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167 MAPLE AVE; ; CBR2021-0399; Permit
Print Date: 04/26/2021 Permit No: CBR2021-0399 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 167 MAPLE AVE, CARLSBAD, CA 92008-3264 BLDG-Residential 2042332000 $3,513.20 Work Class: Lot #: Project #: Reroof Status: Applied: Issued: 02/12/2021 02/12/2021 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled PBurn Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:04/26/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: 20 SQUARE REROOF, COMP SHINGLE TO FIBERGLASS SHINGLE (E-REVIEW)Description: Project Title: Property Owner: SILVA TODD L TRUST 12-11-19 167 MAPLE AVE CARLSBAD, CA 92008 Contractor: A PREMAN ROOFING INC 875 34TH ST SAN DIEGO, CA 92102-3331(619) 276-1700 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$61.74 BUILDING PLAN CHECK FEE (BLDG)$43.22 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION-RESIDENTIAL $0.50 Total Fees:$106.46 Total Payments To Date:$106.46 Balance Due:$0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-0399$3,513.202/12/2021RESIDENTIAL ~ ( City of Carlsbad BUILDING PERMIT Plan Check ------Est. Value APPLICATION PC Deposit B-1 Date Job Address 167 Maple Ave. Suite:. _____ APN: __________ _ CT/Project #:. _________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers: QvEsO NO Air Conditioning:Q YES ONO Electrical Panel Upgrade: QvEsO NO BRIEF DESCRIPTION OF WORK: Re•roof 0 Addition/New:. _____ Living SF, ___ Deck SF,. ____ Patio SF,, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? Ov ON New Fireplace? Ov ON, if yes how many? __ D Remodel: SF of affected area ·-----Is the area a conversion or change of use ? Ov ON □ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _ OSolar: ___ KW, ___ Modules, Mounted: ORoof OGround, Tilt: 0 vO N, RMA: Ov ON, Battery: Ov ON, Panel Upgrade: Ov ON [i] Reroof: Tear off existing 2 layers comp shingles, install Owens Corning Fiberglass shingles D Plumbing/Mechanical/Electrical 0 Only: Other: / This permit is to be issued in the name of the Property Owner as Owner•Bullder, licensed contractor or Authorized Agent of the owner or contractor. The person listed as the Applicant below will be the main point of contact throughout the permit process. {pRru>FRIY ow~~ Name: Todd Silva Address: 167 Maple Ave. APPLICANT 0 City: Carlsbad State:._C_A ____ Zip: 92008 Phone: (760) 908·9116 Email: toddsilva(a2outlook,com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name:. ____ -'---.,...::;..--------Name:A. Preman Roofing Address:._..,..~--..,..~--------,..--cfdress: 875 34th. Street ___ Zip: ____ _ City: City:San Diego State:._C_A __ Zip:92102 Phone:(619) 276·1700 Email: ar@premanroofing.com State License/class: 764917C 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Bus. License: S L-C>~ t2,3?,S', \ Email: Building@carlsbadca,gov REV. 08/20 IDENTIFY WHO WILL PERFORM THE WORK BY COMPLETING {OPTION A) OR {OPTION B) BELOW: {OPTION A): LICENSED CONTRACTOR DECLARATION: I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. I also affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued. Policy No., _______________________________________ _ ✓ liJ I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Company Name: Redwood Fire and Casualty Insurance Co. Policy No.APWC 134888 Expiration Date: _41_1,_20_21 __________ _ 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. CONSTRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there is a construction tending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name:, ____________________ _ (OPTION B): OWNER-BUILDER DECLARATION: I hereby affirm that I am exempt from Contractor's license law for the following reason: DI, as owner of the property or my employees with wages as their sole compensati , 1 ~work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does n~p y to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvem t(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 burde proving that he did not build or Improve for the purpose of sale). 