HomeMy WebLinkAbout2724 CHESTNUT AVE; ; CB993328; Permit09/08/1999
City of Carlsbad
Miscellaneous Permit Permit No:CB993328
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2724 CHESTNUT AV CBAD
MISC Subtype: REROOF
1673921200 Lot#: 0
$2,080.00
REROOF 2000 SF COMP
Status: ISSUED
Applied: 09/08/1999
Entered By: JM
Plan Approved: 09/08/1999
Issued: 09/08/1999
Inspect Area:
Applicant:
SPECIALTY ROOFING
131 S INDIANA AV
VISTA CA 92084
760-940-9474
Owner: __
KARCHER KENNETH D
2724CHESTNUTAVE 3712 09/08/99 0001 01 02
C-PRMT 87.00
\J . X,
Total Fees: $87.00 / : ff Total Payments TcfDate:\^ $0.00 \ 'x!^/" Balance Due $87.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
,,
} $87.00
'$0.00
; $87.00
FINAL APPROVAL
Inspector: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 "fees/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 capactiy
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 you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161
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 # of units
Assessor's Parcel #Existing,Use Proposed Use
Description of Work
2. CONTACT PERSON (if different from applicant)
SO. FT.#of Stories # of Bedrooms # of Bathrooms
Name
3, APPLICA1LICANT p:ia Ifu
Address City
[contractor D Agent for Contractor Q Owner Q Agent for Owner.
" State/Zip
rfc
Telephone i Fax #
Name
4. PR'
Address City State/Zip Telephone i
Address City State/Zip TelephoneName
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
exerjjption. Any vualation of Section JOSf.S by any applicant foj^a_perrgit subjects the applica/jt to_a f ivil penalty of^not more than five hundred dollars I$500J).
ft
Name • .
State License tt "7 ?Pif^ V /
Address
License Class
City State/Zjp
City Business License #
'hone #
Designer Name Address City State/Zip Telephone
State License #
i6.: ; WORKERS' COMPENSATION . ,",-".'
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
|~1 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of ihe work for which this permit is issued.
V)' I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are: _^_
Insurance Company ^O/\J "Jl OY\ /9/l£- Policy No. "~ft$O Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS'[$100] OR LESS)
Q CERTIFICATE OR 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]^ unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollarsK^ 1 QWOQUMn adifitjfan to tha'c/styb^omptm^aton-damaQes as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE AL/tyxV^Uc^L-- (X,-^/^^^^\^ DATE
7. OWNEfr4uiLDER DECLARATION '. ~~"I
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
[~l 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 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 contractor(s) licensed
pursuant to the Contractor's License Law).
[~l 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. l~1 YES C]NO
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-fl£S/O£/V7Mi 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? CD 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? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D YES l~l 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. 30970) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
9. APPLICANT^ERTIHCATION
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 reqyi^ed for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit
work authorized by such pen
or abandoned at any time a br ttf
by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
comjnenced|o/ a'q%eriod«a£QgQ_d§ys (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE)DATE
WHITE: File YELLOW: Apolicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL V^ COMMERCIAL _ t
3. ROOF SLOPE: RISE \ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) ffl 2 3
5. TYPE OF EXISTING ROOF COVERING 6#M^SHEATHING 3 Kip .
*6. NEW ROOF MATERIAL f\S(?WJ- CLASST^ WEIGHT PER SQUARE
7. NUMBER OF SQUARES
8. TRADE NAME (J MANUFACTURER
9. ROOF SYSTEM LISTING UL No. _ ICBO No. 'cti 1*4
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? tfS) 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:
Tear Off/Pre-inspection prior to install new roof covering.
Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature pJ^Af//^(^ l/(AMf^^^ Date
Contractor /O Owner Contractor Name i?f&Ci% 'V
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Inspection Request
For: 9/10/99
Permit# CB993328
Title: REROOF 2000 SF COMP
Description:
Inspector Assignment: SR
2724 CHESTNUT AV
Lot 0
Type:MISC
Job Address:
Suite:
Location:
APPLICANT SPECIALTY ROOFING
Owner: KARCHER KENNETH D
Remarks: 3PM INSPECTION PLEASE
Sub Type: REROOF
Phone: 7602071671
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comments
Requested By: DUANE
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
City of Carlsbad Inspection Request
For: 9/9/99
Permit# CB993328
Title: REROOF 2000 SF COMP
Description:
Inspector Assignment:
2724 CHESTNUT AV
Lot 0
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
APPLICANT SPECIALTY ROOFING
Owner: KARCHER KENNETH D
Remarks: PM PLEASE
Phone: 0000000000
Inspector:
Total Time:
CD Description
15 Roof/Reroof
Act Comments
Requested By: JOHN
Entered By: CHRISTINE
Inspection History
Date Description Act Insp Comments
-i ybb ui:u£ rn UHUUHKU ins.f OU 040 0 r, u
4j£jSsa CERTIFICATE OF LIABILITY INSURANCE
PRQPUCM
(760)346-2480 LICEtfC
CRAIG DAUGARD INS, E
44-100 MONTEREY AVE .
