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2633 BANBURY CT; ; CB060488; Permit
02-22-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB060488 Building Inspection Request Line (760) 602-2725 Job Address; Permit Type: Parcel No: Valuation: Reference #: Project Title: 2633 BANBURY CT CBAD MISC 2081310800 $2,520.00 Subtype: REROOF Lot #: 0 SEREBRIANY RES-2000 SF COMPOSI Status: ISSUED Applied: 02/22/2006 Entered By: RMA Plan Approved: 02/22/2006 Issued: 02/22/2006 Inspect Area: Applicant: EXCALIBUR ROOFING 2447 LA RAMADA LN ESCONDIDO CA 92027 760 275-7384 TOTAL PERMIT FEES Owner: SEREBRIANY ANTHONY P&GR1MES KELLEY 2633 BANBURY CT CARLSBAD CA 92010 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $77.00 $0.00 $0.00 $77.00 Total Fees:$77.00 Total Payments To Date:$77.00 Balance Due:$0.00 A. Inspector: FINAL APPROVAL Date: 3/'/Clearance: NOTICE: Please take NOTICgThat approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/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 APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USEPLAN CHECKEST. VALPlan Ck. DepositValidated BDate. o<Address (Include Bldg/Suita f)Business Nams (« this address)Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total * of unitsAssessor's Pajy Existing Use Proposed UMDescription of Work SQ.FT.*of Stories 9 of Bedrooms * of Bathrooms (Sec. 7031.6 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 licenssd pursuant to the provisions of the Contractor's License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business snd Professions Coda] or that he is exempt therefrom, and the basis for the alleged exemption. Any violajjon oHtoctlaa.7031 .B by any spplicant for a permit subjects the applicant to a dvil penalty of not more than five hundred dollars 1*500]). Name State License f Addrsss License Class City State/Zip City Business License # Telephone f Designer Name State License f Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [^ I have and will maintain a certificate of content 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. £9 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which thto permit is issued. My worker's compensatienjnsurance carrier and policy number are: Insurance Company 5cT^fr»V.J...«J Policy No. ?JtS I ^o^D <C Expiration Date / S \ fcT? (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [HOC] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit ia issued, I shaH not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: FallunvjfReeuro wethers' cgudleneetion coverage Is unlawful, and shsfl suejsrt an employer to criminal penerUee and cM fines up to one hundred thousand dattaxti^OQU^MttoBvHne cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. I hereby affirm that I am exempt from-the Contractor's License Law for the following reason: Q I, aa 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 buUds 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, aa owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Lew does net apply to an owner of property who builds or improves thereon, and contracts for such projects with confractoris) 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 Keens* 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 Keens* number); __^_____ 6. 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 program under Sections 26605, 25S33 or 26634 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(0 Civil Coda). 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 r*pr***nt*tiv*« of th* 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 under the provisions of this Code shall expire by limitation and become null and voJd If the building or work authorized by such permit Is not commenced within 180 daysfeem 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 commenpsd^a pjqe^of UPwaj(Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE >—wfinITE: File YELLOW: Applicant PINK: Rnanca City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING ctt1. JOB ADDRESS: 2^3 2. TYPE OF BUILDING: RESIDENTIAL <5" COMMERCIAL 3. ROOF SLOPE: RISE_2_Jnches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ) 2 3 5. TYPE OF EXISTING ROOF *6. NEW ROOF MATERIALax^ CLASSAJA^WEIGHT PER SQUARE 7. -NUMBER OF SQUARES *L<=> 8. TRADE NAMEf/lc O,^.^ MANUFACTURER^^!* 9. ROOF SYSTEM LISTING UL No. £7^5*1^ ICBO No. _ a 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? E> 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-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. Date Contractor Owner Conii actor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built Other. /<o«t.x ilt up; City of Carlsbad Bldg Inspection Request For: 02/28/2006 Permit* CB060488 Inspector Assignment: PY Title: SEREBRIANY RES-2000 SF COMPOSI Description: Type:MISC Sub Type: REROOF Phone: 7605804084 Job Address: 2633 BANBURYCT Suite: Lot 0 Location: Inspector: APPLICANT EXCALIBUR ROOFING Owner: SEREBRIANY ANTHONY P&GRIMES KELLEY Remarks: Total Time: Requested By: ERIC Entered By: CHRISTINE CD Description Act Comment 19 Final Structural Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 02/23/2006 15 Roof/Reroof AP PY EXISTING SHEATHING License Detail Page 1 of2 California Home Thursday, Janu; License Detail Contractor License # 706816 CALIFORNIA CONTRACTORS STATE UCEN DISCLAIMER A license status check provides information taken from the CSLB license data base. Before 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 tc complaint disclosure, a link for complaint disclosure will appear below. Click on the lin button to obtain complaint and/or legal action information. • Per B&P 7071.17. 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 ont Board's license data base. Extract Date: 01/19/2006 * * * Business Information * * * EXCALIBUR ROOFING INC 2447 LA RAMADA LANE ESCONDIDO.CA 92027 Business Phone Number: (760) 741-0771 Entity: Corporation Issue Date: 05/18/1995 Reissue Date: 11/06/2000 Expire Date: 11/30/2006 * * * License Status * * * This license is current and active. All information below should be reviewed. * * *Classifications * Class C39 Description ROOFING * * *Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 9032602 in the arr $10,000 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 1/19/2006 AMERICAN CONTRACTORS INDEMNITY COMPANY. Effective Date: 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL^): The Responsible Managing Officer (RMO) Jl HARDY GENTRY certified that he/she owns 10 percent or more of the voting stock/equity corporation. A bond of qualifying individual is not required. Effective Date: 11/06/2000 * * *Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number: 285-0001669 Effective Date: 02/10/1998 Expire Date: 01/01/2007 Workers Compensation History * * * Miscellaneous Information * * * Date 11/06/2000 Description LICENSE REISSUED TO ANOTHER ENTITY Personnel List License Number Request Contractor Name Request Personnel Name Request Salesperson Request Salesperson Name Request © 2005 Slate of California. Concljtjons..Pf Use Pnyaqy. Policy http://www2.cslb.ca.gov/CSLB_LIBRARY/License+Detail.asp 1/19/2006