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HomeMy WebLinkAbout2032 CUMBRE CT; ; CB970011; Permit,, - T r, -r ,\T r P c- u w r T Permit No.BUILDIMOP-*!'-1 project No A970(K>33 01/06/97 12 02 Development No- Paqe 1 of 1 q,,it-<=>Job Address 2032 CUMBSE CT Suit.. Permit Type MISCELLANEOUS * '? Ji c~P<W 149-00 Parcel No. 216-491-18-00 ° construction Type. NEW Valuation. 6,804 P.,f™nce# Status ISSUED Occupancy Group Voon'-r Applied 01/06/97 Description RE-ROOF LITE WTCONL 2000 oF Apr/issue- 01/06/97 JCBO 2656 Entered By JM Appl/Ownr . JAEGER ROOFING 909 2.44-2151 24275 CONEJO ROAD SUM CITY, CA 92587 Fees Required •llected & Credits * * Fees Adjustments. Total Fees- 149 Fee description Miscellaneous Fee #1' A MISCELLANEOUS TOT/T, .00 uu 149 00 Ext fee Data It 9 00 PERMIT FEE 149 00 FINAL APPROVAL INSP CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By i Date / / —1 Address (me ude Bldg/Suite #) F tt Business Name (at this address) Legal Description Lot No Subdivision Name/Number 5? EH: Unit No Phase No Total tt of units Assessor's Parcel. #Existing Use Proposed Use TruAi-W -r-iiV l^ Description of Work Sk. "."CONTACT PERSON (if different "from applicant).^ ,; FT tt of Bedrooms tt of Bathrooms Name DjContractor Address 1-H Agent for Contractor City State/Zip Telephone &Un Fax tt Q./.C/ Name Address City State/Zip Telephone tt *~\ /—V"^ "™> li i \ f- /I MT- f~* A n\ f\ ~ t,i {•/*. f —k *"% \ CV / "™5 4T. 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, pnor 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 by any applicant for a^ermit subjects the applicant to a j:ivilpenalty of ng,t more than five hundred dollars JS500]) Nam8 LL Q.&SState License tt fjG C»Oc Address ^ > <_, License Class I ~ 5 \ City 1 State/Zip City Business License # Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations (~l 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 /Q I 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 ssued My worker's compensation insurance carrier and policy number are 0f,\f K& f\ IP „ _ Policy No X)U1CInsurance Company „ Expiration Date_ " •'•-ftgir^ali^ (THIS SECTION NEED NOT BE COMPLETED IP-THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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), iivSSiditionXo tJWcost of compensation damages as provided for in Section 3706 of the Labq/,code, interest and attorney's fees SIGNATURE (^A/vl/ DATE I/£/ 7 / 7 -:.' OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from {he Contractor s License Law for the following reason t~l I, as owner of the property or my employees with wages as their sole compensation, will do tha 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) l~l 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) n I arn 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 / eddress / 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 COMPUTE THIS SECTION FOR NON-fi£SJDEN7ML BUILDING PERMITS ONLYi 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 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? Q YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? ft YES C] 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 SEJCOjNSTRUCflON LENDING AGENCY "' -^^i. "II ^} '-.._,,. 'J.T-i : '"" ^ '3«^iiiI:3^ji2M5^^3Sffiji2SSS':3!r ,.