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Home My WebLink About2607 COLIBRI LN; ; CB973565; PermitPermit No Project No Development No BUILDING PERMIT 11/21/97 11 53 Page 1 of 1 Job Address 2607 COLIBRI LN Suite Permit Type MISCELLANEOUS Parcel No 215-535-13-00 Lot# 1698 11/21/97 0001 01 Valuation 2,112 Construction "gYj^f Occupancy Group Reference* Status Description REROOF 2200 SF, COMPOSITION Applied Apr/Issue Entered By Appl/Ownr PATRIOT ROOFING 619 7931968 11772 SORRENTO VALLEY RD #140 SAN DIEGO CA 92121 *** Fees Required *** *** Fees Collected & Credits CB973565 A9704636 00ISSUED 11/21/97 11/21/97 JM ** Fees Adjustments Total Fees Fee description 90 00 00 ":, .' 90 00 Total Credits Total Payments Balance Due" Units '-Fee/Unit 00 00 90 00 Ext fee Data Miscellaneous Fee #1 * MISCELLANEOUS TOTAL 90 00 90 00 PERMIT FE 90 00 FINAL APPROVAL "''3P. &Ji DATE. ; CLEARANCE CITY OF CARLSBAD 2075 Las Palmas Dr , Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr, Carlsbad CA 92009 (760)438-1161 II PROJECT (INFORMATION,. % ../,;." - 1.'.'.. .~UL '"'., FOR OFFICE USE O PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #) Cohhri Cft e (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor s Parcel Use.Proposed Use 2- Desciption of Work CO SQ FT PERSON (if different from applicant) "i #of Stories # of Bedrooms tt of Bathrooms Name 3 .lAPPllCANT ' Address City ^^ State/Zip Telephone #Fax # Name VTfp Address ER City State/Zip Telephone # ?act::&r ^2^7 r?tofcQ3-ffgI> Address City State/Zip Telephone #Name 6-'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 violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty Df not more, than five hundred \dollars [$50 kZaalina Tns. pplicant for a permit subjects the applicant to a civil penalty Df not more, 11112. Qryr<yito Ato.1 Irxi PA 5fe M Name State Ucense # Address License Class Q City State/Zii City Business License #. Designer Name Address City State/Zip Telephone State License # $%.WORKERS COMPENSATION "":f"-V ..-,•.. " .. '". I". "' „.!., IkkLiT'jLr I'l "Z I.~l.:l. ,,.^Z2.'~ " "" """" Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations n 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 Sf 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 &C)\(A\L)l\ ^GUl \L~s (THIS SECTION NEED NOT BE COMPLETED IF* THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) G 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 coda Interest and attorney a fees SIGNATURE <^-l - //77d.//%W DATE 111"^ ( I ? Policy No MlA/C 4Z*Jg*fr00 Expiration Date 7 OWNER-BUILDER DECLARATION fs ~:-'---- -•?-" ?--i5S :KF':: '•• -B?'"'"..O.«;^/;;. I hereby affirm that I am exempt from the Contractor s License Law for the following reason n 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~1 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) n 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 Q 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 ATOAMi^^ ;: .,? 3 IlK£"^m2.Z?:h:!!v;iS ' •'""Ell'^i Oft: 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? Q 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? CD YES D NO Is the facility to be constructed within 1 000 feet of the outer boundary of a school site? Q YES Q 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^AGEiMCY ,_„",.._ .