Loading...
HomeMy WebLinkAbout2011 AVENUE OF THE TREES; ; CBR2021-2399; PermitPrint Date: 08/11/2022 Permit No: CBR2021-2399 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 2011 AVENUE OF THE TREES, CARLSBAD, CA 92008-1105 BLDG-Residential 1562802100 $11,618.36 Work Class: Lot #: Project #: Reroof Status: Applied: Issued: 08/13/2021 08/13/2021 Finaled Close Out:10/26/2021 #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Orig. Plan Check #:Bathrooms: Final Inspection:10/26/2021Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSPECTOR:Dreibelbis, Peter REROOF: (26 SQS) CONCRETE TILE (E-REVIEW)Description: Project Title: Contractor: A PREMAN ROOFING INC 875 34TH ST SAN DIEGO, CA 92102-3331 (619) 276-1700 AMOUNTFEE BUILDING PERMIT FEE ($2000+)$132.70 BUILDING PLAN CHECK FEE (BLDG)$92.89 SB1473 – GREEN BUILDING STATE STANDARDS FEE $1.00 STRONG MOTION – RESIDENTIAL (SMIP)$1.51 Total Fees:$228.10 Total Payments To Date:$228.10 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 442-339-2719 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad CBR2021-23998/13/21~\,'~\~~ ('city of Carlsbad RESIDENTIAL BUILDING PERMIT APP LI CATION B-1 Plan Check ________ _ Est. Value PC Deposit Date Job Address2011 Avenue of the Trees Unit:. _____ APN:. __________ _ CT/Project #: _________________ Lot #: ____ Year Built: ________ _ Fire Sprinklers:QvEONo Air Conditioning:OYESQNo Electrical Panel UpgradeQYES0No BRIEF DESCRIPTION OF WORK: Re-roof 0 New SF : _____ Living SF,__,,~--Deck SF,, ____ Patio SF, ____ Garage SF __ _ Is this to create an Accessory Dwelling Unit? QvQN New Fireplace? QvQN, if yes how many? __ _ D Remodel: SF of affected area ·-----Is the area a conversion or change of use? Ov QN □ Pool/Spa:. ____ SF Additional Gas or Electrical Features? ___________ _ 0Solar: ___ KW, Modules, MountedOoofO;round, Tilt:OvON, RMA:QvQN, Battery: Ov Q\J, Panel Upgrade: Ov ~ , ~ Reroof: Remove existing concrete tile, install new Eagle Concrete Tile D Plumbing/Mechanical/Electrical 0 Only: Other: PRIMARY APPLICANT PROPERTY OWNER Name:Joseph Bridgeforth , ,4. <:Le--~ 'Ptc_ Name:._S_te..;.p_h_e_n_C_h_a_rle_s _____________ _ Address: 875 34th. Street Address:._2_0_11_A_ve_n_u_e_o_f_th_e_T_r_ee_s _________ _ City: San Diego State: CA Zip: 92102 City: Carlsbad State: CA Zip:_9_20_0_8 __ _ Phone: (619) 276-1700 Phone:.:.(7_6_0:...) 6_5_0_-5_4_15 ____________ _ Email: ar@premanroofing.com Email: sjcemail17@gmail.com DESIGN PROFESSIONAL CONTRACTOR OF RECORD Name: Business Name:A. Preman Roofing, Inc. ·---------,""----------Address: Address: 875 34th. Street City: _________ State: ___ Zip:. ____ City: San Diego State: CA Zip:._9_2_10_2 ____ _ Phone: Phone:(619) 276-1700 Email: Email: ar@premanroofing.com Architec CSLB License #: 764917 Class: C 3-._ ·-------Carlsbad Business License# (Required): P.:»L-0 S ( •2.::;3 $'j \ APPLICANT CERT/FICA TION: 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./ agree to comply with all City ordinan d State laws relating to building construction. NAME (PRINT): Joseph Bridgeforth SIGN: __ ~:.,~~~::.