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Home My WebLink About2012 CUMBRE CT; ; CB021439; Permit\ 05-14-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB021439 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2012 CUMBRE CT CBAD MISC 2164912000 $2,886 00 Subtype REROOF Lot# 0 TINDLE RES-2600 SF COMPOSITION Status ISSUED Applied 05/14/2002 Entered By RMA Plan Approved 05/14/2002 Issued 05/14/2002 Inspect Area Applicant PRENTICE ROOF CO 2917 ANAHEIM ST ESCONDIDO CA 92025 760 737-9636 Owner TINDEL KENT C&DONNA M 2012 CUMBRE CT CARLSBAD CA 92009 7057 05/14/02 0002 01 02 CGP 77-00 Total Fees $7700 Total Payments To Date $000 Balance Due $7700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $7700 $000 $000 $7700 Inspector FINAL APPROVAL Date Clearance NOTICE Please take N"OTICE/iat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions' You have 90 days from the date this permit was issued to protest Imposition of these fees/exactions If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been oiven a NOTICEsimilarJo this, or as to which the statute of limitations has previously otherwise expired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. EST VAL Plan Ck Deposit Validated By Date <_ bffi Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total I of units Assessor's Parcel t Existing Use Proposed Use #of Stories » of Bedrooms i of Bathrooms ^ttSiif'ffSK.<S-S--fa ••''•'• '•<•»:&;>»,«$ PfeKkr ir'.'ii'^-- :.t Name Address State/Zip Telephone #Fax * (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 ha 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-Section7031 iby any applicant for a pernjit subjects the applicant to a civil penally of not more than five hundred dollars ($5001)ir^Jm^ fa&r~ C* Name State License t Designer Name State License # Address *•.***.,. 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 1/5 ' have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pefmit is /'issued My worker's compensation insurance carrier and policy number are . , / // Insurance Company &4v1 £ Policy No *\f &• 2^\^ /^^"Zf^&piration Date ^ /I'jj^2~~ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) * ' Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING FaBunjtojMcura wtrkers'jjjmDensation coverage is unlawful, and shal subject an employer to criminal penalties and dvM fines up to one hundred thousand dolan^OoUxjOWh •ddKMrt»4b>«0frof compensation, damages as provided for In Section 3706 of the Lab# dbde. Interest and attorney's fees SIGNATURE .\~f_ \^ i/A DATE I hereby affirm that I am exempt from the*Contractor's License Law for the following reason n 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, end 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 ha did not build or improve for the purpose of sale) CD 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 Is the applicant or future building occupant required to submit a business plan, acutely hazardous matenals registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the eir pollution control distnct 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? D 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 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 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 5'0* deep and demolition or construction of structures over 3 stones in height EXPIRATION Every permit issuedbv the building Official under theprovisions of this CodesJjalUexpire by limitation and become null and void if the building or work authorized by such permit is not odmmdteed withto180 day^JfemlneTate of such perm|t«rrftfie building or work authorized