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HomeMy WebLinkAbout1000 CHINQUAPIN AVE; ; CB032787; Permit10-08-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No Building Inspection Request Line (760) 602-2725 CB032787 Job Address Permit Type Parcel No Valuation Reference # Project Title 1000 CHINQUAPIN AV CBAD MISC 2060502300 $7,326 00 WOODRIDGE VILLAGE APT -SLOPED PORTION ONLY-COMP REROOF(66SQ'S) Subtype Lot# LOPED REROOF 0 Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 10/08/2003 CB 10/08/2003 10/08/2003 Applicant A-1 ALL AMERICAN ROOFING 4901 MORENA BLVD SAN DIEGO CA92117 760 753-9066 Owner WOODRIDGE VILLAGE APARTMENTS LLC C/O RADELOW/GITTINS 1775 HANCOCK ST #160 SAN DIEGO CA 92110 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES $140 00 $000 $000 $140 00 Total Fees $14000 Total Payments To Date $000 Balance Due:$140 00 6050 10/08/03 0002 01 OGF"140-00 DAT SIGNATURE PERMIT APPLICATION 'CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated By Q& Date / D '$-(!': Address (include Bldg/Suite #) -g^O'L \mj' \_f i \>* m>+ -f • • f TII-II /]' » *Business Name {at this address)77 Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units sessor's Parcel #/ /«(0(0~ xisting Usea Sty FT Proposed Use f Work , irvr j t Stories * of Bedrooms . # of Bathrooms Name Address City l(Si^ State/Zip Telephone # Fax # Name Name Adtitalg City Address City R|^!0o MpANy l^AftflElflls^EIJ1^ '(' jn\ ^Irl T^Jajj KS '(--"i^S!?" if "~ Jf"**JYi->r ™a4s State/Zip State/Zip Telephone # Is*! ^Ls ts%S ^ N- *>t i8w* ^ *? t ^i»,fSj Telephone # '! ^st?'\!Ij'?'S^S^to ^J-tJbi-M,^ (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 fssuance, also requires the applicant for such permrt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law IChapter 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/yiolfction of SectioftvZQ?! 5 by any applicant for a permit subjects the applicant to a civilnenalty of. not more than five hundred dollars [$500)) Name State License # ' ^0 i ^- ' "-' Address License Class C-~^)^\ City State/Zip City Business License # 17, Telephone # Designer Name State License # Address City State/Zip Telephone .COMPENSATION^ M^/^j-^-lV^JV^ y-«!AL" ,«- Jt'is L(bl" 'Jl'j/.'a'^^Jii ,V!Vj !aL ^f>^l ^-i^ikl ^"*!>K.tS?%**L «"^r«kSL"!D Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations EU I have and wil( maintain a certificate of consent to setf-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 ^J 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 Tssued My worker's compensation insurance carrier and policy number are Insurance Company Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) Q CERTIFICATE OF EXEMPTION I certffy 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' Corndafisation 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 ($106,(JOO), In addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code. Interest and attorney's fees GNATURE / /L / fr*~~ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (~) 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) D 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) Q I am exempt urwjer 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 [UNO 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 ai future budding occupan! 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? D 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 '^HcppjIJUQTl^ &*?!.'. .3^ ? «t»U'i tiVrii'V^r^J Vrf' , .