HomeMy WebLinkAbout1739 CATALPA RD; ; CB013005; Permit09-18-2001
Ce-
of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No CB013005
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1739 CATALPA RD CBAD
MISC
2155150100
$7,340 00
Subtype
Lot#
REROOF
0
COBB RESIDENCE
26 SQUARES OF FIBERGLASS
Applicant
SCHOTT ROOFING INC
225 E CARMEL STREET #1
SAN MARCOS, CA 92069
619-744-6450
Status ISSUED
Applied 09/18/2001
MDP
09/18/2001
09/18/2001
Entered By
Plan Approved
Issued
Inspect Area
Owner
COBB ELAINE M
1739 CATALPA RD
CARLSBAD CA 92009
0146 09/18/01 0002 01
CGP 141-00
Total Fees $141 00 Total Payments To Date $000 Balance Due $141 00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
PERMIT $141 00
$000
$000
$141 00
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 < onnection 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
1. PROJECT INFORMATION^
FOR OFFICE USE ONLYO\-PLAN CHECK NO.
EST VAL.nPlan Ck Dapostt It
Validated By
Date _____
M/
Address (include Btdg/Suite f\Business Name (at this address)
Lagal Description Lot No Subdivision Name/Number Unit No Phase No Total if of units
Assessor's Parcel t .Exlstfno Use Proposed Use
Description of Work
2. CONTACT PERSON (If different from applicant)
SO FT 'of Stories . I1 of Bedrooms * of Bathrooms
Nsmo
3. .APPLICANT,
Address City
ontractor D Agent for Contrector Q Owner Q Agent for Owner
-€. "
State/Zip Telephone t Fax *
Name
4 PRO
Address City State/Zip Telephone f
Name Address / City Stats/Zip Telephone #
6. CONTRACTOR - COMPANY NAME
(Sec 7031 5 Business and" Prof essions Coda 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 thet 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 end Professions Code) or that he la exempt therefrom, end the basis for the alleged
Any violation^ Se^ion 7031 5 by any applicant (or e permit subjects the, applicant to a civil penalty of nut mote than live hundred dollars |*500||
t_gn Tnc ?}$&(.
Name „ ^ Address _ _ City Slate/Zip Telephone #
State License #License Class City Buslnas* Licansii #
Designer Name Address City Stiita/Zip Telephone
State License 9 _
6 WORKERS' COMPENSATION
Workers' Compensation Declaration I hereby •fflrm under penalty of perjury one of the following declarations
0 I have and will maintain a certificate of consent to self insure for workers' compensstion as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit la 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 carrier and pdlicy.numbar ere , / /
Insurance Company IJlLLCLWQ&L -J^S Ct? . _ Policy No Vj/£//. - 00 7*%>S& Expiration Pate // 1 AJ 2
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HV1NDRED DOLiARS 1*100) OH LESS)
Q 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 Lewi 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 ft 100,000), In addition to the cost of compensation, damages as provided for fn Section 3706 of the Labor code. Interest and attorney's fees
SIGNATURE , ___ DATE
7 OWNER-BUILDER DECLARATION
1 hereby affirm that 1 am exempt from the Contractor's License Law tor 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 siruclure is not intended or offered for sale
(Sec, 7044, Buitnest «md Professions Code The Contractor'* Ucertae Lkw do«« not apply to an owner of property who builda or tmptova* thereon, end 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 aelel
Q I, as owner of the property, em exclusively contracting with licensed contractors to construct the project (Sec '044 Business and Professions Code The
Contractor's License iaw does not appfy lo an owner ot property who builds or improve* thereon, *nd contract* tor such projacts with contractor^ licensed
pursuant to the Contractor's License Law)
L7| I em exempt under Section _ Business and Professions Code for this reason
t I personally plan to provide the major tabor and materials for construction of the proposed property Improvement Q YES QNO
2 I (have / have not! signed en 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 I contractors license number)
4 I plan to provide portions of the work but I neve hired the following person to coordinate, supervise and provide this major work (include name / address / phone
number / controctora license number) __
6 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) L ..—-TT-_.,_, , _,
________ DATEPROPERTY OWNER SIGNATURE
COMPLETE Tf«S SECTION FOR flON-HeS(OENTtAl BUILDING PERMITS ONLY
Is ihe applicant or future building occupant required to submit e business plan acutely hazardous materials registration form or risk management and prevention
program under Sections 256OB, 26633 or 25634 of the Presley-Tenner Hsiardous Substance Account Act? Q YES Q NO
Is Ihe 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 b» constructed within 1 ,OOO leet o! the outer boundary of • school site? Q VES Q NO
IF ANY OF THE ANSWERS ARE VES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET Ofl IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
8 CONSTRUCTION LENDING AGENCY
I hereby affirm thet 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 ADDHESS , .
