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Home My WebLink About2731 CHESTNUT AVE; ; CB023632; Permit12-03-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB023632 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2731 CHESTNUT AV CBAD MISC 1673922300 $3,552.00 Subtype: REROOF Lot #: 0 TROVER RES 3200 SF COMP REROOF TEAR OFF WD SHAKE Applicant: EXCALIEJUR ROOFING 2447 LA RAMADA LN ESCONDIDO CA 92027 760 275-7384 Status: Applied: Entered By: ISSUED 12/03/2002 SB Plan Approved: 12/03/2002 Issued: 12/03/2002 Inspect Area: Owner' TROVER JERRY A&LUCINDAA2521 12/03/02 0002 01 02 CGP 89..00 2731 CHESTNUT AVE CARLSBAD CA 92008 , Total Fees:$89.00 Total Payments To Date:$0.00 Balance Due:$89.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $89.00 $0.00 $0.00 $89.00 Inspector: FINAL APRROtfAL 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 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 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 _2Qil FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. ' Plan Ck. Deposit _ Validated By S_ 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 3700'l?A Proposed Use .i Description of/Work ^ I* y^Mi 1 ^^ ^^^.^ ^p ^> ^l^^^k ^ f^ 2. CONTACT PERSON (if different from applicant) SO. FT.#of Stories tt of Bedrooms # of Bathrooms Name Address 37,. : APPLICANT ijgpContractor . D Agent for. Contractor City Owner Q Agent for;Qwnef .. State/Zip Telephone # Fax i Name 4. PROPERTY OWNER Address City State/Zip Telephone # Address City Stat 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 [$500]). Name State License # Address License Class City State/Zip Telephone # City Business License # 12-1 I Designer Name Address City State/Zip Telephone State License # e. 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 the work for which this permit is issued. E3^ 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 J<." I AfE, pQ r^Q . Policy No. 2,%*}-iCoCf") Expiration Date / •"y~C>/ (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' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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). D 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. O 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 workl: PROPERTY OWNER SIGNATURE DATE 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 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? [H YES d 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 ADDRESSLENDER'S NAME _ . 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 3T$\ CHESTK^T _ ; 2. TYPE OF BUILDING: RESIDENTIAL ><- 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^MJ^SHEATHING S& P . *6. NEW ROOF MATERIAL^fyiPO^CLASS AwEIGHT PER SQUARE 7. "NUMBER OF SQUARES "3~Z~— . 8. TRADE NAME PTl.tl. _ MANUFACTURER 9. ROOF SYSTEM LISTING UL No.-^l ICBO No.eH "3Mf M . 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /YEsO 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 ^~"^s^^^v Date » ^Contractor v Owner _Contractor Name 1 *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, V&;.-"'> \|ii Other. City of Carlsbad Bldg Inspection Request For: 12/12/2002 Permit# CB023632 Title: TROVER RES 3200 SF COMP REROOF Description: TEAR OFF WD SHAKE Inspector Assignment: JM 2731 CHESTNUT AV Lot 0 Type:MISC Sub Type: REROOF Job Address: Suite: Location: APPLICANT EXCALIBUR ROOFING Owner: TROVER JERRY A&LUCINDA A 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 12/05/2002 15 Roof/Reroof " AP JM OK TO COVER 4&QQDL OF LIABILITY INSURANC^Jc^ B0 PRODUCER 3. S. Iievine Insurance Services , Inc . S3*n Carael Mown'tain Bead San Diego CA 92121 Pfcone: 858-481-8692 INBURE3 Excalibur Roofing, Inc.£447 La Rssaada LlaeEscondido CH. 92027i DATE (MWDWW) Oi/«S/02 THIS CERTIFICATE IS ISSUED AS A HATTER OF JWFORBIATIOK ONLY AMD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT A88END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE •wsuRfcKA: oemini insuxauce company NSURERB: State COESJO Insurance fuad USURER c; American States lasuraacs Co. . WSUREHD 31EURERE: COVERAGES ANY RECJUIRaiENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUSIBir WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR POLICIES.AGGREGATEUaHiTSSHOVSNtSAYHAVEBEEWREDUCEDBYPAlDCLAiMS.w & C B TYPE OF WSWWNCE GENSIAL UAWUTY 2Cl COMMERCIAL eENBWL LIAeiLfTl 1 |aAIMSM«Je fx] OCCUR j 1 can. AGCBE j POLICY SAIE LIMIT APPLIES PER1 — i PRO- r— i 1 JEC1 1 1 LOC AJJTCMQaiLE UCBOJTV X /W/WTO .'•LL O-.W1ED.AUTOS I GCHTOULED AUTOS X HIRED ALTOS 3C NOK-CWNED AUTOS GOFIAGE UABILnY J/WAUTO EKcess uaatftY ~] OCO-iR 1 ~| CLAIMS MADE' _j DEDUCTIBLE 1 RETENTION f WORKERS COMPENSATION AND EMPLOYERS' UABinY OTHER PducrwufflER VC3P002877 01CE8598943 28516«S»O2 w^o^^n6 01/01/02 12/31/01 01/01/02 01/01/03 12/31/02 ; 01/O1/O3 LWTS EACHCiCCUBRaCE FIRE DAMAGE (Any one are) MED EXP (Any one person) PERSONAL &AOV IHJURY BENER«L AO5SFSATI? PROOOCTS - CC*S>/OP AGO COSiBINH) SINGLE k'MiT (EnartnfcrtJ BODILY INJURY (Psr parson) BODILY INJURY (Per neater*) PKOHrHIYOPMACE (Per ncnid&cd} «JTO WS.Y - EA Acaoerjr OTHBitlW EAACC AUTO ONLY &££ EACHOCCLSJRENCE AGGREGATE -, I WC SIATU- I IOTH- X j TORY LIMITS 1 1 ER EL, EACMACODEKIT E,L. DISEASE - EA EMPLOYEE E.L. DISEASE- POLICY LIMIT 51,000,000 I 50 , 000 $ 5,000 $ 1,000,000 S irOOO,OOO $1,000,000 ; 500,000 S $ S S 5 $ $ J $ $ $ S 3.00OOOO $ 1000000 $ 1000000 DESCRtmON OF OPEIMT10NS/U3C«TIOf)afteHKLEBEXCLUElQ^ ADDED BY BTOOf«a»n7SreCWLPROVlSION3 CERTIFICATE HOLDER IK AcomoN*LiNSUSED:tNSURSt LETTER:CAHCELLATION PRDOITOO Proof of Insurance Only ACORD25-S(7/97) SHOULD ANT OF THE ABOVE DESCRBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION OATCTV®?EOF,THEBaUajGlSJS!JiSaVVllENtKAVOBTOB!fla. JID-*. DAYSVWWTTBJ NOTICETOTre CHrnFICATEKOUJER NAKED TO Tl« LEFT, BUT RULU8ETO DO SO SHALL BflPOSE MO OBUGAttON OR UABilJTY OP AW KIND IWOH WB INSURER, ITB AOEKTB OR SACORO CORPORATION 19S8