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HomeMy WebLinkAbout1150 CHINQUAPIN AVE; ; CB062156; Permit07-28-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB062156 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1150 CHINQUAPIN AV CBAD MISC Subtype 2062612500 Lot# $5 292 00 BRUNACHE RES 4200 SF SHAKE TO COMP HOUSE&GARAGE REROOF 0 Status Applied Entered By Plan Approved Issued Inspect Area Applicant A 1 ALL AMERICAN ROOFING 4901 MORENA BLVD SAN DIEGO CA 92117 760 753 9066 Owner BRUNACHE GERARD F 1150 CHINQUAPIN AVE CARLSBAD CA 92008 ISSUED 07/28/2006 KG 07/28/2006 07/28/2006 Miscelaneous Fee#1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $11500 $000 $000 $11500 Total Fees $ 115 00 Total Payments To Date $11500 Balance Due $000 Inspector FINAL AP Date -UL 'VAL 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 tees/exactions of which vou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otheiwise expired PERMIT APPLICATION C4TY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE OJ&ILY PLAN CHECK EST VAL Plan Ck Deposit Validated Bv Date / "~ Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel #Existing Use Proposed Use State/Zip Telephone tt Fax tt (Sec 7031 6 Business and Professions Code Any City or County which requites 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 emption Afly violation of Secuofl-7031 5 by any applicant for a pernkit subjects the applicant to a civil penalty of not more than five hundred dollars [4500]) " D CA Gj Kit, f -* - Name O Address , ^. City State/Zip * ^TetophoppJt State License # T \*7$ \~L& License Class ("" D ^ City Business License # ^Lr)*7%^ Designer Name Address State License tt City State/Zip Telephone • t&'&tfk* 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 <Q 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^earrier aqd policy number are Insurance Company _PoHcy No <=>°^Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS) 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 Wod&rs Compensation Laws of California WARNING Failure to serafra/workers dbrApensation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 Q00>/ln addltloil to^he^cost of compensation damages as provided for In Section 3706 of trm Labor codf interest and attorney s fees SIGNATURE / /L. / DATE I hereby affirm that I am exempt from the 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 Coda 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) 0 I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business end 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) [3 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 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 D 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 YES Q NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? C] 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 wn » MK i mu 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 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 50" deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by tlWbuilding OfficiaKurider 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 commer/e/w,thin 180 days/from the date of such permit or if the buildmg or work authorized by such permit is suspended or abandoned at any time after the work is commence/ foi a period of/80/days (Section 106 4 4 Uniform Building Code) • 8uspenaea or aDanaonea APPLICANT S SIGNATURE 7 DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1 JOB ADDRESS' 2 TYPE OF BUILDING RESIDENTIAL ^T COMMERCIAL 3 ROOF SLOPE RISE ^' INCHES IN 12 INCHES 4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) (J> 2 3 5 TYPE OF EXISTING ROOF COVERING ^<=><?<^ SHEATHING *6. NEW ROOF MATERIAL /UoWl^ fco^CLASS ^ WEIGHT PER SQ, 7 NUMBER OF SQUARES * ' ~" 8 TRADE NAME L,e>*^O MANUFACTURER ROOF SYSTEM LISTING UL NO ICBO NO 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF' <YES> 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-1 nspection prior to install new roof covering 2 Final Inspection I agree to provide a Ja/lder exjfepdmg at least 2 rungs above the roof for inspection. Signature / rU^ I/ ^ Date *{{'&*'{ O(t> . K f hi A" Contractor ^^ Owner Contractor Name M~( ^ll '^***> *6 Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For 08/23/2006 Permit* CB062156 Title BRUNACHE RES 4200 SF SHAKE TO Description COMP-HOUSE&GARAGE Type MISC Sub Type REROOF Job Address 1150 CHINQUAPIN AV Suite Lot 0 Location r OWNER BRUNACHE GERARD F Owner BRUNACHE GERARD F Remarks Inspector Assignment pc Phone 8585375177 Inspector Total Time CD Description 19 Final Structural Act Comment Requested By GREG Entered By CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 08/02/2006 15 Roof/Reroof AP PC ACORD^ CERTIFICATE OF LIABILITY INSURANCE PRODUCER OC44706 1-619-238-4367 Gaslamp Insurance Services 739 4th Avenue suite 206 San Diego CA 92101-6878 Producer Emilio Figueroa INSURED A 1 All American Roofing Co Inc San Diego 4901 Morena Bvd Suite 812 San Diego CA 92117 1 DATE (MM/DD/YY) 07/11/06 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 State Compensation Insurance Fund INSURERS Gemini Insurance INSURER C INSURER D INSURER E COVERAGES 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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LTR B A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY | CLAIMS MADE j x | OCCUR GEN L AGGREGATE LIMIT APPLIES PER ] POLICY 1 1 JE °T 1 1 LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY | OCCUR 1 | CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER VCGP012821 229 0032983 06 POLICY EFFECTIVE DATE (MM/DD/YY) 06/11/06 01/01/06 POLICY EXPIRATION DATE IIWM/DD/YYI 06/11/07 01/01/07 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN AUTO ONLY EAACC AGG EACH OCCURRENCE AGGREGATE y WC STATU * TORY LIMITS OTH ER EL EACH ACCIDENT EL DISEASE EA EMPLOYEE EL DISEASE POLICY LIMIT $ 1 000 000 $ 50 000 $ 5 000 $ 1 000 000 $ 2 000 000 $ 2 000 000 $ $ $ $ $ $ $ S $ $ S $ $ 1 000 000 $ 1 000 000 S 1 000 000 S i $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 10 Days Cancellation for Non-payment 30 Days for All Others CERTIFICATE HOLDER N ADDITIONAL INSURED INSURER LETTER CANCELLATION California Contractors State License Board P 0 Box 26000 Sacramento CA 95826-9074 USA 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 ° 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 ^^ r—^. — ==- — "=~-=-3^ i" ACORD 25 S (7/97) Alsandiego 4605799 QACORD CORPORATION 1988