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Home My WebLink About2100 COSTA DEL MAR RD; ; CB022059; Permit07-11-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB022059 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2100 COSTA DEL MAR RD CBAD MISC Subtype REROOF Lot# 0 $37,500 00 LA COSTA SPA & RESORT REROOF CLUBHOUSE - 25000SF PVD UL#8992 Applicant COMMERCIAL & INDUSTRIAL ROOFING INC 9239 OLIVE DR SPRING VALLEY CA 91977 619-465 3737 Owner Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 07/11/2002 JM 07/11/2002 07/11/2002 1106 07/11/02 0002 01 02 CGF> 479 = 00 Total Fees $479 00 Total Payments To Date $000 Balance Due $479 00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT $479 00 $000 $000 $479 00 Inspector FINAL APPROVAL 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 1 PROJECT INFORMATIONORMATION ,,' , I do go 5*4 A ' 'O*\\ FOR OFFICE USE ONLY PLAN CHECK NO 17EST VAL _i t^" Plan Ck DeposiJ Validated By_^ Date TntfSi L ^ Address (include Bldg/Suite Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel #Existing Use Proposed Use N (if different from applicant) #of Storie n of Bedrooms # of Bathrooms Name '3-H APPLICANTf Address City jpontractor 0 Agent for Contractor ifj] Owner ' :i O Argent for Owner State/Zip Telephone #Fax Name C"Address It— TelePho™ <Cp»t)tf |«J 77 ..,. **"..•••;*573 7 Name Address City State/Zip Telephone* - COMPANY NAME ' " ..,..; ;,ub- "" ..i^if : ' ' '", ..,:i"~ .. .- :.. . ''".', i ' ...... O^Cv) £ ls>H~ (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 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))c oi x /c^> 0\ •. x. g^y?** ofi** PV .SfyfrjfMV oo «ftw fcj'}>j(0s- Name State License ff - Designer Name State License # 5TH27A q fi/U Address License Class Address <- "? *?>^. •— <O \ " City ^ ' City Business City State/Zip License # J iS State/Zip Telephone # Telephone $"'£• 'WORKERS; .COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations O 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 J>j^ 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 Insurance Company O Policy No <^~ 8 S " [- O •Expiration Date _ \J \ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) |~l 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-iworkers, compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (>TOO OBCl/ln addiMan to the/^St o^eompensation damages as provided for in Section 3706 of the_J_abpr code interest and attorney s fees SIGNATURE C -~7\^1 ^9 V L-^S DATE X) OK/ 1 \ - Ca "^- K7 OWNER BUILDER DECLARATION ..^C f> "" ' JSUt,,-"- ...I/'11*1* V*. " ^ -; •"* A:'k|fr:" ™~- ~J;: "" " ^ i -''•' I I hereby affirm that I am exempt from the Contractor s License Law for the following reason |~1 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) [~l 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) CD 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 l~l YES FlNO 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 «F^^ T.. ""**: J f :?''' " " '"" '" ;f"-'v' "' -""^ •**—« "'• 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? O YES l~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? CD YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? CD YES C] 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 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 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 commenceTd withiprtjSO days torn 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^Drnrftenc&pftOfra p/<ripa oj[ IBO^ey/n (Section 106 4 4 Uniform Building Code) , - „ , APPLICANT S SIGNATUI DATE WHIITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS- ^re> C-Q-fft Qg MM- 2. TYPE OF BUILDING RESIDENTIAL _ COMMERCIAL~><^ 3. ROOF SLOPE RISE V^ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 5. TYPE OF EXISTING ROOF COVERING (g-^/0 SHEATHING V*. *6 NEW ROOF MATERIAL ft ^C CLASS A WEIGHT PER SQUARE 7. -NUMBER OF SQUARES _ 8. TRADE NAME ^.So _ MANUFACTURER SftV K /^ 9 ROOF SYSTEM LISTING UL No. R - g ?