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Home My WebLink About2723 CHESTNUT AVE; ; CB012677; Permit08-1'4-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB012677 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2723 CHESTNUT AV CBAD MISC Subtype: REROOF 1673921900 Lot #: 0 $3,108.00 LAMM - REROOF 2800 SF COMPOSIT Status: ISSUED Applied: 08/14/2001 Entered By: JM Plan Approved: 08/14/2001 Issued: 08/14/2001 Inspect Area: Applicant: EDDNI STED 636 GORTEZ VISTA CA 92084 760-726-0947 Owner: LAMM KEN&AURORA 7335 CURIER ST LA JOLLA CA 92037 Total Fees: $89.00 Total Payments To Date:$0.00 Balance Due:$89.00 Miscelaneous Fee #1 Miscelanedus Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $89.00 $0.00 $0.00 $89.00 7192 08/14/01 0002 01 02 CGP 89 = 00 Inspector: FINAL APPROVAL 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 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. i I You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy ichanges, 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 you 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 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposr Validated By. Date Address (include Bldg/Suite tt Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total tt of units Assessor's Parcel tt Existing Use Proposed Use Description of Work ^ (S (L&Q F 2. CONTACT PERSON (if different from ap if of Bedrooms «-/tt of Bathrooms 2_ Name 3. APPLICANT Address Contractor " O Agent for Contractor i- Wu City | Owner d Agent for Owner V i S ItA State/Zip Telephone tt Fax tt H& iz't-o.9"t/T' Name 4. PROPERTY OWNER Address City State/Zip Telephone i C •- cvS'^- Name Address City State/Zip Telephone # 5. 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 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 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). f £'34 D Name ^ State License tt b <f<3~7 Address License Class D City State/Zip ^Telephone # City Business License tt /giQ /O 0 " Designer Name Address City State/Zip Telephone State License # ,6. WORKERSfiCOMPENiSATION " ,,,,,. " , , Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: PI 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 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 (SV'da. T<? F(JjJ^ Policy No. / / V */ 7 TQ Expiration Date / l~ G ! " ° ' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~| CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars t$J00,000), in/tfddition to the cost&f/compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE^S^^/ > ^Tifjt^J^^ DATE S - < V- « < 7. OWNER-BUILDER DECLARATION ~.• •- 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). l~l I, as owner of the property, am 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 contractors) licensed pursuant to the Contractor's License Law). O I am exempt under Section Business and Professions Code for this reason: 1. (personally plan to provide the major labor and materials for construction of the proposed property improvement. Q YES ONO 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 /VO/V-/?£S/£>£/V77.4t BUILDING 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES d NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f_] YES Q NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? O 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. 8. CONSTRUCTION LENDING; AGENCY >";'-'- " .-< ' , 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 : CERTIFICATION "-' * '„,„,, - 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 CitV 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 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 after the work is comrrjgncexi for a perjpd oy 80 days (§ppjtj0n 106.4.4 Uniform Building Code). fAPPLICANT'S SIGNAT DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMITAPRLICATION FOR REROOFING 1. JOB ADDRESS: £7 / O^Q O>/1 P<S I 1^1 <J \ 2. TYPE OF BUILDING: RESIDENTIAL X- COMMERCIAL 3. ROOF SLOPE: RISE ^/ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Q 2 3 5. TYPE OF EXISTING ROOF COVERING^000 ^ SHEATHING *6. NEW ROOF MATERIAL^*>7P CLASS r* WEIGHT PER SQUARE 7. NUMBER OF SQUARES 3iO n^jj^J 4^***"I f~~~" / ft~~*' 8. TRADE NAME O£ffJT ,^j -p MANUFACTURER C A /^ 9. ROOF SYSTEM LISTING UL No/K I ^-1 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. /? /? / - /}/ Date » '"-° Contractor V Owner _ Contractor Name t_t_A O N *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 08/20/2001 Permit# CB012677 Title: LAMM - REROOF 2800 SF COMPOSIT Description: Inspector Assignment: RGB 2723 CHESTNUT AV Lot 0 Type: MISC Job Address: Suite: Location: APPLICANT EDDNI Owner: LAMM KEN&AURORA Remarks: Sub Type: REROOF Phone: 7605182098 Inspector: Total Time: CD Description 19 Final Structural Act Comments Af> Requested By: EDDIE Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 08/16/2001 15Roof/Reroof AP RC OK TO COVER SD COMPENSATION INSURANCE P.O. BOX 807, SAN FRANCISCO,CA 94101-0807 FMJIND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 11-01-OO POLICY NUMBER: 1149795 CERTIFICATE: EXRJ CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COMP. UNIT BOX 26000 SACRAMENTO CA 95826 JOB: CONTR LIC #580785 INCEPTION DATE: 11-01-00 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: $ 1,000,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 EDO N I CONSTRUCTION 636-D CORTEZ AVENUE VISTA CA 9208it MUELLER, EDWARD W. THIS;DOCUMENT HAS A.BLUBRATTERNED BACKGROUND PRINTED: 10-18-00 P0409 SCIF 10265 (REV. 2-95)'