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HomeMy WebLinkAbout2292 BRYANT DR; ; CB100923; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-25-2010 Miscellaneous Permit Permit No: CB100923 Building Inspection Request Line (760) 602-2725 Job Address: 2292 BRYANT DR CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED Parcel No: 2121014200 Lot#: 0 Applied: 05/25/2010 Valuation: $2,646.00 Entered By: KG Reference*: Plan Approved: 05/25/2010 PC#: Issued: 05/25/2010 Inspect Area: Project Title: ROGERS RES 21OO SF COMP TO COMP RE-ROOF Applicant: Owner: SCHOTT ROOFING INC ROGERS BERT L JR&DOTY-ROGERS REBECCA A 225 E CARMEL STREET #1 2292 BRYANT DR SAN MARCOS, CA 92069 CARLSBAD CA 92008 619-744-6450 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $91.00 $0.00 $0.00 TOTAL PERMIT FEES $91.00 Total Fees: $9100 Total Payments To Date: $91.00 Balance Due: $0.00 FINAL APPROVAL Inspector: fi )/7^""^- Date: vy <£fi/Ql Clearance: ii // . iNOTICE: Please take NOf ICE tr* approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Y$u 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 the r imposition. You are hereby FURTHER NOTIF'LD that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, gracing 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 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-6IJ2-8558 Building Permit Application Plan Check N Est. Value Plan Ck. Deposit DESCRIPTION OF WORK: (Please descrifie present use and proposed use) AIR'CONDITIONING I FIRE SPRINKLERS CONTACT NAME (If Different Font Applicant) i^£k ARCH/DESIGNER NAME & ADDRESS rior to in issuance, abo requires the applicant for sudi permit a He a ngned sottment mat ne isbis ErfA « flat lie is oa.pt thereKmianil UK last for fc a»«rf eifflipnoii. ftny wolMioo of[Sec. 70315 Business and Professions Code: Any City M licensed punuant to the provisions of die Contractor's License Uw {Chapter 9, commendStctren 7031.5 by any applicant [or a permit subjects the applicant to a cwB penalty of WORKERS 'C.O-M P E:N S A. T I ON Workers' Compensation Declaration: I hereby affirm under penalty of perjury one at the following declarations: 0 U^eandwillmaintainacsrtifiraieofconsentto^^^ . . ,. O'l have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance olthe work for which this permit is issued. My workers' compensation insurance earner and policy This section need not be completed if the permit is for one hundred dollars ($100) or less. " 0 Certificate of fcemrrton: I certify that h to per^^ 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 dollar* (4100,000), m addition to the cost of compensation. cJafrfSge^ as provided for in Section 3706 ofthe Labor code, interest and attorney's fees. JSS CONTRACTOR SIGNATURE O W N ER- B U I L D E H D4TC U A RAT! O N / hereby affirm that I am exempt from Conlracfor's License Law for the Mowing reason: a I, as owner of the properly or my employees with wages as their sole compensation, wfll 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 sak 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 bulk) or improve for the purpose of sale). a 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 propert who builds or improves thereon, and contracts for such projects with contractors) licensed pursuant to the Contractor's License Law). OI 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 D Yes a 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) Hie following persons to provide the work indicated (include name / address / phone / type of work): ^PROPERTY OWNER SIGNATURE DATE COfiflp t E T !E T H ! 5 S&C f I 6 N F 6 R N ON -I BUIU DING PERMITS ONLYcmm-~*~*-—*ai~*^~*~i^'^a^^am^^amm^mmi^^m^mmmmmmmmmmmmmmmmHmtmmmmmmmmmmm^mmm 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? a Yes ONo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management disttct? O Yes CJ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYes DNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm thai there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address I certify that I have read the application and slate that the above information is correct and that the Infbnriatron on the plans is accurate. I agree to comply with all City ordinances and State laws nslatino lo buildinoconstruction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSB AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over SO1 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 wo* is commenced for a period of 1 BO days (Section 106.4.4 Uniform Buildim ^APPLICANT'S SIGNATURE —ii DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: U 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 2 3 5. TYPE OF EXISTING ROOF COVERING /3^WP/9 SHEATHING *6. NEW ROOF MATERIAL (sftWUp D CLASS >4 _ WEIGHT PER SO. 7. NUMBER OF SQUARES £> / £3 8. TRADE NAME-^ QjA^tttldYL MANUFACTURER/^/^^x/? £^L*l/^& 9. ROOF SYSTEM LISTING: UL NO. _ 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 (7t-*fi*4~ >t Date :- t) Contractor ^ Owner Contractor Name *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For: 06/08/2010 Permit* CB100923 Title: ROGERS RES 21OOSFCOMPTO Description: COMP RE-ROOF Inspector Assignment: PY Type MISC Sub Type. REROOF Job Address: 2292 BRYANT DR Suite: Lot: 0 Location: APPLICANT SCHOTT ROOFING INC Owner: Remarks: Phone: 7607446450 Inspector: Total Time: CD Description 19 Final Structural Act . Comments Requested By: PAM Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 05/28/2010 15 Roof/Reroof AP PY HM uolonial Western 8585789516 1/1 CEKTHOLDCR COPY STATE COMPENSATION INSURANCE FUND P.O. BOX 420807, SAN FRAWClSCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-01-ZQlO GROUP: 000638 POLICY NUMBER: 0000180-2010 CERTIFICATE ID; 52 CERTIFICATE EXPIRES- 01-O1-2O11 01-01-2010^01-01-2011 CITY OF CARLSBAD 1200 CARLSBAD VILLAGE DR CARLSPAD CA 92008-1949 SD This Is to certify that we have issued a valid Workers' Compensation insurance policv in z form approved by ths California Insurance Commissroner \Q the employer named below for the policy period fndlcaled This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will slso give you 30 days advance notice should this policy be cancelled prior to its normal expiration. THIS certificate of insurance is not an insurance policy and docs not amsnd. extend or alter the coverage afforded by the policy listed herein. Notwithstanding any requirement, term or condition of any contract or other documentwith respect to which this certificate of insurance msy ha issuad or la which it msy pertain, the msurartcs afforded tay the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. A^Wv^a/L fy^wvt-'V' X^uTHORIZEP REPRESENTATIVE^)PRESIDENT EMPLOYER'S LlflEILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #16OO - ROY SCHOTT, PR Tfc - EXCLUDED. ENDORSEMENT #1600 - PAMELA SCHOTT, SC - EXCLUDED. ENDORSEMENT //1600 - PHIL CURRY, VP - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2OOS IS ATTACHED TO AND FORMS A PART OP THIS POLICY. EMPLOYER SCHOTT ROOFING, INC 225 E CARMEL ST STE 1 SAN MARCOS CA 92078 SD IREV.2-05I [Btg.sq PRINTED : 01-05-2010