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Home My WebLink About1011 DAISY AVE; ; CB011696; Permit05/09/2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB011696 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1011 DAISY AVCBAD MISC 2144221500 $9,554 00 Subtype REROOF Lot# 0 SIKES RES-3400 SF LT WT CONCRE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/09/2001 RMA 05/09/2001 05/09/2001 Applicant SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Owner SIKES WILLIAM R JR&PAMELA R 1011 DAISY AVE CARLSBAD CA 92009 8858 05/09/01 0002 01 02 CGP 166-00 Total Fees $16600 Total Payments To Date $000 Balance Due $16600 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $16600 $000 $000 $16600 Inspector 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 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 fees/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 FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By f_ Date I / rr Address (include Bldg/Suo\\Business Name (at this address) Name Address City O, A;gent for Contractor '-^0 OwnerT/n^Agent fqr-Owner *;;:;--::J;i:" J:'7•••••••"• State/Zip Telephone #Fax # Name Address iS\\ T City State/Zip... ^ ••. .... Telephone # \o A - a I a- J 2 I Name Address 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 # Address License Class City State/Zip Telephone tt City Business License # ' <*Q~*>(e>S3 Designer Name State License # Address City State/Zip Telephone 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, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is My worker's compensation insurance carrier and policy number are ^ __ Insurance Company _ Q-^A-T-C- t~ (XAC- _ Policy No CX Q SJ-HfyVp O I Expiration Date / ~ | — O ^ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~l 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 thousand dollars ($100,000) in addition to the cosuof compensation damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE ^A ---- ^^S~ W U ^~~IT -, f>T<^<L^\~ _ DATE JT^~O^ _ 7:^!b^NERlUJU3ElhSECLARAfidN , • jftV . ' ^... :::' : ::"- :: y" ...:..." ..... '" ''..'-'"• " H^f'i-h,. ••- :"K ' V' "l':' " I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~1 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) f~) 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 contractors) licensed pursuant to the Contractor's License Law) l~l 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 f"l 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 '_"...*.: ;r.;.,^3S:i:?:' ' ":'I-;:..,.. 7:;h::::rf;::::- ":1; ""v,""" '..r*-^ 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 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? l~l YES l~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES d 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 :8vKCONSTRUCTION LENDING AGENCY „ , ,..^.-Jifr-!'f:" ... =„"' . ' ...^^ ' ' ' ••':" 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 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'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 commencpd'for a period of 180 days (Sectiory 106 4 4 Uniform Building Code) t KJki &ubf\\- DATE s~~ go WHITEVFile YELLOW AVpficant PINK Finance APPLICANT'S SIGNATURE City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: \ O I \ iJ°x v 2. TYPE OF BUILDING: RESIDENTIAL )C COMMERCIAL 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) \\) 2 3 5. TYPE OF EXISTING ROOF COVERINGS I\A^ SHEATHING .ir|«.-H\*. A , *6. NEW ROOF MATERIAL n^ CLASS ^-7 WEIGHT PER SQUARE 7 NUMBER OF SQUARES 3 H 8. TRADE NAME j\ O\ sr^c-p^ O MANUFACTURER £^A ^ 1 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF9 (^§y 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 OffTPre-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. *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 06/04/2001 Permit# CB011696 Title SIKES RES-3400 SF LT WT CONCRE Description Type MISC Sub Type REROOF Job Address 1011 DAISY AV Suite Lot 0 Location APPLICANT SECURE ROOF INC Owner SIKES WILLIAM R JR&PAMELA R Remarks Inspector Assignment GG Phone 8586937663 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By TAMI Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 05/10/2001 15Roof/Reroof AP GG 5 ROOF VENTS @ FINAL PRODUCER Michael Ehrenfeld Company 2655 Cammo Del Rio North, Suite 200 San Diego, CA 92108 (619) 683-9990 Fax (619) 683-9999 License #0537922 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 COMPANY COMPANIES AFFORDING COVERAGE A State Compensation Insurance Fund NSURED Secure Roof, Inc 7356 Trade Street San Diego, CA 92121 COMPANY B COMPANY C COMPANY D 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 IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DOIYY) POLICY EXPIRATION DATE (MMJDO/YY)LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ~J CLAIMS MADE | [OCCUR OWNER'S 4 CONTRACTOR'S PROT GENERAL AGGREGATE PRODUCTS - COMP.'CP AGG PERSONAL S> ADV INJURY EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Anyone person) AUTOMOBILE LIABILITY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE UMIT BODILY INJURY Per Person) BODILY INJURY Per Accident) PROPERTY DAMAGE GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACC.CENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXCESS LIABILITY R UMBRELLA FORM OTHER THAN UMBRELLA EACH ACC.DENT AGGREGATE WORKERS COMPENSATION EMPLOYERS LIABILITY THE PROPRIETOR/ PARTNERS/EXECUTIVE OFFICERS ARE. <VC iTATU j TORY LIMITS I Gin cp X INCL 285 1486 01 01/01/2001 01/01/2002 L EACH ACC.DENT S1.JOO.OOO I L DISEASE POLICY LIMIT S1.000.000 EL DISEASE-cA EMPLOYEE S1.000.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS RE All Operations of the Named Insured performed for the Certificate Holder ^.CANCELLATION Evidence of Insurance Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY JilND UPON THE COMPAiyY /TS AGENTS OR REPRESENTATIVE sMBiw^iefifr^^^