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Home My WebLink About2402 ALTISMA WAY; ; CB043269; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08-1 9-2006 Miscellaneous Permit Permit No: CB043269 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: zu%Ww%r Lot #: 0 Applied: 0811 912004 Valuation: $1 7,400.00 Entered By: RMA Reference #: Plan Approved: 08/19/2004 Issued: 08/19/2004 Project Title: ARROYO VILLAS-6000 SF STD WT Inspect Area: 2402 ALTISMA WY CBAD CONCRETE-CONDO BLDG & POOL HOUSE BUILDING Applicant: J P WITHEROW ROOFING 1001 MORENA BLVD 92110 6192974701 Owner: ROMERO LUIS A 2402 ALTISMA WAY #A CARLSBAD CA 92009 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $268.00 $0.00 $0.00 $268.00 ~ ~ ~ ~ ~ ~ ~ ~ ~~ -~ Total Fees: $268.00 Total Payments To Date: $0.00 Balance Due: $268.00 InsDector: A Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ‘Idposition’of fees, dedications, reservations, or other exactions hereafter collectively referred to as “feeslexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exoired. . PERMIT APPLICATION PLAN CHECK NO. EST. VAL. f 7 qo/> Plan Ck. Deposit CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 d .-- (Sac, 7031.6 Buainess and Professions Code: Any City M County which requires a pwmit to construct, alter, improw. demolish or repair any structure, prior to Its issuance, also mqulms tha applicant for auch permit to file a signed statement that ha is licensed pumuant to the provisions of the Contrector's license Law [Chapter 0, commanding wlth Section 7000 of bivision 3 of the Business and Profeaslm Codel or that he is exempt therefrom, and the basis for the aliegad exemptiont violJon*$ City Statenip (247 City Business License # Nama hddrsss State License 8 /o qs UCBMS Class Designer Name Address city I StateKip Telephone a I have ad will maintain a wrtificrta of consent to self-lnaure for workers' compensation as provided by Section 3700 of the Labor Code, for the performanca of the ork for which this permit Is Issued. Avo ad will maintain workers' compensation, es required by Section 3700 of the Labor Code, for-the performance of the work for which this permit is isswd. My worker's compensation l~wnn~ IMWW Company .ST&% ALld Policy No. zz c~ 9 Expiration Date / f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT tS FOR ONE HUNDRED DOUARS [$lOOJ ORIESSI 0 to become subject to the Workers' Compensation Laws of Cdifomia. WAMINa hllun thouud dokn ($10 rrler and polic~ number are: CERTIFICATE OF EXEMPTION: I cdfy thmt in the performance of the work for which this permk is issued, I shall not employ any person in any manner so IS wwmge is unlmtul, mddUl.crbJM.n .nrpkyrto crbnh.(penW d dvil tbws up to QM hundred f -Ion, burug.. u pmvlded tor In s.aiOn 3706 o I haieby affirm that I am exempt from the Contractor's Ucerue Lsw for the fdowlng reason: 0 1, M owner of the property or my employe& with wages am thar sole compensation. will do the work and the structure is not Intended or offered for sale (Sac. 7044, Businass and Professions Code: The Contmctar'a Ucew Law does not apply to an owner of propertv who builds or improves themon, and who does such work himaelf or through Ma own employees, provided that such improvements are not Intended or affered for sale. If, however, the building or improvement k sold wtthln one year of compttion, tho owner-Midw will have the burden of proving that ha did not build or improva fm the purpose of oale). 0 I, as Owner of tho property, am axc~wivdy contracting with licensed contractors to construct the project (Sac. 7044, Business and Profesalona Coda: The Contractor's License Lsw does not apply to an owner of proportv who builds w improves thereon, and contracts for such projects with contractorla) licenard pwauant to th. Contractor's Ucanse Law). 0 Iamaxemptundw~ction Business and Rotu~io~ Cod. for mis reason: 1. 2. 3. I personally plan to provide the major Iebor and materials for construction of the propMed property improvement. 0 YES ON0 I (have / have not) algned an application for a building pormh for the proposed work. I have contrnctd-with the following penon (firm) to provide the proposed conatructlon (include name / address / phone number I contractors license number): ~ ~ ~ ~~~ 4. numbw / contractors liiensa numbar): 6. I plan to provide portions of the work, but I haw hired tho following person to coordinate, supervise and provide the major work (Include name I address / phone I will provide some of the work, but I have contracted Ihired) the following persons to provide the work indicated linclude name I address / phone number I type PROPERTV OWNER RIGNATLJRF ' nATC I-. - . -... . ---.--.. -.-.-..-..- Is the applicant or future building occupant required to submit a business pian, acutely hazardous materials registration form or risk management and prevention program under Ssatlons 26606,26633 or 26634 of the Presiey-Tanner Hazardoh Substance Account Act? ~ 0 YES la the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 0 YES 0 NO is the facility to be wpatructed withln 1,OOO feat of the outer boundary of a school sitel 0 YES 0. NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETINQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POUUTION CONTROL DSTRICT. 