HomeMy WebLinkAbout2842 CEBU PL; ; CB010279; PermitV
01/23/2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB010279
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2842 CEBU PL CBAD
MISC
2153102302
$2,975 00
Subtype REROOF
Lot# 0
FERRIN RES-2500 SF COMPOSITION
& BUILT UP
Applicant
SCHOTT ROOFING INC
225 ECARMEL STREET #1
SAN MARCOS, CA920S9
619-744-6450
Status ISSUED
Applied 01/23/2001
Entered By RMA
Plan Approved 01/23/2001
Issued 01/23/2001
Inspect Area
Owner
FERRIN TIM&KELLY
2842 CEBU PL
CARLSBAD CA 92009
965? 03/23/01 0002 01
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 V^
FINAL APPROVAL
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 ahnul 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/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 INFORMATI 91.
FOR OFFICE USE O
PLAN 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
Proposed Use
#of Stones ft of Bedrooms ft of Bathrooms
2 CONTACT PERSON (If different from applicant)
Name
3 APPLICANT
Address
Q Agentfpr Contractor D Own?
City
ner
State/Zip Telephone ft
Name
4 P.RPPERTY OWNEjt «
Address Cnv Stats/Zip Telephone
03 21
Address City State/Zip Telephone #Name
5 CONTRACTOR - COMPANY NAME , ,
(St*c 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 ihe 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
Any^iolationjOf Section 7031 5 by any applicant for a permit subjjcts^the applicant to apvil penalty of rjot^moie than five hundred dollars [$50011 ^^^
Name
Suite License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License tt
6 WORKERS' COMPENSATION
Workers' Compensation Declaration I hereby affirm undar 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
Xt \ have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is
issued My worker s compensation insurance earner and policy number are 41* /I
Insurance Company \] l\Vi^A/WQ *^0&* t~CV>MCO*^M Policy No ri ^~^i ""OP /SDoQ Expiration Date i| \
COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS {$1001 OR LESS)
ION /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
(THIS SECTION NEED NO
n CERTIFICATE OF E)d£M
to become sub|ectfto\tKe Workers Compensation Laws of California
WARNING Failure td secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars t?10piOJ>0)Mn addition to the cost <)f compensation, damages as provided for in Section 3706 of the J-abof, cpde, interest and attorney'* fees
DATE
taces
/SIGNATURE _
7 OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Cqfitrajftor's License Law for the following reason
Q 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)
[_] ! as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Coda 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)
Q 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 QHO
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 / phona
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 trie 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 YES Q 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 Y£§ 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(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 oi the CitV °f Cailsbad 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 stones in height
EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and yoid if the building or work
authorized by such permil is not commanCftd within 180 days Irom 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 commeri^ed Jor a period of 180 difysj)Socl3n4P6 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE 123/0 J
WHITE File YELLOW Applicant PINK Finance
CITY OF CARLSBAD
1. JOB ADDRESS
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFIN6
I A
2.
3.
4.
5.
*6.
7.
8.
9.
10,
TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL
ROOF SLOPE: RISE L4 inches in 12, inches
TYPE OF EXISTING ROOF COVERING
NUMBER OF EXISTING .ROOF COVERINGS (circle'ojte}
NEW ROOF MATERIAL Vxjj^PlLD* £mH)6^HJ&
NUMBER OF SQUARES g ctfYVLprf /7bux£f
TRADE NAME ^w*jMfc\rtia' r U&LJ^AMANUFACTURER
2 3
PER SQUARED)
ROOF SYSTEM APPROVAL UL ft,
IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO, SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES V^ NO _ ^_ ' ' °V
If the answer is no, a roof plan must be provided with this application.
Fire rating of roof: Class A X 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' . t'-• -~
I agree to provide a ladder extending at least 2 rungs above the roof for inspection,
SIGN
Contractor
"*;** it* j 'i DATE
Owner ContractorName
*6 - Rolled Roofing, Tile. Shake, Shingle, Aspnalt/Comp Fiberglass, Built up.
City of Carlsbad Bldg Inspection Request
For 02/08/2001
Permit# CB010279
Title FERRIN RES-2500 SF COMPOSITION
Description & BUILT UP
Inspector Assignment PD
Type MISC
Job Address 2842 CEBU PL
Suite Lot
Location
APPLICANT SCHOTT ROOFING INC
Owner FERRIN TIM&KELLY
Remarks
Sub Type REROOF
Phone 7607446450
Inspector
Total Time
CD Description
19 Final Structural
Act Comments
Requested By TERRY
Entered By CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments
01/30/2001 13 Shear Panels/HD's WC PD
01/30/2001 15Roof/Reroof AP PD
PHONE NO JftN IS 2001 12 32PM PI
AGQ&D, INSURANCE BINDER °01° *" »,79,ao
rwlS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM _
™"1VJ!I L^T^c.., 630-930-3091
530-390-909?
African Patriot Inaueanco
ftgftncy. Inc
2?15 S Fat* Rci Suite 400
Oafebrpo* II* 60523
Milceial 0 Sefaech
COM TOO COT
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Echott Rc-afing Inc
225 E Cmrmel Sfctftet *1
Sac Marcos CA 930«3
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COVERAGES LIMITS
1 \
' - 1
1 _
I*
1 OOC, QOO
1,000 000
1, QOD 000
officers
hrtWi—W
Wwiwwa
a. - Roy £ Schc-- 6 Pamela Schott
NAME .5 AOO*?£S5
NCm= IMPORTAMT STATE INFORMATION ON REVERSE SIDE (B-ACORD CORPORATION* ' ' * *•• rt *<^j-.,rf /
ACORD 75-5