by such permit is suspended or abandoned at any time after the work is co/mencednor a gpriod of fwTdayb (Sattlon 106,4>H)ntform Building Code) APPLICANT'S SIGNATURE DATE WHITE 'YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 24>(2- (U/M&**=: &r~ 2. TYPE OF BUILDING: RESIDENTIAL "* 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 ^4*£SHEATHING *6. NEW ROOF MATERIAL O^f CLASS A WEIGHT PER SQUARE 7. "NUMBER OF SQUARES 2*C> 8. TRADE NAME jfe^ra*tt/g-"f~MANUFACTURER &^£- 9. ROOF SYSTEM LISTING UL No. _ _JCBO No. _ ._ 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-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 Contractor__Owner _ Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 05/17/2002 Permit# CB021439 Title TINDLE RES-2600 SF COMPOSITION Description Inspector Assignment PY 2012 CUMBRE CT Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT PRENTICE ROOF CO Owner TINDEL KENT C&DONNA M Remarks Phone 7607379636 Inspector Total Time CD Description 19 Final Structural •omments Requested By CHRIS Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 05/15/2002 15 Roof/Reroof AP PY OK TO COVER AStWFAX 1/31/2002 9.50 PAGE 2/2 RightFAX ACQBQ. CERTIFICATE OF LIABILITY INSURANCE MOWREII Hanafin Bates t Eisenmann/TransPac Managers 8144 Walnut Hill Lane 11081 Dallas, TX 75231 214-346-1507 tax.- 42S-671-4667 INSURED PRENTICE ROOFING CO AMS Staff Leasing, Inc 818 Clwwood Way Contractors License 711524 Escdndido, CA 92026 760-737-9636 fax: 760-737-9636 CERTIFICATE NO / HATE VC2~«tOC»-2f22il09/01/2001 1: ill 09 FM THIS CERTIFICATE* ISSUED AS A HATTER OF INFORMATION ONLY AND CONFERS TiO RWHTS UPON THE CERTIFICATE HOLDER TH» CERTIFICATE GOBI NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A National Fire Insurance Company of Hartford IMSURERB INSURER C INSURER D INSURER E THE POUCICS OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THEPOI ANY REQUIREMENT, TERM Oft CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Wl MAY PeRTAJN, THE MSUMANCE AFFORDED BY THE POLICIES DESCRIBED HEREN 18 SUBJECT TO ALL THE TEW POLICIES. AOaREQATE LIMITS SHOWN MW HAVE SEEN REDUCED BY HMD CLAMB W A TVKOFMSUMNCE CMMEMLUMMUTV COMMERCIAL OENERN. UAOLfTV (CLAIMS MADE (| OCCUR GCNt AGGREGATE DMT APPLIES PER ] POLICY | ]5§°f j JLOC AimMOMLCLUBTUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HRED AUTOS NONOWNED AUTOS ouuaguAeiuTV iXC ANY AUTO EttUAMJTY OCCUR [~~| CLAIMS MADE DEOUCTIBtE RETENTION S SM»LOY»ruASMjTY OfTHEM UCY PERIOD INOCATEO NOTWtTHSTANDMG •DCH THBCEATFCATE MAY BE SSUED OR POUCYNUMKft | TRHlitlHmVifi 1 ^ffi iiaiffli?n 1 LMTS WC249189627 09/01/2001 09/01/2002 EACH OCCURRENCE FIRE DAMME (Any grw An) MEDE»>(Any«n*p*i«n) PERSONAL • «V NIURY PRODUCTS COMPiOPAOO COMBMED SINGLE LNMT(EtaoMM) 8ODH.YMJURY BOOH.YHJUBY PROPERTY DAMAGE(ParsnMiflt) AUTOONLY EA ACCIDENT OTHERTHAN EAACC AUTOONLV Aae EACH OCCURRENCE AGGREGATE X !T8fcYWs 1 1W E1.EMMACOOENT eiWSEASe EA EMPLOYEE El DISEASE POUCVIMT LIMIT LMT f S S *f S *» . t s s *s * *f * > 1,000,000 * 1,000,000 * 1.000,000 s s OECCIWTKW OFOVEMTIONMOCATIONMEHKLEMIICUMIONS ADDED BV ENOoRUMENT/SPeCUU. PROVISION* 1 Insured is afforded Workers Compensation t Employers Liability as a co-employer under the policy for employees leased from AMS Staff Leasing, Inc CERTIFICATE MOUM CANCELLATION Contractors State License Board 9821 Business Park Drive Sacramento, CA 9S826 ACORD 25-8 (7/97) SHOULD ANY Of THKAMVK OBCMM9 MUCUS KCANCaLCO MFOMTHE EWIUTTOM DATE THCTEOF, THE «8MM INHmEH WILL ENDEAVOR TO WML 30 DAT* MRTTCN IMPOSE NO OWJOATION OA UAMUtV OF ANY KINO UKN THE INSUMR, (TS AOCNTS OH REraUEMTATIVBS • ACORD CORPORATION 11 I OSm o CM CM •0 ^ ^