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Home My WebLink About2410 GRANADA WAY; ; CB013437; PermitCity of Carlsbad 1635 Faraday Av Carlsbad CA 92008 11 05 2001 Miscellaneous Permit Permit No CB013437 Building Inspection Request Line (760) 602-2725 Job Address 2410 GRANADA WY CBAD Permit Type MISC Subtype REROOF Status ISSUED Parcel No 1673820900 Lot# 0 Applied 11/05/2001 Valuation $8 880 00 Entered By MDP Reference* Plan Approved 11/05/2001 Issued 11/05/2001 Project Title FINE RESIDENCE Inspect Ajeag i1/05/0j mrp M AT 30 SQUARES OF EAGLELITE orro U/U3/UJ ££ vk y- L.OI-" 153 00 Applicant Owner XCEL COMPANIES FINE ANDREW S&NANETTE P 2410 GRAN ADA WAY 8162 UNIVERSITY AVE 91941 CARLSBAD CA 92008 6196447229 Total Fees $15300 Total Payments To Date $000 Balance Due $15300 Miscelaneous Fee #1 PERMIT $15300 Miscelaneous Fee #2 $0 00 Additional Fees $0 00 TOTAL PERMIT FEES $153 00 FINAL APPROVAL Inspector Hr*™*""**— Date */d ^/* ^ Clearance NOTICE Please take NOTICE that approval of your project includes the Imposition of fees dedications reservations or other exactions hereafter collectively referred to as "fees/exactions You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to tomely follow that procedure will bar any subsequent legal action to attack review set aside void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired 'PERMIT APPLICATION ^^^^v CITY OF CARLSBAD BUILDING DEPARTMENT &i$£j^S 1635 Faraday Ave Carlsbad CA 92008 ^SsL?^^ 1 PROJECT INFORMATION _2 fy / ff (r-f ti SI 6- & G~ £f& ? FOR OFFICE USE PLAN CHECK NO EST VAL Yj ^ Plan Ck Deposit Validated Bv Date ONLY ?& / /S3'-* / 6 Address (include Bldg/Suite #) / Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel # Existing Use Proposed Use v Description olhWork lit / ^ ^ *°' Stories * °' Bedrooms 2 QONTACT PERSON (if different from appiic.(nt) iT \ 4 S^ SjtfO^^S* C37 ""VUG.- # of Bathrooms Name Address f" City State/Zip Telephone # Fax ft 3 APPLICANT D Contractor Q Agent forColrtractor D Owner D Agent for Owner" PROPERTY OWNER Tele Address City State/Zip Telephone #Name 5 CONTRACTOR COMPANY NAME " (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter improve demolish or repair any structure prior to its /-I issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor s License Law 'Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom and the basis for the alleged exemption Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not moje than five hundred dollars [$500]) Name State License # Address License Class City State/Zip City Business License # s Telephone f Q ^ Designer Name ,__ -«v •-) f^**"} Address City State/Zip Telephone State License # ^ ^^ / -.^ j ^—~ 6 WORKERS ^COMPENSATION Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations Q I have and will maintain a certificate of consent to self insure for workers compensation as provided by Section 3700 of the Labor Code for the performance of the work for which this permit is issued D I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Company ft"V C, & ^T ^. Policy No vA^ C ^ ^-/ i IO l(p^ f Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) C] CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees SIGNATURE DATE 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason D I as owner of the property or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for sale If however the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he did not build or improve for the purpose of sale) O I as owner of the property am exclusively contracting with licensed contractors to construct the project (Sec 7044 Business and Professions Code The Contractor s License Law does not apply to an owner of property who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law) 0 I am exempt under Section Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement f~l YES QNO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone number / contractors license number) 5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETE THIS SECTION FOR NON RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the Presley Tanner Hazardous Substance Account Act? D YES (__] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? f~1 YES [__) NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' [_] YES [D 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 8 CONSTRUCTION LENDING AGENCY _,' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code) LENDER S NAME LENDER S ADDRESS 9 APPLICANT CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CitV of Carlsbad to enter upon the above mentioned property for inspection 