HomeMy WebLinkAbout2728 ATHENS AVE; ; CB001515; PermitCity of Carlsbad
04/20/2000
Job Address:
Permit Type: Parcel No: Valuation:
Reference #:
Project Title:
MiGellaneous Permit Permit No:CB001515
Building Inspection Request Line (760) 602-2725
2728 ATHENS AV CBAD
MlSC Subtype: REROOF Status: ISSUED
1673914400 Lot #: 0 Applied: 04/20/2000 $0.00 Entered By: JM
Plan Approved: 04/20/2000 Issued: 04/20/2000
REROOF 2500 SF-LITE TILEM660 Inspect Area:
Applicant:
RANERI & LONG ROOFING
23381 OLD HIWAY 8
EL CAJON CA 92021 5048 04/20/00 0001 01 02
61 9-561 -31 10
Total Fees: $145.00
Miscelaneous Fee #2
TOTAL PERMIT FEES
Clearance: Inspector:
hOT CE Please IaKe hOT CE mal approva of y0.r prolen ncludes me' mpos bon' of lees oea catom reserval D~S or olner examons nereaher mllecovely
relerrea io as 'fees exanons ' Yo- have 90 aays from me aale m s perm #as %..ea to prolesl mpos'uon oflnese 1ees.exanons 11 you prolesl mem )o. mast
Iolloy me prolesl pmceo.res sei lonn .n Governmenl Cooe Senon 66020,a. and f e me protest ana any omer reqL rw nlormauon Y ln me C ly Manager for
pccess ng n ammance ~h In Cansoaa M.nicipa Coae Senon 3 32 030 Fawe IO me y lo ow ha! pmcea.re AII oar ani s.bseWenl egal anon 10 ahack
re..eh seias.ae .oa orann..iner mwsion
YOU are nereo! F JRTnER hOT FIE0 lnai y0.r rgnl lo protest !ne speciliea fees.exanons DOES hOT APPLY 10 water ana sewer wnnfflion lees and capan y
changes nor plann ng zoning grad ng or omer s rn lar app..cal on prmss ng or se* ce fees n mnnffl on mh tn E prom NOR DOES T APPLY lo any
lees exacrms 01 An cn IW na.e peeras y oeen q ken a NOTICE sm ar 10 vlis or as m Lhn cn me stal.le 01 rn lanons nas prer 0.s Y olnew se exp rea
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO. /5/5
EST. VAL.
Plan Ck. Deposit 3
Validated By , W I ,/ /
Date 1 71ym
Address (indude BldglSuite XI
Legal Description Lot No. Subdivision NamelNumbar Unit No. Phase NO. Total X of units
Assessor's Parcel X Existing Use Proposed Use
Description Of Work uk &.45k A+ Tide so. FT.A500- #of Stories X of Bedrooms # of Bathrooms
Business Name 1st this address)
Name Address City SfatelZip Telephone X Fax X
(Sec. 7031.5 B~~insss and Professions Code: Any City or County which requires a pmnit to Construct, alter, improve, demolish or repair any str~~t~re, prior to its
issuan~e. also requires the epplicant for such permit to file a signed statement that ha is licensed pursua111 to the provisions of the Contractor's License Law
[Chapter 9. commending with Section 7000 of OiYiSiOn 3 of the Business and Professions Codel or that he is BXBmpt therefrom. and the basis for the alleged
exemption. Any violation of Section 7031.5 by my applicant for a permit subjects the applicant to a civil penalty of not mors than five hundred dollars 1650011.
Name Address City a
State License x 496374
Designer Name Address City stat.1zip Telephone
d?rQn/rCai&&e &fi CAS d ..f3&I 01.0 1dWY B &'*ss ,d&,.+w L+ S20Pl 619 +%/3//0
~
License class C-37 City Business License I
E3
of the work for Which this permit is issued.
issued. My worker's compensation ihEUranCE Carrier and policy number are:
~nourance company Mcoo 4
{THIS SECTION NEE0 NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
CERTIFICATE OF EXEMPTION: I certify that in the pertormance 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' COmpensDtion coveraga is unlawful. and shd subject an employer 10 crimlnd penalties and civil lines up to one hundred
I have and will maintain a Csrtificate of consent to snit-insure for workers' Compensation as 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 NdM4 011 7766 Expiration Date 12 -3 I-* *
n 3706 Of the Labar code, interest and attorney's fees.
