HomeMy WebLinkAbout1741 CEREUS CT; ; CB972230; PermitB U I L D I
08/07/97 13:54
Page 1 of 1
Job Address: 1741 CEREUS CT
Permit Type: MISCELLANEOUS
Parcel No: 215-516-44-00
Valuation: 2,304
Occupancy Group:
NG PERMIT
Suite
Lot#:
Reference*:
Description: REROOF 2400 SF, COMPOSITION
Appl/Ownr : ALS ROOFING
5663 BALBOA AVENUE
SAN DIEGO, CA 92111
Fees Required . ***
Permit No:
Project No:
Development No:
7871 08/07/97 0001 01
C-PRMT
Construction Type:
Status:
Applied:
Apr/Issue:
Entered By:
*****Fees Collected & Credits
CB972230
A9702810
89-00
NEW
ISSUED
08/07/97
08/07/97
JM
***
Fees :
Adjustments :
Total Fees :
Fee description
89.00
.00
89. 00
Total Credits:
Total Payments :
Balance Due:
Units .- Fee/Unit
.00
.00
89. 00
Ext fee Data
Miscellaneous Fee #1
* MISCELLANEOUS TOTAL
89.00 89. 00 PERMIT FE
89. 00
FINAL APPROVAL
IN8P. ^.... DATE 7
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92D09
(760)438-1161
!l ,:PROJECT INnmCT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit.
Validated By (
Date
Address (include Bldg/Suite #)
iaWlg.y t^uoell^/M
sqal Descriptiorf
Business Name (at this address)
Legal Descripti Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #Existing Use
^h
Proposed Use
5
Description of Work
, CONTACJLPERSON (It different from applicant)
SQ. FT.#of Stories # of Bedrooms # of Bathrooms
Name
"3. " APPLICA otor
Address Crty
ent fwlontractof * O"5wner"**"Q Agent for Owner "" -
State/Zip Telephone # Fax*
Name Jfo^£^^&t
4. PROPERTY OWrtEfi
City State/Zip Telephone #
Address City State/Zip Telephone #Name
B. CONTRACTOR - COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County^which requites a permit to construct, alter, improve, demolish or repeir any structure, prior to its
issuance, also requires the applicant for such permit to file e 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 ($5001).
Name
State License » S Sti^i
( Address
fty/ f License Class <^"'-«5'
City State/Zip
& A7 ' City Business License tt fh
/ Telepho/fe*^'M/ud ms
Designer Name
State License K & ^£^~(
Address City State/Zip Telephone
_
6; WORkERS' COMPENSATION , .. ' .~"'"™^."^; """ :''"",," '^ "~" """ "' -,-'•.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O ' 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.
J2I 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 f^t^^/^Q.L(/T ~J~/V S ^O Policy No.£26£ff ^//gT2/ 0^ Expiration Date f/7/ <^>
(THIS SECTION NEED Nof BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) S /
0 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 (S 100.000) Jn addition to the cost of compensation, damages as provided for hi Section 3706 of the Labor code. Interest and attorney's fees.
SIGNATUR? 4=^v"W—C^feSL'..«a. " «&L^ DATE ^-^^^^^
7. OWNER-BUILDER DECLARATION ~ -'•-.-•.'.'".,', . "'.. - -'...! ' .-',"',».-. ... v ';„,;., :r-.' , ^.- V!'.,
1 hereby affirm that I am exempt from the Contractor's License Law for the following reason:
n 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).
O 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).
O 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.
(CdMBMElHfcSE^^ ',,'-' ' ,' ~> / -** - > ~- • • » - •
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 O NO
Is the applicant or future btifding occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES Q 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.
'8. ' CONSTOUCTlprJItlNpiNGAGENCY f"'--•"- ' " - ~=""~-'~ "*r-r"*- • > ,..._...,„.„. , ..,
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
•9. APPLICANT CERTIFICATION ""' —'jr — : - "*- *r "•=rr~ T „ '-'. ,~*~ " ™-^_m<.,,—
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 Citt 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 OS HA permit is required for excavations over 5'0" 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any tima^Wef^he-^vork is commeqeadjor a period of 180days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS "7^i Oer^lx-S CJ~T
2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL _
3. ROOF SLOPE: RISE ^//^ inches in 12 inches
4. TYPE OF EXISTING ROOF/COVERING (jo <^O<JL5//^HEATHING
5. NUMBER OF EXISTING ROOF COVERINGS (circle one) (T) 2 3
*6. NEW ROOF MATERIAL -So r^ CLASS A WEIGHT PER SQUARE
7. NUMBER OF SQUARES
8. TRADE NAME 1b ( k. 'rW^fe.fc,^ MANUFACTURER
9. ROOF SYSTEM APPROVAL UL No. Other
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES X? NO ^_^
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A \/j Class B _
I understand the following inspections are required:
1. Tear Of f/Pre- inspect ion prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN DATE
Contractor A Owner Contractor Name
*6 - Rolled Roofing, Tile, Shake, Shingle, AjoJtalt/Coinp? Fiberglass, Built up.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB972230 FOR 08/19/97
DESCRIPTION: REROOF 2400 SF, COMPOSITION
TYPE: MISC
JOB ADDRESS: 1741 CEREUS CT
APPLICANT: . ALS ROOFING
CONTRACTOR:
OWNER:
INSPECTOR AREA
PLANCK* CB972230
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619 438-0954
PHONE:
PHONE:
REMARKS: C/BURNETT/? INSPECTOR
SPECIAL INSTRUCT: RESCHEDULED THIS DAY PER TIM.
