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Home My WebLink About2345 CAMINO VIDA ROBLE; ; CB062351; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-17-2006 Miscellaneous Permit Permit No: CB062351 Building Inspection Request Line (760) 602-2725 Job Address: 2345 CAMINO VIDA ROBLE CBAD Permit Type: MISC Subtype: REROOF Status: ISSUED Parcel No: 2130502700 Lot#: 0 Applied: 08/17/2006 Valuation: $17,145.00 Entered By: JMA Reference #: Plan Approved: 08/17/2006 Issued: 08/17/2006 Project Title: REROOF: 12700SF Inspect Area: Applicant: Owner: ROOFING SERVICES FIRST INDUSTRIAL DEVELOPMENT SERVICES INC 8176 COMMERCIAL ST 898 N SEPULVEDA BLVD #750 LA MESA CA 91942 EL SEGUNDO CA 90245 6184647500 Miscelaneous Fee #1 PERMIT FEE $270.00 Miscelaneous Fee #2 $0.00 Additional Fees $0.00 TOTAL PERMIT FEES $270.00 Total Fees: $270.00 Total Payments To Date: $270.00 Balance Due: $0.00 Inspector: —^ VT( Date: t-V | "V/ KV 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 wilt 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 vou 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. EST. VAL. Plan Ck. Deposit Validated By Date ___^ Business Name (at this address!Address {include Bldg/Suite #) Assessor's Parcel #Existing UseigVftjft Proposed Usa Description of work SO. FT.#of Stories of Bedrooms # of Bathrooms Name City State/Zip Telephone #fax if (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. Anuriolation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars |$500f). Nam'e ua-zj j x-V Address /* 2rState License # r\ \ OuAt' ( License Class ( ^?<-S* Designer Name Address State License # City State/Zip Telephone 9 -A City Business License # \ 2,^, iS^f) C** City State/Zip Telephone 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. :Q^ t have and will maintain workers' compensation, as requited 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: _ « ^ f^, _, x>__ Insurance Company Kfofcy ^y%\ VXft>\ V^A ^ ^Tlff^ Policv NoO \ OCfcVJ " *- V^fo ^ Expiration Date ^"IV <J~\ {THIS SECTION NEED NOT BE COMPLETED IF THE PERMlV IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) O CERTIFICATE OF EXEMPTION: t 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 tubjact an employer to criminal penalties and civil fine* up to one hundred thousand doUar^g7QO,000), Ik addition » the cost of compensation, damages as provided for In Section 3706 of the Labor code. Interest and attorney's fees. SIGNATURE ntlI DATE t hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q f, 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 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). Q 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. O YES QNO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. t have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contiactots 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 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 25S34 of the Presley-Tanner Hazardous Substance Account Act? D YES Q NO Is the applicant or future building occupant required to obtain a permit from the aii pollution control district or air quality management district? Q YES Q NO Is the facility to be constructed within 1 ,OOO feet of the outer boundary of a school site? D 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. IMMvsTR^^ 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 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 if the building or work authorized by such permit is suspended or abandoned at any time after the work is corrjmepced for a eeriodiof 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE ELLOW: Applicant PINK: Finance JUN-12-2006 MON 11:39 AH CITY OF CARSLBAD FAX NO, 760 602 8558 P. 01 City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ^3*-^ C ftA**A>b 0 I fr A A&_fe i--^ 2. TYPE OF BUILDING: RESIDENTIAL _ COMMERCIAL 3. ROOF SLOPE: RISE_)2^-inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) ' (ff) 2 3 5. TYPE OF EXISTING ROOF COVERING flftP SHEATHING *6. NEW ROOF MATERIAL Ar CLASS_y^WEIGHT PER SQUARE 7. -NUMBER OF SQUARES / & Q 8. TRADE NAME PoA-r^6> MANUFACTURER /iV^+g^/\> I ' 9. ROOF SYSTEM LISTING UL No. ^KiQ ICBO No.. __ . 