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HomeMy WebLinkAbout2335 CAMINO VIDA ROBLE; ; CB062350; Permit.08-17-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB062350 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2335 CAMINO VIDA ROBLE CBAD MISC > Subtype: 2130502700 Lot #: ' $17,145.00 REROOF: 12700SF REROOF Status: ISSUED 0 Applied: 08/17/2006 Entered By: JMA Plan Approved: 08/17/2006 Issued: 08/17/2006 Inspect Area: Applicant: ROOFING SERVICES 8176 COMMERCIAL ST LA MESA CA 91942 6184647500 Owner: FIRST INDUSTRIAL DEVELOPMENT SERVICES INC 898 N SEPULVEDA BLVD #750 ELSEGUNDOCA 90245 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 ' . Additional Fees ' • " $270.00 $0.00 $0.00 TOTAL PERMIT FEES $270.00 Total Fees:$270.00 .Total Payments To Date:$270.00 Balance Due:$0.00 Inspector: FINAL 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 FOR OFFICE USE ONLY PLAN CHECK NO. C&6& Q^^b EST. VAL. Plan Ck. Deposit Validated Bv_ vj ix Date <P/r7/6fr Address (include Bldg/Suite Business Name (at this address) ^ffi&qn 11 Assessor's Parcel # Description of Work Lot No. Subdivision Name/Number _ Existing UseVZI^HN SO. FTT #of Stories Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Name Address City State/Zip Name.Address City State/Zip Telephone # (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 axemption. Any violation of Section 7031 .5 by any applicant for a permit subjects the applicant to B civil penalty of not more than five hundred dollars IS500]). Name . State License #^\'- Address License Class City State/Zip City Business License # j Telephone # Designer Name Address City State/Zip Telephone State License 8 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. 'jET I have and wilt 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 k^QJC^A-xr; XV W'^DAvV^ <& -£\.C& . . Policy No. O\.C&lbV'1 °l *2^ \<£)fo\ Expiration Date O^feV-O"/ (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 dolJansT* 100,000), In additiorl to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE /WVO? <AJl' JJVVSt' DATE <% ~ l^-<? \Q I hereby affirm that I am exempt from the Contractor's License Law for the following reason: ,: ' ' - ; Q t, 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). C3 . 1, as-owrret of ,the property, am exclusively contracting with licensed contractors to construct the project {Sac, 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). -^ '--.'''..• .' - • • . . ' Q l-am exempt under Section - , • •: ' Business and Professions Code for this reason: v ,- ' • 1., I personally plan to provide the major labor andimaterials.for construction of the proposed 'property improvement. Q YES QNO 2. • -| (have / have not) signed an application for a building permit for the proposed work. " " • ... 3. 1 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 Is the applicant ot 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 D 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 within 1,000 feet of the outer boundary of a school site? 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 OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ^a^Ql^^. I heieby affirm that there is a construction lending agertcy for the performance ot the work for which this pevmit is issued (Sec. 3097 W Ciyil Code). LENDER'S NAME _ __ • LENDER'S ADDRESS, __ .^ _ 9'i',. s 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, t 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 1 80 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 isc^mrmfficed for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance 01/26/2007 09:39 FAX 8582787203 RSI ROOFING $003 City of Carlsbad 1635 Faraday Avenue, Carlsbad California 92008 INSPECTION RECORD INSPECTION RECORD CARD WITH APPROVED PLANS MUST BE KEPT ON THE JOB CALL PRIOR TO 4:oo P.M. FOR NEXT WORK DAY INSPECTION BUILDING INSPECTION: (760) 602-2725 JOB ADDRESS: _ OWNfc'RSNAMEt CB062350 2339 CAMINO VTOA ROBL6 REROOP:12700SF REROOF ROOFING SERVICES . LOT No./sunpfc. TYPE CONST.OATE CONTRACTOR BUILDING OTHER APPROVED TO COVER Type of Inspection BUILDING FOUNDATION REINFORCED STEEL MASONRY O C/eOUT O WALL DRAINS TILT, PAN ELS POUR STRIPS • COLUMN FOOTINGS SUBFRAME Q FLOOR . D CEILING , ROOF SHEATHING EXT, ShCAR PANELS ' FRAME INSULATION EXTERIOR UTH INTERIOR LATH 4 DRYWALL. FINAL'^ .