9 APPLICANT CERTIFICATION •
I certify thai t have read the application and state that the above Information Is correct end that the Information on the pfims is accurate I agree to comply with ell
City ordinances and State laws relating lo building construction I hereby authorize representatives of the City of Caiisbad to enter upon the above mentioned
pioparty 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 ovar B'O" deep end demolition or construction ol structures over 3 stories in height
EXPIRATION Even/ permit Issued by the building Official under the provisions ol this Code shall expire by limitation and become null and void If the building or work
authorized by such permit ts not comrnencedwiihln 180 days from the data of such permit or If the building or work authorized by such permit Is suspended or abandoned
at any time attar the, wotk is commenced^TWpeifod erf \ M^y^^e^ton tg64_4.Unitoim Budding Code)
~z^ */y "// WHITE: File YEILOW Applicant PINK-Finance
APPLICANT'S SIGNATURE
CITY OF CARLSBAD•.-*
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFIHG
1. JOB ADDRESS
2. TYPE OF BUILDING: RESIDENTIAL 9 * COMMERCIAL
3. ROOF SLOPE: RISE <-/ inches in 12 inches
4. TYPE OF EXISTING ROOF COVERING &haJlJ^ SHEATHIM6
5. NUMBER OF EXISTING ROOF COVERINGS (circle 'one) /\) Z 3
i -hi B^^Vl//<r> ^=^*6. NEU ROOF MATERIAL ia>VU rucQg^^^ftOASS ^ WEIGHT PER SQUARE,
7. NUMBER OF SQUARES
8. TRADE NAME / / SK-te&r' U^^L^ MANUFACTURER
9. ROOF SYSTEM APPROVAL UL No. £^ / 'Other
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT T0; SUSTAIN 7«E WEIGHT OF ^
'THE PROPOSED ROOF YES x NO *_ ' '"^^/If the answer Is no, a roof plan oust be provided with this application.
11. Fire rating of roof: Class A A- Class B
I understand the following inspections are required: ;' '
1. Tear Qff/Pre-inspection prior to installing new roof covering.
2. Final Inspection if i' . ' u.'. -^i -\
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN <r "-1-"-1 ' • • ' ' DATE
Contractor />£) Owner Contractor Name
*6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up
111*7
City of Carlsbad Bldg Inspection Request
For 10/01/2001
Permit# CB013005
Title COBB RESIDENCE
Description 26 SQUARES OF FIBERGLASS
Inspector Assignment GG
1739 CATALPARD
Lot
Type MISC Sub Type REROOF
Job Address
Suite
Location
APPLICANT SCHOTT ROOFING INC
Owner COBB ELAINE M
Remarks
Phone 7607446450
Inspector
Total Time
CD Description
19 Final Structural
Act Comments
±
Requested By TERRY
Entered By ROBIN
Associated PCRs
Inspection History
Date Description Act Insp Comments
09/21/2001 15Roof/Reroof AP GG
INSURANCE BINDER ID VK tan.
12/25/00
Cc ~3i\7XAC", . ut -SriO*vh it\ Tut OF THIS
orican Patriot
oacy. inc.
1.5 S- TCork Rd Suite 400
febroofc XL 60523
D. Schoeh
Inaurance Company
t"tl"*Lam j rate
01/01/01 12-01 01/01/02
3CHOT-2
weft WC4-007SS80 - vtllanova insurance
Sehaet Roofing I3c
225 E. carncl Street *1
3on Marcos C& 92069
AVERAGES LIMITS
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tu EM^ *«ocw 1 1. flOa , aoo
| c.9*U3*-c*E.»Vr'cc i i 1,000.000
i1.000.000
officers Bxclusion - Roy E. schost t Schott
^ AWE 4 ADDRESS
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