__-,. _" . "£ ."" :';ffv ~ ".,!-, .' I""'' ''•"-':. "' ^ .. , ^». .. .j'Tv7- "', -" "Lr" .. ,f •, - •" ?'- ;: 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^ _ 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 fo 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 OSH'X permit is required for excavations over 5 0" deep and demolition or construction of structures over 3 stories in height EXPIRATION Everv 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 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the/work is^^mmenced for * norlrt'1 rt* 1 fin HO»»C /Ca/»»mn me A A n.*.***...*. D...I.J — ^.^.\ / r APPLICANT S SIGNATURE ed within 365 days from the date of such permit or if the building or work authorized by such p enced forjuperiod of 180 days (Section 106 4 4 Uniform Building Code) i / 7 ~ -^ afcr DATE H/Zf/3'r WHITE File YELLOW Applicant PINK Finance CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS ^Q^ &>/?j?n UtV^, (frlsfcl , CA 2. TYPE OF BUILDING: RESIDENTIAL )C COMMERCIAL _ 3. ROOF SLOPE: RISE 4? \1~ inches in 12 inches 4. TYPE OF EXISTING ROOF COVERING \^C£>d <&10kj£s SHEATHING ^\C\p 5. NUMBER OF EXISTING ROOF COVERINGS (circle onejCjT) 2 3 ' -3cd *6. NEW ROOF MATERIAL&mf>VS(f7g/L CLASS A WEIGHT PER SQUAREJ 7. NUMBER OF SQUARES 8. TRADE NAME Aory?p^<r/h^>V7 <hiHnlff MANUFACTURER 9. ROOF SYSTEM APPROVAL UL No. Other 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES */ NO If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A \y Class B I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. 0ua*r~ SIGN DATE Contractor X Owner Contractor Name feUfolph £omV)£j[ *6 - Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB973565 FOR 12/08/97 DESCRIPTION: REROOF 2200 SF, COMPOSITION TYPE: MISC JOB ADDRESS: 2607 COLIBRI LN APPLICANT: PATRIOT ROOFING CONTRACTOR: OWNER: REMARKS: C/JENNA/619/793-1968 SPECIAL INSTRUCT: INSPECTOR AREA RB PLANCK# CB973565 OCC GRP CONSTR. TYPE NEW STE: LOT: PHONE: 619 7931968 PHONE: PHONE: INSPECTOR TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS ft? ***** INSPECTION HISTORY ***** DATE DESCRIPTION 120397 Final Structural 112697 Roof/Reroof 112497 Roof/Reroof ACT INSP COMMENTS CO RB COMPLETED W/OUT RE-ROOF INSP CO PD STILL COVERED CO RB FELTED, NO PERMIT,NEED LADDER CITY OF CARLSBAD INSPECTION REQUEST PERMIT* CB973565 FOR 12/03/97 DESCRIPTION- REROOF 2200 SF, COMPOSITION TYPE. MISC JOB ADDRESS APPLICANT: CONTRACTOR • OWNER 2607 COLIBRI PATRIOT ROOFING LN PHONE PHONE PHONE INSPECTOR AREA RB PLANCK* CB973565 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 7931968 REMARKS: C/JENNA/619/793-1968 (OFFICE) SPECIAL INSTRUCT: HOMEOWNER 603-8501 INSPECTOR £/? TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural ACT COMMENTS C&- /€-g -m ***** INSPECTION HISTORY ***** DATE DESCRIPTION 112697 Roof/Reroof 112497 Roof/Reroof ACT INSP COMMENTS CO PD STILL COVERED CO RB FELTED, NO PERMIT, NEED LADDER NOTICECITY OF CARLSBAD " ^" ^^ " ™ ^^ ^"~ 438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE r>ATF / ~ > ^y S TIME X C^e? // ^^ ^6^ PERMIT NO P,,. - K- -^f -•?