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Home My WebLink About2408 ALTISMA WAY; ; CB043268; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08-19->004 * Miscellaneous Permit Permit No: CB043268 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: 2152401729 Lot#: 0 Applied: 0811 9/2004 Valuation: $5,800.00 Entered By: RMA Reference #: Plan Approved: 0811 9/2004 Issued: 0811 912004 Project Title: ARROYO VILLAS-2000 SF STD WT Inspect Area: 2408 ALTISMA WY CBAD CONCRETE Applicant: J P WITHEROW ROOFING 1001 MORENA BLVD 921 10 6192974701 Owner: STOCKLER ANTHONY H 2408 ALTISMA WAY #A CARLSBAD CA 92009 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $1 15.00 $0.00 $0.00 $1 15.00 Total Fees: $1 15.00 Total Payments To Date: $0.00 Balance Due: $1 15.00 9247 08/19/04 0002 01 02 CGP run vrrmub u-L WI~L I PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 I LqaI Deacription Lot No. SubdivWon Name/Number Unit No. Phase No. Total I of units A~asaor'e Parcel X Existing Use Proposed use Name City Statelzip Telephone X (Sac. 7031.6 Eu8inus mnd Professions Code: Any City M COW which requires a permit to corwtruct, alter, improvs, demolish or repair any structure, prior to its City statemp City Bueinesr License X /a hddroas Ucenee Class Nams Designer Name Address City statap Telephone state m. I 0 I bvs and will maintain a dicata of conssnt to Sdf-fMWO for workers" compensation os prodded by Section 3700 of the Labor Code, for the performance I have and wHI rnaimln workers' compenution, u required by Ssction 3700 of the Labor Code. for-the performance of the work for which this permit Is ork for which thla permit la bawd. - (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED WUARS 1$1001 OR CESS) 0 to brcornr subject to the Workers' Cornpencation Laws of California. WARNINQ FdIum thour8nd ddl.n 010 CERTIFICATE OF EXEMPTION I certify thet in the pdormanca of the work for whkh this permit Is issued, I shall not employ any person in any manner so as CMnpnUtlon, d.nugu u pr0Vld.d for h S.ctlon 3706 o I hereby affirm that I am exempt from the Contractor's Ucense Law for the following reason: 0 1, 08 owner of the property or my ernpioysw with W~QOS as their sole compenution, will do the work and the structure is not intended or offsred for ark ISw, 7944, Buninou mnd Professions Code: The Contractor's UCMM Law does not apply to an owner of propwty who builds or improves thereon, and who does such work hirnaslf or through Ma own employees, provided that such improvements are not Intended or offered for sole. If, however, the building or improvement ia sold within ona yeor of completion, the owner-buildef will have the burden of plo~ing that he did not build or impova fw the purposs of sale). 0 1, as owner of the propcrfty, mm exclutivdy Contracting with iicenssd contracton to construct the project (Sec. 7044, Bwiness end Professions Coda: The Contractor's Ucense law does not apply to an owner of property who builds or improves thsreon, and contracts for such projects with contractor(s) liceneed purawnt to the Cmtnctor's Ucerus Law). 0 1. 2. 3. 4. numb I contracton liienae numbar): 6. of work): I am exempt undar hction I perronrly plan to provide the major labor and matdab for construction of the proposed property irnprowmant. 0 YES ON0 I (haw I have not) si@ned an application for a building permit for the propmad work. I have contractaddwith the following penon (firm) to provide the proposed corwtruction (Include name I address I phone number I contrectors license number): I plan to pmvlde portions ot the work, but I hava hired the following person to coordinate, supervise and provide the mejor work (include name I address I phone I will provide soma of the work, but I hava contrected (hired) the following persons to provide the work indicated (include name I address I phone number I type &rrlnesa and ProfeasioM Code for this rmson: PROPERTY OWNER SIGNATURE DATE Is the applicent or future building occupant rsquired to submit e business plsn, acutely hazardom materials registration form or risk management and prevention program under Swtionc 26606,26633 or 26634 of the Presley-Tanner Hazardoim Substance Account Act? - 0 YES Is the applicant or future building occupent required to obtain a permil from the air pollution control district or air quality manegement district? 0 YES 0 NO le the fecility to bs vtructed within 1,OOO feet of the outer boundary of a school rite? 0 YES 0. NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLtCANT 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 lendlng agency for the performance of the work for which this psrrnit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS ' 1 csrtify that I have read the applicrtion end stat8 thet the abovr Information is correct and that the information on the plan0 is accurate. i agres to comply with all City OrdiMncm and State laws relrtlng to building construction. I hereby authorize representatives of the CM of Cerlsbsd to entsr upon the above mentioned poparty for inspaction purposss. 