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Home My WebLink About2406 ALTISMA WAY; ; CB043271; Permit08-1 9-2804 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No: CB043271 2406 ALTISMA WY CBAD MlSC Subtype: REROOF Status: ISSUED 2#BeWx+ Lot#: 0 Applied: 0811 912004 $23,200.00 Entered By: RMA Plan Approved: 0811 912004 Issued: 0811 9/2004 ARROYO VILLAS-8000 SF STD WT CONCRETE Inspect Area: Applicant: J P WITHEROW ROOFING 1001 MORENA BLVD 921 10 619 2974701 Owner: HERRADA GABRIELA C 2406 ALTISMA WAY #A CARLSBAD CA 92009 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $345.00 $0.00 $0.00 $345.00 Total Fees: $345.00 Total Payments To Date: $0.00 Balance Due: $345.00 E47 08/19/04 W#2 01 02 CGP 345.00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 'dW - Plan Ck. Deposit Validated By . Date / 1 ULCi 'v ' WI I /[I. I' I' Legel bacription Lot No. Subdivision NamelNumber Unit No. Phase No. Total I of units Psre!mor's Pam1 x Exlsting Use Proposed Use I I 7O 4 Add- City StsteIZip Telephone # __ I .--...- requires a permit to conetruct, alter, improve, demolish or repnir any structure, prior to its issuance, also requlm the appiicent for such permit to file a signed statement that he is licensed pwclusnt to the provisions of the Contractor's License Law ststemp Telephone # Citv stateuc~e x I City Business License # I& //4&6 Address License Class Neme Dmigner Name Addreso City StatelZip Telephone 0 I bve and will maintain s certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance I have and wHI malntclin workers' compensation, M required by Sedon 3700 of the Labor Code, for.the performance of the work for which this permit is for which this permit is iuued. Issued. My worker's IMW- Compeny poticy NO. m-0 c* 9 Expiration Date / f ' f (THIS SECTION NEW NOT BE COMPETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS [$lo01 OR LESS) 0 to becoma subject to WARNINQ hRunt CERTIFICATE OF !€XEMPTION I certify thet in the pMtormance of the work for which this permit is hued, I shall not employ any person in any manner so as cwrrg. Is ukwful, nd dul mdtjmct n unpl0y.r to CrMrul panaltkm end dvR fhma up to one hmdmd srs' Compensation Law. of California. I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, as owner of thm property or my mploYeee'with wages as thdr sole compensation, will do the wor& end the structure is not intended or offered for sale (SW. 7044, Bwhu and Professions Code: The Contractor's Ucense Law doea not apply to an owner of propsrty who builds or improves thereon, and who does such work himaelf or through Ma own employees, provided that such imprwements am not Intended or offend for asia. If. however, the building or improvement is eold whin one yrr of complmtion. the owner-builder will have the burden of proving that ha did not build or improve fw the purpose of sale). 0 1, as owner of the property, am exclusivdy contracting with licensed contracton to constw% the project (Sec. 7044, Edness end Professions Code: The Contractor's License Lsw doer not apply to an owner of property who builds 01 improves thereon, and contracts for such projects with contractor(s) licenaed punuent to the Contractor's Ucenu Lsw). ,a 1. 2. 3. 4. number I contrectm lii~e number): 6. of work): I sm exempt under Section I pomonaly plan to provide the major labor end materiale for construction of the proposed property improvement. 0 YES ON0 1 (have I have not) signed an application for a bullding perm for the popossd work. 1 heva contractd,with the following ~OMM (firm) to provide the proposed construction (include MIW I address I phone number I contrectors license number): I plan to proVi& PMtiOM of the work, but I have hired the following person to coordinate, supervise and provide the mejor work (include name I sddress I phone I will povid some of the work, but I havs contracted Ihked) the following persons to provide the work indicated (include name I addmss I phone number I typo Businese end Profession6 Code for this mason: PROPERN OWNER SIGNATURE DATE la the applicant or future building occupant required to submit a business plen, acutely hezsrdous materiels registration form or risk management and prevention program under Sections 25606,26633 or 26634 of the Presley-Tanner Hazardoh Substance Account Act? - 0 YES Is the eppllcant or future building occupant mqulmd to obtain s permit from the air pollution control district or air quality management district? 0 YES f3 NO la the facility to be coytructed within 1,OOO feet of the outer boundary of a 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 -" .