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Home My WebLink About2271 CAMEO RD; ; CB994473; Permit12/06/1999 City of Carlsbad Miscellaneous Permit Permit No:CB994473 Building Inspection Request Line (760)438-3101 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2271 CAMEO RD CBAD MISC 1670801700 $2,392.00 Subtype: REROOF Lot #: 0 NASH RES-2300 SF COMPOSITION Status: ISSUED Applied: 12/06/1999 Entered By: RMA Plan Approved: 12/06/1999 Issued: 12/06/1999 Inspect Area: Applicant: KEYSTONE ROOFING 1840EPOINTEAV CARLSBAD CA 92008 760 750-9888 TOTAL PERMIT FEES 12/06/99 0001 01 02 C-PRtfT 87-00 Total Fees: $87.00 Miscelaneous Fee#1 Miscelaneous Fee #2 Total Payments To Date: PERMIT FEE $0.00 Balance Due: ' : " • $87.00;;"*-*" $0.00 $87.00 $87.00 PERMIT HAS EXPIRED IN ACCORDANCE WiTh SECTION 106.4-4 naff 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 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 thjs, or as to which the statute of limitations hasjareviously otherwise expired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATIONCITY OF CARLSBAD BUILDING DEPARTMENT2075 Las Palmas Dr., Carlsbad CA 92009(760)438-11613££HMffittCtlMbMNEKAddress (include Bldg/Suite *)FOR OFFICE USE OPLAN CHECK NO.EST. VAL. ^Plan Ck. DepositValidated By_£nBusiness Name (at this address)Legal DescriptionAssessor's Parcel (Description of Work Lot No. Subdivision Name/NumberExistingUseex/-r 2,3SQ, FT. #of Stories Unit No. Phase No. Total * of unitsProposed Use* of Bedrooms # of BathroomsCONTACTPERSONOfdltterW Address City State/Zip Telephone #Fax * KOOFiMS i. "TT Mr; ing PO/AJTE- AIJ£ Name Address City 7 C State/Zip •GtJ&R&fc^lS^'-£'**&'&""•'"'' ' Telephone ff Name City State/Zip telephone'* (Sec. 7031.5 Business and Professions Code: Any City or County which requires • permit to construct, after, 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 ($5001) CQg&Rfocfi Itoof 7^ Name ,-\ Address State License # > ?3 I & £> "5 License Class (_x City State/Zip Telephone,* City Business License 9 rt^A J t LSJ/ <r~ff^t Designer Name Address State License # City State/Zip Telephone 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. Oj 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 are: Insurance Company ^ TA T f£ T^f/TK Q Policy No. /5"-<l£? 7/7 Expiration Date 3/ f /^c-)c> [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I>100] 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 Laws of California. > WARNING: Failure to secure workers' compensation coverage to unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost ofebmpeniatkm, damages as provided for in Section 3706 of the Labor coda, intefa.it end attorney's fees. SIGNATURE [* )l (^J^ff/ClL^ 'JCl ^k^i'^L^-C^^C^ DATE / 2 / £>/ i 9~' ^^J:.Sv^SSiAlp*^!^-l"T"-v ^r".'™""'"''";'^^"' I hereby affirm that I am exempt from the Contractor's License Law for the following reason: n 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 thet 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). - LJ 1 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 parson (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 / phonenumber / 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 / woe of work): PROPERTY OWNER SIGNATURE DATE 'COMnEmTHISSECTlOHl^RWO^^ ; ;- 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? Q YES 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? Q YES Q NO Is the facility to be