HomeMy WebLinkAbout1744 SORREL CT; ; CB992480; Permit07/06/1999
City of Carlsbad
Miscellaneous Permit Permit No CB992480
Building Inspection Request Line (760)438-3101
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
1744 SORREL CTCBAD
MISC
2155161600
$1 872 00
Subtype REROOF
Lot# 0
REROOF 1800 SF COMPOSITION
Status ISSUED
Applied 07/06/1999
JM
07/06/1999
Entered By
Plan Approved
Issued
Inspect Area
07/06/1999
Applicant
OILS ROOFING CO
1089LEUCADIABL
ENCINITAS CA 92024
6194367588
Owner -.__
JACOBS DAVID A&NANCY S TRUST 12
1744 SORREL CT
CARLSBAD CA \
92009^ ' -' '
i •, f \
1586 07/06/99 0001 01 02
C-PRMT 70 00
Total Fees $70 00
f
Miscelaneous Fee #1
Miscelaneous Fee #2 !
'• , Total Payments To Date $000 ^
o ^) ' X ;- > ^ \\
; Balance Due
'/ $7000
$000
$7000
TOTAL FEES <%f
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
CITY OF CARLSBAD
2075 Las Palmas Dr, Carlsbad, CA 92009 (760) 438 1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr Carlsbad CA 92009
(760)438 1161
1 PROJECFlNFORNIATIOrr """"'" ~~
FOR OFFICE USE ON
PLAN CHECK NO .
EST VAL
Plan Ck Deposit.
Validated By
Date
Address (include Bldg/Suite ft)
17+4- '
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 SQ FT #of Stories # of Bedrooms
2 CONTACT PERSON (if different from applicant)
Bathrooms
Name
3 ~ APPLICANT
Address City
:ontractor O Agent for Contractor QjOwner Q Agent for Owner
(LA-
State/Zip
°>1-£> «
Telephone #Fax
Name
4 PROPERTY OWNER
Address City State/Zip Telephone ff
")(,& - £(2_-49r7
Address City State/Zip Telephone #Name
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 [$500])
PH5
Name
State License #
Address
License Class
City State/Zip
City Business License #
Telephone #
Designer Name Address City State/Zip Telephone
State License # _
6 WORKERS COMPlNSAflON -~"""'«°"'~ ^~~ '"'" j_ ~
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
l~l 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
RJ 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 K><r>(-1)g,/i/' SEfa-f? L&-. _ PbncV No" J^-5" ? 7i? -fff _ Expiration Date 0 "/ ~ ^ 5
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
f~) 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) iryadditwfflb the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees
SIGNATURE ^//Vvfy/ j^l/i^ _ . _ DATE 7"?£ ~f J
7 _ OWNER BUiLDEa^ECLAlATION / ~ _ "" "'""""" "~~ ~~ -
I hereby affirm that I am exempt from the Contractor s License Law for the following reason
l~| 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)
n 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)
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 l~l YES l~~lNO
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 NON RESIDENTIAL 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? l~l YES O 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~| NO
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? l~l YES l~l 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
il_ COJNSTlyCTION LENDING^VGENCY _1 ~ *~ __ _~
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 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 0 deep and demolition or construction of structures over 3 stones 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 time after the'w^tk is coimnencedjefca period of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE S/7>^<yZty /£t/~?^-i DATE ~7"~X
L/WHITE File YELLOW Applicant PINK Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1 JOB ADDRESS
2 TYPE OF BUILDING RESIDENTIAL ^ COMMERCIAL
3 ROOF SLOPE RISE 4~ inches in 12 inches
4 NUMBER OF EXISTING ROOF COVERING (circle one) CD 2 3
5 TYPE OF EXISTING ROOF COVERING f^l*- SHEATHING
*6 NEW ROOF MATERIAL O^O CLASS WEIGHT PER SQUARE
7 NUMBER OF SQUARES_L2 _
8 TRADE NAME ~- _ MANUFACTURER
9 ROOF SYSTEM LISTING UL No CJMi ICBO No
10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? X^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-mspection 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
Signature ^-~/MJ6li gj,**— _ Date
Contractor Owner _ Contractor Name
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other
City of Carlsbad Inspection Request
For 7/15/99
Permit# CB992480
Title REROOF 1800 SF COMPOSITION
Description
Type MISC Sub Type REROOF
Job Address 1744 SORREL CT
Suite Lot 0
Location
APPLICANT OILS ROOFING CO
Owner JACOBS DAVID A&NANCY S TRUST 12
Remarks
Inspector Assignment SR
Phone 7607276000
Inspector
Total Time
CD Description
19 Final Structural
Act Comments
PP
Requested By DAVID
Entered By CHRISTINE
Inspection History
Date Description Act Insp Comments
7/7/99 15Roof/Reroof AP SR
PRODUCER
ALL COMMERCIAL INSURANCE SERVICES LLC
6790 TOP GUN STREET #3
SAN OIEGO CA 92121
PHONE 858/6424200
FAX 858/642-0205
Agency Lie* 0822037
OATE(MM/DD/YY)
JUN899
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
COMPANY
A LEXINGTON INSURANCE COMPANY
INSURED
DILS ROOFING
2230 LA MIRADA DRIVE
VISTA, CA 92083
COMPANYB GOLDEN EAGLE INSURANCE CORPORATION
COMPANY
C GOLDEN EAGLE INSURANCE CORP
COMPANY
D
TWSISTO CERT1FV THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY
PERIOD WDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO
WHICHI THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO
ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POUCIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVEMTE(MIUXVYY)
POUCY EXPIRATION
LIMITS
I GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
I CLAIMS MADE
535-6043 MAY 1 99 MAY 1 00 GENERAL AGGREGATE
PRODUCTS<»MP/OP AGG.
OCCUR
A | X | OWNER'S & CONTRACTOR'S PROT
PER PROJECT AGGREGATE
PERSONAL < ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any One Fire)
MED EXP (Any One Person)
2 000 000
1 000 000
1 000 000
1 000 000
50000
EXCLUDED
AUTOMOBILE LIABILITY
ANT AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON-OWNED AUTOS
CCP491301-02 MAY 1 99 MAY 1 00
COMBINED SINGLE LIMIT
BODILY INJURY
(Pw person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
1 000 000
GARAGE LIABILITY
ANY AUTO
AUTO ONLY EA ACCIDENT
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY
NWC545370-03 AUG 1 98 AUG 1 99
THE PROPRIETOR/
"•ARTNERSJEXECUTNE
OFFICERS ARE.
INCL
EXCL
DISEASE-POLICY UMrtH
DISEASE-EACH EMPLOYEE
1 000 000
1 000 000
1 000 000
OTHER
DESCRIPTION OF OPERATIONS/IOCATIONS/VEHICLES/SPECIAL ITEMS
OR INFORMATIONAL PURPOSES ONLY
FOR INFORMATIONAL PURPOSES ONLY
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAR. 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 KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES
AUTHORIZED REPRESENTATIVE