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? f YES) NO AH 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 instalf new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature fol Q ^ASVwA^tXA±^ Dari^r^V""] ~O V? Contractor Owner Cpntiactoi Narne *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 10/04/2006 Permit# CB062351 Inspector Assignment: JM Title: REROOF: 12700SF Description: Type:MISC Sub Type: REROOF Phone: 8582787200 Job Address: 2345 CAMINO VIDA ROBLE Suite: Lot 0 Location: Inspector: OWNER FIRST INDUSTRIAL DEVELOPMENT SERVICES INC Owner: Remarks: Total Time: Requested By: RACHEL Entered By: JANEAN CD Description Act Comment 19 Final Structural Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 09/29/2006 15 Roof/Reroof CO JM NO ACCESS TO ROOF PERMIT INFORMATION: Address: CAMINO CORPORATE CENTER 2345 CAMINO VIDA ROBLE CARLSBAD, CA. 92008 Salesman: DOUG GOSSETT Date: 06/12/06 Job#: J-06162 Owner / Contractor: FIRST INDUSTRIAL REALTY TRUST Owner / Contact: TOM YOO Map#1127-E4 Phone: Work: (310) 414-5400 ext. 310 Owners Phone Number Assessors Parcel # Squares TVDC of Material Weicht Per Square ICBO# Fire Rating Existing Tvoe of Material Existing Weight Per Sauare Existing ICBO #(Onlv for changing out standard weight tile w/ standard weight tile) Roof Slooe Citv Business License # Descriotion of Work 333 Pfingsten Road Northbrook. Illinois 60062-2096 United Slates Country Code (1) (847) 272-8800 FAX No. (847) 272-8129 "MO Underwriters Laboratories Inc.® January 15,2002 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:! Existing Roof System: Any UL rated smooth BUR or Modified Bitumen roof to maintain existing Classification. Coating: "#298 Asphalt Emulsion" or "#298E", max. 16 gal/sq. Ply Sheet: 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: V Robert F. Keogh (Ext. 41510) Douglas C. Miller (Ext. 43262) Project Engineer Engineering Group Leader Conformity Assessment Services - 3011E-NBK Conformity Assessment Services - 3011E-NBK A not-for-profit organization dedicated to public safety and committed to quality service 333 Plingsten Road NorrhtHOOk, Illinois 60062-20? 1708)272-8800 FAX NO. (708) 272-8129 .......... MCI Mail NO. 254-3343Underwriters Laboratories Inc.* TPiP* NO. 6502543343 January 26, 1995 Mr. Gregory Hlavaty Roofing Products Manager Western Colloid Products 2815 Unicornio St. Carlsbad, CA 92009 Our Reference: File R11321, Project 95NK3406 Dear Mr. Hlavaty: In accordance with your January 6, 1995 letter request ve have revised your current UL Classification Cards to include the following: MAINTENANCE AND REPAIR SYSTEMS Class A, B or C 1. necJti C-15/32 Incline; 1 Existing Bfifif 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 Emulsion11 at 9 gal/sq. sprayed simultaneously with chopped glass fiber rovings at 3 Ibs/sq. Surfacing; "#500 SilverWhite Emulsion" at 1 gal/sq. 2 . Deck; C-15/32 Inclines 3 £sffi£ 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. ElX Sheet; (Optional) one or more plies of polyester fabric 2 3/4 oz. to 3 sq. yd. embedded in 3 gal/sq of N/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 orgniziNon daticttedtopubKcuMywd commiBid to quality service