PALM DESERT, CA 9226
INSURED SPECIALTY ROOE
131 S. INDIAN*
VISTA, CA 92C
C48699
ROKERS
STE 206
0
ING
L AVENUE #1
84
09/08/99
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOHftlATiON
ONLY AND CONFERS NO RIGHTS UPON THE CSRtiflCATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES 81LOW.
INSURERS AFFORDING COVERAGE
INSURED AiUNDERWRITBRS AT LLOYDS
INSUUM ^PROGRESSIVE
IN3UWR ft.
INSURANCE COMPANY
INSURER oiSOLUT I ON ONE SERVICES
INSUBMt-
COVIftAQES
THg POLICIES OF INSURANCE LISTED B
ANY REQUIREMENT. TERM OR CONDI"
MAY PERTAIN, THE INSURANCE APFOf
POtlCICS AGGREGATE LIMITS SHOWN
jj§J_ TVfE OF INSURANCE
fiFMFRAl. MA8ILITY
X COMMERCIAL Ge^4EflAL UAjMI.lt V
! i CLAJMS MADE X i OCCUR
A
;
CEN'L AGGREGATE UMIT APPLItfi f£.h:
' I w>ucv | i Jg£j ; ; LOC
AUTOMO6D.E LIABILITY
ANV AUTO
ALL OWNED AUTOS
[_X SCHEDULED AUTOS
B X WflGO AUTOS
X ' NON-OWNED AUTOS
M
GA7UKIE LIABILITY
-! I ANY AUTO
EXCESS LIABILITY1 ' r — IOCCUR 1 1 Cl AIMS MADE
OfDUCTISLE
' RETENTION «
WORKERS COMPENSATION AN&
^j EMPLOYERS' LIABILITY
i OTKER
ELOW HAVE BEEN ISSUED TO THE INSURED NAMED A8QVC FOR THE POL
ION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO Wl
DSD OY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM
WAV HAVE BEEN REDUCED BV PAID CLAIMS.
POLICY NUM8EB
I
64029557-0
r
DESCRIPTION 0V OPtnATIQNSflOCATIDNS/VEHU
10 DAY NOTICE OF CA]
'BD
POLICY EFFECTIVE POMCY SXPIRATIPN
JATE IMIM/pO/YV) DATE (MM/00/YY1
08/05/93
10/24/96
09/02/99
08/05/00
10/24/99
09/02/00
.1
ICY
1ICH
IS, i
PERIOD INDICATED, NOTWITHSTANDING
THIS CERTIFICATE MAY 8E ISSUED OR
XCLUSIONS AND CONDITIONS OP SUCH
LIMITS
EACHOCCUftfttNCE
FIRE DAMAGE lArw ono urel
MED EXP (Art/ MS person)
PERSONAL & AOV INJURY
GENERAL AtiGHEGATE
PRODUCTS • COMP/OP AQG
COMBINED SINQLglWIT
^^^—^^
BODILY INJURY
BOPU-Y INJURY
(Per oool^flnt)
PROPERTY OAMAQE
(Por »<:<:idu'nl|
^AUTO ONIY • FA ACCIDENT
OJbAin
FUTHAN BAACC
OONLY: AOR
EACH OCCURRENCE
AfjftHtfiATC
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£.L.
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WC 61 At U- O'l'H.
TORY LIMITS ER
OtiEASC . CA EMPLOYEE
QtBEABE POLICY LIMIT
41^000^000
sliO^OOO
,2 ,500
jl^OOQj 000
«i, oob, ood
il.i.Mo..'.°00
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LSS'EKCLUtlOMe ADDED BY ENDORS£ME«JT/SPECIAL PROVISIONS
ICELLATION FOR NON-PAYMENT OF PREMIUM
CERTIFICATE HOI.D1S ' | ADeiti6NAL iNSuneo-, tNSunen LjrrtBi r CANCELLATION
FOR YOUR RECORDS
c
SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CAlVClUtD MPOM TK« tX»i»4TION
DATS THEREOF, THS ISSUINO INSURSR WILL ENDBAVOH TO MAIL _ 3.Q, OJȴ3 WWTTIN
KOTIC* TO TH« tlRTLHOAtl HOL6W NAMEO TO THF 1 fFT, BUT r*ILU°.l TO Od 10 *HALL
IMPOSt (^--OBLIGATION OR LIABflTlW OF ANV KIND UPON THE IN$UA£R, ITS ACsCWS OH
m*£bi*. /7 /
AUT>fcRIZE^Bf PRES6NT t.Tfy#7sf/