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Home My WebLink About2042 CUMBRE CT; ; CB051249; Permit04-04-2005 ^ ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB051249 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2042 CUMBRE CT CBAD MISC 2164911700 $3,420 00 Subtype REROOF Lot# 0 Status ISSUED Applied 04/04/2005 RMA 04/04/2005 04/04/2005 MCGREGOR RES-3000 SF COMPOSITI Entered By Plan Approved Issued Inspect Area Applicant CARDIFF BY THE SEA ROOFING 1914PARIVADR CARDIFF CA 92007 760 7532622 Owner MCGREGOR DENISE LIVING TRUST 07-27-00 2042 CUMBRE CT CARLSBAD CA 92009 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $8900 $000 $000 TOTAL PERMIT FEES $8900 Total Fees $89 00 Total Payments To Date $000 Balance Due $8900 5224 04/04/05 0002 01 02 CGF" 89-00 Inspector 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 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 NO EST VAL Plan Ck Deposit Validated By^ Date Address (include Bldg/Suite #)x-7 ,Cpo r~r Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work f)n?-roor \Zi /CONTACT PERSON Kff different from applicant) SQ FT •3,000 #of Stories # of Bedrooms # of Bathrooms Name &.'J APfcUCANt Name .]4i, „ i Address ft !jO Agentifor Contractor D Owner f JtVl ^fjj^\_ Address City Q Agent!for Ownerftnx State/Zip Telephone #Fax # City State/Zip Telephone * Name O Address City State/Zip Telephone * ffe^iCONTRfci^^ < , ' : '< ' " ' i!l ,M' '••'-: "'H*>>.!"*.••«.!.' Y/'^-i iJSn (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 e 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 permit subjects the applicant to a civil penalty,of not more than five hundred dollars [$500)1I'iff bw me, ^^ fcpcfrwv^ FD fop* 2£u c/v/dJ fr /:A~ ^wtn ~)!M 3$Earoi.tf V^j Name State License tt Address License Class C-~ City State/Zip Telephone* City Business License # / A / Address City State/Zip TelephoneDesigner Name State License tt Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations IP}- 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 worker's compensation insurance carrier and policy number are I I i ~>0\(0l(j> Expiration Date 01 / 0 \ ZDOUInsurance Company _Policy No (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [6100] OR LESS) Q 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 secura^workers'je^rnperiyattan coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,OpflK In^addjtirin to thsfcosf of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney s fees ^SIGNATURE " L^ / _ DATE V~~ ~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q 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) f~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) PI 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 Q YES I~|NO 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) _i ^ 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 'COMPLETE ITHISSECTIONjFOR NON-RESIDENTIAL BUILDING 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 C3 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LTJ YES D 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 i8V' i CONSTRUCTION LENDINGiAGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) f^ /A"LENDER'S NAME LENDER S ADDRESS •Si* ^APPLICANT CERTIFICATION 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 CitV 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" dp6p and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official upder 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 commencedwiThin 180 daySfromttje-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 commencedtofa period 4if80 daysfSectjai 106 4 4 Uniform Building Code) .ICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ^.6 4 a ^QrVbfe dl~ 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE fa"!