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Home My WebLink About2049 CORDOBA PL; ; CB990590; Permit02/12/1999 City of Carlsbad Miscellaneous Permit Permit No CB990590 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No Valuation Reference # Project Title 2049 CORDOBA PL CBAD MISC Subtype REROOF 2073005900 Lot # 0 $000 REROOF WITH COMP 25 SQUARES OF COMP REROOF Status ISSUED Applied 02/12/1999 Entered By MDP Plan Approye^ 0,p2M24i999,01 01 Issued 027f 2/1999 Inspect Area 02 Applicant SECURE ROOF INC 2210 MEYERS ESCONDIDO CA 92029 760-432-9084 _ "CARROLL EDWARD R&JEAN E 2049 CORDOBA PL, CARLSBAD CA>. \ 87.00 Total Fees $87 00 / ^ Total Payments f 6'Date v^" $0 00\ \O >Balahce Due $87 00; / l-.. .' " '-> \j *••'* \ V.' \ Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES 4i\ 1C ",-} $8700 •" ' v ••---'• $0 00 $8700 Inspector FINAL ARPROVAL 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 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 APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palrnas Dr , Carlsbad CA 92009 (760)438-1161 I1.' U Address (includefeldg/Suite Legal Description ? I" •' "" '" FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Lot No Subdivision Noine/Numbe Business Maino (at this address) —- -—- Phase No Total # o( units lessor s Parcel *Existing Use Description of Work SO FT '2. 'CONTACT PERSON ill! different from applicant) U',;' "l " ''.V'1.',1 • • Proposed Use #81 Stories # of Bodroorns of Bathrooms Name Address City (3 !, iAPPLlCANTi' Q.dontranliorjnfiJZrABent lofj(iontraotor-i i Q Owner 'IQ AgaMlor Owner '•> Name Address «CA Slate/Zip Telephone # !<*> Fox # Cltv Sinto/Zlp Telephone ft Name CMy State/Zip TelephoneAddress E!"•??.'i^Xi'BI*1!* W?'«]'.•V'.'i 'II'" i "..!,,u ', • '•' • •• '; •, • (Sec 7031 6 Business end Professions Code Any City or County which requires a permit to construct alter Improve demolish or repair any sUvicture prior to its issuance also requires tho applicant for such permit to file a signed statement that lie Is licensed pursuant to the provisions of tho Contractor s License Law {Chapter 9 commending with Section 7OOO ol Division 3 of tho Business and Professions Code) or that ha Is exempt therefrom and the basis for the alleged exemption Any violation of Section 7O3I 6 by any applicant for e permit 6uh)octs the applicant to a civil penalty of riot more than five hundred dollars 196001) Name Slate License 0 C,«ss City Slate/Zip City Business License # Telephone Address City Stale/Zip TelephoneDesigner Name State License tt ___ _ __ ___ 8 WOIIKERS' COMPENSATION 4, 11 ' , •."' . » 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 lor the performance of the work for which this permit Is issued JfL I have and will maintain workers compensation as required by Section 3700 of the Labor Code for tho performance of tho work for which this permit Is Issued My worker s cornMnsationjnsijr.Bnce carrier and policy number are A\- \/} /••v-v s\ ~\ \ f\ «"i Insurance Company Jt\\\\^. ^U 1NJ V) ____ Pol.cy No TT \S (^^3^0 __ Expiration Date __M/1_\H __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDI1ED DOLLARS (91001 OR LESS) [31 CERTIFICATE OF EXEMPTION I certify that In the performance of the work for which this permit is issued I shell not employ any person in any manner GO as to become subject to the Workers Compensation Laws of California WARNING Falkir«Jn ««cu<« worker! compensation caveioge Is unlawful mid ahull subject nn employer to criminal panellist mut clvlt (Inns up to one hundred thousand dollars <YlOO\QOO| In addition to the cp>t\of comp«n««tl<m .dBinogeo ns provided for In Section 3706 of the Labor code Interest arid attorney « fee> SIGNATURE X-^JLCX/VVvXJ^ -Z^V^OlA) ^ V\£f€W)V ___ DAT E ^.— \,V'" ^V °\ ^\" OWNER BUilDEFifeEdUhAtlOf.1'" ~ 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 Tho 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 yeer of completion the owner builder will have tfie 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 contiactors to construct the project (Sec 7O44 Business end 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 a License Lew) Q I am exempt under Section ________ Business end Professions Code for this reason 1 I personally plan to provide the ma|or (abor and materials for construction of the proposed property improvement [~1 YES QNO 2 \ {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 / conlractois 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) 6 I will provide some of the work but I have contracted (hired) the following persons to provide the work Indicated (include riema / address / phono number / type of work) DATEPROPERTY OWNER SIGNATURE [COMPLETE-TillS, SECTlbMi Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management wid prevention program under Sections 26506 25633 or 25534 of the Presley Tanner tAaiardous Substance Account Act? Q YES fj NO 's the applicant or fu uro i»i Id'rg ociupa , requited to oolain a permit from the air pollution control district or air quality management district? [~1 YES (~) NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school alto? Q YES Q NO IF ANY OF THE ANSWERS ARE YES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OH IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT [aKKcBNsThUcTioNll^biNbms^^ >. v:r, v , i I hereby affirm that there Is a construction lending agency for the performance of tho woik for which this permit Is Issued (Sec 3097(1) Civil Code) LENDER S NAME V.ENDER S ADDRESS TO-'W'HWgliWTO^ .'.I- : i I certify that I have read the application and state that tho above information Is correct end that tho Information on the plans Is accurate I agree to comply with oil City ordinances and State laws relating to building construction I hereby authorize representatives of the CIlV 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 la 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 tills Code shall expire by limitation and become null and void It the building or work authorized by such permit Isnot commenced within 366 days dam Mie data ol such penult or If the building or work authorized by such permit Is suspended ot abandoned »l any time alter MteWtark Is commenced fofe^yutiod of 180 days (Section 106 4 4 Unlloim Building Codo) APPLICANT S SIGNATURE ^ WIIITF Fllrj YEUOW r\piillriml PINK finance City of Carlsbad Inspection Request For 2/19/99 Permit# CB990590 Title REROOF WITH COMP Description 25 SQUARES OF COMP REROOF Inspector Assignment PY 2049 CORDOBA PL Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT SECURE ROOF INC Owner CARROLL EDWARD R&JEAN E Remarks Phone 7604329084 Inspector Total Time CD Description 19 Final Structural Requested By JAMIE Entered By CHRISTINE Act Comments Inspection History Date Description Act Insp Comments 2/16/99 15Roof/Reroof AP PY SHEATHING Cit Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFINGn1 .,nR.nnBFSS 2 TYPE OF BUILDING RESIDENTIAL >X COMMERCLAL _ 3 ROOF SLOPE RISE *"\ inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) 023 5 TYPE OF EXISTING ROOF COVERING 5M\Kc SHEATHING S KT P *6 NEW ROOF MATERLALSW^U CLASS A WEIGHT PER SQUARE 7 NUMBER OF SQUARES IxS 8 TRADE NAME^C\N\ ^SS. _ MANUFACTURER V^Ww 9 ROOF SYSTEM LISTING UL NoY\V\ \ S ICBO No. _ 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF9 /YEs) NO t 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 Ofl/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 Contractor /\ Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other $ AS(Mtl». INSURANCE BINDER THIS BINDER 15 A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE*Jg>l DATE (MM/DD/YY) 12/29/98 •WEJJEVERSE SIDE OF THfS FORM. PRODUCER El Camino Insurance License # 0539016 31S6 Vista Way, Suite 300 Qceanside, CA 92056 COOS SUBCODE. THIS BINOEB IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY PER EXPIRING POUCY «• 1332 INSURED Secure Roof, Inc. 2210 Meyers Avenue Eecondido, CA 92029 DESCRIPTION OF OPERATlONSWEHICLBSff'BOPBnTY (toeludlna Ueittan) Resdiential Roofing Construction 15QVgHAfiES TYPE OF INSURANCE COVERAGE/FORMS AMOUNT DEDUCTIBLE COINS * CAUSES OF LOSS I 1 I 1 BASIC ! I BROAD I I SPEC 06NERAL UASIUTr I esNEHAL AGGREGATE CLAIMS MAOE | _ | OCCUR <?. 7,CR S & CCTfTSWCTCR S PROT |$ PERSONAL AAOVINJURV e^Cn OCCvnneiiCc fffle DAMAGE (Afly ana flitt) °5T°C PA'S V.CC.MSB £XP yf<i UJa, v AUTOUOBIL£ UABIUTT COMBINED SINgLE LIMIT IBCS1.V '^iL0." »U. OWNED AOTOS SCHEDULED AI/TOS MIBEO AUTOS '5 MgpiCAL PAYMENTS PCPSOIMAL INJUHV PHOT UNIMSUREO MQfrOBiST '•SI AUTO PHYSICAL DAMAGE oeOUCnBLS i ( ALL VEHICLES | TsCHEDULED VEHICLES COLLISION OTHER THAN COI I ACTUAL CASK VALUE ' STATED AMOUNT 1. OTHER QARAQEUA8IUTY ANY AUTOtd:i I AUTO ONLY EA ACCIDENT I lOThgaTHAN ALT7O ONLY- EACH ACCIDSNT ASGRCSATC If EXCESS LIABILITY UMBRELLA POBM ! OTHER THAN UMBRELLA FORM i RETRO DATE FOR CLAIMS MADE EACH OCCURRENCE AGGREGATE SELF-INSURED RETENTION WORKERS COMPENSATION AND EMPLOYER'S LIABILITY Per Company Forms X I STATUTORY UMIT3 'EACH ACCIDENT I DISEASE POLICY LIMIT 11,000,000 si,000,000 IciaEASg EACH EMPLOYEE i si, 0 0 0 , 0 0 0 Payment Terras Company Direct Bill; Monchly Payroll Reporting, _..JEB— Annual Audit COVERAGES Insurance Verification I LOSS PAYEi_ ADOrTlOIAL INSURED AUTHORIZED REPRESENI <%x6nu#sZ3^ ACORD 7frS(*atefr \ Of 2 #SS4 NOTE!.»MTORTaNTSTAtE (NPORMATTON OM ftEVgRSgBrpg " 5LT - « ACOROCORPORATION 1983