Loading...
HomeMy WebLinkAbout2041 CORDOBA PL; ; CB020015; Permit01-03-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB020015 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # 2041 CORDOBA PL CBAD MISC 2073007600 $4,10700 Subtype REROOF Lot# 0 Project Title BOWER RES-3700 SF COMPOSITION Applicant SCHOTT ROOFING INC 225 E CARMEL STREET #1 SAN MARCOS, CA 92069 619-744-6450 Owner BOWER JEROME L&MARY S 2041 CORDOBA PL CARLSBAD CA 92008 Status ISSUED Applied 01/03/2002 Entered By RMA Plan Approved 01/03/2002 Issued 01/03/2002 Inspect Area 8052 01/03/02 0002 01 CGP 02 102.00 Total Fees $10200 Total Payments To Date $000 Balance Due $10200 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $10200 $000 $000 $10200 lnspecto( FINAL APPROVAL l-ll-oi,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 lees/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 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST VAL j(cn Plan Ck Deposit Validated B Date dBy . l/sTaT* Address (include Bldg/Sulte *)Business Name 1st this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total * of units * of Bathrooms CONTACT PERSON (If different from applicant) Name 3 APPLICAI Address City I Agent for Owner State/Zip Telephone * 7k Fex Address City State/Zip Telephone * Name ' Address City State/Zip Telephone * 6 CONTRACTOR COMPANY NAME (Sec 7031 6 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 Contrector s License Lew (Chapter 9 commending with Section 7000 of Division 3 of the Business end Professions Code) or that he la exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 S by any applicant for a permit subjects the applicantJo • clvllipenalty of not more then five hundred dollars I»5CJov S&iifaisinr^ ~~ Name State License * Address License Class City State/Zip City Business License » Telephone Designer Name Address City State/Zip Telephone State License * B WORKERS COMPENSATION Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declaration* PI I have and will maintain a certificate of consent to self Insure for workers compensation as provided by Section 3700 of the Labor Coda for the performance of the work for which this permit Is issued J^J 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 compensation Insurance carrier/and policy number are Insurance Company \\fc\n jtW-'^p Policy No /^aS L-^-fj Expiration Date / / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*1001 OR LESS) D CERTIFICATE OF EXEMP to become subject to tffdAVork WARNING Failure id sejbure thousand dollar* ($1pO tJOO), SIGNATURE jtjL^ 7 OWNER BUILDER DECLARAT I hereby affirm that I am exempt frc I certify that In the performence of the work for which this permit is issued I shell not employ any person in any manner so as Comparfaation Lawa of California era /compensation coverage Is unlawful end shall subject an employer to criminal penalties and civil fines up to one hundred Ion to the coat of compensation, damages as provided for In Section 3706 of the Labor code DATE / S /Q terest and attorney a fees N i the Contractor sf License Lew for the following reason 0 I as owner of the property or my employeeVwith wages as their cole compensation, will do the work and the structure is not intended or offered for sale (Sac 7044 Business and Professions Coda The Contractor s License Law doei 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 ef proving that he did not build or improve for the purpose of sale) Q 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 foi such protects with contractors) 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 material* for construction of the piopossd property Improvement Q YES QNO 2 I (have / have not) signed an application for • building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / addreas / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following parson to coordmete supervise and provide the major work (include name / address / phone number / contractors license number) 6 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include neme / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR HON-HfSIDfNTIAl BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit • business plan acutely haiardous materials registration form or risk management and prevention program under Sections 25606 25633 or 25534 of the Presley Tenner Haiardous Substance Account Act? O 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 • achool site? O YES O NO IF ANV 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 effirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec 30970) Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION i I certify that i have read the application and state that the ebove Information Is correct and that the Information on the plans Is accurate I agree to comply with ell City ordinances and State laws relating to building construction I hereby authorize representatives of the City of Carlsbad 10 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 requ red for exeat atlon* over 6 0* deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit Issi ecf authorized by such permit Is not c prr al any time alter the work is comr APPLICANT S SIGNATURE 1_/L, J^>XJ/ . L DATE uildlng Official under the provisions of this Code shall expire by llmllallon and become null and void If the building or work W days Irom the date of such permit or If the building or work authorized by such permit Is suspended or abandoned of 160 days (Section 106 4 4 Uniform Building Code) WHITE r«i~ "YELLOW Applicant PINK Finance SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING i. JOB ADDRESS £0^1 Osirdnb&L PY 2. TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL 3. ROOF SLOPE: RISE 4" Inches In 12 Inches 4. TYPE OF EXISTING ROOF COVERING 6/O^lAj?JSHEATHIN6 .£xf ijT\ 5. NUMBER OF,EXISTING ROOF COVERINGS (circle 'one)(ijj 2 3 ' *6. NEW ROOF MATERIAL ^^Qlj2)^4/(m2^^ A- WEIGHT PER SQUARE. 7. NUMBER OF SQUARES 8. TRADE NAME v 'CQJ^fj^~P MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. &&\ ' Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT T0; SUSTAIN THE HEIGHT OF ' THE PROPOSED ROOF YES Xf NO 1_ % *-°V 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-1 nspection 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 & Owner Contractor 'Name' '' *6 - Rolled Roofing, Tile, Shaka, Single, Asphalt/Camp Fiberglass, Su-.lt JD City of Carlsbad Bldg Inspection Request For 01/17/2002 Permit# CB020015 Title BOWER RES-3700 SF COMPOSITION Description Inspector Assignment JC 2041 CORDOBA PL Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT SCHOTT ROOFING INC Owner BOWER JEROME L&MARY S Remarks Phone 7607446450 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By TERRY Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 01/08/2002 13 Shear Panels/HDs WC PD 01/08/2002 15Roof/Reroof AP PD 01/07/2002 15 Roof/Reroof CO PD Inspection List Permit# CB020015 Type MISC REROOF BOWER RES-3700 SF COMPOSITION Date 01/17/2002 19 01/17/2002 19 01/08/2002 13 01/08/2002 13 01/08/2002 15 01/07/2002 15 01/07/2002 15 inspection Item Final Structural Final Structural Shear Panels/HD's Shear Panels/HD's Roof/Reroof Roof/Reroof Roof/Reroof Inspector PD PD PD PD _Act Rl AP Rl WC AP Rl CO Comments AM PLEASE AM PLEASE Friday, January 18 2002 Page 1 of 1 STATE COMPENSATION INSURANCE FUND RECEIVE© ^ JAN C 2 20C2 CWA SAN DIEGO CONDITIONAL RECEIPT This is to certify that we, in consideration of the total deposit premium and any mandatory surcharge of $ 14884 and the full premium to be adjusted later upon the total remuneration of employees during the policy penod 1/1/02 to 1/1/03 , agree to issue a valid worker's compensation insurance policy in a form approved by the California Insurance Commissioner to SCHOTT ROOFING, INC Colonial Western Agency 9948 Hibert St Ste# 200 San Diego CA 92131 FAX (858) 578-9516 THE EXECUTIVE OFFICE OF THE FUND RESERVES THE AUTHORITY TO GRANT INSURANCE COVERAGE AND THE RIGHT TO REJECT ANY AND ALL APPLICATIONS BUT WHEN ACCEPTED INSURANCE WILL BE MADE EFFECTIVE AT 12 01 A M PACIFIC STANDARD TIME THE DAY FOLLOWING RECEIPT OF THE COMPLETED APPLICATION FOR CALIFORNIA WORKER'S COMPENSATION INSURANCE AND YOUR CHECK FOR THE DEPOSIT PREMIUM AND ANY MANDATORY SURCHARGE BY THE FUND UNLESS A LATER DATE IS REQUESTED BY YOU POLICY NUMBER - HE FUND UNLESS A LATER I285-2245 DIVIDEND STATEMENT UNDER CALIFORNIA LAW IT IS UNLAWFUL FOR AN INSURER TO PROMISE THE FUTURE PAYMENT OF DIVIDENDS UNDER AN UNEXPIRED WORKERS COMPENSATION POLICY OR TO MISREPRESENT THE CONDITIONS FOR DIVIDEND PAYMENT DIVIDENDS ARE PAYABLE ONLY PURSUANT TO CONDITIONS DETERMINED BY THE BOARD OF DIRECTORS OR OTHER GOVERNING BOARD OF THE COMPANY FOLLOWING POLICY EXPIRATION IT IS A MISDEMEANOR FOR ANY INSURER OR OFFICER OR AGENT THEREOF OR ANY INSURANCE BROKER OR SOLICITOR TO PROMISE THE-PAYMENT OF FUTURE WORKER S COMPENSATION DIVIDENDS THE STATE COMPENSATION INSURANCE FUND HAS AN UNINTERRUPTED HISTORY OF DIVIDEND PAYMENTS SINCE THE INCEPTION OF OPERATIONS IN 1914 OUR DIVIDEND PROGRAM PROVIDES THAT UPON THE TERMINATION OF EACH POLICY YEAR AND AFTER ADJUSTMENT OF PREMIUM YOU WILL BE ENTITLED TO PARTICIPATE IN ANY DIVIDEND PLAN APPLICABLE TO THIS POLICY WHICH MAY BE APPROVED FOR DISTRIBUTION BY OUR BOARD OF DIRECTORS IF THE FINAL PREMIUM DETERMINED AT THE END OF THE POLICY PERIOD IS MORE THAN THE MINIMUM PREMIUM WITH THE FOLLOWING EXCEPTIONS YOU WILL NOT BE ALLOWED TO PARTICIPATE IF YOU FAIL TO PAY ANY PART OF THE PREMIUM FOR THIS POLICY AFTER WE REQUEST PAYMENT IN WRITING OR ALLOW IT TO REMAIN UNPAID FOR 90 DAYS AFTER WE MAIL A STATEMENT OF PREMIUM TO YOU AT THE MAILING ADDRESS SHOWN IN THE DECLARATIONS YOU DO NOT KEEP ADEQUATE RECORDS OF INFORMATION NEEDED TO COMPUTE PREMIUM OR DO NOT °ROVIDE THEM TO US WHEN WE ASK FOR THEM OR WE MUST BRING SUIT AGAINST YOU TO OBTAIN THE RECORDS NECESSARY FOR US TO COMPUTE PREMIUM OR TO ENFORCE THE COLLECTION OF ALL OR ANY PART OF THE PREMIUM FOR THIS POLICY YOUR PARTICIPATION WILL BE ACCORDING TO THE RULES ADOPTED BY OUR BOARD OF DIRECTORS