- I hereby effirm that there is a construction lending agency for the psrlormance of the work for which this permit Is issued (Sec. 3097ti) Civil Code). ' I certify thet I hive red the application end stste that the above information ia correct and that the Inforrnstlon on the plans is accurate. I agree to comply wkh a11 Cltv ordinences and Stete laws relating to building construction. I hereby authorize representatives of the CiW of Carkbad to enter upon the above mentioned proparty for inepectlon 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 W CONSEOUENCE OF THE GRANTING OF THIS PERMIT. 0- An OSHA permlt ia required for ekcavetions over 6'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every permit lssued by the brllding Official under the prwrisiOns of this Code shall expire by limitation and become nuU and vold if the building or work authorized by such permlt la of such permlt or if the building or work authorized by such permii le suspended or abandoned at any time after the work is 106.4.4 Unltorm Euilding Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. 2. 3. TYPE OF BUILDING: RESIDENTIAL W' COMMERCIAL ROOF SLOPE: RISE I inches in 12 inches / 4. 5. NUMBER OF EXISTING ROOF COVERING (circle one) c3) 2 3 TYPE OF EXISTING SHEATHJNG @4d . "6. NEW ROOF CLAS~~WEIGHT PER SQUARE MANUFACTURER ICBO No. 379t3 . 7. 9. ROOF SYSTEM LISTING UL No. io. Is THE EXISTING STRUCTURAL TO SUSTAIN THE NO WEIGHT OF THE PROPOSED ROOF? 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: I, -,:, 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 Date $* /s-q Contractor t/ Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, AsphaltlComp Fiberglass, Built up, Other. ' City of Carlsbad Bldg Inspection Request For: 01 /05/2005 Permit# CB043271 Inspector Assignment: RB Title: ARROYO VILLAS-8000 SF STD WT Description: CONCRETE Type: MlSC Sub Type: REROOF Job Address: 2406 ALTISMA WY Suite: Lot 0 Location: APPLICANT J P WITHEROW ROOFING Owner: Remarks: Phone: 61 92974702 Inspector: . Total Time: CD Description Act Comment Requested By: BOB BYRD Entered By: CHRISTINE 19 Final Structural 4 m stg~ +u 4ii2/ Associated PCRsKVs InsDection Histow Date Description Act lnsp Comments 0911 312004 15 RooflReroof AP RB FORHOTMOPROOF P-04 4 01 t48P .y$&L:--*..-.: - **; .--,-- -. . .+ State Of California Domnt d ACTIVE LICENSE qfiif& CONTRACTORS STATE LICENSE BOARD rl LtlJJ3UlllCl Af€dirS f 1 h et159 tJimter 104525 Enlity CORP BLJC 1.1- : t t 44 rw J P WITHEROW ROOFING COMPANY ~~ Any charge of business addresshame must be reported to the Registrar 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 found, drop in any rnailbx. Postage guaranteed by: Conkactors State License Board P.O. Box 26000 Sacramento, CA 95826 Licensee Signature DATE (MMIDDMYYY) COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO ME INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HERflN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COND~TIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. PRODUCER HRH of coioradb P.O. Box 469025 I Denver, CO 80246-9025 INSURED 720 S. Colorado Blvd. Ste. PH N J.P. Witherow Roofing Company, InC. 1001 Morena Boulevard San Diego, CA 921 10 TYPE OF INSURANCE POLICY NUMBER GENERAL UABIUTY TCP2063903664 x COMMERCIAL GENERAL LIABILITY .I' r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMT~ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFKATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAlC# * INSURERA: Valley Forge Insurance Company INSURER B. Transcontinental Insurance Companies INSURERC: State Comp. Ins. Fund INSURER D: tNSUR€R E: L ~~ GENL AGGREGATE LIMIT APPLIES PER LOC AUTOMOBILE UABlUTY ANY AUTO ALL OWNED AUTOS IH I GARAGE UABIUTY ANY AUTO k MCESWMBRELIA IJABlUTy 7 OCCUR CuiMs MADE DEDUCTIBLE '$r RRmmoN t WdRKERS COMPENSATION AND EMPLOYERS WBlW ANY PROPRIETOWARTNERN(ECUTlVE OFFICERIMEMBER EXCLUDED? If desCribeUndW sE~AL PROVISIONS below I OTHER BUA2067535304 285000225404 POLICY EFFECTIVE DATE lMT 1 2/31/03 12/31/03 01 10 f104 12/31/04 I 2/3 1 IO4 ~1/01/05 I I "IO DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM LIMITS 1 SI .ooo,ooo ~ EACH OCCURRENCE DAMAGE TO RENTED PRFMISFS (Fa occurrence) IS500.000 S BODILY INJURY (Per pencn) BODILY INJURY (PerscCrdent) PROPERTY DAMAGE OTHER THAN nmo ONLY: EACH OCCURRENCE s AGGREGATE S ** Proof of Insurance- DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL s WRITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To no =SHALL IMPOSE NO OBLIGATION OR LlABlUTY OF ANY KIND UPON THE-INSURER. ITS OR REPRESENTATIVES. ACORD 25 (2001108) 1 of 2 #8249160/M249031