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Home My WebLink About2711 CHESTNUT AVE; ; CB982395; PermitU I L D 1 N G P E R M I T 07/29/98 09»23 Page ; 1 of 1 Job fltfdress s 2711 CHESTNUT flU Permit Types MI S CELL. ONE 0 US i No s lA7-393--Q3™00 Suites Permit No' CB9S2395 Project No" 09803149 D e u e 1 o p in e n t No5 Par ce Valua 0 c c u p 3 n c y G r o u p ; i o n 3 Descr- 0 Reference? #3 REROOF 2600 SF CO-1POSITIOK flppl/Ownr'* CfiHEY ROOF 3048 MIfl MflRIPQSfi LA COSTfl Cft 92009 *•«•*' Fees Required **» !•• ees s fl el j u s t me n t s s Total Feess Fee descri pt Von 87, f^) fl i s c e 1 1 a n e o u s F e e #,.-" • - • *. fIJSCELLflNEOUS TGT;i,.,'-": ' C o n s t r u c t i o n T y p e ' N E W Status' ISSUED flpplied* 07/29/98 . flpr/'lssue: 97/29/98 Entered By B BT 591-5123 9502 07/29/98, 0001 01 02 -•«es Collected S Credi -- 87-00 . 00 , 0 0 87, 00 Ext fee Data 87.00 PERMIT FEE 8 7 , :0 0 FINAL APPROVAL INSP.DATE CLEARANCE, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK N0._ EST. VAL. Plan Ck. Deposit Validated By Date in Address {include Bldg/Suite *) CFQ. Legal Description Assessor's Parcel # Description of Work ' Business Name let this address) Lot No. Subdivision Name/Number Unit No. Phase No. Existing Use Proposed Use r>J i -r™» D»4 t-lpOn SQ.FT. *of Stones t of Bedrooms Total * of units # of Bathrooms 2 CONTACT PERSON (H different from applicant) Name Address i3. APPLICANT Q'Contractor Q *9«"t for Contractor Q6wheFn?O f oJk e~« ^ CM 9> \v\o~ v-\ City State/Zip Telephone * Fax * 23 Name 4. PROPERTY OWNER (jAC\C^ VottCiP Name » ' ^ v » Address • .. • . :.. ..-.;-::• : ;.. ,.™,,::!i:i,?- ...,.,.. .. vACjv-fr r 2"^ U 6J Address City i!-v "v "'T "v":^?,;,"'-1; 7y?*-v::-:.r K^i^-riV-* O^rlJV-. City State/Zip "•""^••i-:/ /U':.rr~";V'.': <s_ r) State/Zip Telephone * H T / *• 2-ii? f} Telephone « S. CONTRACTOR - COMPANY NAME (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 Lew (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 ($5001). Name State License # ^ \> Olr?^- Address License Class C.' .3 ^ City State/Zip City Business License f Telephone f Designer Name Address City State/Zip Telephone State License * 6. WORKERS' COMPENSATION " "'."" ' "" '. '"" """"'. ^"::" "T';"7:.:7 — ---^-^-r^--.^ •:•,• • •.• • • .. .-,-.. ... - Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declerations: n 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. J3^ I nava 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 S^(j~^ C ^*<J >J O - Policy No. VH U - *i B Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 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). hi addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE \^-> V-\ C^c^Ais^. • ; DATE "~\ - L^ ' ^ ^ 7. OWNER-BUILDER DECLARATION ..: ••.-,—.,........,-..,-....... .. . ....,,_..„.. ^^.".^-n .„•.,,-. .^mi •-.. I hereby affirm that I em exempt from the Contractor's License Lew for the following reason: Q I, as owner of the property or my employees with wages ss 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 ere not Intended or offered for aale. If, however, the building or Improvement la sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve tor the purpose of aale). D I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (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 contracts for such projects with contractorla) licensed pursuant to the Contractor's License Law). O 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. D VES 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): 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDINGI PERMITS ONLY" 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 25S05, 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? D YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES D 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. a."" CONSTRUCTION LENDING AGENCY :-™^':;;YV"-.T*^ •• •••: -;• -•, - : • •: •,•.-. . 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 • !9.' •' APPLICANT CERTIFICATONV':-f:'''''"::~ •. -- - '~ -- .-•.•• -; • 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 Cit> 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 365 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 CLj^. *"* Co DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ~12)\ 2. TYPE OF BUILDING: RESIDENTIAL ^^ COMMERCIAL 3. ROOF SLOPE: RISE £ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3 5. TYPE OF EXISTING ROOF COVERING SWv*. SHEATHING *6. NEW ROOF MATERIAL CQ^^P CLASS tf WEIGHT PER SQUARE 7. NUMBER OF SQUARESjUs _ . 8. TRADE NAME c<J^o,yc MANUFACTURER 9. ROOF SYSTEM LISTING UL No._ ICBO No. 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-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. Signature V-^. ^ LiA-—- Date ~? / z ^ ) ^ ouo Contractor ^^^ Owner Contractor Name C- ft >-) ^ -7 ^- oo *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. I10 CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB982395 FOR 07/30/98 DESCRIPTION: REROOF 2600 SF COMPOSITION TYPE: MISC JOB ADDRESS: 2711 CHESTNUT AV APPLICANT: CAHEY ROOF CONTRACTOR: OWNER: REMARKS: C/CAHEY/ SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof STE: PHONE: 591-3123 PHONE: PHONE: INSPECTOR ACT COMMENTS INSPECTOR AREA PLANCKtf CB982395 OCC GRP CONSTR. TYPE NEW LOT: oft DATE DESCRIPTION ***** INSPECTION HISTORY ***** ACT INSP COMMENTS SD P.O. BOX 807, SAN FRAIMQSCO.CA 94101-0807 COMPENSATION NSURANCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER: 446-98 UNIT OOO0244 ISSUE DATE: O1-01-98 CERTIFICATE EXPIRES: 01-O1-99 STATE CONTRACTORS LICENSE BOARD-WORKER'S COMP. JOB: Lie # 584362 BOX 26000 INCEPTION DATE: O1-O1-98 SACRAMENTO CA 95826 D.O.: SAN DIEGO This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer. We will also give you 10 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.OOO.OOO.OO PER OCCURRENCE. STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. EMPLOYER LEGAL NAME CAHEY CUSTOM ROOFING CAHEY, BRIAN AND 3048 VIA MAR IPOS A CAHEY. MONICA CARLSBAD CA 92009