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