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Home My WebLink About2616 COLIBRI LN; ; CB061329; Permit05-15-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB061329 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2616COLIBRI LN CBAD MISC 2155341200 $3,024 00 Subtype REROOF Lot# 0 CARLTON RES-2400 SF COMPOSITIO Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 05/15/2006 RMA 05/15/2006 05/15/2006 Applicant A-1 ALL AMERICAN ROOFING 4901 MORENA BLVD SAN DIEGO CA 92117 760 753-9066 TOTAL PERMIT FEES Owner CARLTON PAUL R&VIVIAN W 2616COLIBRILN CARLSBAD CA 92009 Miscelaneous Fee #1 PERMIT FEE Miscelaneous Fee #2 Additional Fees $8900 $000 • $000 $8900 Total Fees $89 00 Total Payments To Date $8900 Balance Due $000 Inspector 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 "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 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 nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity 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 ClfY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 iPROJECT INFORMATION- FOR OFFICE USE ONLY WotPLAN CHECK NO EST VAL _ Plan Ck Deposit Validated By Address (include Bldg/Suite tt) ,_,2(*\ Legal Description Assessor's Parcel tt Description of Workf7 f~ iG ^ol:Uvl L^,Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Existing Use 5 SO. FT , Proposed Use #of Stones tt of Bedrooms Total # of units # of Bathrooms 2 €f 'CONTACT PERSON (if different from Name " I Address :for Cqntractor^SQ-pwISri:^! City t 'f of,Owner 'f State/Zip • T*. - -' .••: J^S'^.L: Telephone tt Fax # Name City QPRqPERTY. OWNER . ' > ' - V'.vCa.^- Cc^y State/Zip Telephone tt Name Address City State/Zip Telephone # (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 xemption Any /Violation of Section 103 1 S^by^ny applicant for a permit subjects the applicant to a ciyikpenalty of not more.than five hundred dollars [$500]) Name _ Address State License # l\ U»C-O License Class £-' City State/Zip Telephone tt £ ( ~^~ f 3 *A City Business License # 1 7 O 3 9 ^ "^- Designer Name Address State License * City State/Zip Telephone ;6.; WORKERS' COMPENSATION • : ;$&.,,. . ' ...: >'• *; i;fe. : ;;;•?/'••' "• ' - n -• ...... . . ' ' .. ,; '.'':;-. ;, . ; '•••^A ' . Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 JQ 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 msuragpe camersand policy number are Insurance Company O^e>S^C- -^i/s-iy _ Policy No ZZ-^l OO g £, ^^ 3 CX^. Expiration Date , i ' 1 1 \Q~~\ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) f~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to theVWorkers' Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($TuO/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 / fVy / <^~^ _ DATE py^bwiN^^ ;§®£vMf ttv^E-^-SB*?^5!'; K«:4i--a»^S 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) CD 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~l 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 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 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? l~] YES l~l 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 ; J ,'&&£,* ..:-.;, C35* I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME LENDER S ADDRESS ~- wmm , :jiim 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 a/pavations over S'CVt deep and demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by/na^ building OfficiaLunper 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 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 commecfcec/for a period of/80 flays (Section 1 06 4 4 Uniform Building Code) APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance DATE City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOBADDRESS: £&*4> Co^*°r> ^At^e 2. TYPE OF BUILDING: RESIDENTIAL ^ COMMERCIAL 3. ROOF SLOPE: RISE "1 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) <^ 2 &&5. TYPE OF EXISTING ROOF COVERING &<*&& SHEATHING *6. NEW ROOF MATERIAL to^£> CLASS A WEIGHT PER SQUARE 7. NUMBER OF SQUARES ^H 8. TRADE NAME ^Oy<r ^fcUj^MANUFACTURER ^9. ROOF SYSTEM LISTING UL No. _ ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YJS 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: i1 ' 1. Tear Off/Pre-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 / \A / frV^ Date £. K-( AuContractor ^ Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Q Other. I City of Carlsbad Bldg Inspection Request For 09/20/2006 Permit* CB061329 Title CARLTON RES-2400 SF COMPOSITIO Description Inspector Assignment PC Sub Type REROOF 2616 COLIBRI LN Lot Type MISC Job Address Suite Location OWNER CARLTON PAUL R&VIVIAN W Owner CARLTON PAUL R&VIVIAN W Remarks CAN YOU FINAL? Phone Inspector Total Time CD Description 19 Final Structural Act /Qomment Requested By CHRISTINE Entered By CHRISTINE Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 05/17/2006 15 Roof/Reroof AP PC ACORD. CERTIFICATE OF LIABILITY INSURANCE PRODUCER OC44706 1-619-238-4367 Gaalamp Insurance Services 739 4th Avenue suite 206 San Diego, CA 92101-6878 Producer Emilio Figueroa INSURED A-l All American Roofing Co , Inc -San Diego 4901 Morena Bvd Suite 812 San Diego, CA 92117 DATE (MM/DD/YY) 02/09/06 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 INSURER A State Fund Compensation Insurance INSURER B INSURER C INSURER D INSURERS COVERAGES ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 INSR LTR A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE | | OCCUR GEN L AGGREGATE LIMIT APPLIES PER AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON OWNED AUTOS 1 GARAGE LIABILITY ANY AUTO EXCESS LIABILITY 1 OCCUR | 1 CLAIMS MADE I DEDUCTIBLE 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY OTHER POLICY NUMBER 229 0032983 06 POLICY EFFECTIVE DATE (MM/DD/YYt 01/01/06 POLICY EXPIRATION DATE (MM/DD/YYI 01/01/07 LIMITS EACH OCCURRENCE FIRE DAMAGE (Any one fire) MED EXP (Any one person) PERSONAL & AOV INJURY GENERAL AGGREGATE PRODUCTS COMP/OPAGG COMBINED SINGLE LIMIT (Ea accidenl) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) AUTO ONLY EA ACCIDENT OTHER THAN ^ ^^ AUTO ONLY AGG EACH OCCURRENCE AGGREGATE Y WCSTATU 1 OTH * TORY LIMITS 1 ER E L EACH ACCIDENT $ 5 S S $ $ S S $ $ $ S S $ S S S S 5 1,000,000 E L DISEASE EA EMPLOYEE] S E L DISEASE POLICY LIMIT j $ i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS JOB IB located at 9075 La Jolla Shores Lane, La Jolla, CA CERTIFICATE HOLDER JM Lyon Construction Angela Lyon 144 Ocean View Ave Del Mar, CA 92014 I ADDITIONAL INSURED INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 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 USA AUTHORIZED REPRESENTATIVE , «"~>k «3^ MHIIIII i MI%« i i j — •""%%»- ACORD 25-S (7/97) Alsandiego 3977230 ® ACORD CORPORATION 1988 Powered By