~===-=-DATE: cs ~C\./(.Cl"t,,, 163S Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 7 Email: Building@carlsbadca.gov REV. 07/21 THIS PAGE REQUIRED AT PERMIT ISSUANCE PLAN CHECK NUMBER: ______ _ A BUILDING PERMIT CAN BE ISSUED TO EITHER A STATE LICENSED CONTRACTOR OR A PROPERTY OWNER. IF THE PERSON SIGNING THIS FORM IS AN AGENT FOR EITHER ENTITY AN AUTHOR IZATION FORM OR LETTER IS REQUIRED PRIOR TO PERMIT ISSUANCE. (OPTION A): LICENSED CONTRACTOR DECLARATION: I herebyaffirmunderpenaltyof perjury that I am licensed under provisions of Chapter9 (commencing with Section 7000) of Division] 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 {CHOOSE ONE): Q1 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. PolicyNo .. _____________________________________ _ -OR- f.11 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. ~y workers' compensation insurance carrier and policy number are: Insurance Company Name: _R_ed_w_oo_d_F_ire_&_c_a_s_ua_lly'--------------- Policy No. APWC240761 Expiration Date: _41_1,_20_2_2 ____________ _ -OR-O 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 lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name: ____________________ Lender's Address: ___________________ _ CONTRACTOR CERT/FICA TION: 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. NAME (PRINT): "Sa,Sc;R'-\ ~c.-J&'~ SIGNATURE:_~~~::=~;;;:::,__DATE: c::.-Q.> (o°t..l"''Ze/"t. ( Note: If the person signing above is an authorized agent for the contractor provide -OR - (OPTION B): OWNER-BUILDER DECLARATION : I hereby affirm that I am exempt from Contractor'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 ~S-4lr improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or off,'.:.'>:d-fofsale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that hezid not b ild or improve for the purpose of sale). -OR-O I, as owner of the property, am exclusively contracting with licensed contractors to 9' struct the project {Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bzilds or im FOi/es thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). -OR-O I am exempt under Business and Professions Code Division 3, Chap 9, Article 3 for this reason: AND, □ FORM B-61 "Owner Builder Acknowledgemznt d Verification Form" is required for any permit issued to a property owner. By my signature below I acknowledge that, e ept for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I c not legally sell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors./ understand that a copy of eapplicable law, Section 7044 of the Businessand Professions Code, is available upon request when this application is submitted orat the following We site: http:/ /www.leginfo.ca.gov/calaw.html. OWNER CERT/FICA TIO . I certify that I have read the application and state that the above information is correct and that the information on the P. ns is accurate. I agree to comply with all City ordinances and State laws relating to building construction. SIGN: __________ DATE: ______ _ Note: If the p son signing above is an authorized agent for the property owner Include form B-62 signed by property owner. 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov 2 REV. 07/21 B-10 REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: ;). 0 I I fl r/etJ u e.. o F fh-e.. -y;;-ee .S ~---~----------------- 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL ---- ** Please contact HCD for a permit if you will be doing work on a manufactured/mobile home. ** 3. ROOF SLOPE: RISE (o INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE)c) 2 3 5. TYPE OF EXISTING ROOF COVERING C()AJc1t../4:.._ Tile SHEATHING 5o/,-;j 6. NEW ROOF MATERIAL CoNUL.Je_ 77/4 CLASS /t- 7. NUMBER OF SQUARES _ __,;.d-____,;:,0 ___ WEIGHT PER SQ. 90() 8. TRADE NAME trlal/bu MANUFACTURER ~qg/e.... ;-;'/e 9. ROOF SYSTEM LISTING: UL NO. ? I.C.C.E.S. Report# / /p 'f 7 ASTM_~~/4~_ 10.IS THE EXISTING STRUC~ 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. Name ~._;,J ~"-:~ Signature _ __;__;::=--l.=:..._,_ --=~-=--+-~ -= .,..,-=:. _':_ ..;;::.-..... __________ Date_--'-2-+/_0.....,l ....... d.."'