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Home My WebLink About2617 COLIBRI LN; ; CB003627; Permit09/28/2000 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 X Miscellaneous Permit Permit No CB003627 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2619COLIBRILNCBAD MISC 2155351900 $000 Subtype Lot# REROOF 0 ODLING RES-2600 SF COMPOSITION Status ISSUED Applied 09/28/2000 RMA 09/28/2000 09/28/2000 Entered By Plan Approved Issued Inspect Area Applicant A-1 ALL AMERICAN ROOFING 4901 MORENA BLVD SAN DIEGO CA92117 760 753-9066 Owner 9906 09/28, 00 0001 01 02 ODLING FAMILY TRUST 08-30-96 2619COLIBRILN CARLSBAD CA 92009 C-PRMT .00 Total Fees $8700 Total Payments To Date $000 Balance Due $8700 Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES PERMIT FEE $8700 $000 $8700 Inspector FINAL APPRO Date /AL Clearance NOTICE Please fake 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 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 Ull. FOR OFFICE USE ONLY PLAN CHECK NO ( f EST VAL 024#7 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 tt of units Assessor s Parcel tt Existing Use Proposed Use Description of Work ZfobO S6> FT 2 CONTACT PERSON (if Aff SQ FT #o1 Stories # of Bedrooms # of Bathrooms Name Address City 3 APPLICANT JZ) Contractor Q Agent for Contractor Q Owner Q Agent for Owner State/Zip Telephone Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone # PROPERTY OWNER QgfcgJ M H UJ. Name * Address City State/Zip Telephone # 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 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 Ajjy violation 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]) \arne State License tt Address License Class City State/Zip City Business License tt (_ Telephone # Address City State/Zip TelephoneDesigner Name State License tt 6 ~" WORKERS' COMPENSATION : Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~l 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 .GO 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 "' '" "' '—~ ' v-" Insurance Company \fC^\\.PiUC£Z. IftlS C-CJ-Policy Expiration Date I 1 2-/ Vi |QQ (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 wiMcers compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000) un ifcklitionttjjne cost of compensation damages as provided for in Section 3706 of theLabfer code interest and attorney s fees SIGNATURE / F^" — DATE f/£lt/&J 7 OWNER-BUILDER DECLARATION 7f I hereby affirm that I am exempt from the Contractor s License Law for the following reason G 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) G 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) G 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 [UNO 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? G YES G 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 G 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^nd demolition or construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official under tftfe 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 Iroyffie date of such permit or if the building or work authorized by such p^mit is sjj^pended or abandoned at any time after the work is commenced for a period of 180 da/s/^ection 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ^6d £o(\\C>Z\ Ll(J 2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL ._ 3. ROOF SLOPE: RISE 1 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) fy 2 3 5. TYPE OF EXISTING ROOF COVERING1^^ SHEATHING ft (tog . *6. NEW ROOF MATERIAL tyQH^ffify CLASS26Q WEIGHT PER SQUARE 7. NUMBER OF SQUARES_2A. , 8. TRADE NAME \ltktl h*h£t\*Js. MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (^E£/ 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-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 / r" Date_ Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 10/3/2000 Permit# CB003627 Title ODLING RES-2600 SF COMPOSITION Description Inspector Assignment TL Sub Type REROOF 2619 COLIBRI LN Lot Type MISC Job Address Suite Location APPLICANT A-1 ALL AMERICAN ROOFING Owner ODLING FAMILY TRUST 08-30-96 Remarks AM PLEASE Phone 8585815177 Inspector Total Time CD Description 15 Roaf/Reropfxfr^D ,ct /•> Comments