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