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Home My WebLink About2066 MAR AZUL WAY; ; CB041992; Permit05-21-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB041992 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2066 MAR AZUL WY CBAD MISC 2151302700 $15,73600 Subtype REROOF Lot# 0 DIMITROFF RES 56OO SF REROOF WD SHAKE TO PRO TEX SLATE ICBO # ER5492 Applicant SAN DIEGO ROOFING 615NORTHAVE VISTA, CA 92083 760-758-1800 Status Applied ISSUED 05/21/2004 Entered By SB Plan Approved 05/21/2004 Issued 05/21/2004 Inspect Area Owner DIMITROFF FAMILY TRUST 03-24-99 2066 MAR AZUL WAY CARLSBAD CA 92009 J756 05/21/04 000" 01 CGF'r 2*3-00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $243 00 $000 $000 $243 00 Total Fees $243 00 Total Payments To Date $000 Balance Due $243 00 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE tip 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 3...' PROJECT INFORMATION FOR OFFICE USE ON PLAN CHECK NO EST VAL Plan Ck Deposit Validated Date <T Address (include Bldg/Suite #)^t Busin e (at this address) Legal Description Lot No ubdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel tt Existing Use Proposed Use Description of Work -vjoood SQ FT CONTACT PERSON (if different from applicant)J slveeJUuc, k <J J #of Stones tt of Bedrooms # of Bathrooms Name 13 ^APPLICANT ..:..{") Contractor Address S3"Ag8nt for Contractor PI Owner Q Agent forsQ City wnerI .**. State/Zip A -^ Telephone tt i /L-ir • 1— Fax tt TName * PROPERTY OWNER Address City State/Zip Telephone tt cu, fName Address City f State/Zip Telephone tt Ssyif CONTRACTOR:- COMPANY NAME1* - " - I , . ?: • " " ' '!"'-: ••"•" '"'•• , -^l- ' <^.,^~ (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 Code] or that he is exempt therefrom, and the basis for the alleged exemption Any_yiolation of Seqjjcri 703^5 by any applicant for a permit subjectsjhe apphcantjo a civil penalty of notjiqre than five hundred dollars ($500)) Name State License # Address License Class CVt City Telephone # City Business License # Designer Name \~ ' Address City State/Zip Telephone State License # tooo v ' Q> 6 WORKERS' COMPENSATION ', ; K. Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations l~l 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 tbework for which this permit is issued L3 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 carrier and policy number grp, « Insurance Company i5r\Z!Ur€- Co H<^>€w^6>Ji'<.''.av"v -l-W^. V^Wfthcy No V3nJQ ^LXJQtoR Sb Expiration Date ' \~\s* (THIS SECTION NEED NOT BE COMPLETE!} IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) HD 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 (SlOO/DOO^yln/pddition to the colt of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees SIGNATURE (/^ ^T? E/^flT>^ DATE I hereby affirm that I am exempt tfdm the Contractor's License Law for the following reason Q I, as owner of the proper^oh 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 ProfessytfbvCode The Contractor's License Law does not aojjfy to an owner of property who builds or improves thereon, and who does such work himself or through his/bwa4mployees, provided that such improvements areQiot intended or offered for sale If, however, the building or improvement is sold within one year of completion, tne owner-builder will have the burden of proving thatrTfrdid not build or improve for the purpose of sale) Q I, as owner of the properfx/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 Licenie\aw) l~l I am exempt under Section |S Business and Professions Code for this reason foperty improvement Q YES [UNO1 I personally plan to provide thaAnajor labor and materials for construction of the proposed | 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 <elude 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY , ... :, ,: ; ,, ^, , , .. 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? D YES Cl NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES l~l NO Js the facility to be"c^>nstructed within 1,000 feet of the outer boundary of a school site? O 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 18. CONSTRUCTION LENDING AGENCY "- % I hereby affirm that theraisa construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME fJA^— _ LENDER'S ADDRESS _ 19. ;; f, APPLICANT CERTIFICATION " , , , I . , '" , 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 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 180 days from the date of such permit or it the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for^ period ojdSO days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: CZOk£, Hftv 2. TYPE OF BUILDING: RESIDENTIAL \ COMMERCIAL 3. ROOF SLOPE: RISE ?> inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) \jT)2 3 5. TYPE OF EXISTING ROOF COVERING VMoo<J SHEATHING *6. NEW ROOF MATERIAL^Qrf CLASS A WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE NAMEfl MANUFACTURER 9. ROOF SYSTEM LISTING ULNo. ICBO No. Clfc 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? lYE NO Contractor Owner Contractor Name -e a 0 6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, 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 j I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature ^ fr*. _ Date City of Carlsbad Bldg Inspection Request For 09/27/2004 Permit* CB041992 Title DIMITROFF RES 560O SF REROOF Description WD SHAKE TO PRO TEX SLATE ICBO # ER5492 Inspector Assignment PY Sub Type REROOF 2066 MARAZULWY Lot 0 Type MISC Job Address Suite Location OWNER DIMITROFF FAMILY TRUST 03-24-99 Owner DIMITROFF FAMILY TRUST 03-24-99 Remarks CAN YOU FINAL' Phone Inspector Total Time CD Description 19 Final Structural Act- Comment Requested By CHRISTINE Entered By CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 05/24/2004 15 Roof/Reroof AP PY License Detail Page 1 oi 2 Hoinp License Detail Contractor License # 686318 CALIFORNIA CONTRACTORS STATE LICEN DISCLAIMER A license status check provides information taken from the CSLB license data base Before on this information, you should be aware of the following limitations • CSLB complaint disclosure is restricted by law (B&P 7124 6) If this entity is subject tc complaint disclosure, a link for complaint disclosure will appear below Click on th^ Im button to obtain complaint and/or legal action information • Per B&P 7071 17, only construction related civil judgments known to the CSLB are di • Arbitrations are not listed unless the contractor fails, to comply with the teims of vu arbitration • Due to workload, there may be relevant information that has not yet been entered ont Board's license data base Extract Date 03/31/2004 * * * Business Information * * * SAN DIEGO ROOFING INC 1351 BROADWAY EL CAJON, CA 92021 Business Phone Number (619) 444-5347 Entity Corporation Issue Date 03/30/1994 Expire Date 03/31/2006 * * * License Status * * * This license is current and active All information beiow should be reviewed. * * * Classifications * * * Class C39 Description) ROOFING * * * Bonding Information * * * CONTRACTOR'S BOND: This license filed Contractor's Bond number 137974 in the ami $10,000 with the bonding company AMERICAN CONTRACTORS INDEMNITY COMPANY hlto /Avww2 cslb ca nov/CSLB LTBRARY/Lu cnse+D-.-ta.I aso License Detail Page 2 of 2 Effective Date 01/01/2004 Contractor's Bonding History BOND OF QUALIFYING INDIVIDUAL(I): The Responsible Managing Officer (RMO) FR/ BARON STERLING III certified that he/she owns 10 percent or more of the voting stock/eqi corporation A bond of qualifying individual is not required Effective Date 05/03/2000 * * * Workers Compensation Information * * * This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number 046-0006955 Effective Date 01/01/2000 Expire Date 01/01/2005 Worke_rs_Cpmpensation History Personnel listed on this license (current or disassociated) are listed on other licei Personnel List Salesperson List Other Licenses License Number Request Contractor J^ame Request Personnel Name Request Salesperson Request Salesperson Name Request f; 2003 State of California Conditions of Use Privacy Policy hup //www2 cslb ca gov/CSLF3 LIBRARY/Liccnse+Detail asp I /13/2004