0 NO . .- I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097li) Civil Code). LENDER'S NAME LENDER'S ADDRESS I cdfy that I have read the application and state that the above Information is correct and that the Informatlon on the plana is eccurate. I agree to comply with a11 City ordinances and State lawe relating to building construction. I hereby authorize representatives of the Cit). of Carlsbsd to enter upon the above mentioned property for inspection purposes. I ALSO AOREE 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 QRANTINQ OF THIS PERMIT. OSHA: An OSHA permit Is required for e'xcavatiom owr 6'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every permit authorized by auch permk b at any tlme after the work is comm APPLICANT'S SIGNATURE DATE sions oi this Code shall expire by limitation and become null and void if the building or work oi such permit or if the building or work authorized by such permit b suspended or abandoned 106.4.4 Uniform Building Code). WHITE: File YELLOW Appllcant PINK: Finance City of Carlsbad Bldg Inspection Request For: 0 1 /05/2005 Permit# CB043269 Inspector Assignment: Title: ARROYO VILLAS-6000 SF STD WT Description: CONCRETE-CONDO BLDG 81 POOL HOUSE BUILDING Type: MlSC Sub Type: REROOF Job Address: 2402 ALTISMA WY Suite: Lot 0 Location: APPLICANT J P WITHEROW ROOFING Owner: Remarks: Total Time: Reauested Bv: BOB BYRD CD Description Entered By: CHRISTINE Act Comment 19 Final Structural Associated PCRs/CVs InsDection History Date Description Act lnsp Comments $. City Of Carlsbad SUPPLEMENTAL BUfLDlNG PERMIT APPLICATION FOR REROOFING 2. TYPE OF BUILDING: RESIDENTJAL COMMERCIAL 3. ROOF SLOPE: RISE inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERJNG (circle one) 0 2 3 5. TYPE OF EXISTING *6. NEW ROOF 7. SHEATHING p+d . CLASm WEIGHT PER SQUARE 9. ROOF SYSTEM LISTING UL No. ICBO No. 37vt3 . io. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? @ NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or ctassification are prohibited. I understand the following inspections are required: :<, I, 1. Tear OfflPre-inspection prior to install new roof covering. 2. Final Inspection I agree to provide a ladder extending at feast 2 rungs above the roof for inspection. Signa tu re Date B* /s-q Contractor r/ Owner Contractor Name *6 - Rolled Roofing, Standardllite Tile, AsphaltlComp Fiberglass, Built up, Other. 2ia State of Califort..- iE;z,s CONTRACTORS STATE LICENSE RnARn BF~.IY:~ fhmr J P WITHEROW ROOFING COMPANY 06/3U/ZUU6 Expiation Date .......... ..,_-. _._ _.__. -_ . Any change of business addresshame must be reported to the Registar within 90 days. This license is not transferrable, and shall be returned to the Registrar upon demand when suspended, revoked, or invalidated for any reason. , This pocket card is valid through the expiration date only. !f fcmd, drop in any mailbox. Postage guaranteed by: Contractors State License Board P.O. Box 26000 Sacramento, CA 95826 Licensee Signature ’ Denver, CO 80246-9025 INSURED J.P. Witherow Roofing Company, Inc. 1001 Morena Boulevard San Diego, CA 92110 ACORD~ CERTIFICATE OF LIAE!ILI~Y INSURANCE DATE (MMIDm) 01/06/04 I I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO~THSTAND~NG ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIW THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERflN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PRODUCER . HRH of Colorado 720 S. Colorado Blvd. Ste. PH N P.O. Box 469025 I TYPE OF INSURANCE 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. I PWCY NUMBER TCP2063903664 INSURERS AFFORDING COVERAGE INSURERA: Valley Forge Insurance Company INSURER B Transcontinental Insurance Companies INSURERC: State Comp. Ins. Fund INSURER D: INSURER E L I GENL AGGREGATE LIMIT APPLIES PER: ipollcym:E~ n LOC - AL~TOMDBILE UABILIIY BUA2067535304 nw AUTO - ALL OWNED AUTOS x SCHEDULED ALAOS x HIREDAUTOS x NON-OWNED AUTOS - - NAlC# . GARAGE LIABILITY ANY AUTO CLAIMS MADE 1 2/31 104 DEDUCTIBLE 6RKER.S COMPENSATION AND MPLOYEW UABlUTT NY PROPRIETORIPARMER/EXECUTlVE 1FFlCERlMEMBER EXCLUDED? I EACH OCCURRENCE I s1.000.000 I~500.000 DAMAGE ro RENTED PRFMISES IFwnence) 285000225404 COMBINED SINGLE LIMIT 1 2l3 1 IO4 EClAL PROVISIONS below k PTION OF OPERATIONS I LocATloNs I VEHICLES I EXCLUSIONS ADDED BY ENDORS ~1,000,000 POLICY EFFECTIVE DATE IMT 1 2/31/03 BODILY INJURY (Per penon) BoDlLY INJURY (Per-) PROPERTY DAMAGE (per accident) AUTO ONLY - EA ACCIDENT 12/31/03 s s s S + 311oi104 IENTI SPECIAL PRC AGG AUTO ONLY: =I0 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM S x WCSTATU- OTH- )I101105 E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYE E.L. DISEASE - POLICY LIMIT s si ,000,000 s~,OOO,OOO $1 :ooo~ooo - Proof of lnsurance- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL a NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFf, BUT FAILURE 10 IMPOSE NO OBLIGATlON OR LIABILITY OF ANY KIND UPON THEANSURER. REPRESENTAWES. EX PI^^^ WRITTEN SO S~L AGENTS OR - EACH OCCURRENCE AGGREGATE I 5”s P-04 4 01:48P