.. . .," <, . ,
I hereby affirm that i am exempt from the Contractor'S License Law for the foilowing reason:
I, BE owner of the property or my BmPlaveeI with wager as their sola COmpensatiOn. will do the work and the Structure is not intended or Offered for 1.18 (Sec. 7044. Business and Professions Code: The Contractor's License Law does not apply 10 an owner of prOPenY who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offerad for sale. It, 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 p~rpose of sale).
I, as owner of the property. am exclusively contracting with lioenred Contractors 10 COnDtrUCt the project ISec. 7044, Burinass and Professions Code: The
C~ntra~t~r's License Law doer not apply to an owner of property who builds or improves thereon. and ont tracts for such projects with ~~nlra~t~rli) iicensad
pursuant to the Contrwfor's License Law).
0
1.
2.
3.
I am exempt under Section
I personally pian to provide the major labor and materials for COnstrYCtiOn Of the proposed propsnv improvement. 0 VES ON0
I (haw I have not) signed an application for a building Permit for the piOpOSid work.
I have contracted with the following person (firm) to provide the proposed Construction (include name I addrass I phone numbsr I Contractors license number):
Business and Profelsions Code for this reason:
4.
number I contractom license number):
5.
I pian to provide portions of the work. but I have hired th8 tDlloWing person to coordinata, SYperViDB and provide the major work (include name I address I phone
I will provide some of the work, but I have contracted Ihirsd) the following persons IO provide the work indicated lincluda name I address I phone number I type
of work): ~
DATE - PROPERTY OWNER SIGNATJRE
COMPLETETHIS SeCTION FOR NDNdeyoDv77Al BUllDlNO PERMITS ONLY
.I me apphcmt or fbt.re D~I d "9 o~~.pant requma to submit a OLO~OLS plan. amteiy naiaiaouI malendls reg011at on form of risk managsmml ana ptwmt on
piogiam maor Ssctonr 25505. 25533 or 25534 of tne PrerlevTannsr Hazardom SvDslsnce Accoant Act7 YES 0 NO
Io the applicant 01 futrre Dri d ng OCCrPanl rewma 10 0Dta.n 0 Perm 1 lmm the 0 I p04~t~on contm district 01 Dlr qd~lY management d6tr8CI?
Is the fac~I.ty lo De constidcted w.thin 1,000 feet 01 the o~tol bmmary of a school We? D YES h0
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
REWIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
0 YES NO
nefeby atform that [new IS a COnetrdCtlOn lend ng agency lor the ~ellolmmce of tne worx lor wnch tnk perm 118 rrdsd ISec. 3097id Cod I Codel
.ENOER'S NAME LEhDER'S ADDRESS
9. APPLICANT CERTIFICATION
I cenify that I have read the app~caiion ana state that tne abova ~nlormalm is correct ana tnat tna ~nfoimalion on the plans I ICCUI~. I agree to eomuy win a1
City OrdnanCeL ma State laws relating 10 odamg construCt~On. I hereby adthorim ~ep~esontaI~v~s of Ins Cot(. Of Callsoaa to enlor upon the above mentoneo
pmpeny for nspecton p~poses. 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 SA10 CITY IN CONSEOUENCE OF THE GRANTING OF THIS PERMIT.
OSHA An OShA perm~t IS reqwed lo, excavat om over 5'0. aeeo ana aemol.1 on 01 constwct on Of strbctm6 over 3 st08 BL n nelgnt.
