HomeMy WebLinkAbout1660 BASSWOOD AVE; ; CB072602; Permit10-10-2007
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB072602
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
1660 BASSWOOD AV CBAD
MISC
2050602500
$000
Subtype
Lot#
REROOF
0
ROWLETT RES 2400 SF BUILT UP
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/10/2007
LSM
10/10/2007
10/10/2007
Applicant
HETHERINGTON ROOFING CO
3265 VALLEY ST
CARLSBAD CA 92008
Owner
ROWLETT ROBERT D&ANN M
1660 BASSWOOD AVE
CARLSBAD CA 92008
Miscelaneous Fee #1 PERMIT FEE
Miscelaneous Fee #2
Additional Fees
$9700
$000
$000
TOTAL PERMIT FEES $9700
Total Fees $97 00 Total Payments To Date $9700 Balance Due $000
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
City of Carlsbad
1635 Faraday Ave Carlsbad CA 92008
760 602 2717 / 2718 / 2719
Fax 7606028558
Building Permit Application
Plan Check No C^fe
Est Value
Plan Ck Deposit
Date IO((_O(0-)
JOB ADDRESS SUITE#/SPACE#/UNIT#
CT/PROJECT*# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK
EXISTING USE PROPOSED USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE
YES^tf _ NOD
AIR CONDITIONING
YES D NO
FIRE SPRINKLERS
YES D NO Q
CONTACT NAME (If afferent Fom Applicant)APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
PROPERTY OWNER NAME NAME
ADDRESS
J? Z. <z.
CITY STATE ZIP CITY ' STATE ZIP
PHONE FAX PHONE FAX
EMAIL EMAIL
Loo /-' r <*>,*-/ fy -
CLASS I CITY BUS LIC#ARCH/DESIGNER NAME & ADDRESS STATE LIC #
[Sec 70315 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 70315 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
n 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
J2CI 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 workers compensation insurance carrier and policy
number are Insurance Co v T P~--f- F~g F^^ ~ O Policy No ~*- S" ^ ~ -^ / "2- "7 Expiration Date Of I ft) $
This section need not be completed if the permit is for one hundred dollars ($100) or less
CJ Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of
California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in
addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
JS$ CONTRACTOR SIGNATURE DATE /£> " / O- O
/ hereby affirm that I am exempt from 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 lo an owner of properly 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 Ihe 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)
a 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)
O 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 O No
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 /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 / contractors license number)
5 I will providp some of the work but I have contracted (hired) the following persons (o provide the work indicated (include name / address / phone / 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 Act7 d Yes C3 No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 O Yes O No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site7 n Yes d No v
IF ANY OF THE ANSWERS ARE YES
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
I hereby affirm that there is a construction lending agency for the performance of the work 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 thatthe above information is correct and that the information on the plans isaccurate I agree to comply with all City ordmancesand State laws relating to building construction
thereby authonze representative of the City of Carlsbad to enter upon the above mentioned property for inspecton 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 demolrtion or construction of structures over 3 stones in height
EXPIRATION r ..._..__.... .- -
180 days from the date of such permit or if the building or wotkauthonzed 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)
J3$APPLICANT S SIGNATURE ^.c DATE /"O - /Q -
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS: ° <-r ^\s ^ Q op
2. TYPE OF BUILDING RESIDENTIAL ^^ COMMERCIAL
3. ROOF SLOPE. RISE ^ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)( 1 j 2 3
5. TYPE OF EXISTING ROOF COVERING^3^ /r~ SHEATHING /°/x
*6 NEW ROOF MATERIAL —C-^o CLASS ^f WEIGHT PER SQ. 2- ^ o,/
7 NUMBER OF SQUARES "^ V _
8 TRADE NAME '77- • VJTTCT^^-^I MANUFACTURER ^ ^ /"
9. ROOF SYSTEM LISTING:
UL NO. _ I C C E S Report # _
ASTM _
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-lnspection 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 7^7^ ^" Date^
Contractor ^"^^ Owner Contractor Name^
*6 Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other
City of Carlsbad Bldg Inspection Request
For 10/17/2007
Permit* CB072602
Title ROWLETT RES- 2400 SF BUILT UP
Description
Inspector Assignment
Sub Type REROOFType MISC
Job Address 1660 BASSWOOD AV
Suite Lot 0
Location
OWNER ROWLETT ROBERT D&ANN M
Owner ROWLETT ROBERT D&ANN M
Remarks
Phone 7608282748
Inspector
Total Time Requested By MIKE
Entered By CHRISTINE
CD Description
19 Final Structural
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
10/15/2007 15 Roof/Reroof PA MC EXISTING SHEARTHING (2X) OK MINOR REPAIRS
Check A License Contractor's License Detail Page 1 of2
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£14 DISCLAIMER A license status check provides information taken from the
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License Number
Business
Information
«
496369
HETHERINGTON ROOFING INC
3265 VALLEY STREET
Extract Date 10/10/21
Entity
Issue Date
Reissue Date
Expire Date
CARLSBAD CA 92008
Business Phone Number (760)721 5129
Corporation
08/07/1986
08/27/2007
08/31/2009
License Status
Classifications
Bonding
This license is current and active All information below should b
reviewed
*"* "
C39 ROOFING
This license filed Contractors Bond number 100030090 in the arm
of $12 500 with the bonding company
AMERICAN CONTRACTORS INDEMNITY COMPANY
Effective Date 08/27/2007
Contractors Bonding History
•OND OF QUALIFYING INDIVIDUAL
The Responsible Managing Officer (RMO) MICHAEL ALBER
HETHERINGTON certified that he/she owns 10 percent or mi
the voting stock/equity of the corporation A bond of quahfymc
individual is not required
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Check A License Contractor's License Detail Page 2 of2
Workers
Compensation
Miscellaneous
Information
Effective Date 08/27/2007
This license has workers compensation insurance with the
STATE COMPENSATION INSURANCE FUND
Policy Number 285 0003127
Effective Date 03/20/2007
Expire Date 03/01/2008
Workers Compensation History
08/27/2007 LICENSE REISSUED TO ANOTHER ENTITY
Personnel listed on this license (current or disassociated) are listed on other licenses
"^•"t&nsiFv?
ConsumersJjContractors ['Applicants | <JourneymentL PubliciWorksJ Building Officials jfGeneral Info
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