Requested By JOHN Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 9/29/2000 15Roof/Reroof CO TL SEE NOTICE ATTACHED UNSCHEDULED BUILDING INSPECTION DATE /0/2y 2)Q INSPECTOR PERMIT # I C& 003&17 PLAN CHECK # JOB ADDRESS DESCRIPTION CODE DESCRIPTION ACT COMMENTS City of Carlsbad Bldg Inspection Request For 9/29/2000 Permit# CB003627 Title ODLING RES-2600 SF COMPOSITION Description Inspector Assignment Sub Type REROOF 2619 COLIBRI LN Lot Type MISC Job Address Suite Location APPLICANT A-1 ALL AMERICAN ROOFING Owner ODLING FAMILY TRUST 08-30-96 Remarks AM PLEASE - FELT LAID LOOSLY Phone 8585815177 Inspector Total Time CD Description 15 Roof/Reroof Act Comments Requested By JOHN Entered By CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments NOTICE BUILDING DEPARTMENT 1635 FAI \ BATE 9/Zf k O T,ME // CITY OF CARLSBAD (760) 602-2700 BUILDING DEPARTMENT 1635 FARADAY AVENUE PERMIT NO 003^1 /• 27 -1 FORJfclSPECTION CAll_ (760) 602-2725 RE-INSPECTION FEE DUE? ' ' YES 'FOR/FURTHER INFC" PHONE .UILDING INSPECTOR CODE ENFORCEMENT OFFICER r JUN-09-2300 08 47 FROM flMS PEO J93 443d?TO 8585059521 P. 001-' 001 4CQgQ, CERTIFICATE OF LIABILITY INSURANCE PRODUCER Hanifin K«^c; & 'ABBC.ciBt*3 9144 Walnut Hill L*nr ItlUBl Dallas TX >S231 J14-34G-I510 fax 714-346-:S3l UWgKE.0 A 1 All Anixtjijan Rooting Co san Dlrqo, inc 45C1 Mor*ii* BlvcJ Svitc 812 Sar Diego, CA 9J117 8b6-SSl-5J77 fax 9SO-505-i»in CERTIFICATE no ' USTS VC8 U J<H)0 &S/.t(]/,l0rci 3 12 C« IN THIS CERTIFICATE 13 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 INSVRERA. Reliance lnsu«*rco Company isf Illinois imuRCnn SrJiarc* NaLicmal indemnity Insurance INSURER c INSUKFR 0 INWRERC COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN liSUEO TO THE 1 ANV PECUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHEf MAY PERTAIN. THE INSURANCE AfFOROED BY THE POJCIES OESCRifiSO 1 POLICIES AGGREGATE LIMITS SHOWN WAV HAVE BEEN REDuCEO 3Y FAIO tNSR f, D TYWCFfNSWRAKCe eCNERAl. l.l*B4tirY X WMMCRClAl OWERM. LIABILITY ] <X»I*!3MADC j ,'7\ OCCUR CDfl AGSStGiTF LIMIT APPJES PtK x fourvj |^g, [ jicc AUTOMOBH.C UASIUTV AMY AOTO AaOWNkOiUTO? SCHtl5lA.eD AUTOS HIRtO AUTOS woN-awNse wnos SARAqt VIA9MTY JANVAL'tt? excess LIAB-I..TY ~j OCCUR P Jet AIMS MAOE DEOiSriSLE iHfTeNTION 5 W»HlOERS COMPtNJATlONAMO CMKOTERV UAlltlTV OTHER ] | POLICY MJM»EH NCB0120236-CI1 NMA01177<i(i-Of; >)SJReo NAMED ABOVE FOR THE PC ' DOCUMENT WITH RESPECT TO W! ^EREl^ IS SUBJECT TO ALL tH5 TER CLAIMS ' fui-icr ef'reoTivS I »OUCY expisAfiw" OA1F{MM/DO/Y>'l DAlB-(MMyDD/Y¥l 06/01/20^0 12/U/1999 06/01/2001 12 f 3 1/2-100 LICY PERIOD INDICATED NOTWITHSTANDING HIGH THIS CERTIFICATE MAY BE ISS'JED OR MS EXCLUSIONS AND CONDITIONS OF SUCH LIUITC ?ACH OCCLiRRkNCF |$ 1,000,000 FIHE DAMAGE (Any on» Cr«) MHO EXP (A.iy OTJ jenoi) F6KSOKAI & AOV INJURY «NERAL«,GGR£OA(t CROCLICTS COM*/OP»AGC COMUIMf 0 StNGLC LIMIT (Ed atadtru) KIOILY INJURY (P«p«r»«il| DOCllY IHJUHY (OwiKxtent) FROPERTY OAWAOE ii'irnswltii-i) AUTOCUE EAMrtOFNr OTHCR THAN A;<to ONLY CAACC AG.5 EACM OCCURRCNCE AGO^tOATC w 1 WtTsrATL^ Itonv LIMIT-,IO*MTER C L EACH AC? OEMT E L DISEASE CA LMKOrF< EL OISFA3E POLICY LIMIT LIMIT LIWIT $ t.0,000 » 5,330 t 1,000 \>QI) % 2,eno,ooo $ i.oou.ooc t » t 1 t » t t *» j $ J 1,000,000 » 1,000,000 « i noo.ooe $ t 'oesCRB-TVONCP oreiU,tlOB»IV(3CAT»!4Sft/tmci.EBre»CLIuSIONS AOOtO BY SmKlRStMIHT/SPECl*.', I-ROVtilOHS l Pf>3cct Information License 4(7,18120 2 Iiin:<r--'J is aftordu) Wornets CompcnoaCion u Employers li«bility as a fo-employer jndr* ch" policy for cmplcyesc leased fiom AMs ttaff leaeitiq, ire CERTIFICATE HOLDER. ! AOWTIOH».L INSURED INSURER .rrreR CANCELLATION CONTRACTORS STATC ITCENSL BOARD WORKER'S CO»PrH5AT10hs UNIT fO BOX 26000 SACRAMENTO CA 558^6 Vl6-!55-39?« fax SlC-?5'!-4l48 SNOOLO ANT OF THR ABDVf DCSCRISCO K>i.lCl£l 86 CANCELLED BffOHE fHE EXPIRATION B*T6 TKemOC TK8 ISBUIIIO INSUttCK WILL ena5AVOR TO WAIL TO BAVS V»mtt£N NOTige TO THE CSflTIFICAIg MOLDED NAMEC TO THB LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBlKJAlldN OR LAOILITf C* ANY KIMO U.»ON THE INSURER ITS AGEWr» (j« HEpReseNrATiv^s AUTHORKSOREPRSSeNTATl/E ., > ~>^ /e^'^"S^=:^ ACORD 25-S (7/97)9 ACORD CORPORATION 1986