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2840 CEBU PL; ; CB010277; Permit
01/23/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No'CB010277 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2840 CEBU PL CBAD MISC 2153102301 $2,975 00 Subtype REROOF Lot# 0 GUILLAUMIN RES-2500 SF COMPOSI & BUILT UP Applicant SCHOTT ROOFING INC 225 E CARMEL STREET #1 SAN MARCOS, CA 92069 619-744-6450 Status ISSUED Applied 01/23/2001 RMA 01/23/2001 01/23/2001 Entered By Plan Approved Issued Inspect Area Owner GUILLAUMIN IGNATIUS E&TERESA TRUST 11-21-95 2840 CEBU PL CARLSBAD CA 92009 9659 01/23/01 0002 01 02 Total Fees $7700 Total Payments To Date $000 Balance Due $7700 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FEE $7700 $000 $7700 Inspector FINAL APPROVAL tDate Clearance NOTICE Please lake 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 Jees/exaciions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expjred PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORI FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date ^0\0277 Address (include Bldg/Suite #)Business Name (at this address) Legal De Lot No Subdivision Name/Number Unit No Phase No Total # of units Existing Use Proposed Use #of Stones /: &Y™ ifeA . S* # of Bedrooms * of Bathrooms fla- Name ^J Address City 3 APPLICANT Q Contractor O Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone # Fax ff Name Address City Telephone It Address City State/Zip Telephone #Name S 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 iha Contractor s License Law [Chapter 9, commending with Section 70UO of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basts for the alleged exemption Any vioj^tion qf Section 7031 5 by any applicant for ^ permit subjects the ap£ticant,to,a civil penalty of rjpt more than five hundreji dollars-22*?of not more than fivCR QOXTK Name State License # Address License Class Cltv State/Zip City Business License # Telephone* 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 Q 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 * $££ I have and will maintain workers' compensation, BS 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-jjolicy number are 4 . Insurance Company _\) ) I I^KIQv & "£yXg' L-^TY^P^jl^M Policy No J^Q^ *^d^558j Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT ISFoToNEHlAlDRED DOLLARS [$1001 OR LESS) Q CERTIFICATE OF/EXE.MPTION 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 subjec WARNING Faili e to secure workers compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollai SIGNATURE OWNER-BU to the vyorkersyCompensation Laws of California SI 00 O.Op), in] addition to trie cost of, com pens at ion, damages as provided for in Section 3706 of the DATE est and attorney's fees RATION I hereby affirm that I am exempt from the Contrictor'slLicense Law for the following reason Q I as awnar of the property of my employe^s-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 Tha 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) Q 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 License1 Law) [3 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 Q 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 t 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? Q Y£S CD 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? Q 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(0 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 City 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 Nmitalion and become null and void if the building or work authorized by such permit is not cornmen^clTVtrun 180 days tram the date ol such perm« 01 if the building or work authorized by such permit is suspended or abandoned at any time after the work is commencjro for/a period of ISO-flays (Secttgn 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE r^^^3r^—- ^^^--g^T^f/^ DATE ^ WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD JOB ADDRESS SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING //.' _ 2. TYPE OF BUILDING: RESIDENTIAL X^ COMMERCIAL 3. ROOF SLOPE: RISE H" inches in 12 Inche 4. 5. *6. 7. 8. 9. 10. TYPE OF EXISTING ROOF COVERING NUMBER OF EXISTING WJOF COVERINGS (circle'one) (J/ 2 3 NEW ROOF MATERIAL ^\^^^^^^&f^_ &_ WEIGHT PER SQUARE. X9 A jn»«A *A ft _ I NUMBER OF SQUARES TRADE NAME * " ROOF SYSTEM APPROVAL UL . SIGN & MANUFACTURER IS THE EXISTING STRUCTURAL DESIGN FF1CIEHT TO, SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES XT NO ' ' '"°v If the answer is no, a roof plan must be provided with this application. U. Fire rating of roof: Class A V Class B _ I understand the following inspections are required: •' ' 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection i / ' . i * * -- I agree to provide a ladder extending at least 2 rungs above the roof for inspection *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up City of Carlsbad Bldg Inspection Request For 02/08/2001 Permit# CB010277 Title GUILLAUMIN RES-2500 SF COMPOSI Description & BUILT UP Inspector Assignment PD Type MISC Sub Type REROOF Job Address 2840 CEBU PL Suite Lot 0 Location APPLICANT SCHOTT ROOFING INC Owner GUILLAUMIN IGNATIUS E&TERESA TRUST 11-21-95 Remarks Phone 7607446450 Inspector Total Time Requested By TERRY Entered By CHRISTINE CD Description 19 Final Structural Act Comments Associated PCRs Inspection History Date Description Act Insp Comments 01/30/2001 13 Shear Panels/HD's WC PD 01/30/2001 15 Roof/Reroof AP PD FROM PHONE NO IS 2001 12 32PTI PI ACQRD. INSURANCE BINDER ot"DvM »"„„ THf$8lNO£R IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TC T*E COWtJiTtONS SHOWN ON THE REVERSE SIDE OF THIS FORM *"*Sv^ ^t,^.. 630-990-9091 830-990-909$ American Patriot Inaueanco Agency, I»c . 223,5 S Yotk Rd Suite 4DO . 0«W)ifOO* It 60523 MifceiAl D. Sehech coot «ueCW mmSlrU SCHOT-2 •«u«p» Ecbott Roofing Inc 225 E. C«nacl 5tr«Ot *1 3afc tUrcoa CA 920S9 1 - - OO"*" | n-Wf 3SJ2 Villon-ova Ineurance Company ( ("rcrt*l (»nwti>»D*m "t«t D«E I TintFt j i•*• X ' :o - 1 r^I -" 01/01/02 i | •«- t«*wflwafB « ywuefl *o D^pr; «wfi "Act *»•"* ••vc "UM» eBMoui- B(l>M««WflBI>.'t-'f tMT«™''3'' « O™a*"o>«s>"l(*'Sttjr»Wei'*' 1 -K'lHM L*:n^> wctt WC4-0075580 - villaao-tf-a Inautrance Cornpa *y COVERAGES LIMITS _ — | ~— , _ j "t»o | | \ j OCO.» QOD , , 000 000 i 1,000.000officers- Roy E schott fi Pjawla Schott ADtJRESS ACORD 75-S f-t/98)MOTS IMPORTANT STAT£ INFORMATION ON REVERSE SIDE ©ACORD CORPORATION 1993f • * £ i-» tt *,&*,,&.< ,333