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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.