Class A 1. Pack; NC Incline: 3 Roof gvgtfrffi; Class A, B or C Insulated or uninsulated smooth surfaced or gravel surfaced (loose gravel may be removed) or modified bitumen* Plv Sheet: (Optional) one or more plies of polyester fabric 2 3/4 to 3 ox. per sq. yd. embedded in 3 gal/sg. of "/298 Emulsion*1 for each ply. Coating; "£298 Emulsion11 at 9 gal/sg. sprayed simutaneously with chopped glass fiber rovings at 31bs/sq. Surfacing; "#500 SilverWhite Emulsion" at 1 gal/sg. 2. QSC&L NC Incline; 3 Existing R£fi£ System; Class A, B or C insulated or uninsulated smooth surfaced or gravel surfaced (loose gravel nay be removed) or modified bitumen. Ely. 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 with chopped glass fiber rovings at 3 Ibs/sq. Project 95NK3406 was established with a maximum engineering cost limit of $40O.OO, 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: *- M. O'SHEA (X42664) DOUQJftS C. MILLER (X43262) Engineering Associate Engineering Team Leader Engineering Services, Dept 411 Engineering Services, Dept 411 JMO:sr Underwriters Laboratories Inc.® 333 Plingstwi Road Northbrook. Illinois 60062-2096 United States Country Code (1) (847) 272-8800 FAX No. (847) 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 tsyfy yours, t Reviewed By: Robert F. Keogh (Ext. 41510) Project Engineer Fire Protection Division Douglas C. Miller (Ext. 43262) Engineering Group Leader Fire Protection Division A not-for-profit organization dedicated to public safety and committed to quality service ACORD CERTIFICATE OF LIABILITY INSURANCE *&¥-?* 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 Buokhorn StSan Diego CA 92111 DATE (MM/DWYYYY) 02/01/06 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATICSONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEHOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A: Admiral Insurance Company INSURER B: national Liability and Viz* INSURER c: Safeco Insurance Company INSURE ft Axis Capital Insurance INSURER E NAIC* COVERAGES MAY PERTAJN, THE INSURANCE AFFORDED BY THE ROUGES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDTTIONS OF SUCH POLICES. AGGREGATE UMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR A C C C D B UJUtNSRt TYPE OF INSURANCE GENERAL LIABILITY A.COMMERCIAL GENERAL LIABILJTY ^| CLAIMSMADE [ X { OCCUR GENT AGGREGATE UMFT APPLIES PER X~| POUCY PI SECT | ILOC AUTOMOBILE LIABILITY X X X GAf ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS WOE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY X 1 OCCUR [ j CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS- LIABILITY ANY PROPRIETOR/PARTNER/EXECUTfVEOFFICER/MEMBER EXCLUDED? H yes, describe under SPECIAL PROVISIONS below OTHER POLICY NUMBER CA00000208405 24CC90502010 24CC90502010 24CC90502010 ELU7236790 12006 0100017921061 POUCY EFFECTIVEDATE (MMfDOTYY) 01/01/06 11/01/05 11/01/05 11/01/05 01/01/06 01/01/06 POLICY EXPHwmgirDATE(MMJDDrYY) 01/01/07 11/01/06 11/01/06 11/01/06 01/01/07 01/01/07 LIMITS EACH OCCURRENCE UAMAUt lUKLNlbUPREMISES (Et occuwnce) MED EXP (Any one peraon) PERSONAL ft ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGO COMBINED SINGLE LIMIT(Ea accident) BODILY INJURY (Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE(Perecciderrt) AUTO ONLY - EA ACCIDENT OTHER THANAUTO ONLY: EAACC AGG EACH OCCURRENCE AGGREGATE X EL WUSIAIU- TQRY LIMITS UIH- ER EACH ACCIDENT E.L DISEASE - EA EMPLOYEE EL.DISEASE - POUCY LIMIT $ 1000000 $ 50000 s Excluded s 1000000 $ 2000000 $ 2000000 $ 1000000 $ $ s s s $ s 1000000 s s s s $ 1000000 $ 1000000 s 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. TT^TTT'\\ / ( /ffl -L-t^C ACORD 25 (2001/08) n~w y I & ACORD CORPORATION 1988