^""-"5 '' ' 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 ___ _____ APPLICANT CERTIFICATION T 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 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 nojfbpmmenbed within 365 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 wjbYkJjs confnenced'for a period of 180 days (Section 106 4 4 Uniform Building Code) / DATEAPPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICAHON FOR REROOFING 1. JOB ADDRESS fyp^Z. dujfW^T CT* 2. TYPE OF BUILDING: RESIDENTIAL * COMMERCIAL 3. ROOF SLOPE: RISE - inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING UflDCS .sxKt 6 .SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) £) 2 3 *6. NEW ROOF MATERIALTruiUJ^ 4^1^ CLASS f^- WEIGHT PER SQUARE SAO 7. NUMBER OF SQUARES 8. TRADE NAME hPj£&£. ^Qoittfr MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. _ Other \ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES Vv NO _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A \/ Class B _ I understand the following inspections are required: 1. Tear Of f/Pre- inspect ion 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 V D Contractor yy Owner Contractor Name *6 - Rolled Roofing, Ti,le;i Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT* CB970011 DESCRIPTION: RE-ROOF LITE WTCONC ICBO 2656 TYPE: MISC JOB ADDRESS: 2032 CUMBRE CT APPLICANT: JAEGER ROOFING CONTRACTOR: OWNER: REMARKS: BJN/ALAN/909-244-1521 SPECIAL INSTRUCT: CITY OF CARLSBAD INSPECTION REQUEST FOR 03/12/97 2800 SF PHONE: PHONE: PHONE: INSPECTOR AREA DC PLANCK# CB970011 OCC GRP CONSTR. TYPE NEW STE: LOT: 909 244-2151 INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 15 19 ACT ^COMMENTS ST Roof/Reroof ST Final Structural ***** INSPECTION HISTORY ***** DATE DESCRIPTION 010797 Shear Panels/HD's ACT INSP AP DC COMMENTS City of Carlsbad Building Department WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the Following declarations 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 I 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 COMPANY POLICY NO EXPIRATION DATE (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 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 ™ C workers compensation laws of California Signature Date Warning: Failure to secure workers' compensation coverage is unlawful, and shall be 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. March 3, 1995 2O75 Las Palmas Dr • Carlsbad, CA 92OO9-1576 • (619) 438-1161 • FAX (619) 438-O894 OF INSURANCE .PRODUCER Irvine Pacific Insurance 2081 Business Center Dr. #245 Irvine, CA 92715 (714) 476-2600 FAX 476-1253 MSURED JAEGER ROOFING 24275 CONEJO RD. QUAIL VALLEY, CA 92587 .. BSUE DATE (MMJDO/YY) 9/10/1996 S- V.ff W.«^ ffff. -. .-s % W. • S- ..MX •. •> *• •"••• *• •••"••••• *••+ ' ff. 'Vff*. f •,-.•. A •.-.-.% THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY LETTER A GOLDEN EAGLE INSURANCE CO. COMPANY Q LETTER D COMPANY f* LETTER ^ COMPANY n LETTER u COMPANY p LETTER C covtBAces^ ; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF MSURANCE GENERAL UABUTY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUa OWNEFTS & CONTRACTOR'S PROT AUTOUOBLE UABUTY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOSf GARAGE LIABILITY EXCESS UABUTY UMBRELLA FORM< OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND EMPLOYERS' UABUTY OTHER POLICY NUUBEH POLICY EFFECTIVE DATE (MMOO/YY) POUCY EXPIRATION DATE (MM/OD/YY)LIMITS GENERAL AGGREGATE J PHODUCTS-COMPADP AGO I PERSONAL & ADV INJURY J EACH OCCURRENCE t FiRE DAMAGE (Any one be) I MED EXPENSE (Any one peiaon) t COMBINED SINGLE LIMIT * BODILY INJI HY (Pel purajn) * BODILY INJURY (Pei accdant) * NWC32165S-02 PROPERTY DAMAGE EACH OCCURRENCE AGGREGATE •j STATUTORY LMtTS 09/19/96 09/19/97 EACH ACCIDENT DISEASE • POLICY LIMIT DISEASE • EACH EMPLOYEE » 1,000,000 J 1,000,000 t 1,000,000 DCSCMPTIOH OF OPERAT1ONSAJOCAT10MSWEHICLESAPECUL ITEMS *IN THE EVENT OF NON PAYMENT OF PREMIUM 10 DAYS NOTICE WILL BE GIVEN. RE: LICENSE #668882 CERTIFICATE BOLDERJw ^vi\<w vf sswv ^VAV,V AT .vw»w v.vu \<V.V.V\wX».S J- CONTRACTORS STATE LICENSE BOARD P. O. BOX 26000 SACRAMENTO CA 95826 CANCELLATION xv.% •.-.-. •.•.•.-. f, v^%/% •. * •> f f "••.-. }v*jv SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OH LIABILITY OF ANY KIND UPON THE COMPANY. ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE (SACORP COflPQflATION