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Home My WebLink About2410 ALTISMA WAY; ; CB043272; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08:19-2004 Miscellaneous Permit Permit No: CB043272 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: -2emmzL Lot#: 0 Applied: 08/19/2004 Valuation: $23,200.00 Entered By: RMA Reference #: Plan Approved: 08/19/2004 Issued: 0811 912004 Project Title: ARROYO VILLAS-8000 SF STD WT Inspect Area: 2410 ALTISMA WY CBAD CONCRETE Applicant: J P WITHEROW ROOFING 1001 MORENA BLVD 921 10 6192974701 Owner: STONE FRANKLIN T 241 0 ALTISMA WAY #H CARLSBAD CA 92009 Miscelaneous Fee #1 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 9247 wwo4 Q#2 01 02 CGP 345.00 InsDector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the “Imposition” $fees, dedications, reservations, or other exactions hereafter collectively referred to as ”feeslexactions.” You have 90 days from the date this permit was issued to protest imposition of these feeslexactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified feedexactions DOES NOT APPLY to water and sewer connection fees and capacity PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Lsgal hcription Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units I Name City Statelzip Telephone # (Sac. 7031.6 Burinass and Profession8 Code: Any City or County which requiras a permit to conmucl, alter, improve, demolish or repair any structure, prior to ita Citv sraremp Telapphons # City Business License # 6 Name address Ucenm Clau Dmlgnw Name Address city StateKip Telephone I 0 I hve ad will malntsin a certlficrte of consent to sdf-lnrure for worken; compsnsdon as proddad by section 3700 of the Labor Code, for the performanw of tho daw ad wHI maintdn wofker8' compensation, u required by Section 3700 of the Labor Code, for-the performance of the work for which this permit is IMWO~ Ckpany sT&m Ed4 Policy No. msas,zz~% 9 Expiration Date 1 /' f isawd. My workda compons8tbn inrumnc (THIS SECTION NEED NOT BE COMPLETED IF THE P€RMlT IS FOR ONE HUNDRED DOLIARS [$lo01 OR LESS) 0 to become subject to the Workers' Companution Laws of Caliifornia. WARNINQ. wkn thwd Qlur (el0 ork for which this permit is imwd. der and policv number are: CERTIFICATE OF EXEMPTION I certify that in the pwformance of the work for which this permit is hued, I shill not employ any person in any manner so as -, bnug.. u p0Vid.d for h S.ctiOn 3708 0 1 heieby affirm that I am exempt from the Contractor's License Law for the following rearon: I, u owner of the property w my employeas with wages as thdr solo compenutlon, will do the work and the structure is not intended or offered for aale (Sac. 7044, &(llnau and Profedlims Code: The Contrsctor's Uwnra Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employma, provided that auch improvements am not Intended or offered for sale. If, however, the building M improvement ia sold wlthin one year of completion, tha owner-bulidw will hew the burden of proving that he did not build or improve fw the purpose of sale). a I, a8 owner of the proparty, am exduohrdy contracting with licensed contraaton to consttuct the project ISac. 7044. Business and Professions Code: The Contraator's UCMM Law does not apply to an owner of propmv who build8 or improves thereon, end contmcta for auch project8 with comrector(s) licensed purauant to tho Contnctor's Ucrn~ Lmw). 0 1. 2. 3. I am exempt under Sdon I pemonaly plan to provida tha major labor and mstulab for construction of the proposed proparty Improvement. 0 YES ON0 I (haw I haw not) rlmd an application for a building permit for the propoaed work. I hove contractd5with tho following pe~m (firm) to provlde the proposed construction (include MW I address I phone number I contractora license numberl: Business and Profwsiam Code for thla mason: 4. number I contractors ikwmr number): 6. of work): I plan to provide p0rCi0~ of the work, but I have hired the following paraon to coordinate, aupcvvlse and provide the major work (include name I address I P~OM I wfli provide aoma of the work, but I hvs contracted Ihlred) the following persona to provlde the work indicated lincludei name I address I phone number I type PROPERTV OWNFR SIGNATIIRF Is the applicant 01 futuro building occupant required to submit a buaineu pian, acutely hrzsrdous materials registration form or risk management and prevention program under Seotions 26606,26633 or 26634 of the Presley-Tanner Hazardous Subrtence Account Act? - 0 YES la the appllcant or future building occupant required to obtain a permit from the air pollution control dlstrict or air quality management district7 0 YES 0 NO Is tho facility to be cowtructed within 1,OOO tea of tha outer boundary of a school site? 0 YES 0. NO 0 NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE M OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REOUIREMWTS OF THE OFflCE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby affirm that there is e construction lending agency for tho performam of the work for which this permit Is isaued ISec. 