^ ICBO No 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF' ^ES^ 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 £T^>Tear Off/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 S»gnature -- L^^T _ Date Contractor ^^ Owner _ Contractor Name__ ^ d^ 4- U<-CSQ C \ ^ „ *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other City of Carlsbad Bldg Inspection Request For Permit# CB022059 Title LA COSTA SPA & RESORT Description REROOF CLUBHOUSE - 25000SF PVD UL#8992 Type MISC Sub Type REROOF Job Address 2100 COSTA DEL MAR RD Suite Lot 0 Location APPLICANT COMMERCIAL & INDUSTRIAL ROOFING INC Owner Remarks, card is at the time shed „./ Inspector Assignment RF Phone Inspector Ay Total Time Requested By NEIL REILLY Entered By CHRISTINE CD Description 19 Final Structural Act Comments Af Associated PCRs/CVs Inspection History Date 09/24/2002 09/18/2002 09/11/2002 08/27/2002 08/22/2002 08/15/2002 08/14/2002 08/08/2002 08/06/2002 07/31/2002 07/30/2002 07/26/2002 07/25/2002 07/24/2002 07/23/2002 07/18/2002 07/17/2002 07/15/2002 Description 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof Act AP AP AP AP AP AP AP AP AP AP AP PA NR PA NR PA NR NR Insp Comments RF APPROXIMATELY($300Q«S. ^ ) RF RF RF RF RF RF RF RF RF RF RF RF PD PD RF RF RF . -{/ APPROX 1900SQ APPROX 1500 FT APPROX 900 SQ APPROX 3000 SQ FT APPROX 1000 SQ FT OK TO ROOF APPROX 3000SF OK TO ROOF APPROX 3 100 SQ FT OK TO ROOF APPROX 1000 OK TO ROOF 1400/APPROX OK OK TO ROOF 2000SQ FT SHEATHING OK TO ROOF NEED 1/4 IN PER FT SUBMIT FIX MUST REMOVE OLD MATERIALS ACORD CERTIFICATE OF LIABILITY INSURANCE ^MAvToT0 PRODUCER ALL COMMERCIAL INSURANCE SERVICES LLC 6790 TOP GUN STREET #3 SAN DIEGO CA 92121 PHONE 858/6420200 FAX 858/6420205 Agency Lic# OC64552 INSURED COMMERCIAL & INDUSTRIAL ROOFING 9239 OLIVE DRIVE SPRING VALLEY CA 91977 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 COMPANY A ADMIRAL INSURANCE COMPANY COMPANY B GOLDEN EAGLE CORPORATION COMPANY C STATE FUND COMPANY D COMPANY E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS fSR TYPE OF INSURANCE j POLICY NUMBER ^TEIM GENERAL LIABILITY A02AG13505 ; MAY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE ! X OCCUR i i j '• GEN L AGGREGATE LIMIT APPLIES PER : POLICY : PROJECT ; . LOG ' FFECT1VE | POLICY EXPIRATION ! LIMITSM/DD/YY) ! DATE(MM/DD/YY) • UMNO 102 MAY 1 03 EACH OCCURRENCE $ 1000000 j FIRE DAMAGE (Any One Fire) j$ 100000 | MED EXP (Any One Person) $ EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 ! PRODUCTS-COMP/OP AGG '$ i 1,000,000 AUTOMOBILE LIABILITY CCP548685-03 MAY 1 02 MAY 103 i COMBINED SINGLE LIMIT it , nnn nnn ANY AUTO KEaacadent) * 1000000 X | ALL OWNED AUTOS R SCHEDULED AUTOS X HIRED AUTOS X NON OWNED AUTOS , GARAGE LIABILITY ANY AJTO EXCESS LIABILITY OCCUR I i CLAIMS MADE i DEDUCTIBLE RETENTION $ : WORKERS COMPENSATION AND 285175302 i JANEMPLOYERS LIABILITY C ; OTHER j ! [ . BODILY INJURY I j (Per person) j S ! BODILY INJURY j• (Per accident) ': i PROPERTY DAMAGE j S j AUTO ONLY EA ACCIDENT |S OTHER THAN En ACC j AUTO ONLY AGG | $ EACH OCCURRENCE |$ ! AGGREGATE S JS : : S : S 1 09 IAN 1 (17 '• iWCSTATU- | i OTHER ,1 \3i JMW 1 UJ , TORY LIMITS ' 1 ! ; E L EACH ACCIDENT :S 1,000000 E L DISEASE EA EMPLOYEE |S 1000000 E L DISEASE POLICY LIMIT S 1 ,000 000 : DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS FOR INFORMATINAL PURPOSES ONLY CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION FOR INFORMATIONAL PURPOSES ONLY Attention SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUTFAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER IT S AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE /7-f^/£- jf'^Cl- ACORD 25-S (7/97)Certificate* 23414 Mark Rubin