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HomeMy WebLinkAbout2011 CIMA CT; ; CB090689; Permit04-24-2009 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB090689 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # PC# Project Title 2011 CIMACTCBAD MISC 2164910900 $000 Subtype Lot# REROOF 0 HOLLENBECK RES-3,000 SF COMP Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/24/2009 LSM 04/24/2009 04/24/2009 Applicant PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Owner HOLLENBECK THOMAS P E&ESTRADA-HOLLENBECK MICHELL 2011 CIMACT CARLSBAD CA 92009 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $10600 $000 $000 TOTAL PERMIT FEES $10600 Total Fees $106 00 Total Payments To Date $10600 Balance Due $000 Inspecti FINAL APPROVAL Date «5/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 City of Carlsbad .1,635 Faraday Ave Carlsbad CA 92008 760 602 2717 / 2718 / 2719 / 2721 Fax 760 602 8558 Building Permit Application Plan Check No Est Value Plan Ck Deposit Date JOB ADDRESS -Jlf~\\ CT/PROJECT t DESCRIPTION OF WORK 6lM LOT* fo*c PHASE* £f - * OF UNITS ^f BEDROOMS SUITE#/SPACE*/UN f BATHROOMS T# TENANT BUSINESS NAME APN ../ , *"* ' .^-- CONSTR TYPE OCC GROUP 1 1 EXISTING USE"PROPOSED USE PATIOS {SF) DECKS (SF)'NOQ AIR CONDITIONING YESQ N<>D FIRE SPRINKLERS YESQ NOQ CONTACT NAME APPUCANTNAME ADDRESS ~ari "^ PHONE PROPERTY OWNER NAME ADDRES5 CONTRACTORBUSNAME 2ou ?IHI 1 ARCH/DESIGNER NAME & ADDRESS (Sec 7031S Busmen and Professions Codt Any City or County which requires a permit to construct, alter, improve demolish or repair any structure, prior to IB tuuance. also requires the applicant for such permit to file a signed statement (hat he a(kerned pursuant to (he provisions of the Contractor's License Law {Chapter ? commending with Section 7000 of Division ] of the Busmas and Professions Code} or tlSection 7031.S by any applicant for a permit suborn the applicant to a onl penally of not more than five hundred dollars {ISOO})ir that he n exempt therefrom, and the basis for the alleged exemption Any violation of W F- Workers Compensation Declaration / hereby affirm under penalty of perjury one oi the following declaruuuin* LJlbave and will maintain a certificate of consent to solfnnsure 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_3 I have and will maintain workers compensation as required by SecLjm^700 of the Labor Code for the performance oi the work for which this permit is issuedMV workers compensation insurance, earner and policy number are Insurance Co ~yff%\^ <fo^\J Policy No ^pQ2J^Tl^ZO^ExpiratlonDate fa f | fO^ This section need not be completed if the permit is for one hundred dollars ($100) or less I I 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 workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100 000) in addition to the cost of compensation damages as provided, for In Section 3706 of the Labor code Interest and attorney s fees -€? CONTRACTOR SIGNATURE O DATE O / hereby affirm that I am exempt from 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 offertid 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 (he burden of proving that he did not build or improve for the purpose of sale) [ | I ^s 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 contractors) licensed pursuant to the Contractor's License Law) | | I am exempt under Section Business and Professions Code for this reason ^^ ^^ 1 I personally plan to provide the major labor and matenals for construction of the proposed property improvement | JYes | JNo 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/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 / 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 / type of work) Is the applicant or future building occupant required to submit a business plan acutely hazardous matenals registration form or nsk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? Q Yes D^o Is the applicant or future building occupant required to obtain a permit from the air pollution control distnct or airquahty management district? I ftes LjNo Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? OYes EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code) Lender's Name * " ^ '":^ .j-* Lender's Address * Ittrtifytbatlhawreadtheappllc^onandstatethattheabove!