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Home My WebLink About2412 ALTISMA WAY; ; CB043273; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 08-1 9-2004 Miscellaneous Permit Permit No: CB043273 Job Address: Permit Type: MlSC Subtype: REROOF Status: ISSUED Parcel No: - Lot#: 0 Applied: 0811 912004 Valuation: $23,200.00 Entered By: RMA Reference #: Plan Approved: 0811 912004 Issued: 0811 912004 Project Title: ARROYO VILLAS-8000 SF STD WT Inspect Area: 241 2 ALTISMA WY CBAD CONCRETE Applicant: J P WITHEROW ROOFING 1001 MORENA BLVD 921 10 6192974701 Owner: SALVO GEORGIE L 2412 ALTISMA WAY #G 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: $345.00 947 08tWI04 0002 01 02 CGF 345.00 Inspector: .& Date: NOTICE: Please take NOTICE that approval of your project includes the ‘Imposition” of 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 ' r '.O EST. VAL. 4 Plan Ck. Deposit Y Lagal Deacriptian Lot No. Subdivision NamelNumber Unit No. Phase No. Total I of units AMOMO~'~ Pam1 I Existing Uw Proposed Use - - - .. __ __-. - - 4Ptwir Name StateIZip Telephone I (SW. 7031.6 Bwinema and Profeuions Code: Any City or County which requires a permit to coMtRIct, alter, improve, demolish or rapair any structure, prior to ita citv StateKip Telephone X City 8uainess License I /& / / 9 a 8 Nama Address ucelwe Clau DOO~~IW Name Addram City StateKip Telephone stem Lkwue I I 0 i have and will maintain I certificeta of consent to Sdf-iMure for workers' compenadon as provided by Section 3700 of the Labor Code, for the performance I hava end will mainteh worked compensation, 8s raquird by Section 3700 of tho Labor Code, for.the performance of the work for which this permit is ork for which this permit b luuad. issued. My worker's Insuranca Company Policy No. a-0 c% f Expiration Date 1 /' ' f CTHlS SECTION NEED NOT BE COMPLETED F THE PERMIT IS FOR ONE HUNDRED DOUS [$lo01 OR LESS) 0 to become abject to the Workm' Compwatlon Laws of California. WARNINQ: wk*. thourd ddua ($10 C€RTIFEATE OF EJUZMPTIOIY: I certify that in the parformnnw of the work for which this permit is issued, I shell not employ any persun in any manner so IS I hereby affirm that I am exempt from the Contractor's Uce~a Law for the following reeson: 0 I, M owner of the property or my employee8' with wag- os their sob compenutim. will do the wwk and the structure is not intended or offered for sala (Sec. 7944, Bqaineu and Rofessipna Code: The Contractor's Uwnme kw does not apply to an owner of property who builds or improves theraon, and who doe8 such work himaelf or through his own employeea, provided that such improvemanu ora not lntanded or offard for sale. If, however, the building or improvement is sold within 01). yeer of completion, th. owner-builder wlil bva the burden of provlng that he did not build or improve for the purpose of sale). 0 I, as owner of tho pmpofty, am exdwfvdy contracting with licensed contracton to conetruct tho project ISec. 7044, Business and Profeealons Code: The Contractor's Liconao Law dom not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractor(sl licensad pursuant to the Contmctor'a Liwnw Law). 0 1. 2. 3. I em exempt under section I personally plan to provide the major labor mnd matdais for construction of the pmpaed proparty improvemat. 0 YES ON0 I Ihave I have notl rignod an applicnion for a bulldlng permit far the proposed work. I haw contracted with the following penon (firm) to provide the propoeed construction (indub name I address I phone number I contractors license number): Bwlnesa and Professions Coda for thls remaon: I 4. number I writrectors liwnsa number): 6. I plan to provide portloM d the work, but I hava hired the following person to coordinate, wpervlsa and provide the major work (include name I eddrsss I phone I wili provlde some of tho work, but I have contracted (hired) the foliowing persons to provide the work indicated hdwle name I address I phona number / type PROPERTY OWNER SIGNATURE DATE Is the applicant or future building occupant required to submit s businasa plsn, acutely hazardoua materials registration form or risk manegemant and prevention program under Sdonr 26606, 26633 or 26534 of the Presiey-Tanner Hazardous Substance Account Act7 - 0 YES Is tho applicant or future building occupant required to obtain a permit from the air pollution contml district or eir quality menegament district? 