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Home My WebLink About2000 COSTA DEL MAR RD; BLDG A; CB021267; Permit• City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-25-2002 Miscellaneous Permit Permit No CB021267 Building Inspection Request Line (760) 602-2725 Job Address 2000 COSTA DEL MAR RD CBAD Permit Type MISC Subtype REROOF Status ISSUED Parcel No Lot # 0 Applied 04/25/2002 Valuation $34,96500 Entered By RMA Reference # Plan Approved 04/25/2002 Issued 04/25/2002 Project Title LA COSTA SPA-10,500 SF REPLACE Inspect Area EXIST STD WT CLAY WITH SAME 5865 04/25/02 QOQ2. 01 02Applicant Owner CGP1 451.00 COMMERCIAL & INDUSTRIAL ROOFING INC 9239 OLIVE DR SPRING VALLEY, CA 91977 6194653737 Total Fees $451 00 Total Payments To Date $0 00 Balance Due $451 00 Miscelaneous Fee #1 PERMIT FEE $451 00 Miscelaneous Fee #2 $0 00 • Additional Fees $0 00 '• TOTAL PERMIT FEES $451 00 FINAL APPROVAL Inspector r-^JL^ Date /f' f^ffr *-" 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 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 •Li \" PROJECT INFORMATION'LA FOR OFFICE USE ON.L PLAN CHECK NO EST VAL y *7 Plan Ck Deposit Validated BV Date f Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor s Parcel tf Use ).jUo • ^.Jf~ Proposed/Use/' # flff Bedrooms of Bathrooms Name Address City '3;€:vAPPLICANt... ^f2£pritractor5-sQ, Ag^ffbriCoritractorJiiijOlQwneif JO Agent for Owner State/Zip Telephone tt Fax , \»«3NameAddressc State/Zip Telephone # Address City State/Zip C_/L TelephoneName £ <S a CONTRACTOR ,.COMPANY NATVfEi; (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 viol^tpon of/Section 7031 5 by any apphcant^for a perrrjit subjects the applicant to a civil penalty of not^ more than five hundred dollars [$500U Name State License tt Designer Name State License tt -ZT ^^1373. ^ Address '1 License Class ^- Address :-5 T- City City City State/Zip Business License tt \ £>^C State/Zip Telephone pfo^ Mk Telephone it Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations "0. 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 S^ 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 —1- \-oSInsurance Company Policy No Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l 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^Vorkers^ompensatiorfTJaws of California WARNING EarinFe~V/gecure vvor)<ers cq^pfenpation coverage Is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand-dollars (SlO^fltfo) /nimitiaMomgfcoat of compensation damages as provided for in Section 3706 of the Labor cade interest and attorney s fees siGNAnrRr^/L^^^cx uLJ^~~) _ DATE q. I hereby affirm that I am exempt from the Contractor s License Law for the following reason l~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) l~l 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 [~l YES I~|NO 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 if" H " ->' ' " - 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? 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 ^0NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES ^0. N0 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(0 Civil Code) LENDER S NAME LENDER S ADDRESS '9' APPLICANT CERTIFICATIONS ..-^fc/: „ ,".<st- L«; -y«s, irfiw .* ' -• ; - . -:. '" « , ••'" '"-, ,•.» .. ... 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 AIL 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 ttie-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 notcornmeacpd within ' at any time after the workjs<5mrnencj^for a pejwd of' I/2_/yL-«£;e^-i DATE ~days from th APPLICANT S SIGNATL of such permit or if the building or work authorized by such permit is suspended or abandoned 106 4 4 Uniform Building Code) WHf^-Fffe YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS- ££ CTPO Ca.s4-/9 Q<? I m^H- J?J CA^40V, 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE- RISE 4 o*> L7 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) Q2 