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Home My WebLink About1742 CEREUS CT; ; CB003792; Permit10/12/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No:CB003792 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1742CEREUSCTCBAD MISC Subtype: REROOF 2155170500 Lot#: 0 $3,016.00 RIKER RES-2900 SF COMPOSITION Status: ISSUED Applied: 10/12/2000 Entered By: RMA Plan Approved: 10/12/2000 Issued: 10/12/2000 Inspect Area: Applicant: SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Owner: RIKER CRAIG H&JULIAJ 1742CEREUSCT CARLSBAD CA 92009 1020 10/12/00 0001 01 C-PRMT 02 102.00 Total Fees: $102.00 Total Payments To Date:$0.00 Balance Due: $102.00 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FEE $102,00 $0.00 $102.00 Inspector: _< FINAL APPROVAL Date: 10/31/00 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 0F CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE PLAN CHECK NO EST. VAL. Plan Ck. Deposit Validated By_ 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 Description of Work 2, CONTACT PERSON (if different from applicant) SQ. FT.Stories # of Bedrooms # of Bathrooms Name 3, APPLICANT D Contractor Address |9 Agent for Contractor Owner City Agent for Owner State/Zip Telephone #Fax # Name 4. PROPERTY OWNER Address City State/Zip Telephone # -7 <4 2-<i •<t-Address City State/Zip Telephone iName 5. CONTRACTOR - COMPANY NAME (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 l$5001). Name State License # Address License Class City State/Zip Telephone tt City Business License # 1 2-<33<3 S~'~2— Designer Name Address City State/Zip Telephone State License # _ 6. WORKERS' COMPENSATION 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 the work for which this permit is issued. 0 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 *5>T7V=r£- FtX M D _ Policy No. 2~gS"i M- ? lo OQ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) n 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_C$100,000), in additionto the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE *•-— ^T>-<^ ^V-iA^—^gL-vT--^ _ DATE [Q f \"2-\ (TO ' 7. „ OWNER-BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: C] 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). l~l 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). f~| 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 C3NO 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 COMPLETE THIS SECTION FOR /VCW7?£S/OGVr//U BUILDING PERMITS ONLY 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? C3 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? f~) YES [~l NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Cl 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. CONSTRUCTION LENDING AGENCY 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. 1 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 5'0" 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 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). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: H*** tes-£ U<^ *Vr 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL 3. ROOF SLOPE: RISE £? inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (T) 2 3 5. TYPE OF EXISTING ROOF COVERING ^^ SHEATHING *6. NEW ROOF MATERIAL o^ CLASS WEIGHT PER SQUARE 7. NUMBER OF SQUARES £-9 8. TRADE NAME PMtOTC-7) T>eSge-T MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ IGBO 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: /^jyTear Off/Pre-inspection prior to install new roof covering. /=\i 2^)F\na\ Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Date Contractor Owner _ Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 10/25/2000 Permit# CB003792 Title: RIKER RES-2900 SF COMPOSITION Description: Inspector Assignment: SR Type: MISC Job Address: 1742 CEREUS CT Suite: Lot Location: APPLICANT SECURE ROOF INC Owner: RIKER CRAIG H&JULIA J Remarks: Sub Type: REROOF Phone: 8586937663 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: SECURE ROOF Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 10/18/2000 15Roof/Reroof AP SR 10/16/2000 15Roof/Reroof CO SR ROOF NOT STRIPPED YET-NO ONE THERE ACQRIX CERTIFICATE OF LIABII PRODUCER El Camino Insurance Lic0539016 315$ Vista Way, Ste 300 '--,.-> Oceans ide, CA 92056 760 721-3232 - INSURED Secure Roof, Inc. 7356 Trade Street San Diego, CA 92121 i LITY INSURANCE oT/is/oo THIS CERTIFICATE B ISSUED AS A MATTER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CSTTIFICATE HOLDER. THJS CERTOTCATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ! INSURERSAFFORDMO COVERAGE INSURER* State Compensation Insurance Fund INSURER ft INSURER ft INSURER DC INSURER E: COVERAGES THE POLICES OF MSURANCE USIB) BELOW HAVE BEEN ISSUED TO THE MSUflED NAMED ABOVE FORTHE POLICY PEHOD MDCAIED. NOTWITHSTANDNG ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIH RESPECT TO WHICH THB CERIFCME MAY BE ISSUED OR MAYPERTAM. THE MSURANCE AFFORDED BY THE POUCE5 DESCRBED HERBN IS SUBJECT TO AU. THE TERMS, EXOUSCNSAND CONDtTONSOf SUCH PCUOES. AGGREQATELMrrS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAMS. LTB TVPiOFlltaUBAMCE POLICYNUHBER UHI1S QENERALUABlUn COMMERC3ALQ9IB4AL LIABILflY CLAIMS MADE| | OCCUR EACH OCCURRENCE MEDEXP(Anyon«p»r»on| PERSONAL 1AOV INJURY SENERALASSRB3ATE Q0CLAQQRB3ATEU MIT APPLIESPER POLICY| |?g-f | | LOG PRODUCTS -COMP/OPAQG AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS COMBINED SINGLE LIMIT(Ea accident) BOOILYINJURY(Ptrptnon) BOOILYINJURY(Pwacadonl) PROPERTY DA MAGE(Pvnidmq GARAGE LIABILITY ANY AUTO AUTO ONLY- EA ACCIDENT OTHER THANAUTO ONLY: EAACC AGG EXCESS LIABILITY I OCCUR 1 • D EACH OCCURRENCE CLAIMS MADE AGGREGATE DEDUCTIBLE RETENTION * A WORKERS COMPENSATION AND EMPLOYERS1 LIABILITY 285148600 01/01/00 01/01/01 X IWCSTATU- IfTOHY LIMITS I E. LEACH ACCIDENT 1,000,000 ELCHSEASE-EA EMPLOYEE 1,000,000 L. DISEASE-POLICY LIMIT 1,000,000 OTHER lESCRIPTIOMOFOPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONSAOOEO BY ENDORSEMENT/SPECIAL PROVISIONS *30 day cancellation notice except 10 days for non-p•payment of premium. CERTIFICATE HOLDER I ADDITIONAL INSURED: INSURER LETTER:CANCELLATION Insurance Verification SHOULD ANYOFmEABOVEDE3CHBEDrouaESBECAMCaLEDBETORETHE EXPIRATION DATETHEREOF. THEISSUIN8 INSURER WILL ENDEAVOR TO MA!L*3A DAYS WRITTEN NOTICETOTHE CERTIFICATE HOLDERNAMEDTOTHELEFT. BUT FAILURE TO OOSOSMALl IMPOSENO OBLIGATION OR LIABILITY OF ANYKIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVTIVE •&CtL*C*+^ -- ^ of 2 $S52908/M52907 JMW e ACORO CORPORATION IS