^ I agreeto comply with all City ordinances and Statelawsrelatlngtobuildlngconstmctlon I hereby authorize representative of (he 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 OSHA An OSHA permit is required for excavations over 5 O1 deep and demolition or constructor! of structures over 3 stones in height EXPIRATION Every permit issued by the Building OffiaaT under the provisions of this Code shal expire by limitation and become null and void if (he building or work authorized by such permif is nof commenced within 160 days from the date of such permit or if the buildinoerwcxk authonzedby such rmoilis suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) jfif APPLICANT S SIGNATURE-DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL ^^ COMMERCIAL. 3. ROOF SLOPE RISE T INCHES IN 12 INCHES 4 NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE]((jJ 2 3 5. TYPE OF EXISTING ROOF COVERING VifTGrQ SHEATHING *6. NEW ROOF MATERIAL C^^^~ _ CLASS^^WEIGHT PER SO. 7 NUMBER OF SQUARES 8. TRADE NAME ?r£?^ MANUFACTURER 9. ROOF SYSTEM LISTING. UL NO. _ I.C.C E S. Report # ASTM _ 1 0. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^YET^) 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-lnspection 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. vkfh 9Signature V_>^^O^a xj^ V Date. °^ £ L $'x— Owner Contractor Name /Oo O Ot V.Contractor N— Owner Contractor Name "b. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass. Built Up, Other City of Carlsbad Bldg Inspection Request For 05/04/2009 Permit* CB090689 Title HOLLENBECK RES-3,000 SF COMP Description Type MISC Sub Type REROOF 2011 CIMACT Inspector Assignment TP Job Address Suite Location Lot Phone 76074 Inspector APPLICANT PIVA ROOFING, BOB Owner HOLLENBECK THOMAS P E&ESTRADA-HOLLENBECK MICHELL Remarks Total Time CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Requested By SARA Entered By BARBARA Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/28/2009 15 Roof/Reroof AP TP Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 1 of 2 Department of Consumer Affairs Contractors State Licefeoard Contractor's License Detail - License # 218938 /IN DISCLAIMER A license status check provides information taken from the CSLB license database Before relying on this information, you should be aware of the following limitations " CSLB complaint disclosure is restricted by law (BSP 71.24.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action information >•> Per B&P..1QZ1.17, only construction related civil judgments reported to the CSLB are disclosed >•> Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration » Due to workload, there may be relevant information that has not yet been entered onto the Board's license database License Number Business Information 218938 Extract Date 04/24/2009 Bonding BOB PIVA ROOFING COMPANY INC dba PIVA BOB ROOFING COMPANY INC 1192 INDUSTRIAL AVE ESCONDIDO, CA 92029 Business Phone Number (760) 745-4700 Entity Issue Date Expire Date License Status Corporation 07/15/1963 10/31/2010 This license is current and active All information below should be reviewed Classifications ^^^H ri ASS C39 C-5 D34 DESCRIPTION I ROOFING FRAMING AND ROUGH CARPENTRY PREFABRICATED..EQUJPMENI ^^^^^^^^^^^^^^^^^^^B CONTRACTOR'S BOND 1 1 This license filed Contractor's Bond number 138018 in the amount of $12,500 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY Effective Date 01/01/2007 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL 1 The Responsible Managing Officer (RMO) ROBERT FRANKLIN PIVA certified that he/she owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not required Effective Date J34/15/2002 ____ ______ 2 This license filed Bond of Qualifying Individual number 138403 for DAVID DAIRL PRICE in the amount of $12,500 with the bonding company AMERICAN C_O_NIRACIQRS_INDEMNIIY_.COMPANY Effective Date 01/01/2007 BQI's Bonding History Workers' Compensation This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 639-0000221 Effective Date 06/01/2008 https //www2 cslb ca gov/OnlmeServices/CheckLicense/LicenseDetail asp 04/24/2009 Check a License or Home Improvement Salesperson (HIS) Registration - Contractors Stat Page 2 of 2 Expire Date 06/01/2009 Workers' Conipensat!on_Hista.ry Conditions of Use | Privacy Policy Copyright © 2009 State of California https //www2 cslb ca gov/OnhneServices/CheckLicense/LicenseDetail asp 04/24/2009