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Home My WebLink About2002 COSTA DEL MAR RD; ; CB021270; Permit•rfb 04-25-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB021270 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2002 COSTA DEL MAR RD CBAD Subtype REROOF Lot# 0 MISC $53,280 00 LA COSTA SPA-REPLACE EXIST 16,000 SF STD WT CLAY TILE WITH SAME Applicant COMMERCIAL & INDUSTRIAL ROOFING INC 9239 OLIVE DR SPRING VALLEY, CA 91977 619-465-3737 Owner Status ISSUED Applied 04/25/2002 Entered By RMA Plan Approved 04/25/2002 Issued 04/25/2002 Inspect Area 5845 04/25/02 0002 01 02 CGP 616.00 Total Fees $61600 Total Payments To Date $000 Balance Due $61600 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $61600 $000 $000 $61600 Inspector FINAL APPROVAL 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 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 vou 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 1. PROJECT INFORMATION .,"• , Cos4-A Pel FOR OFFICE USE ONLY PLAN CHECK NO EST VAL _ Plan Ck Deposit ' Validated^By / Date A 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 tt Proposed/Use/'^u^ y- . ,... .dNTACT PERSON (if different from tt rff Bedrooms . A'*< ^3 3 ? ol;'o e o V SfrQKK ^ L/>' /-y c/4 ? )°l77 Name Address City 3 -APPLICANT: >f^53^uontractor\ Q Agent'for Contractor Q, Owner Q Agent for Owner State/Zip Telephone tt Fax # Name L A CO.T-T A 4 PROPERTY OWNER - Address ,-AHa Cit \O State/Zip Telephone # State/Zip C/L Telephone # (y> L Tj Lj(Dj~S /O 7 Name C c/>X ('<-C/B' ^''' ^ Address «| A 3 ^ c)l,Ut O ^ CltY -ST] L/ 5." CONTRACTOR -COMPANY NABIE*- >— :; i:, , ;- (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 Codel or that he is exempt therefrom, and the basis for the alleged exemption Any 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 !$500J) CdOl 6<-W*i*N Co ?^57 «gUi/g Ol SV _ o/l T h 7,7 Ufe / 7>/ fe>T-^ 7 J 7 Name State License # Designer Name State License tt \•^ Address y License Class * — " >5 M •- Address City City City State/Zip Business License # \ ci.C State/Zip Telephone pkT Mk Telephone # *6.v WORKERS'COMPENSATION ! . ' , Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations *£t 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 J5, 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 _, Insurance Company S* \Pn& l^J * cJ Policy No oi O <S ~~ & ' Expiration Date I " ' ~P ~J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) PI CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to thpTVorkersi'Sompensatio/flZaws of California WARNING Eaifu7e^o/Xcure Corkers' coj^pfeiyation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand-ilollarsJ$ljjnVOtfO) /nfmd\tipfymawfcost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License 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) l~l 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 f~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 COMPLETE THIS SECTION FOR/VO/i/-flf5/0£yV?7/li BUILDING PERMITS ONLY 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 >gj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district' l~1 YES ^EJNO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES -jQ 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 SERyiCES AND THE AIR POLLUTION CONTROL DISTRICT 8. 'CONSTRUCTIotfLENDINGrAGENCY • ••,,;• , „:,, -^-., 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 9. APPLICANT CERTIFICATION? i : V~ s !; , ? , .," '• - 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 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 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 by such permit is notcjDmmeftasd within 18u~days from the-iJaJk of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is^oTnrnencVEnor a period of 180 dtfys'j^ectran 106 4 4 Uniform Building Code) APPLICANT'S SIGNATL DATE WH YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2 O&ZL Co s-fa ® -e I Jfl /H> (£j C/h^Ad / C 2. TYPE OF BUILDING: RESIDENTIAL _ COMMERCIAL ^ . 