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HomeMy WebLinkAbout1010 DAISY CT; ; CB070998; Permit04-16-2007 i City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB070998 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1010 DAISY CTCBAD MISC 2144100600 511,23500 Subtype REROOF Lot# 0 MCKIRNAN 3500 SF SHAKE TO LT WT TILE 5 85# Status Applied Entered By Plan Approved Issued Inspect Area Applicant DOO RITE CONSTRUCTION 751 SESAME ST 91910 800 525-7929 Owner MCKIRNAN CHERYL 1010 DAISY CT CARLSBAD CA 92011 ISSUED 04/16/2007 JMA 04/16/2007 04/16/2007 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $19200 $000 $000 TOTAL PERMIT FEES $19200 Total Fees $ 192 00 Total Payments To Date $19200 Balance Due $000 Inspector FINAL APPROVAL Date £ "I 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/exact'ons of which you have previously been given a NOTICE similar to this, or as to which the statute ot limitations has previously otherwise expired PERMIT APPLICATION , i CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 si JfflPBlpCf INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL M / Plan Ck Deposit Validated By OftA" Date t/f/ I Address (include Bldg/Suite tf] A/cO/0 &A/SY PTT Legal Description Assessor's Parcel # ~\J Description of Work A ft£~ Xfco^ - 6f. UM-* 2. '••' CONTACT PlRSO'NM different frdrrl Name Business Name Lot No Subdivision Name/Number Existing Use SQ FT #of Stories ~tilA. s^,56P, 1 Address City (at this address) Unit No Phase No Total Proposed Use # of units # of Bedrooms # of Bathrooms State/Zip Telephone #Fax # ''''; Q^ Contractor, "O^Aaent'forJCiintra&tb'ri- ^D^ner". "D-Agent-fbr'Owner-; City State/Zip Telephone # cr Address • COMPANYNAME "':'"-''''•:•' ' '• City State/Zip Telephone # (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 # (tf /3& j / ( Designer Name State License # Address License Class Address City State/Zip ij /*^7 "City Business License ff f •«&-. City State/Zip Telephone # Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 the1 work for which this permit is issued \$A 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 "\ /Policy No "\_) Expiration Date_v5"HUNDRE tho ^-"SIG'' (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~) 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 msand dollars ($4 00,000), in addition to the cost of compensation, damages as provided for In Section 4706 of the Labor code,interest and attorney's fees SIGNATURE /V^^eyCf fc /^-t^— >/ DATE _ I hereby affirm that I am exempt from the Contractor's License Law for the following reason n If 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) 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 License Law) |~1 | 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 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 work) 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? Q YES fj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES CD NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? D YES O 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 iliifiNiiii^ ,• •.-•:.•--•• '••••; ' •'•' ,: • " v '.""'.,-.'. . ..... , i.J; : I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME _ LENDER'S ADDRESS _ 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'Q" 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) X/APPLICANT'S SIGNATURE /{/^M-64/f *f WHITE File YELLOW Applicant PINK Finance' DATE O REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: /O/O &AtS<S C7" f>A&LS&/9& 9?ZvJa 9 2. TYPE OF BUILDING: RESIDENTIAL VL^ COMMERCIAL_ 3. ROOF SLOPE: RISE S INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) @ 2 3 5. TYPE OF EXISTING ROOF COVERING Uott> $#**£, SHEATHING *6. NEW ROOF MATERIAL T7^€ CLASS.^ WEIGHT PER SQ.^5" 7. NUMBER OF SQUARES_jJ£ 8. TRADE NAME MANUFACTURER 9. ROOF SYSTEM LISTING UL NO. ICBO NO. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (feT) 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 /J/fvutf/&s2*£— Date 5 Contractor Owner Contractor HameJ[)fOO-/r}/-7^ *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For 05/02/2007 Permit* CB070998 Title MCKIRNAN 3500 SF SHAKE TO LT Description WTTILE585# Inspector Assignment PD Type MISC Sub Type REROOF Job Address 1010 DAISY CT Suite Lot 0 Location OWNER MCKIRNAN CHERYL Owner MCKIRNAN CHERYL Remarks Phone 6198433405 Inspector Total Time CD Description 19 Final Structural Act Comments ^f o Requested By CHANDA Entered By JANEAN Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/18/2007 15 Roof/Reroof AP PD Client* 85805 DECTOINC ACORD, CERTIFICATE OF LIABI PRODUCER WAUSAU SIGNATURE AGENCY 360 BLOOMFIELD AVE SUITE 405 WINDSOR, CT 06095 INSURED DECTON INC 15215 MARQUARDT AVENUE SANTA FE SPRINGS, CA 90670 LITY INSURANCE DATE (MM/DDfYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A EMPLOYERS INSURANCE COMPANY OF INSURER B INSURER C INSURER D INSURER E NAICtf WAUSA COVERAGES MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IKSR-LTR A UJD'LNSRD TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | ( OCCUR GEN L AGGREGATE LIMIT APPLIES PER "H POLICY] \g& \ |LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 1 OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRPETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? If yes describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER WCCY91444502017 POLICY EFFECTIVEDATE (MM/DD/YYI 01/23/07 POLICY EXPIRATIONDATE fMM/DD/YYl 01/23/08 LIMITS EACH OCCURRENCE DAMAGE TO RENTEDPREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY(Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHFR THAN EA ACC AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE WCSTATU- I OTH-TORY LIMITS I ER E L EACH ACCIDENT EL DISEASE - EA EMPLOYEE EL DISEASE - POLICY LIMIT $ $ $ $ s $ s $ $ $ $ $ s $ s $ $ $ $1,000,000 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Doo-Rite Construction 2430 Our Country Road Escondido CA 92029-5715 Contractor License # 673O31 a CERTIFICATE HOLDER CANCELLATION Contractors State Licensing Bo P O. Box 260OO Sacramento CA 95826 ard SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3(1 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE «*_-»».— L—^g^' ^tnZ^gZ^ David M. Evans t™;~ -ri — ACORD 25 (2001/08)1 of 2 #8445173/M444880 CSD © ACORD CORPORATION 1988