TOTAL TIME:
CD LVL DESCRIPTION
19 ST Final Structural
ACT COMMENTS
***** INSPECTION HISTORY *****
DATE DESCRIPTION
081497 Final Structural
081397 Final Structural
080897 Roof/Reroof
ACT INSP
AP TP
NS TP
AP PD
COMMENTS
RESCHEDULE FOR 8/19
SHEATHING
DATE
UNSCHEDULED HOLDING
INSPECTOR
PERMITS PLAN CHECKS
JOB ADDRESS
DESCRIPTION
TIME ARRIVE:TIME
CODE DESCRIPTION ACT COMMENTS
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT* CB972230 FOR 08/08/97
DESCRIPTION: REROOF 2400 SF, COMPOSITION
TYPE: MISC
JOB ADDRESS: 1741 CEREUS CT
APPLICANT: ALS ROOFING
CONTRACTOR:
OWNER:
INSPECTOR AREA
PLANCK# CB972230
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
PHONE: 619 438-0954
PHONE:
PHONE:
REMARKS: C/RON/297-2016 OR 917-2351 INSPECTOR
SPECIAL INSTRUCT: INSPECTION AS LATE AS POSSIBLE.
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
ACT COMMENTS
DATE DESCRIPTION
***** INSPECTION HISTORY *****
ACT INSP COMMENTS
QFlliBflJY INSURANCE'a£2
DATEIMM.t)D<YY:
OS/12/97
PRODUCER
Arthur J. Gallagher & Co. -
P.O. Box £09006
San Di«go CA 92160
Robert W. Haukom
619-541-1900 F«N». 619-277-.4.5U3.
INSUREP
A.I*.3. Roofing
2050 Canine D« La Raina #202
San Diago CA 92108
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.
COMPANIES AFFORDING COVERAGE
COMPANYA Argonaut Insurance
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, TEHM OR CONDITION OF ANY CONTRACT OR OTHEH DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED Oft MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OP SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTR
A
TYFC OF MSUMNC
C3NEHAL UASIUTT
| j COMMERCIAL QENERAL
:'::^'j [ CLAJMS MACE [
! OWNER'S b CONTRACT
AUTOMOBU LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
MIRED AUTOS
] NON-OWNED AUTOS
"~~1
GARAGE LIABILITY
J ANY AUTO
EXCESS UABUTYnUMBRELLA FORM
OTHER THAN UMBRELU
WORKERS COMPENSATION
THE PROPRIETOR/
PAftTNEAS/exCCUTlVE
OFFICERS ARE:
OTHER
E
LIABILITY
jj OCCUR
airs TOOT
*FORM
wp
INCL
EXCL
POLICY NUMBER
20582115494
POLICY EPFeCTIVB
DATE IMM/DWYY>
01/01/97
POLICY BtrmATlON
OATt IMWDMYYI
01/01/58
LIMfTS
eENERAL AOOREOATE
PRODUCTS - COMP/OP AQQ
PERSONAL It AOV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Am one nisi
MED EXP (Am ocio ainon)
COMBINED SINGLE LIMIT
BOOIkY INJWHY
(Ptr p*r«onl
BODILY INJURY
(far Kcidont)
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
EACH ACCIDENT
AGGREGATE
EACH OCCURRENCE
AGGREGATE
X I WC STATU- J IOTH-
ITORYUMITS i 1 ER
EL EACH ACCIDENT
EL PLEASE - POUCY UMIT
EL DISEASE - EA EMPLOYEE
t
«
S
«
i
»
J
:
5
9
»
1
«
:
:
=1,000,000
« 1,000,000
t 1.000.000
"ONLY EMPLOYEES OF BTJILDBRS STAFF CORPOl_WORK WITHIN THE NATTJRB & SCOPE OP THEIR
UNDER EVIDENCE OF COVERAGE PROVIDED"
'RATION AS LONG AS THEY ARE VR CONSTRDCTIOH EMPLOYMKNT "^ORMINOXNSTJKBD
:CERTJEiCATE.MOtDERrr--^-:it-^;-r;.T;;;^:-t.--:\ -.--•.-. . .-•-.,,.-..•••. -.-:.•.
ALSRO01
A.L.S. Roofing
ACORD 25-8(1 13S\ , • , ' ~ ~
CANCaUTJON f'- ,„ , - ,
SHOULD ANY OF THE ABOVE DESCRBED POUOES 8£ CANCELED BEFORE THE
EXPIRATION DATE THEREOF. THE tSSUMQ COMPANY WKL ENDEAVOR TO MAIL
30 DAYS VWUTTEW NOTICE TO THE CERTFICATE HOLDER NAMED TO THE IEFT.
BUT FABJURE TO M AIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UA8IUTY
f>f ANY XIJ»ef)!pON THE COMPANY, ITS AGENTS Oft RS-RHEVTA9<ES.
S^r^^/^7^^^" ------ ' :. -.:•.:•-. ®AGORl> CORPORATION '