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Home My WebLink About2283 CAMEO RD; ; CB000248; Permit01/26/2000 City of Carlsbad Miscellaneous Permit Permit No:CB000248 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2283 CAMEO RD CBAD MISC 1670801900 $3,360.00 RE-RROF 30 SQ Subtype: REROOF Lot #: 0 Status: ISSUED Applied: 01/26/2000 Entered By: GMF Plan Approved: 01/26/2000 Issued: 01/26/2000 Inspect Area: Applicant: KEYSTONE ROOFING 1840EPOINTEAV CARLSBAD CA 92008 760 750-9888 JR Total Fees: $102.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES ymentsTotfefer ~ $0.00 1 01/26/00 0001 m ;e Due: $€9OTCT 102-00 PERMIT HA? SrClMNL.. PERMIT CORDANCEWI7HU.B.C. ^jL,) FINAL APPROVAL Inspector: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 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. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLYPLAN CHECK NO.EST. VAL.Plan Ck. DepositValidated By.Date 'Address (include Bldg/Suite #)Business Name (at this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of unitsAssessor's Parcel #Existing Use Proposed UseSO. FT.BO #of Stories # of Bedrooms # of Bathrooms Name Address ictor /Alfi-•"•/? frO City f Agent fef Owner State/Zip Telephone Fax* Name Address 2 2? 3 City State/Zip Telephone # '^SFfi State/Zip Telephone #Name Address City (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 [$500JJ. Name _ Address State License # 1 f?~JC>O JD License Class £ City State/Zip Telephone # City Business License # Designer Name Address State License # City State/Zip Telephone 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. Q 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 -^Tft ) ^ f^U/VC* Policy No. I &2&~?7 1 Expiration Date t> " O (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000), in-addltion to the cost of^ompensatlon, damages as provided for in Section 3706 of the Labor code, interest anjLattomey's fees. SIGNATURE fill &b\OtU2GI *#CtiU-C*O (1 ^ DATE / — 2 & ~ && 7. OWNER-BUILDER DECLARATION ' n^%tim~W^v$&™?.'; 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). 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 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. Q YES QNO 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 1 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 NO Is the applicant or future building occupant required to submit a business plen, 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 Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? G 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. hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1} Civil Code). LENDER'S NAME LENDER'S ADDRESS 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" 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 of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2 2 %3 CSp^tO Rd CftKLSffr 2. TYPE OF BUILDING: RESIDENTIAL ^/ COMMERCIAL 3. ROOF SLOPE: RISE_£v£2Jnches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ^T)2 5. TYPE OF EXISTING ROOF COVERINGfx;^s^HEATHING *e. NEW ROOF MATERIAL|£^^^CLASS- _ WEIGHT PER SQUARE 7. NUMBER OF SQUARES ^> O . 8. TRADE NAME _ MANUFACTURER &LI/ -P/C^ST/^ (^ 9. ROOF SYSTEM LISTING UL No. _ ICBO No.£ tZSLf/t* . . 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? 6 ^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: Cl^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. fl)ir£MQjs X7 oU^gSignature JNU * gjsrf L^Xf )£7 <=>^UxllP^<^ Date ContractorX / Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Building Department June 22, 2000 Robert Walsh 2283 Cameo Rd Carlsbad Ca 92008 RE: BUILDING PERMIT EXPIRATION PERMIT TYPE: MISC Permit Number: Issue Date: CB000248 26-Jan-OO ADDRESS: 2283 CAMEO R0 PLEASE CALL FOR AN INSPECTION IF WORK IS COMPLETE Our records indicate that your building permit will expire by limitation of time on 29-Jul-OO. The provisions of UBC, Section 106.4.4 as amended by the Carlsbad Municipal Code state: "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 (unless issued prior to 7/1/99 which is one year from date of permit), or if the building or work authorized by such permit is stopped at any time after the work is commenced for a period of 180 days or if the building or work