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Home My WebLink About2040 CHESTNUT AVE; ; CB050745; Permit03-10-2005 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB050745 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2040 CHESTNUT AV CBAD MISC 2053302300 $3,172.00 Subtype: REROOF Lot #: 0 FAUST RES RE-ROOF 2600 SF ROLLED ROOFING-TORCH DOWN Status: ISSUED Applied: 03/10/2005 Entered By: KG Plan Approved: 03/10/2005 Issued: 03/10/2005 Inspect Area: Owner: ALLAN FAUST 2040 CHESTNUT AV 760-720-1385 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES RE-=ROOF PERMIT $90.00 $0.00 $0.00 $90.00 Total Fees:$90.00 Total Payments To Date:$0.00 Balance Due:$90.00 3553 03/10/05 0002 01 02 CGP 90«00 Inspector: FINAL APPROVAL 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 right 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 vou have oreviouslv been aiven a NOTICE similar to 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 jlv PROJiECi: INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST. VAL. 3 t~7 "Z- Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description--Lot No. 71. Subdivision Name/Number /Huflf Unit No. Phase No. Total # of units Asse,~OG Existing Use 0 Proposed Use Description of Work SQ. FT. 2. CONTACT PERSON (if different from applicant) A toritfs td / #• of Bedrooms o . £ f. tt of Bathrooms Name Address City 3. APPLICANT ftf Contracjor, £] Agent for Contractor Q Owner D Agent for Owner State/Zip Telephone tt Fax tt State/Zip Telephone #Name 4. PROPERTYOWNE! Address City Address City State/Zip Telephone #Name 5. CONTRACTOR - COMPANY NAME (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 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 basts for the alleged exemption.. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S500]). Name State License tt Address License Class ines. License » Telephon* Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION , , • ' ', Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Q 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. [3 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 worker's ceryfognsation insurance/Eerier and policy number are: ^^~~ Insurance Company ^vC\AXj ^JL^/V*^^^- Policy No. £ 6^*1 •"^-'J Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 ($1p&OQP), ia additiop-jD the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. /SftM/ATURE ^^^^g^f^'-'^ - DATE ^ W- OWNEFUjfjILDER DECLARATION , : • -.-'., 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 that he did not build or improve for the purpose of sale). H] 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). Q 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. f~l YES f~lNO 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 ;|BUILDJNG [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 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 CJ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? l~l YES O 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. 8, CONSTRUCTION LENDING AGENCY , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 9? APPLICANT CERTIFI.CATION 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 not commenced within 180 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 work is commenced for a period ofj.80 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE y^^^—— . DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2 ° ^ ^ lS>TfM~ /JV^ 2. TYPE OF BUILDING: RESIDENTIAL )f COMMERCIAL 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (l) 2 3 5. TYPE OF EXISTING ROOF COVERING m cAA SHEATHING *6. NEW ROOF MATERIAL SolkA/fc^CLASS MOHtWEIGHT PER SQUARE 7. "NUMBER OF SQUARES 8. TRADE NAME bw \ 'fc.rt MANUFACTURER ^&Us /*** 9. ROOF SYSTEM LISTING UL No. fU 011*7 1CBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^YJ£) 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 -'^ Date ^^^ Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 03/21/2005 Permit* CB050745 Title: FAUST RES RE-ROOF 2600 SF Description: ROLLED ROOFING-TORCH DOWN Inspector Assignment: TP 2040 CHESTNUT AV Lot 0 Type:MISC Sub Type: REROOF Job Address: Suite: Location: OWNER ALLAN FAUST Owner: WARHOL JESSICA Remarks: AM PLEASE Phone: 7608892897 Inspector: Total Time: CD Description 19 Final Structural Act Comment Requested By: AARON WARD Entered By: KAREN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/11/2005 15 Roof/Reroof AP TP EXST. SHTING SOME REPAIR STATE COMPENSATION INSURANCE FUND HOME OFFICE ^ FRANCISCO ANNUAL, ^iTIN IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE G ENDORSEMENT OF REMUNERATION APPEARING AMENDED AS SHOWN BELOW. HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD BE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. CONTINUOUS POLICY 229-05 WESTERN REGIONAL MASTER BUILDERSIMPORTANT SEND NO MONEY UNLESS STATEMENT IS ENCLOSED THIS IS NOT A BILL THE RATING PERIOD BEGINS AND ENDS AT 12:01 AM PACIFIC STANDARD TIME EDELWEISS CONSTRUCTION, INC PO BOX 852 j '' BONSALL, CALIF 92003 ASSOCIATION RATING PERIOD 1-01-05 TO UNIT DEPOSIT PREMIUM MINIMUM PREMIUM PREMIUM ADJUSTMENT PERIOD 1-01-06 21120 $520.00 $520.00 ANNUALLY R SD NAME OF EMPLOYER- EDELWEISS CONSTRUCTION, INC. (A CORPORATION) CODE NO.PRINCIPAL WORK AND RATES EFFECTIVE FROM 01-01-05 TO 01-01-06 5027 5028 5,140 5183;i -.1 • 5185 5186 5187 5190 5201 5201 5205 . i 5205 BUILDING CONSTRUCTION MASONRY MASONRY ELECTRICAL WIRING—WITHIN BUILDINGS . • i ,.,.•'![• i tPLUMB.ING--SHOP | AND OUTSIDE—GAS, STEAM, HCiT WATER OR OTHER PIPE FITTINGS ,i- . AUTOMATIC SPRINKLER INSTALLATION i AUTOMATIC SPRINKLER INSTALLATION PLUMBING—SHOP AND OUTSIDE ELECTRICAL 'WIRING—-WITHIN BUILDINGS CONCRETE OR CEMENT WORK—POURING OR FINISHING OF CONCRETE SIDEWALKS, DRIVE- WAYS, PATIOS, CURBS OR GUTTERS CONCRETE OR CEMENT WORK—POURING OR FINISHING OF CONCRETE FLOOR SLABS i CONCRETE OR CEMENT WORK—POURING OR FINISHING OF CONCRETE SIDEWALKS, DRIVE- WAYS, PATIOS, CURBS OR GUTTERS CONCRETE OR CEMENT WORK—POURING OR PREMIUM • BASE BASIS RATE , i ! I j 25.84 16.55 |9.25 17.40 ! 21.18 '7.40 10.10 15.52 ! 20.48 20.48 13.49 INTERIM BILLING RATE* 24.29 15.56 8,70 16;. 36 IMI 6.96 9.49 14.59 19.25 i 19.25 12.68 $520 13.49 12-68 TOTAL ESTIMATED ANNUAL PREMIUM BROKER COPY |ISSUED AT SAN IFRANCIJCO pL£ JANUARY 19, 2005 POLICY L PAGE i OF 6