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HomeMy WebLinkAbout2061 CUMBRE CT; ; CB022183; Permit07-25-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB022183 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2061 CUMBRE CT CBAD MISC 2164912800 $3,296 00 Subtype REROOF Lot* 0 BAKER RESIDENCE 32 SQUARES OF COMP REROOF Applicant PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-745-4700 Status ISSUED Applied 07/25/2002 Entered By MDP Plan Approved 07/25/2002 Issued 07/25/2002 Inspect Area 2088 07/25/02 0002 Oi 02 Owner BAKER DOUGLAS&LISA TRUST 2061 CUMBRE CT CARLSBAD CA 92009 39,=c Total Fees $8900 Total Payments To Date $000 Balance Due $8900 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $8900 $000 $000 $8900 Inspector FINAL APPOVAL 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 you 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 VKRROJECr INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL ^ Plan Ck Deposit Validated By Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel tt Existing Use Proposed Use Description of Work . SQ FT /feretrt lr<vn &*& ~h &>(»£ ^;>,CON;T4cri>EHSON"(1f different from Applicant) i ,'. #of Stones tt of Bedrooms tt of Bathrooms Name Address City gui'-APP'-'lCANK*-'i'.'StCorrtractor..:;. QJAgent for Contractor:^ Q Owner; DjAgent for Owner State/Zip Telephone tt Fax tt Nam Address City "A 9303? -760-7<l5~ 4700 State/Zip Telephone tt Address City State/Zip Telephone ttName is!3c&NTRAr^^;cp^ ',^aj:•^,.:^:"^. ••' /'^'ML, i '•' .-W .,..:,:..":. ,,;,^ ;•. . *•:;" :v ^-:w v >>- •,..,«,.. (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 violatiqn of Section 7031K5_by any applicant for afpermit subjects the appjic^nt to a civil penalty of not more than five hundred dollars [$5001) ¥**ne a peil Name State License tt 2- / *? 7 3*O Address License Class V»J3/ City State/Zip City Business License tt Telephone tt Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations 0- 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 (pj. 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 insurancetcarner and policy number are Insurance Company ^fe^L. Flf/Vfl Policy No ^£-"//fP3."OQ Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) 0 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 ($1DO 000), in^additionjo the cost of compensation, damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE.—-iffy^S W0l,>lg&> DATE 7/Z&/&QL. tf^iOWNER-BUILElER, DECLARATION ,.,.- ..... :". ^iV-WlS?.;.;/;3'-'''.'.''"' ..:.,' ' - ~ V ' "' , . , . : , 1 hereby affirm that I am exempt from the 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 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) 0 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 HI 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 „.. r •..-,: Y: ;; Lv. 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? f~l YES [~l NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fj YES CD NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O YES d 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 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_ 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 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 180 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 penod/of 180xd^ys (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: 9P6 1 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 3. ROOF SLOPE: RISE__J^_inches In 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (D 2 5. TYPE OF EXISTING ROOF COVERING _ SHEATHING *6. NEW ROOF MATERIAL C&n CLASS (\L WEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME pp\ _ MANUFACTUREF0U*g/K 9. ROOF SYSTEM LISTING UL No. ~?9O iCBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (^) 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/Pro-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. Dafe ?NQContractor Owner _ Contractor Name >O NQ AQelQ "6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 08/29/2002 Permit* CB022183 Title BAKER RESIDENCE Description 32 SQUARES OF COMP REROOF Inspector Assignment RF 2061 CUMBRECT Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT