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Home My WebLink About2719 CHESTNUT AVE; ; CB970334; PermitSuite- Permit No: CB970334 Project No: A9700468 Development No: e""r r. . '* BUILDING PERMIT 02/21/97 14=44 Job*Address: 2719 CHESTNUT AV ip£n?i Type: MISCELLANEOUS >;,V ™^^/'fi%t " 89*00 Parcel No: 167-392-17-00 Construction Type: NEW Valuation: : ,2,400 ^. ' Sta*»«: ISSUED Occupancy 02/?t/9? OOOi 01 02.76, ,.. ..I/? Reference#: "SSiopf 2530 SF COMPOSITION : ELK P'RESTIQUE Appl/Ownr :• D'ANDREA ROOFING PO BOX 1051 CARLSBAD, CA '92008 *** Fees Required *** Fees : Adjustments: Total Fees-. Fee description :—— ^--- Miscellaneous Fee #1 *.MISCELLANEOUS TOT" Applied: 02/21/97 Apr/ISSate: 02/21/97 Entered By: JM 619 757-3732 Collected & Credits •* * * , i .00 .00 i 89,00 Ext fee Data "* ^9,00 PERMIT FEE 89 « 0 0 FINAL APPIOL iMSP. CLEARANCE. CITY OF CARLSBAD 2075 Las Palmas j*v, Carlsbad, CA 92009 (619) 438-1161 APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619)438-1161 5-**Ai FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. * Plan Ck. Deposit Validated By. Date Address (include Bldg/Suite *)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total tt of units Assessor's l #Existing Use Proposed Use 1 Description of Work SQ. FT.#of Stories t of Bedrooms tt of Bathrooms __&iJ Name tfroin applicant!. ' . 3760 <y <•- ? 7 ? APHUCANT 0"CaCamractor Address QAflent fj?r Congacto/_ City State/Zip .Q Pwner_^,O Agent for Owner Sfa>__j^^T?^3S^£f* Telephone #Fax 9 Name Address 3-)lQ City State/Zip Name Address City State/Zip Telephone t> (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 exemption. Any) violation ofjSectign. 7031.5 by aov applicant for a permit subjects the applicant to q civil penalty of jiot more than five hundred dollars ($5001). rt>. l3ox Name State License » S£6S~** Address fS License Class I ~ o T City State/Zip City Business License # /2 Telephone # tv/£F~? Designer Name State License tt Address City State/Zip Telephone WORKERS-COMPENSATION 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. Q^~ 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company ^JATg l-u1* CA Policy No. \ i£~l(,hz Expiration Date / - O f ~~ ^ / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) l~l 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,OOOl.in .addition to thecostjrf compM&ation. damages as provided for in Section 3706 of the Labo/ code, interest and attorney's fess. SIGNATURE &C&t4*n ^f^/^^a^'^je^S^ DATE o?~3 I ~°l f 7- - OWNER-BUILDER DECLARATION .. :• «T,.5s2Llh?I^OSLSL..' 1 _ -*"--"' .^ I hereby affirm that I am exempt from the Contractor'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 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 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 contraetor(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. 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 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 SpQMBlTii^ ONLY IE tha s-plicant or future building occupant required io 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? 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 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 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 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 workjs commenced for a perjpd of 180 d»s (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE J^M£>6») /#_./\^^>^^t^^ DATE g ~3 I -9 7 WHITE: File YELLOW: Applicant PINK: Finance " J6W«\ CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS £713 (°V>eSinof 2. TYPE OF BUILDING: RESIDENTIAL |X COMMERCIAL 3. ROOF SLOPE: RISE V inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING <ShA <e SHEATHING 5. NUMBER OF EXISTING ROOF COVERINGS (circle one) (\) 2 *6. NEW ROOF MATERIAL ggpWt sViU^g. CLASS ft WEIGHT PER SQUARE 3£ 0 7. NUMBER OF SQUARES ^ 8. TRADE NAME f\K 9. ROOF SYSTEM APPROVAL UL No. 5°iiS~ Other /}STfr) P- 10. IS THE EXISTING STRUCTURAL .DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES L^ NO V f MANUFACTURER £lVl If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A $/ Class B I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN DATE Contractor l^ Owner Contractor Name *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB970334 FOR 03/05/97 DESCRIPTION: REROOF 2500 SF COMPOSITION ELK PRESTIQUE TYPE: MISC JOB ADDRESS:2719 CHESTNUT AV APPLICANT: CONTRACTOR: OWNER: D'ANDREA ROOFING PHONE; PHONE; PHONE: INSPECTOR AREA DC PLANCK# CB970334 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 757-3732 REMARKS: MW SPECIAL INSTRUCT: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 15 ST Roof/Reroof ACT COMMENTS ***** INSPECTION HISTORY ***** DATE DESCRIPTION 022697 Roof/Reroof 022697 Roof/Reroof 022596 Roof/Reroof ACT INSP NR DC AP DC NR DC COMMENTS 12:30 12:30 P.O BOX 807, SAN FRANCISCO,CA 94101-0807 COMPENSATION INS U R'A MCE FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POLICY NUMBER 1237885 - 88 ISSUE OA'tS;} 07-01-96 CERTIFICATE EXPIRES: 07-01-97>-v« -•J' STATE CONTRACTOR'S LICENSE BOARD JOB: LICENSE *S88S4t . P a BOX 2^000 INCEPTION DATE: 07-01-9e SACRAMENTO CA 95826 D.O.: SAN DIEGO 'rhis ;s :c ceo'v tna: v/e have issued = via! d Workers' Compensation ir.SL.ra-'ce pci.-cv «• a fo'n- approved bv the CaMcrnia inr.jrance Conrr. .sicnei to the eTO'Over Darned below for the coi.t;v o9"'-..'.i • 'd'ca'.eJ Thi5 policy T, rot subject to cance:iali<;r DV the Fund except upon 10 days' advance Ar-f.en notice to the employe^ We w:1 a'sr. give you 10 dav;' aavancf notice should this policy be cancel.ed or.or '.o its -iormai expiation. This certificate o* insurance IE net ar ^surance policy and does not arnend, extend or alter ine rcverage afforded bv the poliC'65 listed herein. Notwithstanding any requirement, term, or conaiiicn o' any contract or otier document with respec'. to which this certi' cale o' 'n5orance may be issued or may per'.am, ihe insurance aftordad bv the policies descnDe3 herein is subject '.o J: '.ne terms, exclusions and conai-ions of such policies /\^^U^*x-t^\ "/ PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: 11 ,000.000.00 PER OCCURRENCE. STANDARD EXCLUSION: INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY. LEGAL NAME 0'ANDREA ROOFING D'ANDREA. WILLIAM J. (JR) AND 3760 KEITON DRIVE D'ANDREA. KAREN OCEANS'DE CA 92056