*<"> PLUMBING P SEWER AND BL/CO Q PL/CO . UNDERGROUND Q WASt£ < D WATER TOP OUT a WASTE O WATER . TUB AND SHOWER PAN Q GAS TEST D GAS PIPING D WATER HEATER . Q SOLAR WATER ANAL atcriaeAL D EUCTRIC UNDERGROUND Q UFER ROUGH ELECTRIC WALLS ROUGH ELECTRIC CEIUNG D ELECTftIC SERVICE Q TEMPORARY O BONDING n POOL ~ SNAii.-— . _.-• •"—.-..-. • -~ ~ .- . MECHANICAL UNDERGROUND DUCTS & PIPING D DUCT & PLEM.D KEF. PIPING HEAT - AIR COND. SYSTEMS VENTILATING SYSTEMS ' FINAL Dale ' Inspector Notes G4U TO* FINAL INSfKYlON WHEN ALL APPROPRIATE ITfMS ABOVE HAVE SEEN A RNAL Sign Wlw> Appropriate Building Dept. (li^pBctionsJ (760) 602-2725 Fire Depojtmnni (760)- 602-4&50 planning Departmont (760) 602-4607, Enjjinecring Dep(, (InspecticnsJ (?60) 4JB-3891 Building Inspectors (7am-4pm) (760) 60 2-2 TOO CMWD , (760) 438-2722 Cxt 7151 , / 7T(/O /**£>/& r # ,— v/A-i PflOVEO -— > / ^ / * j /faxf f ^^'fytL^f /}L*.>(\/ ^ S / REV 3/2006 SEE BACK FOR SPECIAL NOTES y*ta JUN-12- f ^ . 2006 MOM 11:39 AM CITY OF CARSLBAD FAX NO. 760 602 8558 ~ P." 01 City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOF/NG 1. JOB ADDRESS: " 2. TYPE OF BUILDING: RESIDENTIAL _ COMMERCIAL 3. ROOF SLOPE: RISE^L inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle ono) $) 2 5. TYPE OF EXISTING ROOF COVERING CAP SHEATHING / *6. NEW ROOF MATERIAL /V CLASSJr^WEIGHT PER SQUARE 7- -NUMBER OF SQUARES 8. TRADE NAME P P/FTiO b MANUFACTURER 9. ROOF SYSTEM LISTING UL No.^O ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? && NO AM 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. >-n-SlonatureiA^ IK*. r7 W V W^~-fcJ?^ V Date Contractor Owner CoiUiautorName *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. (UL) Underwriters Laboratories Inc.® 333 Pfingsten Road Northbrook, Illinois 60062-2096 United States Country Code (1J (847) 272-8800 FAX No. (947) 272-8129 http://www. ul.com October 10,2002 Western Colloid S.C., Inc. Mr. Gregory Hlavaty 654 E. 60th St. . Los Angeles, CA 90001 Our Reference: R20533 / 01NK8073 Dear Mr. Hlavaty: The following system meets Class A criteria in accordance with UL 790, "Tests for Fire Resistance of Roof Covering Materials." Maintenance and Repair Class A, B or C 1) Deck: C-15/32 Incline: 2 Existing Roof System: Any UL rated smooth BUR or Modified Bitumen roof to maintain existing Classification. Coating (Optional): "#298 Asphalt Emulsion" or "#298E", max. 16 gal/sq. Ply Sheet (Optional): Maximum of 3 plies of polyester fabric (Not UL Classified), (2-3/4 to 3 ounces) embedded in emulsion. Surfacing: "ElastaHyde" #720 ARC, max. 3 gal/sq. If you should have any questions, please feel free to contact the writer. Very truly yours. Reviewed By: Robert F. Keogh (Ext. 41510) Project Engineer Fire Protection Division Douglas C. Miller (Ext. 43262) Engineering Group Leader Fire Protection Division A noi-for-profit organization dedicated to public safety and committed to quality service 333 Plmgsten Road Northbiook. Illinois 60de?-2C< (708) 272-8800 FAX No. (708)272-8129 . WCt Mail NO. 254-3343Ul) Underwriters Laboratories Inc.* i?-e., MO 6502543343 January 26, 1995 (• inn\ acentunrol PU&Hc safety 1894-1994 Mr. Gregory Hlavaty Roofing Products Manager Western Colloid Products 2815 Unicornio St. Carlsbad, CA 92009 Our Reference: File R11321, Project 95NK3406 Dear Mr. Hlavaty: Jn accordance with your January 6, 1995 letter request we have revised your current UI> Classification Cards to include the following: MAINTENANCE AND REPAIR SYSTEMS Class A, B or C 1- Peck: C-15/32 Incline; 1 Existing Roof System; Class A, B or C insulated or uninsulated smooth surfaced or gravel surfaced (gravel to be maintained) or modified bitumen to retain existing Classification. Ply Sheet; (Optional) one or more plies of polyester fabric 2 3/4 oz. to 3 sq. yd. Coating: "#298 Emulsion" at 9 gal/sq. sprayed simutaneously with chopped glass fiber rovings at 3 Ibs/sg. Surfacing; "#500 SilverWhite Emulsion" at 1 gal/sq. 2. Deck: C-15/32 Incline; 3 Existing Roof System: Class A, B or C insulated