PIVA ROOFING, BOB Owner BAKER DOUGLAS&LISA TRUST Remarks Phone 7607454700 Inspector Total Time Requested By BOB Entered By GIOVANNA CD Description 19 Final Structural Act Comments Associated PCRs/CVs Inspection History Date Description Act Insp Comments 08/22/2002 13 Shear Panels/HD's WC RF 08/22/2002 15 Roof/Reroof AP RF 08/21/2002 18 Exterior Lath/Drywall CO RF EDGE NAILING 6IN STILL NOT DONE PAY REINSPECTION FEE 08/20/2002 15 Roof/Reroof CO RF EDGE NAILING City of Carlsbad Bldg Inspection Request For 08/21/2002 Permit# CB022183 Title BAKER RESIDENCE Description 32 SQUARES OF COMP REROOF Inspector Assignment RF Sub Type REROOF 2061 CUMBRECT Lot Type MISC Job Address Suite Location APPLICANT PIVA ROOFING, BOB Owner BAKER DOUGLAS&LISA TRUST Remarks NAIL REINSPECTION Phone 7607454700 Inspector Total Time CD Description 18 Exterior Lath/Drywall Act Comments Requested By DONNA Entered By GIOVANNA C s/;// re/ -Ft- Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE LOCATION PERMIT NO £>,? a/ (760) 602-2700 1635 FARADAY AVENUE TIME_ 5 / 7 //V ^ »— •rr-» *,:V&/. FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE? INFORMATION, CONTACT ^f^^ /T ^^ g " 2 ES BUILDING INSPECTOR CODE ENFORCEMENT OFFICER ® City of Carlsbad Bldg Inspection Request For 08/20/2002 Permit# CB022183 Title BAKER RESIDENCE Description 32 SQUARES OF COMP REROOF Inspector Assignment /(/ 2061 CUMBRECT Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT PIVA ROOFING, BOB Owner BAKER DOUGLAS&LISA TRUST Remarks Phone 7607454700 Inspector Total Time CD Description 15 Roof/Reroof Act Comments d O Requested By BOB Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments CITY OF CARLSBAD BUILDING DEPARTMENT NOTICE DATE 3 2 0/4 LOCATION -^ ° ^ / PERMIT NO / TIME (760) 602-2700 1635 FARADAY AVENUE /&>' X^X' 6 Q T« A- Q & FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE'? L_ J YES URJHER INFORMATION, CONTACT/^/ ^- ^ P^7 " Z PHONE BUILDING INSPECTOR CODE ENFORCEMENT OFFICER © ACORDn CERTIFICATE OF LIABILITY INSURANCE £%£££ PRODUCER (619)584-6400 FAX (619)584-6425 West! and Insurance Brokers 3838 Canvmo Del Rio North #315 P.O. Box 85481 T Diego, CA 92186-5481 •ED Bob Piva Roofing 1192 Industrial Avenue Escondido, CA 92029 I 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 INSURERS AFFORDING COVERAGE INSURER A Royal Surplus Lines Ins. Co /Sterling West INSURERS Peerless Insurance Company/GEIC INSURER c State Compensation Insurance Fund INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING MINT KtuulKtMtlNi, 1 CKM UK UUINUI 1 IUIN ur «IN r IAJN I RAO I UK u I rtert uuuuivicii i vvi i n nearer p 1 <_) vvnion mio ocmirn^Hic ivi«r DC looucu urc MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSFLTR A B C TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY | CLAIMS MADE [_Xj OCCUR GEN L AGGREGATE LIMIT APPLIES PERn POLICY ns^T HLOC AUTOMOBILE LIABILITY X X X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY | OCCUR | | CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER <2HA120557 CBP9497628 6-11802-02 POLICY EFFECTIVDATE IMM/DD/YY) 06/01/2002 06/01/2002 06/01/2002 POLICY EXPIRATIODATE (MM/DD/YYI 06/01/2003 06/01/2003 06/01/2003 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY(Per person) BODILY INJURYPer accident) PROPERTY DAMAGEPer accident) AUTO ONLY - EA ACCIDENT OTHFR THAN ^ ACC AUTO ONLY AGQ EACH OCCURRENCE AGGREGATE Y 1 WC STATU 1 IOTH* [TORY LIMITS! I ER L EACH ACCIDENT L DISEASE - EA EMPLOYEE L DISEASE POLICY LIMIT s 1,000,000 s 50,000 s excl udedl $ 1,000,000 s 2,000,000 s 1,000,000 $ 1,000,000 $ s t 1 s $ s 1,000,000 1,000,000 1,000,0001 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS RE \S RESPECTS GENERAL LIABILITY THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED PER THE ATTACHED FORM. 10 DAY NOTICE IN THE EVENT OF CANCELLATION FOR NONPAYMENT OF PREMIUM CERTIFICATE HOLDER ADDITIONAL INSURED, INSURER LETTER CANCELLATION 4jwn&'** JiWze _<a ^g". s~ 2.Q;±ZZ3 C^>7 ISSUED AS EVIDENCE OF INSURANCE ACORD 25-S (7/97) SHOULD ANY 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 THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE r~-?> . ./ Robert Kempa/JOYR to>^- ©ACORD CORPORATION 1988