0 YES 0 NO b the facility to be copatructed within 1,ooO feet of the outer boundary of e schwl dtd 0 YES 0. NO 0 NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ESUED UNLESS THE APPLICANT HAS MET OR IS MEmNQ THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I hereby effirm 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 I.certlfy that I haw read the application and nata thet the above InformWion la correct and thet the lnformetlon on the plans is eccurate. I agree to comply wlth ell City Ord~Mncai and State laws relating to building construction. I hereby authorize mprementstives of the Cit) of Carlsbad to enter upon the above mentioned property for inspodon purp-. I ALSO AQREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AQAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is raquired for excnvetions owr 6'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION Every pen" aulhorired by mch prmll is at any time after the work is APWCANTS SIGNATURE DATE shs of thle Code shall expire by ilmitatlon and become null and void if Me building or work of such permlt or if the building or work authorlzed by such permit is suspended or abandoned 106.4.4 Uniform Building Code). WHITE: Fllo YELLOW Applicant HNK: Finsnca City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 2. TYPE OF BUILDING: RESIDENTIAL w- COMMERCIAL 3. ROOF SLOPE: RISE I inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) &I 2 3 5. TYPE OF EXISTING *6. NEW ROOF 7. 7~3- SHEATHING ppd . CLASm WEIGHT PER SQUARE ICBO No. 3798 . 9. ROOF SYSTEM LISTING UL No. 10. IS THE EXISTING 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 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. Signature Date $7- /s*q 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# CB043273 Inspector Assignment: PD Title: ARROYO VILLAS-8000 SF STD WT Description: CONCRETE Type: MlSC Job Address: 2412 ALTISMA WY Suite: Lot Location: OWNER SALVO GEORGIE L Owner: Remarks: PhonJ2fl Inspect Total Time: CD Description 19 Final Structural Requested By: BOB BYRD Entered By: CHRISTINE Act Comment Associated PCRs/CVs Inspection Histow Date Description Act lnsp Comments 09/08/2004 15 RoofIReroof AP PD State Of California ACTIVE LICENSE ~1.tc~ CONTRACTORS STATE LICENSE BOARD crwanra @.I I~~~~~ M.jrrw J P WITHEROW ROOFING COMPANY ----;----. - - .- . - , . , -. , . - .-.-L---*.rX - *. ... . . . . . -. . . , . . . . Any change of business addresshame must be reported to the Registrar within 90 days. This license is not transferrable, and shaH 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 mailbox. Postage guaranteed by: Contractors State License Board P.O. Box 26000 Sacramento, CA 95826 Licensee Signature P-04 4 01:48P Client#: 14986 65JPWITH .' INSURED J.P. Witherow Roofing Company, InC. 1001 Morena Boulevard CERTIFICATE I-&-& . __ __ - INSURER A: Valley Forge Insurance Company INSURER 8: Transcontinental Insurance Companies INSURERC: State Comp. Ins. Fund - HRH*of Colorado 720 S. Colorado Blvd. Ste. PH N P.O. Box 469025 POLICY u(pwmoN 12131 I04 DATE IMMIDWW) OF UMlTS EACH OCCURRENCE I ~1,000,000 PRFMISES Fa occur fence^ DATE (MMIDW~PPI) 01106IO4 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORWT~ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. LIAEhLlfY INSURANCE I I MED EXP (Any one perron) PERSONAL B AW INJURY GENERAL AGGREGATE PRODUCTS - COMPK)PAGG COMBINED SINGLE LlMlT (Ea acddent) BODILY fNJURY (Per penon) BODILY INJURY (Per accident) I Denver, CO 80246-9025 I INSURERS AFFORDING COVERAGE I NAlC # Sf 0,000 $1 ,~O,ooo S2,000,000 $2,000,000 ~1,000,000 t s PROPERTY DAMAGE (Per accident) AUTO ONLY - EA ACCIDENT San Diego, CA 921 10 I ~ s 5 INSURER D I x WCSTAN- OW- Dl101105 E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE - POLICY LIMIT I 1 INSURER E: b s1,000,000 $1 ,000,aoo $1 ,o~,ooo COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME0 ABOVE FORTHE POLICY PERIOD INDICATED. NO~HST~D~NG 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 CWMS. REPRESENTATIVES. NPE OF INSURANCE (OENERAL LIABILITY GENERAL LIABILIW CLAIMS MADE OCCUR . .T GENL AGGREGATE LIMIT APPLIES PER iwLlCy~g~ n LOC AlhMOBILE LlABlLIN - ANY AUTO ALL OWNED AUTOS x SCHEDULED AUTOS x HIREDAVTOS x NON-OWNED AUTOS - - - H GARAGE LIABIUN ANY AUTO MCESSNMBRELIA LIABILIN 2 OCCUR CLAIMS MADE DEDUCTIBLE RETENTION b kRKERS COMPENSATION AND IMPLOYERS' UABIUTY LNY PROPRIEMRPARTNEFUEXECUTWE )FFICER/MEMBER EXCLUDED? I s describeunder ;&AL PROVISIONS below lTHER IPTlON OF OPERATIONS / LOCATIONS I VEHN POLICY NUMBER TCP2063903664 5UA2067535304 85000225404 POLICY EFFECTIVE DATE lMMlWml 12/31/03 12/31/03 oi io i/o4 12/31/04 OTHER THAN AUTO ONLY: I EACHOCCURRENCE t AGGREGATE s 8 t ~ ~ ~~~~ is / EXCLUSIONS ADDED BY ENWRSEMENTI SPECIAL' PROVISIONS - '-10 DAY NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM CERTIFICATE HOLDER CANCELLATION lsHoum ANY OF THE ABOVE DESCRIBED pouci~~ BE CANCELLED BEFORE THE u[plmnON I ** Proof of Insurance- DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL = WRlTfEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BVT fAfLuW To 00 SO SHALL IMPOSE NO OBUGAllON OR LIABILITY OF ANY KIND UPON THE-INSURER. ITS AGENTS OR