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 CONSEDUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit la required for excavation6 over 6'0" dwp and dsmoiltion or construction of atructures over 3 stories in height. EXPIRATION: Every permlt hued by the bullding OfRclal under the pmvisiOns of this Code shell explre by ilmilwion and become null and void if Me building or work authorized by euch permit b of such permlt or if the building or work authorized by such permit is suspended or abandoned at any time after the work Is 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: FUe YELLOW Applicant PINK: Finence $. City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 2. TYPE OF BUILDING: RESIDENTIAL */ COMMERCIAL 3. ROOF SLOPE: RISE inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) fij 2 3 5. TYPE OF EXISTING *6. NEW ROOF 7. SHEATHING p$u~~ . CLASm WEIGHT PER SQUARE 9. ROOF SYSTEM LISTING UL No. ICBO No. 379% . io. IS THE WISTING 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 classification are prohibited. I understand the following inspections are required: -;, I, 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. Signature Date $* /s-q Contractor Owner Contractor Name *6 - Rolled Roofing, StandardILite Tile, AsphaltlComp Fiberglass, Built UP, Other. City of Carlsbad Bldg For: 01 /05/2005 Permit# CB043268 Title: ARROYO VILLAS-2000 SF STD WT Description: CONCRETE Type: MlSC Sub Type: REROOF Job Address: 2408 ALTISMA WY Suite: Lot 0 Location: OWNER STOCKLER ANTHONY H Owner: Remarks: Total Time: Inspection Request Inspector Assignment: PD Phone: 6192974702 Requested By: BOB BYRD Entered By: CHRISTINE G Comment CD Description 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 08/31/2004 15 RoofIReroof WC PD WRONG PERMIT - SHOULD HAVE BEEN FOR 2402 .-4 c State Of California ACTIVE LICENSE st*rd &Mma CONTRACTORS STATE LICENSE BOARD - a Dqmment d L~~ll~ulllL!l i!ffdirS I 1 b, elice Nlmter 104525 E nt itp CORP E:irc "IU::. f$irw 3 P WITHEROW ROOFING COMPANY ..._ :. ...-.-_- . . Any change of business addresshame must be reported to the Registrar within 90 days. This license is not transferrable, and shall b 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 fonnd, drop in any rnailbx. Postage guaranteed by: Conkactors State License Board P.O. Box 26000 Sacramento, CA 95826 Licensee Signature ACORD, CERTIFICATE OF LlAglLlfY INSURANCE . Denver, CO 80246-9025 - DATE (MWDWYYYY) 01/06/04 INSURED J.P. Witherow Roofing Company, Inc. 1001 Morena Boulevard San Diego, CA 92110 PRODUCER - - HRH of Colorado 720 S. Colorado Blvd. Ste. PH N P.O. Box 469025 I INSURER D: THIS CERTIFICATE IS ISSUED AS A MAlTER OF INFORWT~ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFKATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, U[TEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I INSURER E: I COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED. NO~THST~D~NG 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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CWMS. 12/31/03 TYPE OF INSURANCE PWCY NUMBER GENERAL LIABILITY TCP2063903664 CLAMS MADE OCCUR ~1.000,000 12/31/04 COMBINED SINGLE LIMIT (Ea accident) I GENL AGGREGATE LIMIT APPLIES PER I m n LOC AI~TOM~BILE umm BUA2067535304 - ANY AUTO ALL OWNED AUTOS x SCHEDULEDAWOS x HIREDAUTOS x NONOWNED AUTOS - - YT c . IH I GARAGE LIABILITY ANY AUTO EXCESSNMBRELIA LIABILITY 3 OCCUR CLAIMS MADE mucneu RETENTION S %RKERS COMPENSATION AND 285000225404 EMPLOYERS UABlLITY ANY PROPRIETORIPARTNERECUTIVE OFFICERAIEMBER EXCLUDED? If es describeunder S8ECIAL PROVISIONS below OTHER )ESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORS AGGREGATE LIMITS POLICY EFFECTIVE POLICY wpiRAnoN DATE lMM/DD/YYl DATE IMWUMW) I $ EACH OCCURRENCE I~1,000,000 I S500.000 DAMAGE TO RENTED PREMISES (Fa occurrence) I 12/31/04 12/31/03 I It s 1 BODILY lNJURY 11 I01104 PROPERTY DAMAGE I I (per accident) x WCSTATU- OM- a 01/01/05 E.L. EACH ACCIDENT SI ,000,000 E.L. DISEASE -EA EMPLOYEq $1 ~~00,000 E.L. DISEASE - POLICY LIMIT I $1 ,o~,ooo AUTO ONLY - EA ACCIDENT S I *- Proof of Insurance- OTHERTHAN EAAMI' AGG S AUTO ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATK)N DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MNL _31c DAYS WRI~N IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE~NsURER. ITS AGENTS OR NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE To SO SHAU REPRESENTAWES. \ - Y - I I IENT I SPECIAL PROVISIONS