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HomeMy WebLinkAbout2217 CAMEO RD; ; CB110261; Permit02-03-2011 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB110261 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 2217CAMEORDCBAD MISC 1670801100 $0.00 Subtype: REROOF Lot #: 0 ROEDE RES- TEAR OFF AND REROOF W/CLASS A COMP SHINGLE 34 SQ (+ 4 SQ Applicant: NU-COTE 8969 COMPLEX DR SAN DIEGO CA 92123 858 495 0551 Status: ISSUED Applied: 02/03/2011 Entered By: LSM Plan Approved: 02/03/2011 Issued: 02/03/2011 Inspect Area: Owner: ROEDE ANDERS&STEPHANIE 2217 CAMEO RD CARLSBAD CA 92008 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $121.00 $0.00 $0.00 $121.00 Total Fees:$121.00 Total Payments To Date:$121.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date:Clearance: NOTICE: Please take NOTICE Mat approval of your project Includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." /ou 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. €v CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov Plan Check No. Est. Value Plan Ck. Deposit Date te/ii SWPP JOB ADDRESSAr^/7'PROJECT* ' SUITE#/SPACE#/UNIT# CT/PROJECT LOT ## OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Areafs; EXISTING USE GARAGE (SF)PATIOS (SF)DECKS (SF)FIREPLACE YES CI #NO-O AIR-CONDITIONING YES D NOD f IRE SPRINKLERS YES D NOD CONTACT NAME fffD/ffereirtFom App/fcant).'APPLICANTi ADfiRESS ADDR STATE CITY ZIP PHONE FAX PHONE FAX EMAIL PROPERTY OWNER NAME CONTRACTOR NAME ADDRESS ADDRESS STATE ZIP CITY 'STATE ZIP FAX PH'FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. #CLASS -_ , CITY BUS. (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 theapplicant 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 theBusiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to acivil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations: O 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 perm it is issued. \0-J have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance^ the worUer which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. rf^K> I ffO I <0/M"7 B T^l"? Policy No. tyfa/i^ f-fL* ftv /HLn^KJL expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. G 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 (8,100,000), in addition to the cost of compensation, damages asDjo^ided fjjr in Section 3706 of)he Labor code, interest and attorney's fees. J&H CONTRACTOR SIGNATURE X^ / hereby affirm that I am exempt from 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 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). O 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 contractors) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property Improvement. O Yes O No 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone /contractors' license number): 4.1 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 / contractors' license number): 5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): PROPERTY OWNER SIGNATURE OAGENT GATE iS*iC.T I:::0:NJ6F-O R 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? OYes 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? G Yes n No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYes DNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPAN EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. C O NS T R llfesT I»N 11 fi D-Ilm G ' A GriE N C&i I hereby affirm that lender's Name I is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). ^Address I hereby authorize representative of Ihe City of Carlsbad to enter upon Ihe 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 SAD CITY INCONSEQUENCE OF THEGRANTINGCf THIS FERMIT. OSHA: An OSHA permit is required for excavations over S'O' deep and demolition or construction of structures over 3 stories in height. 180 days from the date of such permit or if Ihe building or work authorized by^d) permit is suspended or abandoned at any time after Ihe work is commenced for a period of 180 days-section 106.4.4 Uniform Building Code). ^APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: K2. TYPE OF BUILDING: RESIDENTIAL /X COMMERCIAL 3. ROOF SLOPE: RISE '(efo INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 1 (?) 3 5. TYPE OF EXISTING ROOF COVERING ~c2ZqSSf6J?^ SHEATHING *6. NEW ROOF MATERIAL Q>mff Sfh^L^CLASS /)-WEIGHT PER SQ.1 7. NUMBER OF SQUARES 8. TRADE NAME^L.-L'-e^ MANUFACTURER 9. ROOF SYSTEM LISTING: ULNO._ I.C.C.E.S. Report# ASTM 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? 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-lnspection 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' cJH@$£ Date Contractor VL Owner Contractor Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other B-10 Page 5 of 5 Rev. 03/09 City of Carlsbad Bldg Inspection Request For: 02/14/2011 Permits CB110261 Title: ROEDE RES-TEAR OFF AND Inspector Assignment: PY Description: REROOF W/CLASS A COMP SHINGLE 34 SQ (+4SQ OVERLAY) Type:MISC Sub Type: REROOF Job Address: 2217 CAMEO RD Suite: Lot: 0 Location: Inspector: OWNER ROEDE ANDERS&STEPHANIE Owner: ROEDE ANDERS&STEPHANIE Remarks: AM PLEASE Phone: 8585831543 Total Time: CD Description 19 Final Structural Comments Requested By: N/A Entered By: JANEAN Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act Insp Comments 02/09/2011 15 Roof/Reroof AP PY Check a License - Contractors State License Board Page 1 of 1 Department of Consumer *•* Contractors State Li Contractor's License Detail - License # 734253 e Board DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. ••» CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. -» Per BSPJOZIJl, only construction related civil judgments reported to the CSLB are disclosed. -» Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. •*> Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 734253 Extract Date: 2/3/2011 Business Information .Entity.: JssjjejDate ExpireJJate License Status Additional Status: FAR STAR ENTERPRISES dba NU - COTE PO BOX 12502 LA JOLLA, CA 92039 .-BJiine^PMCieMlBMr^SSJfgS;^! _^_Corporation ___J3/27/19§7 IL.,J?/3i^011 ^.JLIIIL IIIIII ZI1™____. This license is current and active. All information below should be reviewed. Classifications: CLASS _B _C33 D06 DESCRIPTION .SI.pB4LBU!LD|.NG.CONIRACIQR PAINTING AND DECORATING CQ.MCRET£REiATED...S.E..RV.!.CES CONTRACTOR'S BOND This license filed Contractor's Bond number SC6029769 in the amount of $12,500 with the bonding company Bonding: Effective Date: 03/02/2009 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL 1 . The Responsible Managing Officer (RMO) FARAR BETTYE VICTORIA certified that he/she owns 1 0 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 1 2/1 3/201 0 BQI's.Bondina^tljstory Workers' Compensation: This license has workers compensation insurance with the MANUEACIUBERSALUAN.CEJMSURAN£E£QMPAN Policy Number:2010010147850Z Effective Date: 05/21/2010 Expire Date: 05/21/2011 WQikCTslComB.e.nsatiQa,HistQry. Personnel listed on this license (current or disassociated) are listed on other licenses. 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