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 IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA An OSHA permit is required for excavations over 5 0 deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from ttpe date of such peewit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commej3-^-*^a-p_eflpa ofJg£J5'days (Section 106/4 J^Worm Building Code) APPLICANT S SIGNATURE DATE WHITE Flip' YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING £g~^/s /> <=J1 JOB ADDRESS 2 TYPE OF BUILDING RESIDENTIAL |X COMMERCIAL 3 ROOF SLOPE RISE y inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) 1 2 3 5 TYPE OF EXISTING ROOF COVERING ^^ SHEATHING *6 NEW ROOF MATERIAL gVVCLASSwEIGHT PER SQUARE 7 DUMBER OF SQUARES 3 & 8 TRADE NAME _ MANUFACTURER 9 ROOF SYSTEM LISTING UL No _ ICBO No 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE /"~~^^>WEIGHT OF THE PROPOSED ROOF? /YES^X 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 1 Tear Off/Pre-mspection 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 ^trrrf f^^-- Date Contractor I/ Owner _ Contractor Name *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other City of Carlsbad Bldg Inspection Request For 03/07/2002 Permit# CB013437 Inspector Assignment RGB Title FINE RESIDENCE Description 30 SQUARES OF EAGLELITE Type MISC Sub Type REROOF Phone 7604347229 Job Address 2410 GRANADA WY Suite Lot 0 Location Inspector A^' APPLICANT XCEL COMPANIES Owner FINE ANDREW S&NANETTE P Remarks Total Time Requested By NANETTE Entered By ROBIN CD Description Act Comments 19 Final Structural Associated PCRs Inspection History Date Description Act Insp Comments 12/05/2001 15Roof/Reroof CA GG DONE ALREADY 12/05/2001 15Roof/Reroof AP RC 12/04/2001 15 Roof/Reroof NR RC NOBODY HOME NO LADDER LEFT NOTE 11/06/2001 15 Roof/Reroof CO RC NO 6 INCH NAILING AROUND PERIMETER OR ACROSS RIDGE City of Carlsbad Bldg Inspection Request For 11/06/2001 Permit# CB013437 Title FINE RESIDENCE Description 30 SQUARES OF EAGLELITE Inspector Assignment /j Cp Type MISC Sub Type REROOF Job Address 241 0 GRANADA WY Suite Lot 0 Location APPLICANT XCEL COMPANIES Owner Remarks JO & ° Phone 6196441133 Inspector Total Time CD Description 15 Roof/Reroof Act Comments Requested By F J BLOOM Entered By CHRISTINE CO " Associated PCRs Inspection History Date Description Act Insp Comments V \ ACORQ CERTIFICATE OF LIABILITY INSURANCE .T^TA"" PRODUCER Han f B tes 4 E e m n /T n Pac 8144 W Inut H 11 L ne 11081 Ddll s TX 75231 214 346 1507 fdx 425 671 4667 INSURED F J BLOOMINGDAI P DBA CERT A ROOF BY AMS Staff Leasing Inc 8262 Un ve ty A e Cor tractors License 35935 La Mesa i_A "41941 619 644 1133 f x 61« 698 9234 Man ge XCEL COMPANTFS 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 INSURERS AFFORDING COVERAGE INbURERA N tional Fire Insurance Company of H rtford INSUHCH B INSURFfl C INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTO THE INSURED NAMED ABOVE FOR THE POLICV PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OH 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 CLAIMS INSRLTB A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENEBAl LIABILITY | CLAIMS MADE | j OCCUR GEN L AGGREGATE LIMIT APPLIES PEH^JPOUCV nsv^ n-«- AUTOMOBILE LIABILITY ANY AUTO ALLOWNFO AUTOS SCHEDULED AUTOS HBED AUTOS NOW OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS LIABILITY OCCUR 1 [CLAIMS MADE DLDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTH Efi POL ICY NUMBER WC249189627 1 POLICY EFFECTIVEDATEIMM/DO/YYI 09/01/2001 POLICY EXPIRATION DATEIMIWOO/YYl 09/01/2002 LIMITS EALH OCCURRENCE FIRE DAMAGE (Any ate fi ) MEDEXP(A y person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (1-8 Head Ij BODILY INJURY (Per pe six ) BODILY INJURY (f accident) PROPERTY OAMAPF (Pe accdeni) AUIOONLY tAACCIDfNT OTHFRTHAN EAACC AUTOONLY AQG EACH OCCURRENCE AGCRECATF WC SIAIU UIM X TORY LIMITS fEH EL EACH ACCIDENT EL DISEASE FA EMPLOYEE EL DISEASE POI ICY LIMIT LIMIL LIMII $ $ $ S $ $ * $ $ $ $ $ $ $ $ $ $ $ $ 1 000 000 $ 1 000 000 $ 1 000 000 $ $ DESCRIPTION OF OPERATIONS/LOCATIONSrVEHICLES/EXCLUSIONS ADDED BV ENDORSEMENT/SPECIAL PROVISIONS 1 Insured s afforded Workers Compensation & Employers Liability as a co employer under the policy for employees leased from AMS Staff Le ing tic CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION Contractors State L cense Board 9821 Business Park Drive ATTN MYRA S u amento CA 95827-1703 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL LED BEFOHETHE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE -. J -. ^ ^ x^^^^^^:-^ ACORD 25-S (7/97)B ACORD CORPORATION 1988