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Home My WebLink About2719 ATHENS AVE; ; CB013750; Permit&? . 12-06-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No:CBOl3750 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 1673923900 Lot #: 0 Applied: 12/06/2001 Valuation: $3,108.00 Entered By: JM Reference #: Plan Approved: 12/06/2001 Issued: 12/06/2001 Project Title: EASTON - REROOF 2800 SF COMP Inspect Area: 2719 ATHENS AV CBAD Applicant: WILLIAM GAUTHIER ROOFING CO 2005 ACACIA DR _... - - ~ SAN MARCOS CA 92069 760 598-7545 Owner: ~. 598912/06/01ooo201 M EASTON MARK J 2719 ATHENS AVE CARLSBAD CA 92008 CGP 89.00 Total Fees: $89.00 Total Payments To Date: $0.00 Balance Due: $89.00 Miscelaneous Fee #1 PERMIT Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $89.00 $0.00 $0.00 $89.00 FINAL APPROVAL Inspector: /&!&&!& Date: /{,ljo I Clearance: NOTICE: Please take NOTiCE that approval of your projed includes the 'imposition' of fees, dedications, reseivations, or other exadions hereatter collectively referred to as "leedexactions." You have 90 days from the date mis permh was issued to protest imposition of these feesiexatiwns. It you protest them, you mUSt fallow the protest procedures set forth in Government Code Seaon 66020(a), and file the protest and any other required information with the City Manager tor processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timelytdlow that procedure will bar any subsequent legal adion to attack, review, set aside. void, or annul their imposition You are hereby FURTHER NOTlFiED that your right to pld8St the specfied teedexations WES NOT APPLY to water and Sew connection tees and CapaCtiy changes, nor planning, zoning, grading or other similar application processing M seryicd fees in mnneCtion with this project NOR DOES IT APPLY to any ~ pERMlT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY , EST. VAL. LA4 Plan Ck. Deposit Validated By Date , . .. Legal Description Lot No. Subdivision NamelNumbir Unit No. phase No. Total X of units ASSBOLO~I Parcel X Exirtxge - Proposed Use Description of WorkL Ob0 sa. FT. #of Stories X of Bedmomr X of sathrooms cz, CILi-4 '3. APPLICANT Contraotoc ~'Aggantfor'contractar 'D.Owndk '.. ~Age"t-lQl~~nW Address Telephone X 5. CONTRACTOR -'COMPANYNAME i,, isec. 7031.5 Business and Professions Code: Any City 01 County which requires P permit to construct. alter, improve, demolish or repair any structure, Prior to its issuance, sieo requires the applicant for such permit to file B signed statemant that he io licensed pursuant to the provisions of the Contractor's License Law [Chapter 9. commending with Section 7000 of Division 3 of the Busines~ and Professions Codel or that he is exempt therefrom. and the basis for the alleged exemption. Any ~i~lation of Section 7031 3 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$50011. thtcd 306q~u .&.% -ne 5-A+ her,< ('A G,.x1...4 S'f@iJS~i \ Address City StatelZip Telephone X License class R- 3 C, City ~usinasr License x I 2 I X> 2 ? Derignsr Name Address City StstelZip Telephone State License X '8. @@RKEmCO,MPbb$ATJON ', Workers' Compensation Declaration: I hereby affirm under penalty of perjury one at the foliowing declarations: % o he work for which this permit is issued. 0 iswed. My worker's Compensation insurance carrier and policy number are: ~nsurance company 5 '4 FU&& (THIS SECTION NEE0 NOT BE COMPLkTED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1S1001 OR LESS1 CERTIFICATE OF EXEMPTION: I certify that in the performancs of the work for which this PLIrmit is issued. i $hail not employ any person in any manner 50 as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to SLIEY~ workars' compensation coverage Is unlawful. and shall subject an employer to criminal penalties and Clvil fines up to one hundred thousand dollars $loop I i have and will maintain a certificate of consent 10 self-insure far worken' compensation @s provided by Section 3700 of the Labor Code. for the performance 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 Poiicy No. 0 '7 7 8 Y Expiration Date 1 - 1- OA I. In additi n to the co 1 of compsnsation. damages as provided for in Sectlon 3106 of the Labor cde, intereat and momey's fees. SiGNATURE Ld>-. Pb.,, &!A DATE 12 - 6 '-a&[ 7. ~~;,OWNER:~UILDER,DEC~RATION I hereby affirm that i am exempt from the COntraCtOr'S LiCmSB Law for the following reason: I, as owner of the property or my employees with wages as th8ir sole compensation, will do the work and the Structure is not intended or offered for sale iSec. 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 empiovees, provided that such improvsmsntr are not intended or offered for sale. if, however, the building or improvement is soid within one year of completion. the owner-builder will have the burden of proving that he did not build or improve for the PWPODB Of sale). I, 89 owner of the property, am exciuPivelv contracting with licensed COntraCtorS to COnStlUct the project ISsc. 7044, Business and Professions Code: The Contiactor's License Law does not apply to an owner Of property who builds or improves thereon. and Contracts for such projects with contractorlsl licensed pursuant to the Contractor's License Law). Ism exempt under Section 1, 2. 3. Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction Of the proposed property improvement. YES ON0 I (have I have not1 signed an application for a building Permit for the proposed work. I have contracted with the foliowing person lfirml to provide the proposed COnStrUCtiOn (include name I address I phone number I Contractors license numberl: 4. number I CmtraCtorr license number): 5. of workl: PROPERTY OWNER SIGNATURE DATE C0MPLETe:THlSSECTlONFQR NOIY-RESIDW~L SUlrPINO PERMlXS',ONLY is the applicant or future building occupant required to submit e business plan, amteiy hazardous materials registration form or risk management and prevention program under Sectbns 29505, 25533 or 25534 Of the PreSleV-Tanner Hazardous Substance Account Act? D YES NO is the applicant or future building Occupant required to Obtain a Permit from the air poilution control district or air quality management district? is the facility to be Constructed within 1.000 feet of the outer bsundary of a school sit@? YES 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 REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AN0 THE AIR POLLUTION CONTROL DISTRICT. i plan to provide Portions of the Work. but I haw hired thn following person to coordinate, supervise and provide the major work (include name I address I phone I will provide some 01 the work, but I have contracted ihiredl the following persons to provide the work indicated linciuds name I addles I phone number I type YES 0 NO $8.. , CONSTRUCTION LENDING~AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit io issued (Sec. 3097iil Civil Code). LENDER'S NAME LENDER'S ADDRESS :9. APPLICANT CEAnFl~ATlON 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 dl City ordinances and State iaws relating to building canrtmction. I hereby authorize reprssentatived of the Citp of Cerlsbad to mtw upon the above mentioned property for inspection PU~POS~E. 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 CONSEOUENCE OF THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit is required for BXCaYationS over 5'0 deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under lhe provisions of this Code Shall expire by limitation and become nuii 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 allel the work i days (Section 106.4.4 Uniform Building Code). ,, APPLICANT'S SIGNATURE b& DATE j 2~6 .- 3-\ WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: a x9 A6 ef- -3 b-J Q 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE inches in I2 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 0 2 3 5. TYPE OF EXISTING ROOF COVERING ‘qfiKc’ SHEATHING SPW < *6. NEW ROOF MATERIAL 0 CLASSLWEIGHT PER SQUARE -3 G A. <. 7. NUMBER OF SQUARES YYl 8. TRADE NAME -t )N- L‘,, 4 MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN S WEIGHT OF THE PROPOSED ROOF? & NO CIENT TO SUSTAIN THE 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: ,,j 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 a) t A Date /b- 6. Contractor ?( Owner Contractor Nape djv 9.2 *6 - Rolled Roofing, StandardlLite Tile, AsphalffComp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 12/11 /200 1 Permit# CBOl3750 Inspector Assignment: RCB Title: EASTON -REROOF 2800 SF COMP Description: Type: MlSC Sub Type: REROOF Job Address: 2719 ATHENS AV Suite: Lot 0 Location: APPLICANT WILLIAM GAUTHIER ROOFING CO Owner: EASTON MARK J Remarks: Phone: 7605987545 Inspector: RIR Total Time: CD Description Act Comments Requested By: WM GOTHIER Entered By: CHRISTINE 19 Final Structural 9p FlMAL Associated PCRs InSDeCtiOn History Date Desctiption Act lnsp Comments 12/07/2001 15 RwfIReroof AP RC OKTOCOVER mAT@ P.O. BOX 807. SAN FRANCISCO,CA 94 io 1-0807 EyIxtA2G FbN 0 CERTIFICATE 9F WORKERS COMPENSATION lNSURANC6 ISSUE BAE 11-01-01 L STATE CONTRACTOR'S LICENSE BOARD F 0 BOX 26006 SACRARENTO CA 95826 POLICY NUMBER: 0778464 - 01 CERTIFICATE EXPIRES: 11-01-02 a: LIC Y 489168 INCIPTION OATE: 11-01-01 0.0.: SAN DIE60 Thie it to certify that we have issued a valid Workers' Compensation inswake policy in a form approved by the Cdifornir Insurance Commissioner to the #mployer named below for the policy period indicated. This policy is not subject to Cncellation by the Fund except upon lodays' advance written notice to the smployer. We wit4 also give you $0 days' .adv;Klce notice should this policy be cancelled prior to its normal expiration. .i This certi@eate.of insurance $not & insqrance policy and does not mend. extend or alter the coverqe afforded by the poltciep listed hirein,. Notwithstntimg any requirement. term, or condition of ny contract or other document with respea to which this certificate af insurqce mn/ be issued or may pertain. the insurance afforded by the policies described herein is subject to nil the terms, exclusions and conditions of Such policies. w- PRESIDENT ". . &P~.~vER~Q LIABT~ITI LX~IT IHCU~OING DEFENSE ais: si~..ooo,~.~~ PER WRRENCE. .. ST~ARD*IP*IP*IP*IP*IP*IP*IP*IP*IP*IEEXCLUSIO~~: INO$VIWAL EMPLOYERS AND WBANO AN0 WIFE EMPLOYERS ARE NOT ELIGXBLE '? 'SM'&€NEFIW AS EMPLOYEES UNDER THIS POLICY. EMPLOYER WI LIAH EAUTHICR ROOFING co 2&5 ACACIA OR SAN hARCOS CA 92067 LEOIL WE QAUMXER, WILLIPW