2 3 5. TYPE OF EXISTING ROOF COVERING SHEATHING Va. ,»^ c *6 NEW ROOF MATERIAL "W< A CLASS #<^ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES < oL> 8. TRADE NAME C )/W 4, )e MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. £ R ~ 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF' ^ES> 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 (j) 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 ^W^^/7<^^ Date Apaf/^C- <^^- Contractor ^v OwnerContractor Name ^<=j *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other City of Carlsbad Bldg Inspection Request For 09/11/2002 Permit# CB021267 Title LA COSTA SPA-10,500 SF-REPLACE Description EXIST STD WT CLAY WITH SAME Inspector Assignment RB r 2000 COSTA DEL MAR RD Lot 0 Type MISC Sub Type REROOF Job Address Suite Location APPLICANT COMMERCIAL & INDUSTRIAL ROOFING INC Owner Remarks Phone 6194653737 Inspector Total Time CD Description 69 Final Masonry Act Comments Requested By NEIL REILLY Entered By GIOVANNA Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/02/2002 15 Roof/Reroof AP RB 04/30/2002 15 Roof/Reroof PA RC OK TO COVER WEST SIDE ftPR-£5-£00£ 09 14 FROM COMMERCIAL 8. INDUSTR 6194658578 TO 17606028558 P I'l jam "CERTIFICATE OF LIABILITY INSURANCE ^JKST ALL COMMERCIAL INSURANCE SERVICES, L(_C 6700 TOP OUN STREET #3 SAN DIEGO CA 921 21 PHONE 858/642-0200 FAX 858/6424205 Agency Llc# OC64552 INSURED COMMERCIAL & INDUSTRIAL ROOFING COMPANY, INC 9239 OLIVE DRIVE SPRING VALLEY CA 91977 THIS CERTIFICATE 13 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 PY THE POLICIES BELOW COMPANIES AFFORDING COVERAGE 'COMPANY A ADMIRAL INSURANCE COMPANY COMPANY B GOLDEN EAGLE CORPORATION COMPANY C TOPA INSURANCE COMPANY COMPANY D STATE FUNP ' COMPANY 6 COVERAGES •miS IS TO CfeKrlCY THAT IHb POLICIES OF INSURANCE LISTEU tibLOW I1AVS HI-fcN ISSUED TO I HI: INSURED NAMtU NOTWITHSTANDING ANY RkOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RfcSPEOR MAY IJERTAIN THE INSURANCE AFFORRfcD BY THE POLICIES DESCplBFL) HhREIN IS SUBJECT TO ALL THF TEKM3HM1T-1 •-H'WVN MAY MAVF 8FEN REDUCE'} SY mD CLAIMS ',V TYPE or INSURANCE POUCY NUMBER 'ffiJBSSKt '^SSSHSff UtNERAL LIAE1II ITY AO1A0 10604 X uMfJi in |A| i,t NI-HAL LIABILITY U AIMS MADt X OCCUR A ii OFlVfL AGGRCGATI- LIMIT APPLIES PFft POIICY MUST |LOC AUTOMOBILE UAOILI 1 Y CCP548&85-02 ANY AUTO | X ALL OWM1-L) AUTOS ' B 1 X IHW-DAUTO X NDNl(WNH) AUTOS GAKAOF LIABILITY ANY AUTO bXLF65 LIABILITY XL1 1 447 X OCCUR CLAIM3 MADE C i^l liULIIbll. II 1 1- N Ml IN v rK^Wb™"™ 2551783^.2 D OTHER I MAY 1 01 MAY 1 02 MAY 1 01 MAY 1 02 MAY 1 01 MAY 1 02 JAN 1 02 JAN 1 03 ABOVE FOK I He POLICY PI KIOL) INDICATCU;T TO WHICH THIS CERTIFICATE MAY DE IBSUFPEXCLUSION3 AND CONDITIONS Or SLJCI I POl If Its LIMITS bACH OCCURKbNCk | FIRE DAMAGt (Any Orm Rr*) MED EXP (Any Onn Prawn) PERSONAL & ADV INJURY GENERAL AOOKEQATE PRODUCTS-COMr/OP AGO COMBINED SINQIF LIMIT(Ea acddanl) BODILY INJURY(Par pencil} BODILY INJURY PROPERTY DAMAGE AUlOONLY CA ACCIDENT OTHER THAN ^ ACC AUlOONLY AOQ fcACH OCCURKhNCE AGGREGATE WOSIMU. | lulnLKTQfiY LIMITS 1 E L EACH ACCIDENT 6 L DISEASE-FA EMPLOYEE E L DISFA8E POLICY LIMIT $ 1,OOU,UUU $ 100,000 I EXCLUDED I 1,000,000 r 2.000,000 j 1,000,000 t 1 000,000 $ f I 'f } >J,DQO UOU $ £i,000,000 $ $ 1,000000 t 1,000,000 t 1,000000 DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/SPECIAL ITEMS FOR INFORMATIONAL PURPOSES ONLY CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION FOR INFORMATIONAL PURPOSES ONLY Attention SHOULD ANY OF THF ABOVE DpSCRIBhD POLICIES B6 CANCCLLFO BeTORE THLEXPlFWriON DATE THEREOr, THF ISSUING COMPANY WILL ENDEAVOR TO MA|l 10DAYS WFUTT&N NOTICE TO THF CfcRTincATE HOLDER NAMFD TO THE LEH BUIFAILURE TO DO SO SHALL IMPO^t NO OBLIGATION OR LIABILITY OF ANY KIND UPON I Kl.INSURER IT SAOHNT9 OR REPRESENTATIVES AUTHONkfcUHEPRESIsNlAIIVE __ srf *,*/£- jf£>^'- ACORD 25 S (7/97)Certificate # 2IM41 Mark Rubin 0822037