HomeMy WebLinkAbout2021 CUMBRE CT; ; CB990085; Permit01/08/1999 - '
City of Carlsbad
Miscellaneous Permit Permit No CB990085
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
Applicant
OILS ROOFING
2230LAMIRADA 92083
760-727-6800
2021 CUMBRE CT CBAD
MISC
2164912400
$000
2600 SF TO LITE TILE
Subtype REROOF
Lot# 0
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
01/08/1999
BT
01/08/1999
Owner
QUINTO JOHN A
'2021 CUMBRE-C.J
CARLSBAD CA 92009x\ / r,\
Total Fees $14500 / T,ptal Paymentsjp Date ^.-$0 00 (\\ ,v ^Balance Due $145 00
"^' X''""Xc"JS 01/08/99 0001 01 02
Miscelaneous Fee #1 /
Miscelaneous Fee #2
TOTAL PERMIT FEES
/is- \-••<r--J' ,./''
;s
t -"i ^-s /~~' *y ' '-"•*" \ / i;\^T)/ /-<c i ^ -'$14500
\ ""-• ., ''^•\\^!l, ".^--^ /
\ .-'; ^ "••-'- v''" /,NCDH-'OHA cD S f"•<>52 -x' , \ \r>r /
145-00
Inspect
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE mat approval of your project includes the "Imposition of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exacBOns" 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 capactiy
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
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr, Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO .
EST VAL
Plan Ck Deposit
Validated By.
Date I
Address (include Bldg/Suite *)Business Name (at this address)
Legal Descnption Lot No Subdivision Name/Number Unit No Phase No Total n of units
Assessor's Parcel 9 Existing Use Proposed Use
Description of Workf£>ovc£-
Z.; CONTACT i?EnSON Uftdlffe>.mrS
SO FT 0of Stones
traysRnist**.
# of Bedrooms. * of Bathrooms
_ 4- 2_~? r .*s:r, r
'/Name
3" - M^CKm^ct!ft£onmaioT»f^(
Address City State/Zip Telephone #Fax #
Name Address
*:- -PROPERTY OWNEfi ?.-"T^S
City State/Zip Telephone
Name Address City State/Zip Telephone 9
=6>SCbNTRACTOH ^COMPANY
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, alter, rmprove, demolish or repair any structure, pnor 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 Lew
[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 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 ($500))
"P/<L< &o0f-iAJ/z> _ T^L^o (J*-tUu£Aa>A ftSt-A^ CA- 4^0 "\ ~? 2. 7-
Name
State License «{0
Address
License Class (2—
City State/Zip
City Business License #
one *
Address City State/Zip TelephoneDesigner Name
State License ff
•6. /-WORKERS'TOMWIttmOlK^^a^^
Workers' Compensation Declaration I hereby affirm under 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
0 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 earner and policy number are _ .
—^? 3 Expiration Date /^** <S » 'Insurance Company Policy No
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS |$1001 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 Lews of California
WARNING Failure to aecura/workan' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (*TOO,000)^ln addfQon to the coat of compensation, damages a» provided for In Section 3706 of the Labor coda. Interest and attorney a fees
SIGNATURE Sd7j£frfo /^*M^ - _ . _ DATE f~*£"~ *? ^
7.^BWm«J|&fetiiBBuui«na&
I hereby affirm tnet 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 Lew does not apply to an owner of property who builds or improves thereon, and who doea
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, es 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 epply 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)
[I] 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
COMPLETJ-THIS SECTIOttl-bRfrOTME^^
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or nsk management and prevention
program under Sections 2550S, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?- Q- -VIS — 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? D YES D NO
Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES O 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
fcOSONS^UCTOfli^DJNS^^ -
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
^^ -,X~: ,;".