constructed wrthin 1.000 feet of the outer boundary of a school site? Q 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 OFRCE 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(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify thet 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 atl Ctty ordinances and State laws relating to building construction. I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mem.oned property for ,nspect.on 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. SJ!TIIAII?N: 5?rV "I""11 iMUad bV ^ BuMdin9 0ffiCi8' Und*r thB praviaions of this Coda «*•» 8XPirs °V limitation and become null and void if the building or r»hBa H "H f V T P*rf"t 1S R0t =ommenMd within 365 "^ f'om th" d«e of such permit or if the building or work authorized by such perm,t ,s suspendedor abandoned at any time after the-work is commenced for a period>f 1 80 days (Section 1 06.4.4 Uniform Building Code) . UJ' CS I QC-Q Qj 4<lU .CjQf f _ DATE \Z/ 6 / f ^- - — ^~~ - APPLICANT'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance T City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOF1NG 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL 3. ROOF SLOPE: RISE_^L_inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (£) 2 3 5. TYPE OF EXISTING ROOF COVERINGi&afefeQlgSHEATHING *6. NEW ROOF MATERIALfjhaAO *€h. CLASS IgQijjWEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME _ MANUFACTURER 9. ROOF SYSTEM LISTING UL No.O ^O \ % ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES 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 \t/ft\Aftj!J.Cj()lt . _ Date 1 2 Contractor A Owner _ Contractor Name~Tv *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Com p Fiberglass, Built up, Other. City of Carlsbad Inspection Request For: 12/9/1999 Permit# CB994473 Title: NASH RES-2300 SF COMPOSITION Description: Inspector Assignment: PD Type: MISC Job Address: 2271 CAMEO RD Suite: Lot Location: APPLICANT KEYSTONE ROOFING Owner: NASH RICHARD A Remarks: Sub Type: REROOF Phone: Inspecto Total Time: CD Description 19 Final Structural Act Comments Requested By: VICTORIA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 12/7/1999 15Roof/Reroof NR DA SHEETING NOT COMPLETED FROM :07 93 D4:03p PHONE NO Insurance Dec. 05 1399 10:11PH 7807503585 p- \ooirit. CERTIFICATE OF INSURANCE iM'JE WE CJM-C"-! — 04-07-99 J, PEDDffi INSURANCE AGENCY(J60)768-%00 Lie #08127^418SO Hacisnda Dr. Suite #20Vitta,Ca. 82083 TH)S CEPttiFlCaTe IS ISSUED AS A MATTER Of (N'ORMATtnw CONfEn9NOWOKT*UPON7KeC£RT'FigATgHCLDE« TH!ivto „ , c . DOES NOf AVENC, EXTENI3 OR A.TEH TH? COV£RA3E AFFQWDEO BY THEpoucies BELOW. ' COMPANIES CENTURY SURETY co. KEYSTONE ROOFING INC. 1640 E. POITCT2 AVE, CARLSBAD, CA 92008 This iTOCrt-TiPv rt-AT T .PPCiLC^Sof INS Jpy»r<C£L;3TECE=lCvV HAVE B6E^ ieCiJ;-lDTOTHE;NSL^EOf-AWEDA3CvcfOPTHE POL Ct ^£ ivO'C**tO, ."!Cr>ViTHgTANr3 NOr ANv Rf-'iuiREWSNr, {GP.V Ofl CCNDHlOf- OF *KV CONTACT OB ^"^SR OOCu^i'K^ WT- nfa^^CI 1Cce»i*if',c^!; WA.VBE ISSJSDOH WAV JS«T*;N.I-H« ssuRANC£A?fo«oeoflVTn= -ti.;ciEs ^ESCfiieeo KERE^ is SUBJICT r^ALLT Ti'ONS C? S'JC^ BCUCiEE. LIMITS SHOWN UAVKAVJ P£tN PED<JCi3 PENDING 1-07-7-39 i 3i-,CU', i--fc.itOl.-t: ..a^.,^,^" • ]",T ,oo6",g^<n| ^;n^^i™rrst'l ooo~ j 302.- h\JLJ"T . — 1IOT s -T" *Ct'iO' ROOFING CONTRACTOR: RESIDENTIAL WORK SOME COMMERCIAL NO HOT/HEAT UP ROOF WORK HOLOEH CANCELUTtON R5FERKMCE COPY MAIL 9uCn NOHSE S.,ALL. I