0 I, as owner of the property, am exclusively contrac with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an ow of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Business and Prof ions Code Division 3, Chapter 9, Article 3 for this reason: ent and verification form" has been filled out, signed and attached to this application. 0 Owners "Authorized A nt Form" has been filled out, signed and attached to this application giving the agent authority to obtain the permit on the owner's behalf. By my signature below acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements cover by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I under and that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at th following Web site: http://www.leginfo.ca.gov/calaw.html. OWNER PRINT: _________ _ SIGN: __________ DATE: _____ _ APPLICANT CERTIFICATION: SIGNATURE REQUIRED AT THE TIME OF SUBMITTAL By my signature below, I certify thot: I am the property owner or State of California licensed Contractor or authorized to act on the property owner or contractor's behalf 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 representative 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 perm. demolition or construction of structures over 3 stories in height. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760·602-2719 Fax: 760·602-8558 Email: Building@carlsbadca.gov 2 REV. 08/20 ./ ( City of Carlsbad RE-ROOF 8-10 A building permit is required to reroof all buildings when: Removal of the existing roof is required by Chapter 15 in the 2013 California Building Code And Chapter 9 in the 2013 California Residential Code Development Services Building Division 1635 Faraday Avenue 760-602-2719 www.carlsbadca.gov When lighter weight roof covering is being replaced with a heavier weight material engineering calculations may be required for the supporting structure. The attached Supplemental Building Permit Application must be completed in addition to the standard building permit application. Please note: Combustible roof coverings are prohibited in Carlsbad per the City's adopted Building Code. All roof systems must be a minimum Class A System and the roof covering must be non-combustible. B-10 Required Inspections: 1. Tear Off: This inspection is required for either existing or new sheathing and underlayment prior to installing new roof covering. 2. Final Inspection: When all roof coverings, and flashings are complete. Page 1 of 6 Rev. 04/14 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 1 ~ 7 rYll\-Pt... E Ave. 2. TYPE OF BUILDING: RESIDENTIAL ::::X. COMMERCIAL ---- 3. ROOF SLOPE: RISE '-/ INCHES IN 12 INCHES 4. NUMBER OF EXI STING ROOF COVERING (CIRCLE ONE) 1 a) 3 5. TYPE OF EXISTING ROOF COVERING (..omv ,.~-.~ t..,· SHEATHING r' \1 wood *6. NEW ROOF MATERIAL ~i~~tA\S ~\\-,~J~CLASS Pit WEIGHT PER SQ. ;l7D 7. NUMBER OF SQUARES J._0 8. TRADE NAMEI t,IJ b,f,-.; 1 l.-i"" MANUFACTURER QWCN S C,6/(, i\l llV~ 9. ROOF SYSTEM LISTING: ULNO. J°10 ASTM E. \Oi I.C.C.E.S. Report# AC... i ~ "'8 1 O. IS THE EXI STING STRU~L 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 der extending at least 2 rungs above the roof for inspection. / *6. Rolled Roofing, Standard/Lite Tile, AsphalUComp fiberglass, Built Up, Other Page 6 of 6 Rev. 04/14 NOT TRANSFERABLE UC.NUMBER BLOS1233571 DATE ISSUED 10/28/2020 NAICSCODE 236220 ()'M>IER FIRM OR CORPORATION NMIE BUSINESS NAME MAILING ADDRESS CITY AND STATE CITY OF CARLSBAD POST IN CONSPICUOUS PLACE 1635 Faraday Ave, Carlsbad CA 92006 BUSINESS REGISTRATION CERTIFICATE lepen,on.GnnorC04'pOfatiOnN.tMd belw,b g,-needthJt M !nes1cc.nit"catcp\nuvic.&othcpro"it,onsofttteeiy&ls:t,,HtlJoensoOrdiNncc-itotnpgc~Qrryonorcondua. :us.'ncss. trade. earng, pror•uion. e,te't.lon or~Uon dH<.n"bed be.Sow. lJSusr« or Ole c~ble t, not an tndOrMmc.nl.. nor ectlilc.ation Qf ~• vi\h other otdina.ncc, c Laws. TN', k-cnt.e tslssucd "'-.:.thout \'C6fica~ rhal: UN: r«ns-u 1$.fl.lb!Kt to orcnmpl fl'om l<:&l\ing by~ St:alo o,CaJJoma. NA!CS DESCRIPTION Commercial and Institutional Building Construction A PREMAN ROOFING INC A PREMAN ROOFING INC 875 34TH ST SAN DIEGO, CA 92102-3331 BUSINESS LOCATION 875 34TH ST EXPIRATION DATE 07/31/2021 ('Cityof Carlsbad KEEP FOR YOUR RECORDS LICENSE NUMBER BLOS1233571 DATE ISSUED 10/28/2020 EXPIRATION DATE 07/31/2021 BUSINESS NAME A PREMAN ROOFING INC BUSINESS LOCATION 875 34TH ST TAXES P/JO L'l ACCOfUW'~'CE\\mi arveus1:,1:ss TAX OR0l1W~e CITY OF CARLSBAD PREMR00-04 JROMERO ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 10/2/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # OC36861 Sl?t!!