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Home My WebLink About2729 CHESTNUT AVE; ; CB031152; Permit04-21-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB031152 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2729 CHESTNUT AV CBAD MISC 1673922200 $2,886.00 Subtype: REROOF Lot#: 0 BELL RES -26 SQ'SCOMP REROOF REMOVE SHAKE Status: ISSUED Applied: 04/21/2003 Entered By: CB Plan Approved: 04/21/2003 Issued: 04/21/2003 Inspect Area: Applicant: EXCALIBUR ROOFING 2447 LA RAMADA LN ESCONDIDO CA 92027 760 275-7384 Owner: BELL JASON R&KAMMERER SARAH 2729 CHESTNUT AVE CARLSBAD CA 92008 3284 04/21/03 0002 01 02 CGP 77. Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE $77.00 $0.00 $0.00 TOTAL PERMIT FEES $77.00 Total Fees:$77.00 .Total Payments To.Date:$0.00 Balance Due:$77.00 Inspector: FINAL APPROVAL Date: D S~-Qt-Clearance: NOTICE: Please take NCVlCl^ha) a/proval 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 capacity 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 vou 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/ fa6 i.u. J^« T EST. VAL. 'i 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 9 of units Assessor's Parcel #Existing Use . '#o7 St Proposed Usei # <Jf Bedrooms'Description of Work SQ. FT.# of Bathrooms 2. CONTACT PERSON (if different from applicant) Name Address '3. APPJ.ICANT.- ,0-p'ontractor, D Agent for Contractor P Owner City Agent for Owner State/Zip Telephone tt Fax # Name 4. .PROPERTY OWNER Address City State/Zip Telephone # 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 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). Name State License # Address License Class C~ 3 1 City State/Zip | Telephone # City Business License # \"2— VI Q (o I Designer Name Address City State/Zip I Telephone State License tt : 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: fj] 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. : ^0 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 isftJed. My worker's compensation insurance carrier and policy number are: ! Insurance Company ^T^TJ£T <-\jtO Q Policy No. ok?5^ ~~f.(»(o A Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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 (S100,gflOJi_inaddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE V ~"j ^ v DATE 7, OWNER-BUILDER DECLARATION---"* 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: [~] 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). O 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. C] 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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? [J 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~1 YES l~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? d 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. 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 afu-r the work is cpflWQenced for a period of 180 days (Section 106.4.4 Uniform Building Code). \ ftrri irfuiT"" "iPMnTiinr ( x ^ ~ r™-rr- LC-^7 f —e*\ "~?APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: _ 212^ 2. TYPE OF BUILDING: RESIDENTIAL > COMMERCIAL _ . 3. ROOF SLOPE: RISE__5£^inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Q> 2 3 5. TYPE OF EXISTING ROOF COVERING OO OOP SHEATHING -S K ) v> . *6. NEW ROOF MATERIAl/O^ftSitTc^CLASS A WEIGHT PER SQUARE "13? 7. fJUMBER OF SQUARES 8. TRADE MAMF 3^>f-^~ MANUFACTURER fc CJC . 9. ROOF SYSTEM LISTING UL No. fl- - 3s) ^5ICBO No."ER 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /^|^ 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 V t"^"^^" — Date Contractor >c Owner Contractor NameX "--- " *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 04/30/2003 Permit* CB031152 Title: BELL RES -26 SQ'SCOMP REROOF Description: REMOVE SHAKE Inspector Assignment: JE Sub Type: REROOF 2729 CHESTNUT AV Lot 0 Type: MISC Job Address: Suite: Location: APPLICANT EXCALIBUR ROOFING Owner: BELL JASON R&KAMMERER SARAH Remarks: Phone: 7605804083 Inspector: Total Time: CD Description 19 Final Structural Act Comment Requested By: JIM Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 04/24/2003 15 Roof/Reroof AP JE OK TO COVER ACQRD. CERTIFICATE OF LIABILITY 01/22/03 "THIS CERTIFICATE I* ISSUED A3 A MATTER Of IK ONLV AND CONFERS NO RlfiHTO UPON THE cERTIFICATi HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PRODUCER O. fi. Irvine Insurance Saxtriaea, Inc. 3377 Cazacl Mountain Road san Diego CA 92121 Shone; lljJbur Roofing, Inc. Q'S'failf* INSURERS AFFORDING COVERAGE Builtitez*Co INSURER B anerlcan statea laawaaao CQ. INSURER C:State Coup Insurance Fund INSURERS. COVERAGES THE POUCIBS OF INSURANCE LISTED BEIOWHAVB BBIN I3SUEO TO THE INSURED NAMBO ABOVE FOR THE POLICY PERIOD INDICATED, NOTWTMSTANDINQ «IY REQUIREMENT. TERM OR CONDITION Of AMY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR POLICIES. AOOHEGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HBRLTH A. B C TITS Of mSUWNCt BENEWU.UA8H.mr X 06f> OOMMEKCWl. &B«nM. UTILITY t AOSfiEGATE LIMfT APPLIES PER- SCHEDULED AUTOS H'RED AUTOS GAFUCffi LIABILITY e*< n AHVALTO SMLMWL/IV OCCLB |j OjtlM3M/>De WDftKBW COMPENMIION AND EHPLOYER8-LHBLITY OTHER MXJCYHUMIBI IUSS4000023 "=""» RfifAatfaSfK 01/00/03 13/31/02 01/01/03 ".a^^^w* oi/oe/04 12/A1/03 01/01/04 LIMTTE EACMCCCURREWCe , FIRE DAMtCE (An" '."O im) MRD KX? (Any OM |wr»r} PERSOM4J. * ADV INJJR'V GENERAL WSGRGftATE PBOCXlCTS - COMW ,<WO •{gSSS-T"1*" DOOIIY IMJUOV {Per person] BODILY I>WJRY !P« attwonti PROPEBTV DAMAGE AP.ITO OH. Y - SA Acan=Nr OTERT1WI EAACC AtJT&uNLT. A66 &*cnoca.f<M:i<ict «iOREO«TC 1 TORV LlMira 1 1 'ER E.L.EACHAOCIDEMT El. DISEASE -EAENFLOTEE E.L. DISEASE - POLICY LIMIT 1,000,000 50,000 5,000 1,000,000 1,000.000 » 1,0 00/OOp » 600,000 * ' . t $ t .t *t » t t 1000000 iibooiooo $1000000 DHBCWTION OF W6IWTION«/LOCATWN8MHHXE8«XGUJ«JON* ADDED BY ENDOftSaWWWeoM. WOVWONS Proof of Xnauranoe *10 day notion of cancellation applies fox non-payment of premium. CERTIFICATE HOLDER )W| j>ODmo>4ALiM«uftED;»4suMm LETTER;CANCELLATION PROOFOO proof of Xnfluraace Only ACORD 254 (7/97) PHOULO «NVOf THE ABOVE K$Cfl££0 P«uCI»BC CANCELL&P BeFOtK tHS BxPRAtUW DATBTHiRBOr, TH8BaMNOINSUIUM WIL1. ENCCAVOR TO MAIL _3Qj* BAVSWWTTe* NOTWE TO THE CERTIFICATE HOLDBR MAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 9 ACORD CORPORATION 1988