3. ROOF SLOPE: RISE H a^ IZ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (& 2 3 5. TYPE OF EXISTING ROOF COVERING _ SHEATHING % ,'*7c4 .c *6. NEW ROOF MATERIAL ^\* 4 CLASS 8^> WEIGHT PER SQUARE 7. -NUMBER OF SQUARES ( oC? 8. TRADE NAME c)^/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? <^E£> 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: Cjv 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 *7/L^\ , ^U1^^-^ Date Contractor - Owner _ Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 11/04/2002 Permit# CB021270 Title LA COSTA SPA-REPLACE EXIST Description 16,000 SF STD WT CLAY TILE WITH SAME Inspector Assignment RB 2002 COSTA DEL MAR RD Lot 0 Type MISC Sub Type REROOF Job Address Suite Location APPLICANT COMMERCIAL & INDUSTRIAL ROOFING INC Owner Remarks PERMIT UP FOR EXPIRATION Phone 6192474664 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 06/21/2002 15 Roof/Reroof AP RB COMPLETED 06/18/2002 15 Roof/Reroof PA RB WEST END OK 06/14/2002 15 Roof/Reroof PA RB SHED ROOFSON EAST SIDE OK APR-25-2002 09.14 FROM:COMMERCIAL & INDUSTR 6194658578 TO-17606028558 P I'l 'AGSBD. CERTIFICATE OF LIABILITY INSURANCE AU°c'oMMERCIAL INSURANCE SERVICES, L(-C, 6760 TOP GUN STREET #3 SAN DIEGO CA 921 21 PHONE 858/642-0200 FAX 858/C42-0205 Agency Llc# OC54562 INSURED COMMERCIAL-* INDUSTRIAL ROOFING COMPANY, INC 9239 OLIVE DRIVE SPRING VALLEY CA 91977 DAT6(MM/DD/YY) JAN 3 02 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANDCONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATEDOBS NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY 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 THIS IS TO ChHriTY THAT '1Mb K)LICIES OF N8UMANCE LISTEIi btLOW IIAVR HI-hN ISSUED TO IHb INSURED NAMtU NOTWITHSTANDING ANY RtQUIREMENT TERM OR CONOfTION OF ANY CONTRACT OR OTHER HOCUMENT WITH RfcSPEOR MAY (CERTAIN. THf INSURANCE AFFORWEO BY THE POLICIES DESCRIUFD HtREIN IS SUBJECT TO ALL THE TERMS IIMITS 'iH'lWN MAY MAVF BFEN REDUCE'* HY fflD CLAIMS ™ TYI-C or INSURANCE POUCY NUMBER 'flffilSSSSWr fM7s§SSwffn' IifcNeRALLIAHIIITY X . i iM(iJ| I'l lAI 'il NhRAL LIABILITY U AIMS MADt X OCCUR A GTN-L AGGRCGATI- LIMIT APPLIES PFR POUCY PRa-LCT ,LOC AL/TOMUBILEUADIUIY ANY AUTO X Alt OWNI-U AUTOS SrHFOULEO AUTOS X NONoWNH) AUTOS GAKA«F LIABILITY ANY AUTO KXC.F.6S LIABILITY X OCCUR H.AIM3 MADE C 01 UULIIbl L Nl II NMI IN « WORKERS COMPENSATION ANU KMTI 1YGHV < (ABILITY D A01A010604 | CCPS4868S-02 i i XL11447 2B5-1 753-02 ' MAY 1 01 MAY 1 02 MAY 101 MAY 102 MAY 1 01 MAY 1 02 JAN 1 02 JAN 1 03 ABOVE FOh 1 HE POLICY HHKIUD INDICATED CT TO WHICH THIS CERTIFICATE MAY OE ISSUED EXCLUSIONS AND CONDITIONS Or SUCHPOllCltS LIMITS bACH OCCURHbNLt FIRE DAMAOb (Any Ono FH MSD EXP(AnrOrn>wBon) PERSONAL & AOV INJURY GENERAL AOQHEOATC PRODUCT9-COMP/OP AGO, COMBINED SINGI F LIMIT BODILY INJURY(Per pnnon) BODILY INJURY PROPERTY DAMAGE AIJ 1 0 UNLV * 6A ACCIDENT OTHER THAN EAAOC All IO ONLY AOQ feACH OCCUHKt-.NCE AGGREGATE WOSIMO- \ I01MLH TORY LIMITS L SI, EACH ACCIDENT 6 L DiaEASE-FA EMPLOYEE El DISFASE«)LICYUIMFT $ 1,000,000 $ 100,000 S EXCLUDED V 1,000,000 1 2,000,000 $ 1,000,000 * 1.000,000 $ t $ f 1 S.UUU OUU * 5,000,000 $ s i $ 1,000.000 $ 1,000,000 1 1,000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS FOR INFORMATIONAL PURPOSES ONLY CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTCP CANCELLATION FOR INFORMATIONAL PURPOSES ONLY Attention SHOULD ANY OF THF ABOVE EXPIRATION DATE THEREOC, 1 DAYS WRITTEN NOTICE TO T>FAILURE TO DO SO SHALL IMPO INSURER, IT 'S Aftl-NTS OR REP AUTHOKi/:tLJREPRESfeNIAIIVE ocscpiaeo POLICIES ae CANCELLFD BEFORE TUB'HF ISSUING COMPANY WILL CNDFAVOR TO MAll 10 F CERTinCATE HOLDER NAMFO TO THE LEFT BUI ?fc NO OBLIGATION OK LIABILITY OF ANY KINO UPON 1 HLRESENTATWES <^7 , '"-^/l^^^ j£. •^^" j*^ ACORD 25-S (7/97)Cortificate # 2CM41 Mark Rubin 0822037