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Home My WebLink About2404 ALTISMA WAY; ; CB043270; Permitc 08-1 9-2004 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No: CB043270 2404 ALTISMA WY CBAD MlSC Subtype: REROOF Status: ISSUED - Lot#: 0 Applied: 0811 912004 $14,500.00 Entered By: RMA Plan Approved: 0811 912004 Issued: 0811 912004 ARROYO VILLAS-5000 SF STD WT CONCRETE Inspect Area: J P WITHEROW ROOFING 1001 MORENA BLVD 921 10 6192974701 Owner: NIELSEN JANET R 2404 ALTlSMA WAY #A CARLSBAD CA 92009 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $230.00 $0.00 $0.00 $230.00 Total Fees: $230.00 Total Payments To Date: $0.00 Balance Due: $230.00 5247 08/19/04 0002 01 02 CGP 230 00 Inspector: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Impo&on" ofiees, 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 feeslexactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or semice fees in connection with this project. NOR DOES IT APPLY to any feeslexactions of which vou have Dreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has Dreviouslv otherwise exdred. PERMIT -APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. fFfiy32 76 EST. VAL. ( q. c130 Plan Ck. Deposit 1 Validated By . /I-- Date / lUl.:~i 1' VI I //I/ \ Lagal Deacfiption Lot No. Subdividon NamdNumbar Unit No. Phase No. Total # of unita Asse~or'i Pad I Existing Use Proposed Use Name Addm Ciy statamp Telephone # (Sec. 7031.6 Business and Profassions Code: Any City or County which requinr a pwmit to construct, alter, improve, demolish or repair any otructure, prior to Ita City statemp Telephone # City Busin- License t /a 1 1 9&6 Name hddrasa Ucanse Ciar Ddpnsr Name Address city ' statenip Telephone 0 1 have id will malntain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of tho ork for which this permit h iruad. dva end will maintain workers' compensation, u required by Saction 3700 of the Labor Code, for-the performanca of the work for which this permit ia insurance Company Pollcy No. Expiration Date / /' ' Lued. My workat's - CTHlS SECTION NEED NOT BE COMPLETED IF THE PERMIT I FOR ONE HUNDRED DOLLARS [$lo01 OR LESS) 0 to become subject to the Workara' Compansation Laws of California. CERTIFICATE OF EXEMPTION I certify thrt in the pwformance of the work for which this permit is issued, i shall not employ any person in any manner so as coyI.0. b UJmtJ, d dul nal.ct NI un(llaYwt0 chi1101 POIIOIUOS .nd dvH UP to 01). hudd c#np.nutkn, durug.. u poviad tor ~n s.aion 3706 or L* Interest .nd mey's fees. SIGNATURE DATE 6 f 7 vy I hekby affirm that I am exempt from the Contractor'a Lhxnsa Law for the following reason: 0 1, u owner of the propany or my employans'with wag- ai their rob componsath, will do the work and the structwa is not Intended or offered for saia (SIC. 7944, Winesu and Professions Code: The Contractor'a Uceme Law domi not apply to an owner of property who builds or improves thereon, and who doea auch work himself or through hi8 own employee8, provided that much improvements are not Intanded or offerad for amis. If, howaver, the building or improvement is add within OM year of completion. the owner-builder will have the burdm of proving that k did not bulld or improve fa the purpose of sale). 0 1, 6s owner of the proparty, am emldvdy contr8cting wlth licansed contractors to construct tha project (Sac. 7044, Bupineas and Profaadons Coda: The Contractor'8 UENUO Law does not apply to an owner of property who builds OT improves thereon, and contracts for such projects with contmctor(s) licenaed purauant to the Contractor's UCOIUO Law). ,a 1. 2. 3. 4. number I contractors ikenaa number): 6. I am axampt undw Section I pemonally plan to provlda the major labor md matariala fot ~~st~ction of the proposed proparty improvement. 0 YES ON0 I (hew I haw not) aigned an spplication for a bullding pwmh for tha proporad work. I have contractoddwith the following person Ifinn) to provide the proposed constructfon (include name I addrer I phone number I contractors licensa number): 1 plan to provide portions of the work, but I haw hired the following person to coordinata, supervise and provide the major work Onclude name I addreas I phone I will provide some of the work, but i have contracted IMred) the following Persons to nrovlda the work indicated linciude name I address I Dhone number I two Burinme and Pmfesaim Coda for thla reason: ._ . . .- la the applicant or future building occupant required to submit a businer pian, mcutaiy hazmrdoua mnterials registration form or risk management and prevention progmm under Sootions 26606, 26633 or 26634 of the Proslay-Tanner Hazardoiu Substance Account Act? - 0 YES Is the applicant or future building occupant mqquked to obtain 4 permit from the alr pollution control dkrict or aK quality msnagement district? 0 YES 0 NO h tha facility to ba coptructad within 1,OOO feet of the outer boundary of I school site? 