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 authonze 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 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 stones 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 365 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 cp/nmencecKor a penod of 180 days (Section 106 4 4 Uniform Building Code)
APPLICANT S SIGNATURE DATE ^-
WHITE File YELLOW Applicant PINK Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS:
2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL
3. ROOF SLOPE: RISE 4- inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (f) 2 3
5. TYPE OF EXISTING ROOF COVERING StUtfCL, SHEATHING
*6 NEW ROOF MATERIAL A CLASS && WEIGHT PER SQUARE
7. NUMBER OF SQUARES
8. TRADE NAME 4^1^ tr-gL MANUFACTURER
9. ROOF SYSTEM LISTING UL No. __ ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? /YEsT/ 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
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signature ^U^_ /^— /-tf"5?*? Date
.Contractor Name
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Inspection Request
For 1/19/99
Permit# CB990085 Inspector Assignment PY
Title 2600 SF TO LITE TILE
Description
Type MISC Sub Type REROOF
Phone 7607276000
Job Address 2021 CUMBRE CT
Suite Lot 0
Location Inspector
APPLICANT OILS ROOFING
Owner QUINTOJOHNA
Remarks
Total Time Requested By N/A
Entered By CHRISTINE
CD Description Act^ Comments
19 Final Structural
InspectionHistory
Date Description Act Insp Comments
1/13/99 AP PY
AGQBD~
PRODUCER
MARK RUBIN INSURANCE / ALL COMMERCIAL
INSURANCE SERVICES
6313'NANCY RIDGE DRIVE
SAN DIEGO CA 92121
PHONE 619/642-0200
FAX 619/642-0205
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS 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 BY THE POLICIES BELOW
COMPANIES AFFORDING COVERAGE
INSURED
OILS ROOFING
2230 LA MIRADA DRIVE
VISTA, CA 92083
COMPANY
A
COMPANY
B
ROYAL SURPLUS LINES
GOLDEN EAGLE INSURANCE CORPORATION
COMPANY
c
COMPANY
D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR
PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH
WHCH THIS CER^'^'CATE WAY BE iSSUED OR r'Av PL^iV IN '"HE MS'JRAMCF iFrC°DED S" Tl 1 "CLiC'EC DESC.T3ED 1JCRE'\ IE
ALLTHEJTERMS EXCLUSIONS AND CONDITIONS OF SJJCH_P_OLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
TYPE OF INSURANCE i POLICY NUMBER :
THE POLICY
RESPECT TO
SUBJECT TO
GENERAL LIABILITY
--- ;Xi COMMERCIAL GENERAL LIABILITY
CLAIMS MADE i X j OCCUR'
KZW100196 j MAY 1 98 MAY 1 99
GENERAL AGGREGATE S j QOO 000
JPRODUCTS COMP/OPAGG s 1,000,000
.' X OWNER S & CONTRACTOR S PROT
PERSONAL & ADV INJURY S
EACH OCCURRENCE S
| FIRE DAMAGE (Any One Fire) ' $
'MED EXP (Any One Person) ' S
1 000 000
1,000,000
50,000
5,000
AUTOMOBILE LIABILITY
ANY AUTO
; X ALL OWNED AUTOS
X n SCHEDULED AUTOS
X i HIRED AUTOS
X | NON OWNED AUTOS
CCP491301-01 MAY 198 MAY 199
' COMBINED SINGLE LIMIT
HrO!l Y iN 'URV
'f-er person)
BODILY INjURY
(Per accident)
PROPERTY DAMAGE
1000000' '
GARAGE LIABILITY
~'""i ANY AUTO
AUTO ONLY EA ACCIDENT ! S
OTHER THAN AUTO ONLY
EACH ACCIDENT !$
AGGREGATE
!
|_EXCE| EXCESS LIABILITY
i UMBRELLA FORM
UKiBRE[_LA r'G
EACH OCCURRENCE
AGGREGATE
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY NWC319301-03 AUG 1 98
THE PROPRIETOR/
PARTNERS/EXECUTIVE
OFFICERS ARE
! INCLi
X ! EXCL
i | WCSTATU i |OTH'._.. -i TORY.LIMITS.j IER. .
AUG 1 99 j EACH ACCIDENT
| DISEASE POLICY LIMIT
'DISEASE EACH EMPLOYEE
1,000,000"
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/SPECIAL ITEMS ONGOING OPERATIONS OF THE NAME INSURED
CERTIFICATE HOLDER
INFORMATIONAL PURPOSES
CANCELLATION
SHOULD ANr' OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY KIND UPON THb COMPANY ITS AGENTS OR REPRESENTATIVES
Attention
25-8(1/95)
AUTHORIZED REPRESENTATIVE
Certificate # 2396