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Home My WebLink About2725 CHESTNUT AVE; ; CB012350; Permit07/11/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB012350 Building Inspection Request Line (760) 602-2725 JOis Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2725 CHESTNUT AV CBAD MISC 1673922000 $2,886.00 Subtype: REROOF Lot #: 0 SMITH RES-2600 SF COMPOSITION Status: ISSUED Applied: 07/11/2001 Entered By: RMA Plan Approved: 07/11/2001 Issued: 07/11/2001 Inspect Area: Applicant: CALIFORNIA PACIFIC ROOFING 7748 pPPORTUNITY RD SAN DIEGO CA92111 858268-1215 Owner: ~ , SMITH RUSSELL A 2725 CHESTNUT AVE CARLSBAD CA 92008 4346 07/11/01 0002 01 02 CGP 77=00 Total Fees:$77.00 Total Payments To Date:$0:00 Balance Due: $77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees '< PERMIT FEES PERMIT FEE $77.00 ~$0.00;; :$o:qo; $77;6o Inspector: FINAL APPROVAL 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. 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 '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 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 IlROJECT INFORiRMATION /*V.... FOR OFFICE USE ONLY .C&DI33.SQPLAN 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 ** of Bedrooms,Description of Work SO. FT.#of Stories Z. CON/ACT PERSON (if different from appli Name 3. APPLICANT Address City Contractor Q Agent for. Contractor . P Owner Q Agent for Owner State/Zip Telephone i Fax tt ictor t •/](.'• Add/eName 4, PROPERTY OWN1 City StateVzip Telephone i Address City State/Zip Telephone #Name 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 7A31.5 by afly applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). City/ State/Zip' fcty Business License * Name State License # Addre r License Class Designer Name Address City State/Zip Telephone State License # 6. WORKERS'COMPENSATION " Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: (~l 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. Go 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: f—^-, / /<f7\ &• /c5/ fefy-^tf Fvniratinn nato OInsurance Company Policy No.Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) n 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' corneensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ( SIGNATURE 7, , damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. DATE *~7 * "7 (OWNER-BL I hereby affirm thaH-am-e'xempt from the Contractor's License Law for the following reason: l~1 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 contractor(s) licensed pursuant to the Contractor's License Law). l~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~l YES I~)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 NON-R£SID£NTIAL 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? d YES O 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? L~3 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. 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. • • - • •- 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 isswobV 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/rtSflTi^coftime^rfced.for/a period of 180 days (Section 106.4.4 Uniform Building Code). 7- 7 d/APPLICANT'S SIGNATURI DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 27Z5 fhttrwr /Vf 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE ¥ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 5. TYPE OF EXISTING ROOF COVERING &W? SHEATHING *6. NEW ROOF MATERIAL /dwo ^*CLASS /f WEIGHT PER SQUARE 7. NUMBER OF SQUARES 2** , 77 . /^ / 8. TRADE NAME P?eW<<3 MANUFACTURER friW ttf AgQ/^Q/ ^ ^9. ROOF SYSTEM LISTING UL No. _ICBO No. . 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /^ESj 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! /^M/Ui^^^^^ ~~~ Date 7 * Contractor V Owner Contractor Name ^'^^^ *6 - Rolled Roofing, Standard/Lite Tile, Aspha(uComp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 12/11/2001 Permit# CB012350 Title: SMITH RES-2600 SF COMPOSITION Description: Inspector Assignment: RGB Type:MISC Sub Type: REROOF Job Address: 2725 CHESTNUT AV Suite: Lot 0 Location: APPLICANT CALIFORNIA PACIFIC ROOFING Owner: SMITH RUSSELL A Remarks: Phone: 8582681215 Inspector: Total Time: CD Description 19 Final Structural Act Comments ftP Requested By: N/A Entered By: ROBIN Associated PCRs Inspection History Date Description Act Insp Comments 07/18/2001 15Roof/Reroof AP RC OK TO SHINGLE 07/12/2001 15Roof/Reroof CO RB REMOVE FELT (EXPOSE SHEATHING TO ACCOMMODATE INSPECTION) 10/09/2000 PRODUCER MICHAEL J. PETKUS INSURANCE 6963 DOUGLAS BLVD. SUITE 131 GRANITE BAY, CA 95746 PH:1-888-644-4600 FAX:916-652-2231 Serial* A4541 IIS CERTIFICATE 15 ISSUED AS A MAIItK UMNFOKMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORDING COVERAGE COMPANY A QBE INSURANCE COMPANY INSURED STONE OVER STEEL ROOFING. INC., DBA CAL PAC ROOFING, CALIF. PACIFIC ROOFING SUPPLY 7748 OPPORTUNITY RD. SAN DIEGO. CALIF. 92111 COMPANY B STATE FUND COMPANY......c COMPANY D THIS IS TO uBRflFY THAT THEPOUCiESl OF INSURANCE LISTED BELOW HAVE BEENlSSUED TO THE iNSUREDNAMlb ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE(MM/DO/YY)LIMITS GENERAL LIABILITY GENERAL AGGREGATE COMMERCIAL GENERAL LIABILITY ""JCIAIMSMADE | [OCCUR OWNER'S & CONTRACTOR'S PROT PRODUCTS - COMP/OP AGO PERSONAL & ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MEDEXP (Any one parson) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 0710000542 08/22/00 08/22/01 X COMBINED SINGLE LIMIT 1.000.000 BODILY INJURY(Per person) HIREDAUTOS NON-OWNED AUTOS $500 DED COMP/COLL BODILY INJURY(Per accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EACH ACCIDENT AGGREGATE EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM EACH OCCURRENCE AGGREGATE WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY 1596429 08/22/00 08/22/01 EL EACH ACCIDENT 1.000.000 1HE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE: INCL EXCL EL DISEASE - POLICY LIMIT EL DISEASE - EA EMPLOYEE $ 1,000,000 1,000,000 OTHER I IUN Ur I KJna/VcnlCLCO/9rC<«IAu I I EVIDENCE OF INSURANCE CONTRACTORS LICENSE NO. 675332 THE LEAGUE OF CALIFORNIA HOMEOWNERS SOUTHERN CALIFORNIA GAS COMPANY . SOUTHERN CALIFORNIA EDISON COMPANY SAN DIEGO GAS & ELECTRIC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION .DATE THEREOF. THE ISSUING COMPANY WILL EN&K$&££> MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, X&ftKXX^tftftiXXK^^