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 MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 0 NO I hereby affirm that there ia a construction lending agency for the performance of tho work for which this permit is issued ISec. 3097(i) Civil Code). LENDER'S NAME LENDERS ADDRESS I certify that I have read the application and note that the above informatlon is correct and that the information on the plans is accurate. I agree to comply with sII City ordinsncaa and State lawe relating to building construction. I hereby authorize representatives of the Cit). of Csrisbad to anter upon tha above mentioned proparty for inspadon 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 GRANTING OF THIS PERMIT. OSHA: An OSHA per& Is required for axcavatim ow 6'0' deep and damdltion of construction of structures over 3 stories in height. EXPIRATION: Every permit lssued by the bullding Olfklal under the pmvlslons of this Code shall expire by llmitation and become null and vold if the building or work authorized by ach permit Is not eo ate of such pennil or il the building or work authorized by such permit is suspended or abandoned at any Hme after the work la cmrn ion 106.4.4 Unlform Building Code). APPLICANT'S SIGNATURE DATE WHITE File YELLOW Appllcant PINK: Finmnca City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFfNG 2. TYPE OF BUILDING: RESIDENTIAL V’ COMMERCIAL 3. ROOF SLOPE: RISE inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) &I z 3 5. TYPE OF EXISTING ‘6. NEW ROOF 7. TX.,E SHEATHING ppd . CLAS@@ WEIGHT PER SQUARE MAN u FACTURER IC60 No. 3798 . 8. TMDENAMEG- nd 9. ROOF SYSTEM LISTING UL No. 10. IS THE EXlSTlNG STRUCTURAL DESlGN SUFFlClENT 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 classifitation are prohibited. I understand the following inspections are required: t, -,<, 1. Tear OfflPre-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 Signature Date $4 /9q Contractor /- Owner Contractor Name *6 - Rolled Roofing, Standardllite Tile, AsphaltlComp Fiberglass, Built up, Other. I- * City of Carlsbad Bldg Inspection Request For: 0 1 /05/2005 Permit# CB043270 Inspector Assignment: PD Title: ARROYO VILLAS-5000 SF STD WT Description: CONCRETE Type: MlSC Sub Type: REROOF Job Address: 2404 ALTISMA WY Suite: Lot 0 Location: OWNER NIELSEN JANET R Owner: Remarks: Total Time: Phone: 619374702 Inspect & Requested By: BOB BYRD Entered By: CHRISTINE CD Description Act Comment 19 Final Structural EL Associated PC Rs/CVs Inspection Histow Date Description Act lnsp Comments 09/22/2004 15 RoofIReroof AP JM ON9/8 09/22/2004 19 Final Structural WC JM 09/21/2004 13 Shear Panels/HD's WC PD 09/21/2004 19 Final Structural NS PD 09/08/2004 15 RoofIReroof AP PD .- Client#: 14986 65JPWITH d .I HRH of Colorado P.O. Box 469025 I 720 S. Colorado Blvd. Ste. PH N THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I Denver, CO 80246-9025 INSURERS AFFORDING COVERAGE NAIC# . INSURERA: Valley Forge Insurance Company INSURER B: Transcontinental Insurance Companies INSURERC: State Comp. Ins. Fund INSURER D: HSURER E: c. INSUftED J.P. Witherow Roofing Company, Inc. 1001 Morena Boulevard San Diego, CA 92110 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS. TYPE OF INSURANCE PWCY NUMBER GENERAL WBIUN TCP2063903664 x COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR . I GENL AGGREGATE LIMIT APPLIES PER: ipollw~~E~ n LOC ALhMDBILE UABIUM BUA2067535304 7 nw AUTO - ALL OWNED AUTOS x SCHEDULEDALROS x HIREDAUTOS x NON-OWNEDAUTOS - - ti I GARAGE UABlUTY ANY AUTO k EXCESSNMBRELIA UABIUTY 7 OCCUR CLAIMS MADE DEWCTIBLE RETENTION S hERS COMPENSATION AND 285000225404 MPLOYERS' WBlUTy I NY PROPRIETORIPARTNERECUTIVE FFICERNEMBER EXCLUDED? describe under F ECIAL PROVISIONS below I I )ESCRIPTION OF OPERATIONS I LOcATlONS I VEHICLES I EXCLUSIONS ADDED BY EN- "10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT 01 POLICY EFFECTIVE DATE IMMIDDIYY) 12/31/03 12/31 103 31 101104 IENT I SPECW. PRO PREMIUM WLICY u(piRAnc 12l31104 DATE IMMlDDIW 12/31/04 11101105 SlONS EACHOCCURRENCE I ~1,000,000 -coccumncc) DAMAGE TO RENTED IS500.000 ~1,000,000 COMBINED SINGLE LIMIT (Ea acddenl) BODILY INJURY (P=penon) BODILY INJURY (Per &dent) PROPERTY DAMAGE (per accident) s 5 s ~ AUTO ONLY - EA ACCIDENT $ I OTHERTHAN ' AGG S AUTO ONLY: EAcn OCCURRENCE s AGGREGATE s s x WCSTATU- OW- E.L. EACH ACCIDENT rl,000,000 E.L. DISEASE - EA EMPLOYEE ~l,000,00~ E.L. DISEASE - POLICY LIMIT $1 ,ooo,oo~ - ZERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR~BED POLICIES BE CANCELLED BEFORE ME Mpimnm DATE THEREOF, THE ISSUNG INSURER WLL ENDEAVOR TO MAIL a WRITEN " Proof of Insurance- NOTICE TOTHE CERTlFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To Do SO SW IMPOSE NO OBLlGATlON OR LIABILITY OF ANY KIND UPON THE~NSURER. ITS REPRESENTATIVES. OR ACORD 25 (2001m8) 1 of 2 #S249160/M249031