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS I certify that I have red the rpplicatbn and state that the above information is correct and that the informaclon on the plana is accurata. I agree to comply with ail Clty ordinances and State laws relating to building construction. I hereby buthorize representatives of the Cy of Csrlsbad to enter upon the above mentioned property for inspection purposa8. I ALSO AGREE TO SAVE, MIDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIAEIUTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permlt ia required for dxClV8tlOM over 6'0" deep and demolitkm or construction of 6t~~tW0S over 3 stories in height. EXPIRATION: Every permlt lssued by 6e bullding Officlal under the prwisione of this Code shaH expire by limitation and become nul and void if the buildlng or work aulhorized by arch permlt Is of such permlt or if the building or work authorized by such permil Is suspended or abandoned at any time after the work is 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK: Finance 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) @ 2 3 5. TYPE OF EXISTING *6. NEW ROOF 7. LE- SHEATHING pF060 . CLAS- WEIGHT PER SQUARE MANUFACTURER ICBO No. 379g . 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 installnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature Date $* 19 - oy Contractor Owner Contractor Name *6 - Rolled Roofing, Standardllite Tile, AsphaltlComp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 01 /05/2005 Permit# CB043272 Inspector Assignment: JM Title: ARROYO VILLAS-8000 SF STD WT Description: CONCRETE Type: MlSC Sub Type: REROOF Job Address: Location: 241 0 ALTISMA WY Suite: Lot 0 OWNER STONE FRANKLIN T Owner: Remarks: Total Time: Phone: 61 92974702 Inspector: .3k Requested By: BOB BYRD Entered By: CHRISTINE CD Description Act Comment 19 Final Structural €z Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 09/22/2004 15 Roof/Reroof AP JM ON9/20 09/22/2004 19 Final Structural WC JM 09/20/2004 13 Shear PanelsIHDs WC JM 09/20/2004 15 RoofIReroof AP JM NORECORDCARD P-04 ACORD, CERTIFICATE OF LIAl%lfY INSURANCE DATE (MMIDDMYW) 01106104 PRODUCER. HRd of Colorado 720 S. Colorado Blvd. Ste. PH N P.O. Box 469025 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR~TION 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 INSURERS AFFORDING COVERAGE INSURERA: Valley Forge Insurance Company INSURER B: Transcontinental Insurance Companies INSURERC: State Comp. Ins. Fund INSURER D: INSURER E: NAlCP ' - Proof of Insurance- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE u(pI~TION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 2 WRI~N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE lo Do SO SHU IMPOSE NO awtanoN OR LIABILIW OF ANY KIND UPON THE-INSURER ITS AGENTS OR REPRESENTATIVES. - Denver, CO 80246-9025 INSURED J.P. Witherow Roofing Company, Inc. 1001 Morena Boulevard San Diego, CA 92110 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS I POLICY EFFECllVI DATE WWDDNY) 12/31/03 PWCY EXPIRATIO DATE (MWDWW] POLICY NUMBER TCP2063903664 TYPE OF INSURANCE GENERAL LIABILITY x COMMERCIAL GENERAL LlABlLlpl 12/31/04 ~ EACH OCCURRENCE I s1.000,000 1 S500.000 DAMAGE TO RENTED PREMISES (Fa occurrence1 1'L AGGREGATE LIMIT APPLIES PEE !poclcy~x~~~ n LOC DMOBlLE LIABlLrrY ANY AUTO ALL OWNED AUTOS SCHEDULED ALROS HIRED AUTOS NON-OWNEDAUTOS BUN067535304 12/31/03 12/31/04 s1,000,000 COMBINED SINGLE UMIT (Ea acddenl) BODILY INJURY I (Per penw BODILY INJURY (Per accident) I PROPERTY [per accident) DAMAGE GARAGE LIABILITY b ANY AUTO 4UTO ONLY - EA ACCIDENT I S I DTHERMAN =I+{ 4UTO ONLY Ace EXCESSNMBRELLA LIABILITY OCCUR CLAIMS MADE b MACHOCCURRENCE 1: ~ 4GGREGATE DEDUCTIBLE %, R REENTION s VORKERS COMPENSATION AND IMPLOYERS' LIABILITY s i.L. EACH ACCIDENT $1,000,000 i.L. DISEASE - EA EMPLOYE $1 ,o~,ooo L.L. DISEASE - POLICY LIMIT I $1 ~~~~~~00 )I io 1/04 Dl101105 285000225404 rNY PROPRIETORPARTNERIU(ECUTlVE FFICEWMEMBER EXCLUDED? ' cs. describe under dECIAL PROVISIONS below lTHER I I IPTION OF OPERATIONS I LOCATIONS I VEMCLES I EXCLUSIONS ADDED BY ENWRSI ENT I SPECIAL PR( 3REMIUM SIONS "IO DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF E nt if y C.0 R P E!*I-',I- t$im- J P WITHEROW ROOFING COMPANY ...... Clasuf Ic3iI.Xl is) C39 ASB .............. . ..... --. -. ....... .... .--'-.-L---... Fx'~^L.-,..-- , .e- . .................. - Any charge 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. If found, drop in any mailbox. Postage guaranteed by: Contractors State License Board P.O. Box 26000 Sacramento, CA 95826 Licensee Signature