EXPIRATION perm I ssreo ny ine DLI ang On c ai J~OE~ tne DWIS om of ins code ma I expm by I.mral on ana necome nul ana vo a 11 me bd? ding or worn
arim zea ny s4cn perm t 0s no1 commences YI inn 180 days from tne Dale 01 sxn permit or I me DJ !ding or *or* aLtnonzed oy sun perm 10s sdspenaea or ananaonea ai any I me aher ine *or* 8s Sect on 106 4 4 mlorm Bd! Olng Coael
APPXANT'S SGNATrRE DATE 4-%? ad ,-
Wh.TE: File YELLOW Applcant PINK: Fnanca
.
1
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOBADDRESS: 372~ /;z+k&~ au~
2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL
3. ROOF SLOPE: RISE '-/ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) i3 2 3
5. TYPE OF EXISTING ROOF COVERING^^ SHEATHING / Y li .
*6. NEW ROOF MATERIAL /Io -f& 6'cmss~WEiGHT PER SQUARE 6H,5 E.
7. NUMBER OF SQUARES 2s
8. TRADE NAMEF&z A/& MANUFACTURER k%S/k.
9. ROOF SYSTEM LISTING UL No. IC90 No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? a 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 OfflPre-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.
2U- Signature \ Date f-
-.
Contractor o( Owner Contractor Name
*6 - Rolled Roofing, AsphaltlComp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 5/1/2000
Permit# CB001515
Title: REROOF 2500 SF-LITE TILEM660
DeSCriDtiOn:
Type: MlSC Sub Type: REROOF
Job Address: 2728 ATHENS AV
Suite: Lot 0
Location:
APPLICANT RANERI 8 LONG ROOFING
Owner: SERRATO GEORGE&JILL
Remarks:
Total Time:
CD Description
I9 Final Structural
Act Comments pie=
Inspector Assignment: TL
Phone: 8005643110
Inspector:
Requested By: KIM
Entered By: CHRISTINE
Associated PCRs
lnsoection History
Date Description Act lnsp Comments
4/25/2000 15 RoofIRerwf AP TL
ACORZZ, CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NO. I DATE
"C1-519-4lll'l r,lo/ao 5:19:11 m
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NONOWNED AUTOS
OTHERTHAN
DEDUCTIBLE
Leasing, Inc.
RODUCER
anafin Bates h Associates
144 walnut Mill Lane #lo81
iallas. TX 75231
14-346-1510 fax: 214-346~1531
ISUREO
!RNERI h LONG ROOFING CO., INC.
3881 IIIGHWAY 8 BUSINESS :I CAJON, CA 92021
;19-561-3110 fax: 619-561-1496
CITY OF CARISBAD
1635 FARADAY AVE.
CARLSBNI. NM 92008-7314
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE ~- ~
INSURERL ~eliance Insurance Company of Illinois
INSURER 8: Re1 iance National Indemnct_LgL
INSURER C:
INSURERD
INSURER E:
-
DATE THEREOF. THE ISSUINO INSURER WILL ENDEAVOR TO MAIL 20- DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLOER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
IMPOSE NO DBLWATlOY OR LIABILIN OF ANY KIND UPON THE INSURER. ITS AGENTS OR
- ~ - -. POLm ~~~TNE~LiZF~--.--~~~~--.--
NPE OF INSURANCE POLICY NUMBER DATE IMYIDDNYI DATE IMMIDDNVI SR
GENERAL LI&BILITY NGB0128236-03 4/1/00 6/1/00
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
Q ACORD CORPORATION i988 ACORD 25-5 (7197)
LIMITS
1,000,000 s- EACHOCCURRENCE
~ - X COMMERCIAL GENERAL LIABILITY -2 CLAIMS MADE OCCUR - 4 __ __
GENL AGGREGATE LIMIT APPLIES PER
FIRE DAMAGE le"" Me firs1 r_ 50.000
ME0 EXP (Any one p8-I I 5,000
1,000,000 PERSONAL 6 ADV INJURY I
GENERAL AGGREGATE 2,000,000
PRODUCTS. COMPIOP AGG I 1,000,000
- -_