or uninsulated smooth surfaced or gravel surfaced (gravel to be maintained) or modified bitumen to retain existing Classification. Ely. Sheet; (Optional) one or more plies of polyester fabric 2 3/4 oz. to 3 sq. yd. embedded in 3 gal/sq of "#298 Emulsion" for each ply. Coating; "#298 Emulsion" at 9 gal/sq. sprayed simutaneously with chopped glass fiber rovings at 3 Ibs./sq. A not-for-profit organization dedicated to public safety and committed to quality service Class A 1. Deck; NC Incline; 3 Existing Roof System; Class A, B or C insulated or uninsulated smooth surfaced or gravel surfaced (loose gravel nay be removed) or modified bitumen. Ply Sheet ; (Optional) one or more plies of polyester fabric 2 3/4 to 3 oz. per sq. yd. embedded in 3 gal/sq. of •£298 Emulsion11 for each ply. Coating; "#298 Emulsion" at 9 gal/sq. sprayed simutaneously with chopped glass fiber rovings at 3lbs/sq. Surfacing; "#500 SilverWhite Emulsion" at 1 gal/sq. 2. Decks NC Incline; 3 Existing Roof System; Class A, B or C insulated or uninsulated smooth surfaced or gravel surfaced (loose gravel may be removed) or modified bitumen. Ply Sheet: (Optional) one or more plies of polyester fabric 2 3/4 to 3 oz per sq. yd. embedded in 3 gal/sq of "298 Emulsion" for each ply. Coating: "#298 Emulsion" at 9 gal/sq. sprayed simutaneously vith chopped glass fiber rovings at 3 Ibs/sq. Project 95NK3406 was established vith a maximum engineering cost limit of $400.00, to complete this revision. You will be receiving your copies of this revision within the next few weeks. If you have any questions, please feel free to contact me. Very truly yours, Reviewed by: "^ JAJJES M. O'SHEA (X42664) DOUGS C. MILLER (X43262) Engineering Associate Engineering Team Leader Engineering Services, Dept 411 Engineering Services, Dept 411 JMO:sr ACQBS. CERTIFICATE OF LIABILITY INSURANCE RoS^-i*2 PRODUCER Blue Horizon Insurance Service License! OE83617 5480 Baltimore Dr. , Suite 106 La Mesa CA 91942 Phone: 619-461-6022 Fax:619-461-2456 INSURED Roofing Services International8285 Buckhom StSan Diego CA 92111 DATE (MM/DD/YYYY) 02/01/06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATICS 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: Admiral Insurance Company INSURER B: national Liability and Fire INSURER c: Safeco Insurance Company INSURER D: Axis Capital Insurance INSURER E: NAIC# COVERAGES 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. LTR A C C c D B NSFtt TYPE OF INSURANCE GENERAL LIABILITY X : COMMERCIAL GENERAL LIABILITY OCCUR GENX AGGREGATE LIMIT APPLIES PER: X~l POLICY | | j^CT 1 1 LOG AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS X MIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY XJ OCCUR f " ] CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRlETOR/PARTNER/EXECUTiVEOFFICER/MEMBER EXCLUDED? If yea, describe underSPECIAL PROVISIONS below OTHER POLICY NUMBER CA00000208405 24CC90502010 24CC90502010 24CC90502010 ELU723679012006 0100017921061 POLICY EFFECTIVEDATE (MM/DD/YY) 01/01/06 11/01/05 11/01/05 11/01/05 01/01/06 01/01/06 POLICY EXPIRATIONDATE (MM/DOTTY) 01/01/07 11/01/06 11/01/06 11/01/06 01/01/07 01/01/07 LIMITS EACH OCCURRENCE PREMISES (Ea occurence) MED EXP (Any ww person! PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG COMBINED SINGLE L1MFT(Ea acCKterrtJ BODILY INJURY (Per person) BODILY INJURY ' (Per accident) PROPERTY DAMAGE (Pel accident) AUTO ONLY - EA ACCIDENT QTH AUT FRTHAN EAACC OONLY: AGG EACH OCCURRENCE AGGREGATE X EL wcyiAiu- OIH- TORY LIMITS ER EACH ACCIDENT E.L DISEASE - EA EMPLOYEE E.L DISEASE - POLICY LIMFT s 1000000 $ 50OOO s Excluded $1000000 $2000000 $2000000 $ 1000000 s s s s $ s $ 1000000 s s i s s 1000000 s 1000000 $1000000 - Certificate issued as proof of coverage only **Excess Liability policy is following form General Liability and, Auto Liability only. Certificate holder is named, ad additional insured. Condominium / HOA work is acceptable. CERTIFICATE HOLDER CANCELLATION PROOF-1 Certificate Holder N/A SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL * 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRS6El!ffSTpf&fiaffBP ACORD 25 (2001/08)© ACORD CORPORATION 1988