~cT John Romero San Diego-Alliant Insurance Services, Inc. PHONE I FAX 701 B St 6th Fl (AIC, No, Ext): (AIC, Nol: San Diego, CA 92101 j~~cc.John.Romero@alliant.com INSURER(fil AFFORDING COVERAGE NAIC# INSURER A: Naviaators Soecialtv Insurance Comoanv 36056 INSURED INSURER B: Vantaoro Soecialtv Insurance Comoanv 44768 A. Preman Roofing, Inc. 1NsuRER c: Burlinciton Insurance Company 23620 875 34th Steet INSURER D: Redwood Fire and Casualty Insurance Company 11673 San Diego, CA 92102 INSURER E: AXIS Surplus Insurance Company 26620 INSURER F: COVERAGES CERTIFICATE NUMBER· REVISION NUMBER· THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN ISSUBJECTTOALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. l~f: TYPE OF INSURANCE ~.~JlnL ~.~~~ POLICY NUMBER POLICY EFF POLICY EXP LIMITS 1uu1oorvvVVl """DDNVVVI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 f--:J CLAIMS-MADE []] OCCUR DAMAGE TO RENTED 50,000 SF20CGL0197391C 6/30/2020 6/30/2021 Pl>FAAl<:F<: /Ea oe,o "'""CB\ s MED EXP /Anv one ni,rsonl $ 5,000 f--1,000,000 PERSONAL & ADV INJURY s f-- 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ Fl POLICY []] m?i= □ LDC PRODUCTS -COMP/OP AGG $ 2,000,000 OTHER: EBL AGGREGATE $ 1,000,000 B AUTOMOBILE LIABILITY -_(F~~~~t"!,~~.?INGLE LIMIT $ 1,000,000 ANY AUTO 5087048301 6/30/2020 6/30/2021 BODILY INJURY /Per oerson\ s -OWNED X SCHEDULED -AUTOS ONLY >---AUTOS BODILY INJURY /Per accident) $ X HIRED X ~8fo~~J~ ft.,9~fc~JJ,t~AMAGE s -AUTOS ONLY f-- s C UMBRELLA LIAB ~ OCCUR EACH OCCURRENCE $ 5,000,000 -HFF0013347 6/30/2020 6/30/2021 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE s OED I I RETENTION$ s D WORKERS COMPENSATION X I ~ffrnTF I I ~JH-AND EMPLOYERS' LIABILITY Y/N APWC134888 4/1/2020 4/1/2021 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE □ E.L. EACH ACCIDENT s OFFICER/MEMBER EXCLUDED? N/A 1,000,000 (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE S ~iii~rt-¥~~ ~t'6PERATIONS below E.L. DISEASE -POLICY LIMIT S 1,000,000 E Pollution Liability CP003711-03-2020 6/30/2020 6/30/2021 $2,000,000 each claim $2,000,000 aggregate $25,000 deductible DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached If more space is required( Proof of Coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE A Preman Roofing, Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 875 34th Street San Diego, CA 92102 AUTHORIZED REPRESENTATIVE I lr7'7~ A CORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD □ca . CONTRACTORS STATE LIC~NSE BOARD ACTIVE LICENSE ""'"~'" 764917 ,-,° CORP ,~"'""" A PREMAN ROOFING INC ,-,,~y'" C39 ASB C43 C61/D12 B 10/31/2022 .A. hd'!.1 www.cslb.ca.gov iJ~ Any chanoo of buslnass addrcs5/nanw mus I be reported to lho Regiilrar within 90 days Thllri llr.enA't ,~ not tranflhttt,'\hla, 11nd AhRII ha ff'IIUfO~d In thA Reolt.lrM upon dertrnnd when suspended, revo:,.ed, or lnvaUcfnted for ony reason. This pocket card ls valid through the expl1a1lon dale only. H found. drop In any mallt>ox. Posta9e 9uaranti?ed bv; Oxlt,ae!Ots Stale-Llce,ns~ 9?3r~ ~.0. e..:-~~'3000. :\i:rJll\~nttiCAS$3-.2~ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-0399) BLDG-Residential 02/12/2021Application Date:Permit Type:Owner:TRUST SILVA TODD L TRUST 12-11-19 Reroof 02/12/2021Work Class:Issue Date:Subdivision:PALISADES 10/12/2021Expiration Date:Status: IVR Number: 31529 Closed - Finaled 167 MAPLE AVE CARLSBAD, CA 92008-3264 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 04/12/2021 04/12/2021 BLDG-15 Roof/ReRoof (Patio) 154559-2021 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes 04/26/2021 04/26/2021 BLDG-Final Inspection 155871-2021 Passed Paul Burnette Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final Yes BLDG-Electrical Final No Monday, April 26, 2021 Page 1 of 1 {cityof Carlsbad