HomeMy WebLinkAbout1716 CANNAS CT; ; CB081516; Permit08-06-2008
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB081516
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
PC#
Project Title
1716CANNASCTCBAD
MISC
2155012000
$3,402 00
Subtype REROOF
Lot# 0
HARTE RESIDENCE
27 SQUARES OF COMP REROOF
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Applicant
OILS ROOFING CO
1089LEUCADIABL
ENCINITAS, CA 92024
619-436-7588
Owner
HARTE JAMES K
4607 NARROT ST
TORRANCE CA 90503
ISSUED
08/06/2008
MDP
08/06/2008
08/06/2008
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT $9800
$000
$000
$9800
Total Fees $98 00 Total Payments To Date $98 00 Balance Due $000
Inspector 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 nght 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 pro'ect NOR DOES IT APPLY to any
fees/exactions of which vou 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 760-602-8558
Building Permit Application
Plan Check No,68'iat
&t Value 0"
Plan Ck. Deposit
Date
JOBADDRES /7/6 SUITE#/SPACE#/UNI f
CT/PROJECT* I LOT#PHASE** # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINI SS NAME TYPE OF CONST OCC GROUP
DESCRIPTION OF WORK (Please describe present use and proposed use)
FIREPLACE
YESD #
BUILDING AREA (SF)ADDITION AREA (SF)GARAGE (SF)PATIOS (SF)DECKS (SF)
NO D
AIR CONDITIONING
YES D NO D
FIRE SPRINKLERS
YES D NO D
CONTACT NAME (It Dlfferen APPLICANT NAME
ADDR ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
OWNER NAME CONTRACTOR BUS NAME
ADDRESS ADDRESS
a"CITY STATE ZIP
PHONE FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC*^^STATE LIC #CITY BUS Lia#BUS Lia# f (ji Q /*
Sec 7031S Dunnes! and Professions Code Any City or County which requires a permit to construct, alter. irapro»el demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he isicensed 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 a exempt therefrom, and the basis for the alleged exemption Any violation of
ection 7031S by any applicant for a permit subjects die applicant to a aril penalty of not more than five hundred dollars {$500})
WOR K E R S ' CO M P E NS A Tl O N
Workers' Compensation Declaration f hereby affirm under penalty ot perjury one of the following declarations
G Ltrave 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 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 earner and policy
This section need not be completed if the permit is for one hundred dollars ($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 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 (8.100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees
JlS CONTRACTOR SIGNATURE
OWNER-BUILDER DECLARATION
DATE
/ 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 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 (hat he did not build or improve for the purpose of sale)
D 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)
OI 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 O Yes C3 No
1 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 provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
^PROPERTY OWNER SIGNATURE DATE
COMPLETE, THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 25SQS, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? n 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> D Yes n No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes n No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
CONST R U C T I O;N L ENDING AC EW C Y
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
A P f L I C A N T, C E R T IF :I-,C ,'AVT'I Q:N
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 authonze representative 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 stones 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 authonzed by such permit is not commenced within
180 days from the date of such permit or if the buiWnjLOfjyjykauthonzed by such permit is suspended or abandoned at any time after the work is commenced for a penod of 180 days (Section 106 4 4 Uniform Building
^APPLICANT'S SIGNATURE DATE
REROOFING
SUPPLEMENTAL BUILDING PERMIT APPLICATION
1. JOB ADDRESS:.
2. TYPE OF BUILDING: RESIDENTIAL s^ COMMERCIAL
3. ROOF SLOPE: RISE^/^ INCHES IN 12 INCHES
4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (3^2 3
5. TYPE OF EXISTING ROOF COVERING.S^fl^fT SHEATHING
*6. NEW ROOF MATERIAL/^y^^/. CLASS/? WEIGHT PER
7. NUMBER OF SQUARES
8. TRADE KMNZ/0/ 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? (^^) 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 x^r^ * ' ~~ Date,
Contractor */ Owner Contractor
*6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other
City of Carlsbad Bldg Inspection Request
For 08/20/2008
Permit# CB081516
Title HARTE RESIDENCE
Description 27 SQUARES OF COMP REROOF
Inspector Assignment JM
1716 CANNASCT
Lot 0
Type MISC Sub Type REROOF
Job Address
Suite
Location
APPLICANT OILS ROOFING CO
Owner HARTE JAMES K
Remarks
Phone 7606723203
Inspector
Total Time
CD Description
19 Final Structural
Act Comment
Comments/Notices/Holds
Requested By LOUIS
Enterec By JANEAN
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
08/14/2008 15 Roof/Reroof AP JM as of 8/13/2008
08/13/2008 15 Roof/Reroof AP JM OK TO COVER
POLICYHOLDER COPY
SO
COMPENSATION
IN SURANCE
PO BOX 420807, SAN FRANCISCO,CA 94142-0807
CERTIFICATE OF WORKERS' COMPENSATION INSURANCE
ISSUE DATE 01-08-2008 GROUP 000238
POLICY IMUMB.ER 0004644-2007
CERTIFICATE ID 31
CERTIFICATE EXPIRES 01-01-2009
01-01-2008/01-01-2009
SO JOB ff 414
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 10 days advance written notice to the employer
We will also give you 10 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 policy described herein is subject to all the terms, exclusions, and conditions, of such policy
°^~^
JTHORIZED REPRESENTATIVE^ PRESIDENT
EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE
ENDORSEMENT #1600 - FELAN-DILS, OLGA D PRESIDENT - EXCLUDED
ENDORSEMENT #1600 - OILS, BRENT P CFO - EXCLUDED
EMPLOYER
TRUPRO INCORPORTATED
2230 LA MIRADA OR
VISTA CA 92081
SD
(REV 2-05I
[B13SD]
PRINTED 01-08-2008