUNBER:#380125 INCEPTION DATE:01-01-2O06 DO:SD This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you §Q days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the poficy described herein is subject to all the terms, exclusions, and conditions, of such policy. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.000,000 PER OCCURRENCE. ENDORSEMENT #1600 - ROY SCHOTT, PRESIDENT - EXCLUDED. ENDORSEMENT #16OO - PAMELA SCHOTT, SEC.TRES - EXCLUDED. ENDORSEMENT #2O65 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER SCHOTT ROOFING, INC DBA:SCHOTT ROOFING 225 E CARMEL ST STE 1 SAN MARCOS CA 92078 SD M0410 (REV.2-05J PRINTED 12-17-2005