The URL can be used to link to this page

Home My WebLink About2155 CHESTNUT AVE; ; CB060511; Permit07-f 3-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB060511 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2155 CHESTNUT AV CBAD MISC Subtype: REROOF 1670804500 Lot#: 0 $4,095.00 LINHULM RESIDENCE 25 SQUARES OF COMP, 7 SQUARES OF TORCH DOWN Status: ISSUED Applied: 02/24/2006 Entered By: MDP Plan Approved: 02/24/2006 Issued: 02/24/2006 Inspect Area: PD Applicant: RLT ROOFING 2424 VISTA WAY OCEANSIDE 92054 760 757-6853 Owner: CHAUTAUQUA INVESTMENT SERVICES L L C P O BOX 458 CARLSBAD CA 92018 Miscelaneous Fee #1 PERMIT Miscelaneous Fee #2 .Additional Fees $103.00 $0.00 $0.00 TOTAL PERMIT FEES $103.00 Total Fees:$103.00 Total Payments To Date:$103.00 Balance Due:$0.00 Inspector: FINAL APPF r~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 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 FOR OFFICE USE _ PLAN CHECK NO. <£?£" '-S* A EST. VAL. Plan Ck. Deposit Validated By Date •t Address (include Bldg/Suite * 'aiftr.' rJjL0L Legal Description Assessor's Parcel # Description of Work, r» rr- ••"•""^^i^^^^y " Lot No J Business Name (at this address) £i/^~^~ Subdivision Existing Use SO. FT. Name/Number ,#of Stories Unit No. Phase No. Proposed Use # of Bedrooms Total tt of units # of Bathrooms State/Zip Telephone, #Fax* Name 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, 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 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 ($5001). /Si T //J0<£*^ 4 31/ he, f* uy^flU r) Cr£A*J>it el<£ <&- -"7.J/7 - <£'<PSf" >3~ Name i State License # <*? £ t Designer Name State License # Address 1 ''*>*/ License Class C --3?' Address City State/Zip Telephone, *' City Business License # / &Z.1 "7^5^~ i : City State/Zip ' Telephone Workers', Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. 0 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 'S "TXT'C G--**^cL Policy No. / tf*2 -*7 ^ ST £^ Expiration Date /" / ~& ""} (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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 (SI 00, 000), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURED _ ; ..;..?: ..\- ' • .'.. _ __ _ _ _ • DATE _ !?t!ioW!ir«]^^ «t£^--^ls:it*S^^^^--\ j- ^-s'isii^e 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 arid 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). 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 mot 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). ; | I. n 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 QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with tha following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. | 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): _ , • :•;'.;. _ :.': .ft- ••'..-... ' .•'''.•:" _ ; ' ' ' . : '- . PROPERTY OWNER SIGNATURE DATE 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 Q 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? D YES Q 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. ! §^'feOJMST|iyCTC>NLJEri6lHQ^lMyM ' _'JL ,.„ . „ _ , „. ^ „',/,.,. , W J.'z\ ,\^ ' ' " *'" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3Q97(i) Civil Code). LENDER'S NAME ' LENDER'S ADDRESS .fc^^Sl'-Ufl, f I $ ^ (y *" i, vw "^ "<. 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 Cit» 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 corpfrianced within 180 day^frym 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 cojjB«fainp6dJor ajaeNpoLoj^igOdrfys (Section 106.4.4 Uniform Building nndp) K ' APPLICANT'S SIGNATURE/^OATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / b>^ 2. TYPE OF BUILDING: RESIDENTIAL '^-" COMMERCIAL 3 ROOF SLOPE: RISE .^PS/inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 02 3 5. TYPE OF EXISTING ROOF COVERINGS'^ SHEATHING *6. NEW ROOF MATERIAL A CLASS _ WEIGHT PER SQUARE 7. "NUMBER OF SQUARES 8. TRADE NAME VHvfe/^ /6^/v/MANUFACTURER 9. ROOF SYSTEM LISTING UL-No. /fr)£fV ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /XES^) 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. *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 07/13/2006 Permit* CB060511 Inspector Assignment: PD Title: LINHULM RESIDENCE Description: 25 SQUARES OF COMP, 7 SQUARES OF TORCH DOWN Type:MISC Sub Type: REROOF Phone: Job Address: 2155 CHESTNUT AV Suite: Lot 0 Location: OWNER CHAUTAUQUA INVESTMENT SERVICES L L C Owner: CHAUTAUQUA INVESTMENT SERVICES L L C Remarks: Can you final? Total Time: Requested By: CHRISTINE Entered By: CHRISTINE CD Description Act Comment 19 Final Structural Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 03/02/2006 15 Roof/Reroof AP PD COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRANCISCO, CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE JSMSJARY 18. £!3!3€POLICY NUMBER: CERTIFICATE EXPIRES: CONTRACTORS STATE LICENSE BOARD ATTM: CORKERS- CQHP. UNIT BOX POLICY INCEPTION DATE; This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon ten days' advance written notice to the employer. We will also give you TEN days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy -and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance 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. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS; *i,008,30S PER OCCURRENCE. ' EMPLOYER RL.T ROOFING 24£^ VISTA WAY , STE 323 Cfi 3 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND (REV. 3-03J * SCIF 10262 (REV.5-0'!)