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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