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Home My WebLink About1708 CANNAS CT; ; CB031216; Permit04-28-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB031216 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1708CANNASCTCBAD MISC 2155011600 $2,997.00 Subtype: REROOF Lot #: 0 MORALES RES-2700 SF COMPOSITIO Status: ISSUED Applied: 04/28/2003 Entered By: RMA Plan Approved: 04/28/2003 Issued: 04/28/2003 Inspect Area: Applicant: ONEY ROOFING Owner: MORALES FREDERICK A PO BOX 30 1534 92030 760751-2150 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees i ruo WWIINMO iri vivO OA/ifl/ft7 CARLSBAD CA 92009 *W 04/-8/03 PERMIT FEE $77.00 $0.00 $0.00 (&Q2 01 02 TOTAL PERMIT FEES $77.00 77-00 Total Fees:$77.00 Total Payments To Date:$0.00 Balance Due:$77.00 FINAL APPROVA 1NSP. CLEARANCE. DATE. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT aQ7G Los Palmas Dr., Carlsbad CA 92009 (760)430'1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. EST. VAL. Plan Ck. Deposit Validated By Date_ T ss (include BtdgZSwite ft Business Name tit this address) Legal Description Lot No.arne/Number Phau No.Total <f of units 's Pafcel f Existing Use Proposed Use Description of Work 2. CONTACT PERSON SQ.FT. from apparent) f of Stories f of Bedrooms * of Bathrooms Name i3. JffPUCANT^EEL Contractor Address Q Agent for Contractor D6Wn City •f •> Q Agent for Owner ,___ State/Zip Telephone #Fax * Name ' 4, ^JROPEHTYO Address City , ^PRO " State/Zip Telephone •&009 Name Address City State/Zip TelephoneCONTRACTOR -COMPANY NAME (Sec. 7031.5 Business and Professions Code: Arty City or County which requires a permit to construct, liter, 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 Ncensad 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 la exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any appKeaot for a permit subjects the appHcarjMo a civil penalty of not mow than five hundred dollars ($5001). Name State License # Address License Cl ,, aasC- 3 7 City State/Zip City Business License » Telep O Address City State/Zip TelephoneDesigner Name State License * _ 6. WORKERS' COMPENSATION ....... ' "" ....... ' "•;-'•-- -•••••--;-•- :-. ..... ~ 7, - ^^r^'- ^-, r^T^"^*"'"" "•!,""•••' T ' " •''."•• ' Workers' Compensation Declaration: I hereby affirm tinder penalty of perjury one of the following declarations: Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. "Q. I hsve and will maintain workers' compensation, as required by Section 3700 of the tabor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrie&and policy number are: /- Insurance Company jVTOTf f &n~fl C&vS _ Policy No. Q_ff£££*5*? ~£^ Expiration Date /~/-Q */ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1*100] OR LESS) Q CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure t&LwiJre workers' compensation covefaj)s_bLjjnlawful, and ehaN subject an employer to criminal penalties and dvH fines up to one hundred thousand dollars (*1<n),OOOJ\hi addition to thajjost of cor1$«witk>rOdamages as provided for In Section 3706 of the LUwr code. Nitanatand attorney's fees. ^^s^v^fc--^ — ^^TJr — ^\S _ DATE /<y-^Q-Q 5> EB-ti»LDER DECLARTION ( "^\ Q " """' " ' "• ..... " " ' _'- ''• '.:v*!Tri''~"^- : '.'•' ^m^^^&^'- rWtlplB'^.V ^' ' Tirm that I am exempt fyom tbex€omucmr's License Law for the following reason: I, asBviiiei "*l the pujperty or my employees with wages as their sole compensation, will do the work and the structure Is not intended or offered for sate (Sec. 7044, Business and Professions Cods: 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 sate. H, however, the tauikttng or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving that ha did not buHd or Improve for the purpose of eats). Q I, as owner of the property, am exclusively contracting with licensed contractors to construct the protect (Sac. 7O44, 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 contractors) ttcsnsed pursuant to the Contractor's License Law). 0 I 8m «xempt 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 en 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 NO COMMUTE THIS SECTION FOR WOWttS»£V7ZAi BWLD^ 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? Q YES Q NO Is the applicant or future building occupant required to obtain a permit from the elf pollution control district or ah- quality management district? D YES Q Is the facility to be constructed within 1,000 feet of the outer boundary of a school aha? 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. a."" cbNSTmicTiON" LENDING AGENCY'*'™"' •r-'-^r^ :-^^;^y^r^™^^ , ..... ...... I hereby affirm that there is s construction lending agency for the performance of the work for which this permit la issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS J9. APPLICANT CERTIFICATiON '*' "~~~r —-ry-^ I certify that I hsve 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 Crr> 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 end demolition or construction of structures over 3 stories In height. EXPIRATION: Every permit i»ufldby the Building Official under ttw provisions of this Code shall expire by limitation and become null and void If the building or work authorized by such permit W-rtdt commenced within 3B*-devs-f«intne date of such permit or If the building or work authorized by such permit is suspended or abandoned at envjuwe-e^aUge wbrk is commenced forJj^pWJBtt,of 1 SOday* (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ork auth ). / / pplicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL <s^~ COMMERCIAL 3. ROOF SLOPE: RISE_J£_inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Cj) 2 5. TYPE OF EXISTING ROOF COVERING^v^U^HEATHING *6. NEW ROOF MATERIAL A CLASS JJT WEIGHT PER SQUARE 7. -NUMBER OF SQUARES S <g . 8. TRADE NAME £A\C < r-es^ ^^MANUFACTURER 9. ROOF SYSTEM LISTING UL Nbi ICBO No.. ? <*yJ^ 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (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-inspection prior to install new roof covering. 2. Final Inspection 1 agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor u^^ Owner Contractor Namtt^TVl 6U '^r\OPT7>vq, *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 05/05/2003 Permit* CB031216 Title: MORALES RES-2700 SF COMPOSITIO Description: Type:MISC Sub Type: REROOF Job Address: 1708 CANNASCT Suite: Lot 0 Location: APPLICANT ONEY ROOFING Owner: MORALES FREDERICK A Remarks: Inspector Assignment: JM Phone: 7607512150 Inspector: Total Time: CD Description 19 Final Structural Act Comment fa f/f Requested By: DUANE Entered By: ROBIN Associated PCRs/CVs Inspection History Date Description Act Insp Comments 04/30/2003 15 Roof/Reroof AP JM OK TO COVER SD POL1CYHOLDER COPY CO MPE N 5 ATI ON N S LIH AN CC P.O. BOX 807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 01-17-2002 CONTRACTORS STATE LICENSE BOARD ATTN: WORKERS' COHP. UNIT BOX 26000 SACRAMENTO CA 95826 SD GROUP: OO0285 POLICY NUMBER: 0002257-2003 CERTIFICATE ID; 1 CERTIFICATE EXPIRES: 01-01-2O04 01-O1-2003/O1-01-2O04 LICENSE NUMBER: COMTR LIC *4sosi2INCEPTION DATE: 01-01-2003 O.O.: SO 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 ind.jated. This policy is not subject to cancellation by the Fund except upon 10 days' advance written notice to the employer. We will also give you 10 days* advance notice should this policy be cancelled prior to its normal expiratioa This certificate of insurance is ndt 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.OO PER OCCURRENCE. EMPLOYER ONEY ROOFING, INC PO BOX 30153** ESCONDIDO CA 92030 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND PRINTED:12-13-2002 P0410 SCIF 10265 (REV 2-01|