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Home My WebLink About2606 COLIBRI LN; ; CB012530; Permit07-30-2001 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB012530 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2606 COLIBRI LN CBAD MISC Subtype REROOF 2155340700 Lot# 0 $6,885 00 LEE RES-2459 SF LT WT CONCRETE Status ISSUED Applied 07/30/2001 Entered By RMA Plan Approved 07/30/2001 Issued 07/30/2001 Inspect Area Applicant SECURE ROOF INC 7356 TRADE ST SAN DIEGO CA 92121 800 338-6868 Owner LEE MARY R 2606 COLIBRI LN CARLSBAD CA 92009 5996 07/30/01 0002 01 02 CGP 128-00 Total Fees $12800 Total Payments To Date $000 Balance Due $12800 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $12800 $000 $000 $12800 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as lees/exactions" You have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack, review set aside, void or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite >Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total ft of units Assessor s Parcel # Existing Use Description of Work SQ {LT \ €. •5>Kcc"',-VkiN>5 cx4s>^ J7j 2 CONTACT; PERSON (if different from applicant) 't: / * ~rl L^ l^rf Name Address 3 APPLICANT Cjjjcoritractor D Agent for Contractor El Owner | Proposed Use #of Stories # of Bedrooms # of Bathrooms ^ ' 3> "" "" City' State/Zip Telephone # Fax # I] Agent for Owner;' : .- ; Address Clty <S)O State/Z, PROPERTY OWNER ,p$/^£jT elephone# Co\'b r,State/Zip Q^y^elephone #AddressName J_,^.£ S ., 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 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 vigjation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]) Name . State License # 5) /OH % T Address License Class v_. y~) City State/Zip City Business License ff Telephone # Designer Name Address City State/Zip Telephone State License # 6 "WORKERS COMPENSATION r :': .., 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 QX 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 ^yf-A- -Vg T~ (-/> '~\ <^ Policy No f^^O^> I Tc(*3 O f Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) O CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars($_10ILQPO) in addition to the cost of compensation damages as provided for in Section 3706 of the Labor code interest and attorney s fees <^^ __I V\n II A ^ , -S xi . .. SIGNATURE ( -—""" -*£=! 14—<KrStgr<-^4 DATE 7 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor s License Law for the following reason 0 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) l~| 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) f/~) 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 l~l YES O^O 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 FOBVtiON RESIDENTIAL BUILDING PERMITS ONLY r •• 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? O YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~| YES l~l NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? O 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 ; : r • , '' ' "" I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER S NAME LENDER S ADDRESS i9 T APPLICANT CERTIFICATION =: : r : , " 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 City 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 at any time after the work is commenced for a pei APPLICANT S SIGNATURE I 180 days (Section 106 4 4 Uniform Building Code) DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING Sj t •_ \ x"> \f\ 1 JOB ADDRESS o^-UO^ L o \. fc r\ U-yw^ 2 TYPE OF BUILDING RESIDENTIAL K COMMERCIAL 3 ROOF SLOPE RISE LJ inches in 12 inches 4 NUMBER OF EXISTING ROOF COVERING (circle one) (j) 2 3 5 TYPE OF EXISTING ROOF COVERTNG^\Al^l_SHEATHrNG *6 NEW ROOF MATERIALC<)<NC CLASS r^ WEIGHT PER SQU.ARE 7 NUMBER OF SQUARES n/i " Du<-rp>\iV^-8 TRADE NAME/nf^Vrff: MANUFACTURER 9 ROOF SYSTEM LISTING UL No _A/\/^__JCBO No 10 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF9 (§) 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 f ^> nM^Z_At^l^4~ Date Contractor r ^ Owner Contractor Name i *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other City of Carlsbad Bldg Inspection Request For 08/21/2001 Permit# CB012530 Title LEE RES-2459 SF LT WT CONCRETE Description Inspector Assignment PD Type MISC Job Address 2606 COLIBRI LN Suite Lot 0 Location APPLICANT SECURE ROOF INC Owner LEE MARY R Remarks Sub Type REROOF Phone 8586937663 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By NA Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 08/06/2001 15Roof/Reroof AP PD PRODUCER Michael EhrenfeM Company 2655 Cammo Del Rio North. Surte 200 San Diego, CA 92108 (619)-683-9990 Fax (619) 683-9999- License #0537922 THIS CERTIFICATE B ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTWCATE HOLDER. TW8 CERTIFICATE DOES NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW COMPANY COMPANIES AFFORDING COVERAGE A State Compensation Insurance Fund INSURED Secure Roof, Inc 7356 Trade Street San Diego, CA 92121 COMPANY B COMPANY c COMPANY D INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO LTR TYPE OP INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (HWPO/YY) POLICY EXPIRATION DATE (MH/DO/YY)Linns GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY "~| CLAIMS IUA06 | JOCCUR OWNERS * CONTRACTOR'S PHOT GENERAL AGGREGATE PRODUCTS COMP/OPAGG PERSONAL 4 AOV INJURY EACH OCCURRENCE FIRE DAMAGE (Anyoneflra) MEDEXP (Any on» person) AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS COMBINED SINGLE UMIT BODILY INJURY Per Person) NON-OWNED AUTOS BODILY INJURY Per Accident) PROPERTY DAMAGE MftAflE LIABILITY AUTO ONLY EA ACCIDENT AMY AUTO OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EXCESS LIABILITY i UMBRELLA FORM I OTHER THAN UMSS6UA EACH ACCIDENT AGGREGATE WORKERS COMPENSATION EMPLOYERS1 LIABILITY THB PROPRIETOR/ >ARTNEflS/EXEarnVE OFFICERS ARE. I (EXCL TORY LIMITS I UlfT- PP 285 1486 01 01/01/2001 01/01/2002 EL EACH ACCIDENT S1.aOQ.QQO EL DISEASE POLICY LIMIT ai.QOO.QQO B. OISEASE-EA EMPLOYEE SUMMLOOO OTHER DESCRIPTTQN OF OPERATIONSA-OCATIONSA^HICLES/SPECIAL ITEMS RE All Operations of the Named Insured performed far the Certificate Holder Evidence of Insurance Coverage SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ."HE EXPIRATION DATE THEREOF THE ISSUIf'o COMPANY WILL ENDEAVOR TO MAIL J£.DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANYJfltJDJjPON THE COMPANY, >TS AGENTS OR REPRESENTATIVE