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Home My WebLink About2617 BANBURY CT; ; CB063062; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-24-2006* Miscellaneous Permit Permit No: CB063062 Building Inspection Request Line (760) 602-2725 Job Address: 2617 BANBURY CT CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED Parcel No: 2081311200 Lot #: 0 Applied: 10/24/2006 Valuation; $4,032.00 Entered By: MDP Reference #: Plan Approved: 10/24/2006 Issued; 10/24/2006 Project Title: ESTEBAN RESIDENCE Inspect Area: 32 SQUARES OF COMP Applicant: Owner: EXCALIBUR ROOFING ESTEBAN JOSE L&BORIS CHRISTINE L 2447 LA RAMADA LN 2617 BANBURY CT ESCONDIDO CA 92027 CARLSBAD CA 92010 760 275-7384 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 FINAL APPROVAL Inspector: / jf2 "' ~ 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 vou 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 ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date __ _ Address (includa Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel #Existing Use Proposed Use Name Address Fax* (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 nv violation of Section/TBiJI .5 by any applicant for a oarmit subjects the applicant to a ciwl penalty ofnot more than five hundred dollars [$500]). Name State License # Address License Class City State/Zip Telephone # City Business License # \ *Z*l ( O Designer Name State License * Address 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. 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 l?sued. My worker's cpaujensatioivinstiunce carrier and policy number are: ., Insurance Company •^^yfi1''..^?.*H ftQf Policy No.^y^SI QQ T Expiration Date / / ' /O * (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100) OR LESS) O 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 M to become subject to the Workers' Compensation Laws of California, WARNING: Failure tOjtMure workers' condensation coverage ia unlawful, and shaH subject an employer to criminal penalties and dvi fines up to one hundred I thousand doUaraJMTJMffiDJ^Jrfraitiatffothe cost of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees. ~/sSIGNATURE_ Z*>T "^^^ "^ DATE |OJ im I hereby affirm that I am exempt from tne"C5ntractor'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 end 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, em 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. O 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 I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number): n ^. ^ ,u.^, ^ 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 Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention progrem 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? Q 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify thet 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 ell City ordinances and State laws relating to building construction. I hereby authorize representatives 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 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 unde/the provisions of this Code shall expire by limitation and become null and void If the building or work iuthorized by such permit is not commegojffifiihinjy daysjiyff the date of such permit or if the building or work authorized by such permit is suspended or abandoned Jt any time after the work is commgit^lfR ajjgjfy&W 1£®lBys (Section 106.4.4 Uniform Building Code). 'PLICANT'S SIGNATURE DATE •<>£ HITE:«le YELLOW: Applicant PINK: Finance REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: A <T/ 7 r^auJou^^ Cf"> 2. TYPE OF BUILDING: RESIDENTIAL ?T COMMERCIAL 3. ROOF SLOPE: RISE^LlUr INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE 01 5. TYPE OF EXISTING ROOF COVERING QJooOjUJep SHEATHING /i. pU 6. NEW ROOF MATERIAL eo~ ^ CLASS A WEIGHT PER SQ.ftA , 7. NUMBER OF SQUARES 8. TRADE NAME -c*L* maJVIANUFACTURER 9. ROOF SYSTEM LISTING UL NO. _ ICBO NO. £>C. SSI f 10. IS THE EXISTING STRUCTURAt^ESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? WES ^P 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-lnspectlon prior to Install new roof covering 2. Final Inspection I agree to provide ladder extending at least 2 rungs above the roof for Inspection. Signature Contractor Owner Contractor Name \*.buj-^oA ^ -L^ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For: 11/03/2006 Permit* CB063062 Title: ESTEBAN RESIDENCE Description: 32 SQUARES OF COMP Inspector Assignment: PY Sub Type REROOF 2617 BANBURYCT Lot Type: MISC Job Address: Suite: Location: APPLICANT EXCALIBUR ROOFING Owner: ESTEBAN JOSE L&BORIS CHRISTINE L Remarks: Phone: 7605804084 Inspector: Total Time: CD Description 19 Final Structural Act Comment Comments/Notices/Hold Requested By: ERIC Entered By: CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 10/25/2006 15 Roof/Reroof AP PY existing sheathing ACORD. CERTIFICATE OF LIABILITY INSURANCE »SW PRODUCBt 3. fl. Levine Insurance Services, Inc. 3377 camel Mountain Road San Diego CA 92121 Phone:858-481-8092 Fax:858-481-7953 MURED Kxcalibur Roofing, inc.244V La Raaada Lin* Cscondido Ok 92oTT DAT! (MMDQnrVYV) oi/ie/os THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A trobulldara IpMlalty I'M. Co. INSURER B: HaiMl IlwuMaoa *"T^"|f of INSURER c state CGBV Insurance Fund INSURER D. INCURS) E- NAIC* 75530 COVERAGES POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. LI* X B C NMC TffBOf tmJUMCl in an I'll i HM rrv X_COMMERCIAL GENERAL LIABILITY ~~| CLAIMS MADE [x^j OCCUR GENI AGGREGATE LIMIT APPLIES PER: | POLICY | | JE& 1 1 LOG MJT X , — •OMOSUUUUTY ANY AUTO ALL OVWCD AUTOS SCHEDULED AUT06 HKED AUTOS NONOWNED AUTOS OAKUM LMMJTY nciiiJUMMMLU i nn m- j OCCUR [ ~] CLAIMS MADE iDEDUCTieLE WORKER* COMrEHMTION AND EMPLOYERS' LMMJTY ANY PROPRIETOR/PARTNER*XECUT1VEOFFICER/MEMBER EXCLUDED? it «•§. dMcntw undtrSPECIAL PROVISIONS Mkw OTHER KXJCVNUMBM RES5003040 24CC0182951 285166905 *®Kwm 01/08/05 12/31/04 01/01/05 WifiBBOTr 01/08/06 12/31/05 01/01/06 LOT* EACH OCCURRENCE PREMISES (Et oconnc*) MED EXP [Any en* ptrwn) PERSOWL * ADV INJURY CCNOWSU AOOflCOATC PRODUCTS - COMP/OP AGG COf*l>«D eiHCLE LIMIT(EiKcidwt) BODILY INJURY BODILY INJURY(Per •ccidtfi) PROPERTY DAMAGE(Ptraccidtrt) AUTO ONLY - EA ACCIDENT ftTHFBTWAJJ EAACC AUTO ONLY ^gQ EACH OCCURRENCE AGGREGATE VW.STAIU- IUIH- TORY LIMITS 1 ER EL EACH ACCIDENT E L DISEASE - EA EMPLOYEE EL DISEASE - POLICY LIMfT 11,000,000 *15,000 11,000,000 •2,000,000 11,000,000 1 500 , 000 1 I . 1000000 1000000 1000000 Proof of Insurance *10 day notice of cancellation applies for non-payment of preBiua. CERTIFICATE HOLDER CANCELLATION FRDOTOO « »uu> AWV or TIC ADOVC oc*cn« OATE THEREOF, THE IMUMO iMURB NOTICE TO THE CERTFICATB HOLDS* Proof of Insurance Only i»o« NO OBLIGATION on LUWJTV REPREHMTATTVH. / * JtU^ fatSK* It WLL ENDEAVOR TO MM. 30* DAYSVWrnEN NAMED TO THE LEFT, BUT FAILURE TO DO M WALL OF HK KM) UPON THE MMJRBR, fTt AGENTS OR ^e. ACORD 25 (2001/08)• ACORD CORPORATION II