-. ^- A/ - a CXLL - i FOR INSPECTION CALL 438-3101ETE-INSPECTION FEE DUE' | | YES ^- s «—^FOR FURTHER INFORMATION CONTACT P PHONE /CODE ENFORCEMENT OFFICER NOTICECITY OF CARLSBAD • ~ ^^ " " ^^ ^^ 438-3550 BUILDING DEPARTMENT 2075 LAS PALMAS DRIVE HATE // ^ 1 / / TIME, LOCATION ^ b O~? C^G /i PERMIT NO. // -r -£& /T^-e nS r*^~es r ,~(^ r#0-f *sr,~f;*a . FOR INSPECTION CALL 438 3101 RE-INSPECTION FEE DUE? | | YES FOR FURTHER INFORMATION CONTACT PHONE _ BUILDING, INSEEfcliOH* CODE ENFORCEMENT OFFICER _ ROOFING. INC August 21, 1997 To Whom It May Concern I, Dave Mann, License # C-39 (716994), certify that Jennifer B Ducato may sign all necessary paperwork and permits pertaining to Patriot Roofing, Inc Thank you Sincerely, Dave Mann President Patriot Roofing, Inc 72 Son-Lino Y,il1e\ Road #140 Sim Diego C ilifonna 92121 619 793 1968 I:AX 619 7937248 /Ururas^ t«£ft 1 iriW\> t !_*• LJAHILJ- \£. y^-JJ^S-^J*--^**- t»»l^*S«*lfc»l PRODUCER " — • - — - ._- ^^*- _ MICHAEL J PETKUS INSURANCE 6963 DOUGLAS BLVD SUITE 131 ROSEVU.LE, CA. 95661 1-888 -644 .48OO INSURED PATRIOT ROOFING, INC DBA A-1 ACCURATE ROOFING 1 1772 SORROENTO VALLEY RD SAN DIEGO, CAL 92121 ^xsr* 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 COMPANIES AFFORDING COVERAGE COMPANY A GOLDEN EAGLE INSURANCE COMPANY UN|ONAMER|CAN |NS co LTD COM C'ANY LEGION INSURANCE CO COMPANY D COVERAGES ~- _ -- _-,™, -=,.-_ THIS IS TO CERTIFY THAT 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 OP ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OP SUCH POLICIES LMTTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS L~ TYPE OP INSURANCE POLICY NUMBER ^ GENERAL UAMJTY U AD 1651 B X COMMERCIAL GENERAL LIABILITY X CLAIMS MADE OCCUR X OWNERS & CONTRACTORS PROT r,sRr ^SEET 2/05/97 2/05/99 GENERAL AGGREGATE $ 1,000,000 PRODUCTS COMP/OPAGG $ 1,000,000 PERSONAL & ADV INJURY I 1 ,000, 000 EACH OCCURRENCE t 1,000,000 FIRE DAMAGE (Any oo« tiro) t 50,000 MEDEXP (Any on* p«ion) $ 5,000 AUTOMOBILE LIABILITY ^*.i r\*nir*t*. C ANY AUTO X ALL OWNED AUTOS SCHEDULED AUTOS X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO 2/05/97 2/05/98 COMBINED SINGLE UMTT t 500,000 BODILY INJURY « (PwpOTon) BODILY INJURY t (PwKCidint) PROPERTY DAMAGE J AUTO ONLY EA ACCIDENT t OTHER THAN AUTO ONLY EACH ACCIDENT S AGGREGATE t EXCESS LIABILITY UMBRELLA FORM OTHER THAN UMBRELLA FORM WORKWa COMPENSATION AND N\A/C 424843-00 1WE MOPftlETO*/ INC1 PAKTNERSrexECUnVE — — OFFICERS A*E X EXCL EACH OCCURRENCE $ AGGREGATE t t X WC STA1U> OTH- ji/UJ/Jf uuaicru TORYUMnS EK EL EACH ACCIDENT $ 1,000,000 EL DISEASE POLICY LIMIT $ 1,000,000 EL DISEASE EA EMPLOYEE $ 1,000,000 OTHER ;SLB#716994 ALL CALIFORNIA OPERATIONS 10 DAY NOTICE OF CANCELLATION FOR NON PAYMENT CERTOCATE HOLDER... _,„ -r> _— .- -,. -, , EVIDENCE OF INSURANCE ACORDU«(1«e) - .. „ CANCELLATION- &^~ i _-,>^ SHOULD AMY OP THI ABOVI M8CRMD POL •XmUTION DAT! TMOUOT TNI IMUMa « 30J" OAV8 WmrTTM HOTICI TO THICMTin WIT PALUIMTOMMLMICH HOTICt SHALL Mf OP AMY KMO UPON THI COMPANY. ITS ^/j^^^PKjj^^„ vn -"" - -~ i-r :- CVS •• CANCXLLR) HP9KR THC 1MPANY WU INNAVOR TO MAI. BATIHOU»miAMU>TO THE LBPT. 081 HOOBUMTION OR LWBSJTY AOCNTS OR RIPfinENTATIVES *JkCOJtD CORPORATION 1MS