authorized by such permit exceeds three calendar years from the issuance date of permit. Work shall be presumed to have commenced if the permittee has obtained a required inspection approval of work authorized by the permit by the Building Official within 180 days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial commencement of work authorized by such permit. Before such work can be recommenced, a new permit shall be obtained to do so, and the fee, therefore, shall be one-half the amount required for a new permit for such work, and provided that no changes have been made or will be made in the original plans and specifications for such work, and provided further that such suspension or abandonment has not exceeded one year. In order to renew action on a permit after expiration, the permittee shall pay a new permit fee. Any person holding an unexpired permit may apply for an extension of the time within which work may commence under that permit when the permittee is unable to commence work within the time period required by this section for good and satisfactory reasons. The Building Official may extend the time for action by the permittee for a period not exceeding 180 days on written request by the permittee showing that circumstances beyond the control of the permittee have prevented action from being taken. No permit shall be extended more than once. Please check below indicating your intentions and return this letter to us. Project abandoned. A new permit will be obtained prior to commencing work. _ No fee extension requested for 180 days, (attach a letter of explanation) ( f^^tf^ ) Renewal permit requested. If the project has been completed and only a final inspection is needed, please call the inspection request line at (760) 602-2725. If you have any questions, please contact the Building Inspection Department at (760) 602-2700. PAT KELLEY Principal Building Inspector 1635 Faraday Avenue • Carlsbad, CA 92008-7314 • (76O) 602-27OO • FAX (760) 602-8560 City of Carlsbad Bldg Inspection Request For: 1/27/2000 Permit# CB000248 Title: RE-RROF30SQ Description: 2283 CAMEO RD Lot Type:MISC Sub Type: REROOF Job Address: Suite: Location: APPLICANT KEYSTONE ROOFING Owner: WALSH ROBERT J JR Remarks: Inspector Assignment:1 Phone: Inspector:/ Total Time: CD Description 15 Roof/Reroof Act- Comments Requested By: KEYSTONE ROOF CO Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments IMPORTANT - THIS IS NOT A BILL. SEND NO MONEY UNLESS STATEMENT IS ENCLOSED. STATE COMPENSATION INSURANCE FUND HOME OFFICE SAN FRANCISCO POLICY DECLARATIONS CALIFORNIA WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY POLICY THESE DECLARATIONS ARE A PART OF THE WORKERS' COMPENSATION POLICY INDICATED HEREOIM. (r*^S INSURANCE IS EFFECTIVE FROM . ,01 A.M., PACIFIC STANDARD TIME 5-01-99 TO 5-01-00 AND SHALL AUTOMATICALLY RENEW EACH 5-01 UNTIL CANCELLED KEYSTONE ROOFING, INC. 1840 EAST POINTE AVE CARLSBAD, CALIF 92008 CONTINUOUS POLICY 1526777-99 DEPOSIT PREMIUM MINIMUM PREMIUM PREMIUM ADJUSTMENT PERIOD $1,360.00 $1,360.00 MONTHLY N SD NAME OF EMPLOYER-KEYSTONE ROOFING, INC. (A CORPORATION) 1. WORKERS' COMPENSATION INSURANCE - PART ONE OF THIS POLICY APPLIES TO THE WORKERS1 COMPENSATION LAWS OF THE STATE OF CALIFORNIA. 2. EMPLOYER'S LIABILITY INSURANCE - PART TWO OF THIS POLICY APPLIES TO LIABILITY UNDER THE LAWS OF THE STATE OF CALIFORNIA. THE LIMIT OF OUR LIABILITY INCLUDING DEFENSE COSTS UNDER PART TWO IS, $1,000,000 CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE TO 5-01~00 5553 ROOFING—ALL KINDS—INCLUDING YARD EMPLOYEES—EMPLOYEES WHOSE REGULAR HOURLY WAGE EQUALS OR EXCEEDS $18.00 PER HOUR THE USE OF THIS CLASSIFICATION IS SUBJECT TO VERIFICATION AT THE TIME OF FINAL AUDIT THAT THE EMPLOYEE'S REGULAR HOURLY WAGE EQUALS OR EXCEEDS $18.00 PER HOUR. THE PAYROLL OF AN EMPLOYEE WHOSE REGULAR HOURLY WAGE IS NOT SHOWN TO EQUAL OR EXCEED $18.00 PER HOUR SHALL BE ASSIGNED TO CODE 5552. 5552 ROOFING—ALL KINDS—INCLUDING YARD EMPLOYEES—EMPLOYEES WHOSE REGULAR HOURLY WAGE DOES NOT EQUAL OR BASE RATE 24.91 59.14 INTERIM BILLING RATE* 20.09 47.71 TOTAL ESTIMATED ANNUAL PREMIUM $7,938 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO MAY 6, 1999 ••- -« (OVER PLEASE) POLICY FORM L