--'--'-( ____ _ ~ r ; (CIRCLE ONE) Owner *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other Page 6 of 6 Rev. 04/14 PREMROO-04 ACASTILLO ACORD~ CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/OD/YYYYI ~ 6/29/2021 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 BY THE POLICIES 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 policy(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 P.Wn~cT Hailey Aguirre San Diego-Alliant Insurance Services, Inc. FlJ8Jf o, Extl: 619-307-3401 I FAX 701 B St 6th Fl (A/C,Nol: San Diego, CA 92101 1£;.,MnAJ~ee-Hailey.Aguirre(@alliant.com INSURERISI AFFORDING COVERAGE NAIC# INSURER A, Clear Blue Insurance Comoanv. Inc. 28860 INSURED INSURER B: Redwood Fire and Casualty Insurance Company 11673 A. Preman Roofing, Inc. INSURER C: 87 5 34th Steet INSURER D: San Diego, CA 92102 INSURER E: 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 HEREINISSUBJECTTOALL THETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICYEFF POLICY EXP LIMITS I TR ,.,en unm /IIUIOQIVVVV\ "'"'DDNVVYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE s 1,000,000 -:J CLAIMS-MADE [Kl OCCUR AR01-RS-2102925-00 6/30/2021 6/30/2022 DAMAGE TO RENTED 100,000 OCCUIC'CC' tr=::i """Urre"""'""\ $ MED EXP /Anv one oersonl -s 5,000 1,000,000 PERSONAL & ADV INJURY s -2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s ~ POLICY [Kl fr8r □ LOC PRODUCTS -COMP/OP AGG s 2,000,000 OTHER: s A AUTOMOBILE LIABILITY ~~~~~~~~llNGLE LIMIT s 1,000,000 X ANY AUTO BW02-STR-2100109-00 6/30/2021 6/30/2022 BODIL y INJURY IPer .,.,son\ $ f--OWNED -SCHEDULED -AUTOS ONLY -AUTOS BODILY INJURY /Per accident\ S X ~lfT1Ps ONL y X ~8fo<s"mi1~ FP~?~tidlJitfAMAGE s -s A UMBRELLA LIAB ~OCCUR EACH OCCURRENCE s 5,000,000 -77HX2197D7 6/30/2021 6/30/2022 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE s OED I I RETENTION s s B WORKERS COMPENSATION XI ~f~TUTE I 1 mH-AND EMPLOYERS' LIABILITY Y/N APWC240761 4/1/2021 4/1/2022 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE !YI E.L. EACH ACCIDENT s N/A ~f~~i!:,'W1~~fi~ EXCLUDED? E.L. DISEASE -EA EMPLOYEE S 1,000,000 If yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional 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 [?717 ~ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD □ca , CONTRACTORS STATE LICE;NSE BOARD ACTIVE LICENSE ,,.u•~w 764917 '"" CORP •~Nnl= A PREMAN ROOFING INC CW,MU(OI C39 ASS C43 C61/O12 B F«M~, 10/31/2022 www.cslb.ca.gov Any change ol businoss address/n;1rne roust be ,eported lo lhc Registrar within 90days lhl~ llr:e:n~P. Ii:-ntit lriUHtfRrri\hlo, :;tnd ,;hi\11 ha C".lurnad ln the Re!]l!-lrt1r upon domand when sus:p2nded, revcked, or Invalidated for tin;· reason. lhls pocket card Is valid through the expiration dale only. tf tound, drop In any mailboK. Post;u;ie quaranleed bv: Coot,a,;lors Stal~ llc-'?m>e Ek-3f,j ?.':.•. i--.:-:-. :i!SO,:,C,, ~:rJ/11~/lt'.:' i::A ':·';-32d Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2021-2399) BLDG-Residential 08/13/2021Application Date:Permit Type:Owner: Reroof 08/13/2021Work Class:Issue Date:Subdivision:CARLSBAD TCT#72-11 04/25/2022Expiration Date:Status: IVR Number: 35181 Closed - Finaled 2011 AVENUE OF THE TREES CARLSBAD, CA 92008-1105 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 10/26/2021 BLDG-15 Roof/ReRoof (Patio) 169342-2021 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Existing plywood Yes BLDG-Final Inspection 169343-2021 Passed Peter Dreibelbis Complete COMMENTS PassedChecklist Item BLDG-Structural Final Yes Tuesday, October 26, 2021 Page 1 of 1 {cityof Carlsbad