^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ) 2 3 5. TYPE OF EXISTING ROOF COVERING^^ SHEATHING *6. NEW ROOF MATERIALQp^p CLASSjftt _ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES _ . 8. TRADE NAME SX -f" _ MANUFACTURER E<-K fe.§_ 9. ROOF SYSTEM LISTING UL No. f- Si / S ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (f^YEs) 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 /^f /^^^ _ Date&^*£, Contractor V Owner _ Contractor Name ^ '' / / ^**^~S~ *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass; Built up, Other. City of Carlsbad Bldg Inspection Request For 04/15/2005 Permit* CB051249 ' Inspector Assignment JM Title MCGREGOR RES-3000 SF COMPOSITI Description Type MISC Sub Type REROOF Phone 7607532622 Job Address 2042 CUMBRE CT Suite Lot 0 Location Inspector OWNER MCGREGOR DENISE LIVING TRUST 07-27-00 Owner MCGREGOR DENISE LIVING TRUST 07-27-00 Remarks or 594-1219 Total Time Requested By NA Entered By CHRISTINE CD Description Act. Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act Insp Comments 04/06/2005 15 Roof/Reroof AP JM OK TO COVER 04/05/2005 15 Roof/Reroof NR JM Cllentf-10082 3CARPBYS £OQgO, CERTIFICATE OF LIABILITY INSURANCE PHUUMCER Timothy S. Mills Ins. Srvcs Hobbs Group. LLC (858)535-1800 P. O. Box 86259 San Diego. CA 92138 MSUREO Cardiff By The Sea Roofing 1914PanvaDrive Cardiff By The Sea, CA 92007 DMEiMWDorrrrn 02/01/05 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOCS NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A. State Compensation Insurance Fund (C INSURERS INSURER C. INSURER DC INSURER E! NAIC* COVERAGES ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED Oft MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDfTTONS OF SUCH POLICIES AGGREGATE UMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. nanI.TH A UWV TYKOFINWRAMCB KRAkUABIUTY COMMERCIAL OENEftAL UABIUTY ICUUMSMAOE [ | OCCUR GEMV AOOHeSATE LIMIT APFUE8 PER. AlfTOtMMMJE LIABILITY — ANY AUTO ALL OWNED AI/TOS SCHeDUUEO AUTOS MREOAUTO8 NON-OWNED AUTOS GARAGE UABO-rrr AMY AUTO eXcetSJUMBRELLA LIABILITY (OCCUR (~ JCLAMSMAOE OEDUCTHLE RETENTION S WORKERS COMPENSATION AND EMPLOYCMr LIABILITY AMT PTOFfUrroftPARTNER/EXECUttVeOFFICER/MEMBER EXCLUDED? SPECIAI, PROVISIONS *•»»• OTHER PESOWTMN OC OPERATIONS 1 LOCATIONS / VEHICI •••ffBBffBJi^i^i^^ffi#,fo^31M\:yp"^^^^ 28500016160$ • • 01/01/05 01/01/06 EACH OCCURRENCE iAMAe|TO£^NTffl~-.t MEOEXP(Anym(|MMn, PERWNM. 4 AOV INJURY SENiRAL ABOREOAT6 PRODUCTS • COMPK3P AGO COUeWEDSWdE LIMIT(EvMdMnt) BODILY IN JUftV BOOH.YWAJHV (ffraoMM) PHOPERTT PAMJUSE AUTO ONLY. SA ACCID6KT ryTHf^TfvM JilSE. W100"1-^ AGO EACH OCCURRENCE AGGREGATE X I WCSTATU- I IOTH-1 Tony iaUTF ' ' FP ELEACHACCI06NT EX nSEAae.EAEMIiLOYEE 6JL. OtSEASE- POLICY UMrf t S S t S , * * S S a t t i s s s s al.000.000 «1,OOOrOOO t1, 000 .000 MEHTI SPECIAL fROVlStONa CERTIFICATE HOLDER CANCELLATION Certificate of Insurance WOULD AMY Of THE ABOVE KSCMBeD POUCCS BE CANCELLEO KEFOM TME EXPIHATION OATCTOSUCT.TtteiESUMCINWUHWuaWMVORTOMML _1Q_ OAYSWRITTEM MOTJC8 TO TOE CCRTIfWATS HOLOM NAMED TO THE LETT §UT FAILURE TO DO SO SHALL IMPOSE MO OBLIGATION OH IM0UTY or AHY KMO UPON THE IWuMR, It* AGENT3 OR REPRESBmmves.^crr3e«^-. ACORD2S(2001rtl8)1 of z #191617 3KSCH ACORD CORPORATION 1 883