HomeMy WebLinkAbout2623 CAZADERO DR; ; CB003710; Permit03/01/2001
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No.CB003710
Building Inspection Request Line (760) 602-2725
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2623 CAZADERO DR CBAD
MISC Subtype
2153002401 Lot#
$832 00
REROOF COMPOSITION
REROOF
0
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
ISSUED
10/04/2000
JM
10/04/2000
10/04/2000
JJ
Applicant
PIVA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO, CA 92029
619-745-4700
Owner
HALL JOSEPH K&KATHRYN F
2623 CAZADERO DR
CARLSBAD CA 92009
Total Fees $3800 Total Payments To Date $3800 Balance Due $000
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
PERMIT FEE $3800
$000
$3800
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 "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 whichyou have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
i
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760)438-1161;
FOR OFFICE USE ONLY
PLAN CHECK NO. <^5 3 If 0
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 # of units
Assessor's Parcel #^Existing Use Proposed Use
Name Address Citv State/Zip Telephone #Fax #
(Sac 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 tts
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
IChapter 9, commending with Section 7000 of Division 3-of the Busjness 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 of not more than five hundred dollars 13500!)
Name ' ^** Address City State/Zip Telephone #
State License f (?< 1 $/ 3 % License Class ^ 3 J £ S~ City Business License * /x03/ 7^
,
Designer Name « Address
State License #
City State/Zip Telephone
3B"jr WORKERS! COMf%NSATtol\r 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
£1 ' have and Wl" maintain workers' compensation, as required by Section 3700 of trig Labor Code, for the performance of the work for which this permit is
issued My worker's compensation insurance earner and policy number are -
Insurance Company {/i* /' Ccxw-a i^ ft Policy No l*J £• */0 £ 3 J y _T ?.._ Expiration Date Q~~ & *
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IS 100) 0R LESS)
Q CERTIFICATE OF EXEMPTION 1 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 it unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars (£300.000}, irtgddfcton to the cost of compensation, damages as provided for in Section 3706 at the Labor code. Interest and attorney a fees
SIGNATURE Jt&sfc X^^-y^-.-. — < DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
Q 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 art 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)
Q 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)
Q 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
Is the applicant or future building occupant repmred 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 J£ES __ Q. N0_
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES Q 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
I hereby affirm that theca is e 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
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 compfy 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 CONSEOUENCE 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 authonzed by such permit is not commenced within 365 days from the data of such permit or if the building or work authorized by such permit is suspended
or abandoned et any time efter the work Is commenced for a period of 1 80 days (Section 106 4 4 Uniform Building Code)
APPLICANT'S SIGNATURE DATE
WHITE File YELLOW Applicant PINK Finance
Inspection List
Permit* CB003710 Type MISC REROOF REROOF COMPOSITION
Date Inspection Item Inspector Act Comments
10/19/2000 15
10/16/2000,19
10/13/2000'19
10/06/2000 >15
Roof/Re roof
Final Structural
Final Structural
Roof/Reroof
JJ
JJ
JJ
JJ
AP
NR
CO
AP
SEE NOTICE ATTACHED
NO ACCESS
Thursday, March 01,2001 Page 1
UNSCHEDULED BUILDING INSPECTION
DATE No-vff-a^o INSPECTOR
PERMIT # c?s3 \ o PLAN CHECK #
JOB ADDRESS
i
DESCRIPTION
CODE .DESCRIPTION ACT COMMENTS
-'*
CITY OF CARLSBAD
BUILDING DEPARTMENT
NOTICE
(760) 602-2700
1 635 FARADAY AVENUE
DATE *S O ~ \S -C?TIME
LOCATION
PERMIT NO *x
i 1
n /
(P
FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE?
FOR F^RTlERmJFORMATION, CONTACT
YES
BUILDING INSPECTOR CODE ENFORCEMENT OFFICER
WCORDL CERTIFICATE OF LIABILITY INSURANCE
Bob Wva Roofing
1192 Industrial Avertve
Escondldo, CA 92QJ9
r^nXL 1Contracto
CONCERNCERTTFTCATF
C«/C2/2000
IS CERTIFICATE IS ISSUED AS A HATTER OF INFORMATlOM
OMLY AND CONFERS HO RIGHTS UPON THE CERTIFICATE
HOLDER THE CERTffiCATE DOES NOT AMEND, EXTEND OB
flLTER THE COVERAGE AFFORDED BY THE PQUCIFS BELOW
INSURERS AFFORDING COVBRAGB
INSURER * VILLAhOVA INSURANCE COWPAm
INSURER B
I INSURERE
S 0= INSURANCE USrS3 S£LOWHAV£ SEEM ISSUED TO THE (HSUREO NAMED ABOVE FO* THE POLICV PiRfOC **WC*T60 ^O^Wt7HSTA^a!NG
TEBW OR CCNDITION OF ANY COfJTRiCT OR OTHEP DOCUMENT W.TH RESPECT TOVVHIC1^ THIS CERTIRCA-E WA^ BE ISSUED OR '
HME INSURANCE AFFORDED BY frE POLICIES OESCRieED HEP6IN <S SU3JECT TO ALL THE TERMS EXCLUSIONS ANO COWItJOfJS Of 5UCHSAtE Uf/ TS SHO\VN M*Y HAY! BBCN R5DUCEO BY PAID CLAIMS
0*/C1/2(KJO ! OS/01/2001
uwms
.1,000, OM
50,000
5.000
i.oao.ooQ
2,000.000
1^000,000
06/01/4000 i 05/01/2001
.1,000.000
BODKr WJURV(f« persori
fiOOlLY INJURY
F-POP5RTV D4yA?=
- !=A ACCIDENT
EAACC
06/01/2000^ 08/01/2001 WCJ.TATU'OR'' L1MTS
E.L
QI9EA3S
El
1.000,000
1,_OQ_Q ,.000
WOULD fl^fy OF THE ASOVE oescRieeD "oucits BE CANctu.ED BEFQPE THE
"US .
3UT FAILUBSTO MAIL SUCH WTCCSHAUlNtPOSE HO trnjaATlOHQBLUaiL^
ORD CORPORATION 19S8
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2&2^> t?c+ -z. « J **<* &#
2. 'TYPE OF BUILDING: RESIDENTIAL__^_____COMMERCIAL
3. ROOF SLOPE: RISE £ inches in 12 inches
4. . NUMBER OF EXISTING ROOF COVERING (circle one) 2
5. TYPE OF EXISTING ROOF COVERING A«Ls. SHEATHING
*6. NEW ROOF MATERIAL_^/3____CLASS^_1^_WEIGHT PER SQUARE
7. NUMBER OF SQUARES & ___
8. TRADE NAME>k)Lc*/ 7X»_4» ^MANUFACTURER
9. ROOF SYSTEM LISTING UL No fWHS ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF-? ^EjP 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 arc required:
1. Tear Off/Pro-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 /yC^sl* £&>*^ . Date
Contractor X Owner Contractor Name /$t>J>
*6 - Rolled Roofing, StandarctfLite Tile<Asphalt/Comp Fiberglass, Built up,
^— ^Other.