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Home My WebLink About2002 CUMBRE CT; ; CB981616; PermitB U I L D I N G P E P. M I T -i1Tr 12 Page 1 of 1 Permit No CB981616 Project No A9802154 Development No Job Addre 2002 CUMBRE CT Suite Lot# Permit Type MISCELLANEOUS Parcel No" 216-491-21-00 Valuation 6,625 Occupancy Group. Reference* . Description REROOF-REMOVE SHAKE, INSTALL , LITE WEIGHT CONCRETE TILE ICBO #2093 Construction Type NEW Status ISSUED Applied 05/26/98 Apr/Issue. 05/26/98 Entered Bv BT Appl/Ownr •*** SECURE ROOF INC 2210 MEYERS AVE ESCONDIDO CA 92029 Fees Required *** ••*>'•* 432-9084 Fees Collected & Credits Fees .1.45 00 Adjustments: .00 Total Fees. 145.00; Fee description '•Total Credits- TotcVl Payment.? : Balance'- Due : , Units'. Fee/Unit C-PRHT 0 0 00 145.00 Ext fee Data *** !2 145.00 Miscellaneous Fee -frl A MISCELLANEOUS TOTAL 145.00 145 00 PERMIT FEE 145 00 Fl APR 'OVAL 'IV CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION - "•»• CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr , Carlsbad CA 92009 (760)438-1161 1 PROJECT INFORMATIONci FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date CPU Address (include Bldg/Suite #) Legal Description Assessor s Parcel f Description of Work^ t lx Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Existing Use Proposed Use . ,i SO FT , #of Stories tt of Bedrooms __ Total # of units # of Bathroomsi TZ-emnON/e. 2 CONTACT PERSON (If different Name \ , U Address t-J City 13. /'APPLICANT Q Contractor Jfa Agent for; Contractor ,;C1 Owner O Agent for Owner State/Zip Telephone # Name 4. ' PROPERTY OWNER - Address City State/Zip Telephone if • - . . . TgyAcL -ZX3O7.Of Name Address City State/Zip Telephone t ' CONTRACTOR • COMPANY NAME" (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 70OO of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption Any violation of SectlOR.7031 5 by any applicant for a permit subjects the applicant to a civil penalty<jAjiaryrm.rAthan five hundred dollars I $ 5001) Name State License # Address License Class City State/Zip— City Business License Designer Name Address City State/Zip Telephone State License 8 _ 6 WORKERS' COMPENSATION '," ; • t Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~| 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 1 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 •^C'^, e / I ' ^1Insurance Company carrier and policy t3<JL/V\ &Policy No Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) D 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 to secure worker* compensation coverage I* unlawful, and shall subject nn employer to criminal penalties and civil lines up to one hundred thousand dollars (5 100 000), In addition tp.the cost of compensation, damages as provided for In Section 3706 of the Labor code Interest and attorney » fees SIGNATURE _ ^J7\ Q - (LQ^J^A^f _ DATE~ ~ ~ 7i* OWriER-BUILDER DECLARATION * 5" " »j A~ *-.. - •.. ; „ .>, i I hereby affirm that I am exempt from the Contractor's License Law for the following reason Q I, es 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 lor sale (Sec 7044, Business end Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end 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) 0 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) fj] 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 SECTION FOR WbAfcfl£SyDfiV7*4tBUlLDiNQPERMrfSONtY,fWIr -V ' "' v',i S *i * ,';if • ;: f • h . , n . .: . 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 25506, 25533 or 25534 of the Presley-Tanner Haze-dous Substance Account Acti' O N ES 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? l~l YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES f~) 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 !ai:?cb'NSTmJCTio¥la«>iN<i^^ ., . , ,•- 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 iVAPPUC'ANT CERtinCATOWiR»^rih ^ 7 \. - ? ' b?4: & " *•' 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 properly for Inspection purposes I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CAI.LSBAD 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 6'0" 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 not commenced within 385 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 commenced for a perlqd of 180 days (Section 108 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE 1 ApiWHITE File YELLOW Applicant PINK' Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICAT[ON FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: MSE_Jj_inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (Q) 2 3 5. TYPE OF EXISTING ROOF COVERING H^^SHEATHING *6. NEW ROOF MATERIAL CLASS _ .WEIGHT PER SQUARE 7. NUMBER OF SQUARES ^-^> 8. TRADE NAME _ MANUFACTURER Dura U f^ 9. ROOF SYSTEM LISTING UL No. _ ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? <JE§) NO AH 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. . a Contractor _ Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB981616 FOR 06/05/98 DESCRIPTION: REROOF-REMOVE SHAKE,INSTALL LITE WEIGHT CONCRETE TILE ICBO #2093 TYPE: MISC JOB ADDRESS: 2002 CUMBRE CT APPLICANT: SECURE ROOF INC CONTRACTOR: OWNER: REMARKS: C/PAM/432-9084 SPECIAL INSTRUCT: STE: PHONE: 432-9084 PHONE: INSPECTOR AREA PD PLANCK* CB981616 OCC GRP CONSTR. TYPE NEW LOT: PHONE: INSPECTO: TOTAL TIME: —RELATED PERMITS— CD 19 PERMIT# TYPE STATUS CB981572 POOL ISSUED RW980164 ROW ISSUED LVL DESCRIPTION ST Final Structural ACT COMMENTS L sr/ DATE DESCRIPTION 052998 Roof/Reroof INSPECTION HISTORY ***** ACT INSP COMMENTS AP PD COMPENSATION INSURANCE. • . PO, BOX 420807, SAN'FRANCISCO, CA 941424807; '"';, ; , ; JANUARY ;'27, CERTIFICATE OF WORKERS' COMPENSATION INSURANCE POlilCY NUMBER- ', CERTIFICATE EXPIRES- ^ UHIT , EL CftMIHQ INSURANCE . ; P OJBQX; 9608 VISTA 6fl L ' •-..'. , ; JOBs.OLL This is to certify that we have issued a valid .Workers,' Corppehsation insurance policy in a form approved by the California; insurance Commissioner^to the employernamedIbelow for the^policy period indicated.;;/ - - ;y.^ ; ""- . This policy js not subject to cahceliation by the Fund Bxcept uporxferi days'-advance written notice to the employer." . /'".-' , We^^wilt also give you TEN'days'advance notice^^should^this p6hcy be cahcelledIphdr to' its nbrrnaj expiration .'• '• . : . ,. . ._ this, certificate of insurance, is not an; insurance policy and does ndt 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 tnsurahce may be issued or mayipertain, the''tn$urancfe afforded" by ..the policies: described herein is subjed to all the terms, exclusions and conditions ofsuchpolrciesC^.^:- ":. '..".. .^ „• ^^^ AUTHORIZED.REPRESENTATIVE PRESIDENT' EPLOYER'S:LIP*jj.[NCtUpWWM0 DEFENg^, COSTSs $1,899,080 PEP OCCU.RREh EMPLOYER ... SECURE ROOFr IHC S, ESCOHDI DO CA 92829, . RB I