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Home My WebLink About1790 ANDREA AVE; ; CB054291; Permitoc \ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 ' 12-20-2005 Miscellaneous Permit Permit No: CB054291 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 2071201000 Lot #: 0 Applied: 12/20/2005 Valuation: $0.00 Entered By: LSM Reference #: Plan Approved: 12/20/2005 Issued: 12/20/2005 Project Title: 1790 ANDREA AV CBAD EWING RES- 2000 SF COMP TO COM Inspect Area: Applicant: SCHOTT ROOFING INC 225 E CARMEL STREET #I SAN MARCOS, CA 92069 61 9-744-6450 Owner: EWING WHITLEY W&MARGARET 1790 ANDREA AVE CARLSBAD CA 92008 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $77.00 $0.00 $0.00 $77.00 Total Fees: $77.00 Total Payments To Date: $77.00 Balance Due: $0.00 I nsDector: 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 feeslexactions. 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 feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which vou have Dreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has Dreviouslv otherwise exDired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. &OS 4 301 I EST. VAL. Plan Ck. Deposit Validated By Date taiw a- Legal Description Lot No. Subdivision NameINumber Unit No. Phase No. Total # of units Jb 3- /Z&-@-&7 Existing Use Proposed Use #of dories # of Bedrooms t!J& ; 7--+db C~IW D # of Bathrooms ,- 1 Description of Work ONTACT PERSON (If diff Name Address city StatelZip Telephone # Fax # NTRACTOR - 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 IChaoter 9. commendina with Section 7000 of Division 3 of the Business and Professions Codel or that he IS exempt therefrom, and the basis for the alleged -. Name City StatelZip License Class &' -3' City Business License # 2 Designer Name Address city St at e1Zi p Telephone State License # RKERS' COMPENSATIO Compensation Declarati [7 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. dhave 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 cornpensatio insurance carrier and policy number are: Insurance Company *yJ, qd. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$1001 OR LESS) 0 hereby affirm under penalty of perjury one of the following decla * Policy No. ZZY 5 -2Doc Expiration Date 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 compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred n to the cost of compensation, damages as provided for in Section 3706 of the Labor code, intpst and attorney's fees. 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). 0 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). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. YES I (have I have not) signed an application for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number): Business and Professions Code for this reason: ON0 4. number I contractors license number): 5. of work): PROPERTY OWNER SIGNATURE DATE 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 I address I phone I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone number I type COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ON 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? YES 0 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 0 YES 0 NO 0 YES 0 NO LLUTION CONTROL DISTRICT. IREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AI 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(1) Civil Code). 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 Citl, 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 bv such permit IS not commenced within 180 days from the date of such permit or if the buildinq or work authorized by such permit is suspended or abandoned at any time after the work is com .4 Uniform Building Code). APPLICANT'S SIGNATURE DATE / Z//S/d 5 WHITE: File YELLOW: Applicant PINK: Finance U City of Carlsbad Bldg Inspection Request For: 01/18/2006 Permit# CB054291 Title: EWING RES- 2000 SF COMP TO COM Description: Type: MlSC Sub Type: REROOF Job Address: 1790 ANDREA AV Suite: Lot 0 Location: APPLICANT SCHOTT ROOFING INC Owner: EWING WHITLEY W&MARGARET Remarks: Total Time: CD Description 19 Final Structural Inspector Assignment: Phone: 7607446450 Inspector: E2 ft Requested By: PAM SCHOTT Entered By: CHRISTINE Act Com men t ww Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments 12/22/2005 15 RooWReroof AP PC City Of Carfsbad SUPQLEMENllrAL BUILDING PERMIT APPLICATlON FOR REROOFING 1. JOBADDRESS: 179) /%&?! * 2. TYPE OF BUILDING: RESIDENTIAL /' COMMERCIAL 3. ROOF SLOPE: RISE ct inches in 12 inches 4. NUMBER OF EXIST" ROOF COVERING (circle one) I 2 /j3 w. 5. TYPE OF EXlSTlNG ROOF COVERING &???@SHEATHING &&??A . *6. NEW ROOF MATERIAL f-! CLASS)? WEIGHT PER SQUARE 3P.& 7. NUMBER OF SQ 8. TRADENAME 9. ROOF SYSTEM UST~G UL NO. -- IC80 No. syqd 10. IS THE EXISTING STRUCTURAL SUSTAIN THE WElGHT OF THE PROPOSED ROOF? All roof coverings are required to be CLASS A. Combustible roof coverings of any type or dassification are prohibited. I understand the following inspections are required: ::, 1, 1. Tear OfflPre-inspection prior to install 'new roof covering. 2. Final Inspection 4 .. I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature Date /z//~/Ds V "6 - Rolled Roofing, Standardllite Tile, AsphaltlComp Fiberglass, Built UP, Other. SD POLICYHOLDER COPY STATE P.O. BOX 807, SAN FRANCISCO,CA ~142-0807 COMPE N SAT10 N INSURANCE F u N D CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01 -01 -2005 TURNER CONSTRUCTION 3197 JAMES DRIVE CARLSBAD CA 92008 SO GROUP 000285 POLICY NUMBER: 0002245-2008 CERTIFICATE ID: 17 CERTIFICATE EXPIRES: 01 -01 -2008 01-0f-2005/01-01-2008 JOB: 5151 SHAW RIME ROAD DELMAR, CA This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer. We will also give you 30 days' advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term, or condition of any contract or other document with respect to which this certificate of insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms. exclusions and conditions of such policies. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1.OOO,OOO.00 PER OCCURRENCE. ENDORSEMENT 12065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2065 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER SCHOTT ROOFING 225 E CARMEL ST STE 1 SAN MARCOS CA 92078 LEGAL NAME SCHOTT ROOFINO. INC 12/ 17/2064 po4, IREV.3-03) PRINTED: