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Home My WebLink About2709 ABEJORRO ST; ; CB063003; Permit10-17-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB063003 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2709 ABEJORRO ST CBAD MISC 2153003402 $2,295.00 SIMON RES 1700 SF BUILT UP RE- ROOF Subtype: REROOF Status: Lot#; 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Applicant: SCHOTT ROOFING INC 225 E CARMEL STREET #1 SAN MARCOS, CA 92069 619-744-6450 Owner: SIMON FAMILY TRUST 12-15-97 2709 ABEJORRO ST CARLSBAD CA 92009 ISSUED 10/17/2006 KG 10/17/2006 10/17/2006 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $77.00 $0.00 $0.00 TOTAL PERMIT FEES $77.00 Total Fees:$77.00 Total Payments To Date:$77.00 Balance Due:$0.00 Inspector: FINAL APPROVAL Date: J 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, tf 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 wii! 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 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 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 OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O PLAN CHECK EST. VAL. LY Plan Ck. Deposit Validated By _ Date //PT Address (include Bldg/jjuife #) ^ 4f Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Assessor's Parcel *Existing Use Proposed Use Address City State/Zip Telephone #Fax* (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. Arjv 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 I$50QI). Name > Address City State/Zip Telephone # State License # *\ Xf) /'Li License Class C - 3^7 City Business License # •<£!// 1 <C£fQ Designer Name Address State License # City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: L~1 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. Qr 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 conapensatkp insuranotf carrier arid policy number are: . , . /'/'Insurance Company ^J Policy No.Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the woik for which this permit is issued, I shall not employ any pwaon in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secrife wornrr compensation coverage IB unlawful, and anal subject an employer to criminal penalties and civB fines up to one hundred thousand dollars {$100,OyttmnWdl*on lathe cost of compensation, damages a* provided for In Section 3706 of the Labor code, Interas^ and attorney's fees. SIGNATUREf^L /y C ^DATE I hereby affirm that I am exempt from the Contracto\^s^.icense Law for the following reason: Q 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). Q 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). D 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 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 Act7 Q 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? Q YES Q 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. 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 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 Cit* 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/tuiildingOfficial 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 corilrf enfledUithi^Tso 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 commented; for h period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE / Wt_-/ *-" ~ /I DATE ITE: File YELLOW: Applicant PINK: Finance * • City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: fl 7^? A^er IT D 2. TYPE OF BUILDING: RESIDENTIAL ix COMMERCIAL 3. ROOF SLOPE: RISE / Inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) / 1) 2 3 5. TYPE OF EXISTING ROOF COVERING *6. NEW ROOF MATERIAL . CLASS _ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8, TRADE NAME . 9. ROOF SYSTEM LISTING UL No. ICBco P 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? /YE?) 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-inspection 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 J Date * J&fa^ '"Contractor Owner Contractor Name t *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad BIdg Inspection Request For: 11/09/2006 Permit# CB063003 Title: SIMON RES 1700 SF BUILT UP Description: RE- ROOF Inspector Assignment: MC 2709 ABEJORRO ST Lot 0 Type:MISC Sub Type: REROOF Job Address: Suite: Location: APPLICANT SCHOTT ROOFING INC Owner: SIMON FAMILY TRUST 12-15-97 Remarks: Phone: 7607446450 Inspector: Total Time: CD Description 19 Final Structural Act Comment Requested By: RAM Entered By: CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 11/01/2006 15 Roof/Reroof PA MC EXISTING SHEATHING OK POLICYHOLDER COPY STATE COMPENSATION IN SUR AN CE FUND P.O. BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-01-2OOB GROUP; 000285 POLICY NUMBER: 000224B-2006 CERTIFICATE ID: 10 CERTIFICATE EXPIRES: 01-01-20O7 01-01-2006/01-01-2007 SD CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT P 0 BOX 26000 SACRAMENTO CA 95826 SD LICENSE NUMBER:#38012S INCEPTION OATE:01-01-20O6 DO:SD 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 39 days advance written notice to the employer. We will also give you 3O 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 affordedby the policy 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 to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions, and conditions, of such policy. AUTHORIZED REPRESENTATIVE PRESIDENT EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,OOO,OOO PER OCCURRENCE. ENDORSEMENT #1600 - ROY SCHOTT, PRESIDENT - EXCLUDED. ENDORSEMENT #1600 - PAMELA SCHOTT, SEC.TRES - EXCLUDED. ENDORSEMENT #2O85 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 01-01-2004 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER SCHOTT ROOFING, INC DBA:SCHOTT ROOFING 225 E CARMEL ST STE 1 SAN MARCOS CA 92078 SD M0410 (REV-2-05)PRINTED : 12-17-2005