HomeMy WebLinkAbout2022 CUMBRE CT; ; CB000129; Permit01/31/2000
City of Carlsbad
Miscellaneous Permit Permit No CB000129
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2022 CUMBRE CT CBAD
MISC Subtype REROOF
2164911900 Lot# 0
$7,950 00
REROOF 3000 SF LITE TILE #4660
Status
Applied
Entered By
Plan Approved
Issued
ISSUED
01/13/2000
JM
01/13/2000
01/13/2000
Inspect Area TL
Applicant
SCHOTT ROOFING INC
225 E CARMEL STREET #1
SAN MARCOS, CA 92069
619-744-6450
Owner
RAYMER FAMILY TRUST 10-15-87
2022 CUMBRE CT
CARLSBAD CA 92009
Total Fees $16000 Total Payments To Date $160 00 Balance Due $000
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
$16000
$000
$16000
Inspector
FINAL APPROVAL
~ I -or*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 capactiy
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
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ONLY.
PLAN CHECK NO.
EST. VAL ^_
Plan Ck. Deposit
V-Jidated By.
Date
Addiau (incluoe aids/Suite *)Business Name Ut Utm^dWoM)
«"L4 01/13/QQ QOQl 02
Legal Description Lot No Subdivision Name/Number Unit No
Assessor's Parcel *Proposed Use
Nsme Addrett Telethon* »
Name Address City State/Zip
*V"*__V •*•":"* <«•*•_ ^* **t***^*VJ*~1Wr5ei * w*SS22s.s^»hf_-JftJ.Srr*«*MiC^,_;
(S«c. 7031.5 Business and Professions Cod*. Any City or County which requires a permit to construct, alter, improve. demolMli or repair any structure, prior to ru
muinre. eleo requires the applicant for such permit to file e signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law
/ 9. commending with Section 7000 of Division 3 of the Business and Professions Codell or that he la exempt therefrom, end the beats for the alleged
exampubn .Any violation ofiSection 7031 5 by tiny applicant for e permit subjects the applicant toe civil penalty of /not more than five hunJred dollxs (15001)ubn .Any violation ofic/2/jutc i£
City State/Zip
City Business License *
NeflM
State Ucenae «
Desi0nerName
State Ucense I
Addreaa City State/Zip Telephone
Workers' Compeneeoon Oeclanuiwi I hMeby affirm under penalty of perjury one of the following declarations.
Q I hava end will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for t/v* performance
Of the work for which thia 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 far which this permit is
issued My worker's comaenaauon insurance earner and/policy numbd^are .
Insurance Company (•/ jLU-f^tC^/^L^ **PVLQJ C^Q Policy No WC- 3 —QO ^S^Expiration Data /~" / ~ 0 /
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS)
Q CERTIFICATE OF EXEMPTION I certify that m 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 FaBun to a*cura workers' oompenteoan coverage le unlawful, end ahafl subject en employer to criminal peneltiea end dvB fines up to one hundred
thousand dollars (S100.000), In addition to UM soot of compeneetkMi, damegee aa provided for In Section 3706 of the Labor code. Interest knd atuwn»y'a fee*.
SIGNATURE _ DATE _
X«3BaWDMUMWI«COUUTiaii^^
I hereby affirm that I am exempt from the Contractor's Ucenae Lew for the following reason
0 I, as owner of the property or my employee! with wagea as their eole compensation, will do the work end the structure is not intended or offered for aala
(Sec 7044. Business end Professions Code. The Connector's License Lew doe* not apply to an owner of property who build* or improve* thereon, and who doea
such work himself or through his own employees, provided that auch improvement* are not intended or offered for sale If, however, the building or improvement ia
sold within one year of completion, the owner-buildeV will have the burden of proving that he did not build or Improve for the purpose of sale)
Q I, aa owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec 7044. Business end Professions Code The
Contractor'* License Law does not apply to an owner of property who builds or improves thereon, and contract* for such projects with contractor!*) 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 l»bor and materials for construction of the proposed property improvement Q YES QNO
2 I (have / neve 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 end provide the major work (include name / address / phone
number / contractors license number) ___ _________________ _ ___——_—— ——-.^ _ __ ______
5 I will provide some of the work, but I heve contracted (hired) the following persons to provide tho work indicated (include name / eddress / phone number / type
of work) _ _ ___
PROPERTY OWNER SIGNATURE DATE
'"
Is the applicant or future building occupant required to submit e business plan, acutely hazardous materials registration form or nsk marueamwn end prevention
program under Section* 2SSOS, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act f- £3- •¥£« — 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 f acilitv to be constructed within 1 .000 feet of the outer boundary of a school site? Q YES Q NO
UP 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.
B^CQWTRUcnoN J^jNO'AGtN»!35S3_t2^^ ^tTTi'1 ,' -Mi" ':~ ; J ,;:f: :
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(1) 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 plena is accurate I agree to comply with all
City ordinances and State lawa 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 UN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PCRMIT.
OSHA. An OSHA permit is required for excavations over a'O* deep and demolition or construction of structures over 3 stones HI height
EXPIRATION. Every permit issued by the Building Official under the provisions of this Code shall expiie by limitation and become null end void if the building or
work euthorized by auch permit ia not commenced wnhin 365 days from the date of auch permit or if toe building or work authorized by such permit a suspended
or sbandoned et any time after the worJcScJmmencatJ for a penod ofJSO days (Section 106 4 4 Uniform Building Code).
APPLICANT'S SIGNATURE /^f^^ -~^^f ^Sjffj DATE / '
City of Carlsbad Bldg Inspection Request
For 1/28/2000
Permit* CB000129
Title REROOF 3000 SF LITE TILE #4660
Description
Inspector Assignment
Sub Type REROOF
2022 CUMBRE CT
Lot
Type MISC
Job Address
Suite
Location
APPLICANT SCHOTT ROOFING INC
Owner RAYMER FAMILY TRUST 10-15-87
Remarks
Phone 7607446450
Inspector }[r
Total Time
CD Description
19 Final Structural
Act Comments
Requested By TERRY
Entered By ROBIN
Associated PCRs
Inspection History
Date Description Act Insp Comments
1/19/2000 15Roof/Reroof AP TL \
THIS BINDER ISA TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDmONS SHOWN ON THE REVERSE SIDE OF THIS FORM.
p<weoCER 630-990-9091
AMERICAN PATRIOT INSURANCE AGENCY,
2215 S- YORK ROAD. SUITE 110
OAK BROOK, IL 60523
SUSCOOfc
COMPANY
DAYS
ELECTIVE
1-1-00
TME
12:01
Bmocit *
1-1-01
THIS BINDER ts ISSUED TO EXTEND covERAce m THE ABOVE NAMED COMPANY
PER EXPIRING POLICY ft
/SfiiEWCV
1NSORH>SCHOTT ROOFINS-, INC.
225 E- CARHEL STREET *1
SAN tlARCOS, CA 'ISOb')
_L
DESCRIPTION OF OP6RATIOHS/VEWCLESJPROPERTY (kKtufing location)
ROOFING
TYPEOFMSWtANOe COVERAGBFOftMS AMOUNT DEDUCTIBLE CO«$*
^PROPERTY CAUSES OF LOSS
_____ BASIC | | e*OAO [ | SPEC
GENERAL UABUTY GENERAL AGOR£GATE
COMMERCIAL SEN£RALUABO.rTY
] CLAIMS MACE L_J OCCUR
OWNERS 4 COWmACTOWS PROT
pftooucrs -COMP/OC AGa
PERSONAL S ABV INJURY
EACH OCCURRENCE
FlftEOAMAGe (Any one fire)
RETRO DATE POft CLAIMS MADC MEDEXP (Any on* person)
AUTOMOBItE UAtOUTY COMBINED SINGLE UMTT
AWYAUTO
ALL OWNED AUTOS
SCMEOUUD AUTOS
HREO AUTOS
NON-OWN6D AUTOS
BOO8.Y INJURY (Per pcnan)
BOOH.Y INJURY (Per •ccMcnt)
PROPERTY DAMAGE
MEDICAL PAYVEMT3
PERSONAL INJURY PROT
UNINSURED MOTORIST
UNDERINSfRED
IALLVSHICLES F I SCHEDULED VEHICLES
COLLISION
OTHER THAN COL.
ACTUAL CASH VALUE
STATED AMOUNT
OTHER
OARAGE UAetUTY AUTO ONLY • EA AcooeMT
ANY AUTO orwe« THAN AUTO ONLY
6ACH ACCIDENT
AG63SGATE
EXCESS LIABILITY EACH OCCURRENCE
AGGREGATE
SELF-INSURED RETENTION
WORKERS COMPENSATION
EMPLOYERS UABLmr
WC3-0075580
VILLANOVA INSURANCE COMPANY
STATUTORY LIMITS
EACH ACCIDENT $1., 000/00~0~
DISEASE -POLICY UMIT $ 1/000,000
DBEA3S-6ACM EMPLOYES
SPECUL
/C€Qtai»5J^3^>«^U^^^ig^J-
•HOMdl l-S-bt BB-B5-03Q
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS £0££ 0 LJLTr\
2. TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL
3. ROOF SLOPE: RISE V inches in 12 inches
4. TYPE OF EXISTING ROOF COVERING
5. NUMBER OF EXISTING ROOF COVERINGS (circle one)/ly/ 2 3
*6. NEW ROOF MATERIAL QjtMfaUU&kt: ^fejCLASS >/WEIGHT PER SQUARE
1. NUMBER OF SQUARES U %7f)
8. TRADE NAME ff/W]/jMA^qJL^ MANUFACTURER
9. ROOF SYSTEM APPROVAL UL No. ——•"" Otner3^
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES X NO
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A X Class B
I understand the following inspections are required:
1. Tear Off/Pre-inspection prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN ^ DATE
Contractor V) Owner Contractor Name
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.