-^=-. ' I hereby affirm that there is a construction lending agency for the performance of tha 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 tha 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 M&Y 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° deett and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the buifclinh Official under/thfe 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 Aithi/i 180 days fro* llje date of such permit or if the building or work authorized by such permit is_suspended or abandoned at any time after Itw work is commenced Sora peiftd of 180 dajfs (Seclion 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:, 2. TYPE OF BUILDING: RESIDENTIAL J*T COMMERCIAL, 3. ROOF SLOPE: RISE ^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) <3 2 5. TYPE OF EXISTING ROOF COVERING_^*^_SHEATHING ' *6. NEW ROOF MATERIAL o*^ CLASS'^feWEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE 9. ROOF SYSTEM LISTING UL No% Jf ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^ 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 ^ Date Contractor *—> Owner Contractor Name. *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 02/26/2004 Permit^ CB032787 Title WOODRIDGE VILLAGE APT.-SLOPED Description PORTION ONLY-COMP REROOF(66SQ'S) Inspector Assignment TP 1000 CHINQUAPIN AV Lot 0 Type MISC Sub Type REROOF Job Address Suite Location APPLICANT A-1 ALL AMERICAN ROOFING Owner WODRIDGE VILLAGE APARTMENTS LLC ET AL Remarks CAN YOU FINALS Phone Inspector Total Time CD Description 19 Final Structural Act Comment fifb Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 10/16/2003 15 Roof/Reroof AP JM OKTOCOVER 10/09/2003 15 Roof/Reroof NR TP CONF ? 5 10/08/2083 89:09 8585815176 A1ALLAMERICAN PAGE 01 *AC&ftt>n CERTIFICATE OF LIABILITY INSURANCE W/SBST1 PROfiuCiR JLU insurance a«arvlc*« *O Box 381900 8ftn tfrnnaisco, CA 94138 (077)234.4407 INSURED A-l All American Roofing, Co., inci-gmn D 4901 Mor«»a Blv#. St». 812 S«.n Diago, CA 93117 CTL 1273 80675 THIS CERTIFICATE IS ISSUED AS A MATTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CSRTIWCATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OH ALTER THE COVERAGE AFFORDED eV THE POLICIES BELOW. INSURERS AFFORDING COVERAGE USURER A. CanblMa w«=i»ity ma, co. .INBUBERB INSURER C( INSURER D; INSUPEH E NAtCff COVERAGES TH6 POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVfi FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDfNQ ANY REQUtREMENT, TERM OH CONDITION OF ANY CONTRACT Oft OTHER DOCUMENT WITH RESPECT TO WHICH TH'S CERTIFICATE MAY BE (SSUfiD OR MAY PHHTAJN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THg TERMS, EXCLUSIONS AND CONDITIONS Of SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSNSHwn A WL TYPE Of INSURANCE OENERAL LMBfcrTV COMHCTCIAI. GENERAL UABlLfTV (CLAIMS MADE [ j OCCUR SEW. AQGRCOAT& UUIT APPUEB PEBi Dpno- r — IJCCT | |LOC A17TOMOB1U UABIUTY — ANYAUrO ALLOWNBDAUT08 SCHEDULED AUT03 HIRED AUTO? NON OWNED AUTOS OARAGE UADrUTY ANY AUTO EXCESSAIMKRELLA LIABILITY _J OCCUR 1 [CLAIMS MM>E DEDUCTIBLE RETENTION S WORKGM COMPENSATION AND EMPLOYERS' LIABILITY ANY PBOPftieTOfVP&RTNBH/EXECUTIVC OFFICER/MEMBER EXCLUDED? IT yea, datcitan under SPECIAL PBOViSlONS btfow OTHtfl POLICY NUMBER OOS-00012403, WUCY UttOTjwtffftt ffdpwpn/VYl 01/01/03 POUCY rawRSTTONOATB (fpDCUYVl 01/01/04 UMTTS . EACH OCCURRENCE 8AMA6e TO R6NTBDSfeMi366 f&. secwroncBl MED EXP (Anv ma wreonl PERSONAL * ADV INJURY QENEP1AL AQSREGATE PRODUCTS - CQMPK5P AGQ COMBINED SINGLE LIMIT iCfl BCcUmHt) BODILY INJURY{Per person} BODILY INJURY [Per fwdd«n!) PROPERTY DAMAOE (Pir sccWsnt) AlH-Q ONLY ^ EA ACCIDENT AUTO ONLY AQe EACH OCCURRENCE AaQREGATE r wcafATU j joi^.TOftYUMTTSl 1 GR E.L EACHACCIDEMT C.L DISEASE EA EMPLOYEE 6 L DISCAae • POLICY LIMIT s *s ? s * $ 3 $ S a s a 4 S *$ S 1, U U O , UUV 4 1, 000, 000 !»OtlUrVV9 n mN SesCfllPTTOH OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION A.-1 Xll American Roofing, Co., inc. -San D 4901 MOEVna Blvd. Sfco . 812 Sin 0ie»0, CA 92117 1 SHOULD ANY Of THE ABOVE DESCRIBED POLICIES 66 CAMCILLED BEFORE TUB. L MRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAtL „ DAYS WBITTEN NOTICE TO TUB CEHnftCATe HOLDER NAMED TO THE LEFT, em FAILURE TO DO $0 SHALL IMPOSE NO OBLIGATION OR LIABILITY OP ANY KINO UPON THS JN3UBCB TJS AGENTS OR BBflRESeNTAaVEanuTH0^nepReSENT,Tlv^f^ --^^^rt^snr ACOBD 25 <2001/08)© ACOftO CORPORATION 1988 L