HomeMy WebLinkAbout2624 CAZADERO DR; ; CB990589; Permitt/pr?
02/12/1999
City of Carlsbad
Miscellaneous Permit Permit No.CB990589
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2624 CAZADERO DR CBAD
MISC
2152903300
$7,950 00
Subtype REROOF
Lot# 0
3000SF LITE WEIGHT TILE
Status ISSUED
Applied 02/12/1999
Entered By DT
Plan Approved 02/12/1999
Issued
Inspect Area
02/12/1999
Applicant
SECURE ROOFING
2210 MEYERS
ESCONDIDOCA
760-432-9084
Owner
02/12/99 0001 01 02
C-PK'MT 161,00
Total Fees $161 00 A' ^Total^ayments T S'Df '- : / L , f 1 '$0 OOl* V O alance Due $161 00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
$.\61 00
$2'j$000
$161 00
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 which you have previously been given a NOTICE similar to this or as to which the statute of limitations has previously otherwise expired
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760)438-1161
PERMIT APPLICATION
/
'CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr , Carlsbad CA 92009
(760)438-1161
FOR OFFICE USE ONLY
PLAN CHECK N0
EST VAL
Plan Ck Deposit
Validated By
Date
Atidr>ssincue Bldg/Suite fl Mai«n (at this address!
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total If of units
Parcel Exislug Use Proposed Use
Description ol Work SQ FT ffol Stories * of Bedroomsi
froiii nppMcahlt v'i'i * 5 i ' ' jt , 'li! s1 ' » * i >i ' ' ' " i 1 1 ' ' '' '< '*'' ' r
# oJ Bm'i/ooms
Namh Address City
.flent,loiv1(iontittctari ^ Q Owner "JQ Agent ta< Owner1 ,'
StnteJZlp Telephone *Fex
/")'
CAj
Name Address City Sinio/Zip Telephone
Cl\y Steto/Zip T otophonetWi«ss
PViuUl,' ..... I >,,',,',
(Sac 7031 6 Business and Professions Code Any City or County which renuireg a permit to construct, alter improve demolish or repair any structure pi lor to Its
Issuance also requires the applicant lor such pormit to Hie n signed statement that he Is licensed pursuant to the provisions of the Contractor s License 1 aw
(.Chapter 9, commending with Section 7000 ol Division 3 of the Business and Protosslons Codo) or thst lie Is exempt tlierarrom and the basis lor ttie alleged
exemption Any violation of Section 7031 G by any applicant lor a pormU subjects the applicant to a civil penntty of not more thnri live h\tnd/ed dollars I S 50011"
Narrfjj - >?C.QL f\C
Slate License * )^O I
v 1 Address — ,
) J^A License Class V^^ * j I
CKy Stele/Zip
Clly Business License *
Telephone ff
Designer Maine
State License S
0. WomCERSt'COMPENS^
Addresa.
vnonim;1' \i A- * , ", ,' ', ,» '
Cily State/lip
IP ' ', 'i ' '
Telephone
Workers Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
I have and will maintain a certificate of consent to sell Insure for workers compensation as provided by Section 3700 of the Labor Code for the performance
]f tyb work for which this permit Is Issued
1 tiavo and will maintain workers compensation, as required by Section 37OO ol the Labor Code, lor tho performance of tha work tor which this permit Is
(,d My worker s compensation Insurapce carrier and policy number are a. .— ^^ _
Insurance Company ..._5>- \ *"*\W V~WJfNljQ ^ ^ ^ ^ r pollcY No"^ Q jaC,_gX \ J\ M Expiration Date
(THIS SECTION NEED NOT B6 COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS |S100| OR LESS)
Cl CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this porrnlt Is issued I shall not employ any person in nriy manner so os
to become subject to the Workera Compensation Laws of California
WARNING Failure toisecW* worhart compensation coverage Im unlawful and ihnlt subject an employer to criminal penalties and civil fine* up to one hundred
thousand dollars ft/00,00m, In odd!H6n to th*«>*\ of e<impim»<MlQit, dentafiW «* provided iw In Section 37GB of Uta^l^fior code, lttt«i«i( *nd aitorn«y « tees.
SIGNATURE V Q/VVVXl, J^Wi^/) K\fe"5 ^JT DATE ^>L" W-0^^
7J'"" 'oWlJfeR BUli-DEIl DEC3t:ArlAtloN ^' 'lr j' ^'l'i'\ 'T'f I'fyr? «V^™H ' ^f >' ! 'J <ii I, j( n u i > i' ' ' , " < ',' ' ' ' 'I i1 i ' ' | ' i '
I hereby affirm that I am exempt from the Contractor's License Law for tho following reason
O I as owner of the property or my employees with wages as their sole compensation, will do tho work and tho structure is not Inlonded or offered for sale
(Sec 7044 8usln«»a and Professions Code Th« Conimclw ft License Law doaa not apply \o tin owner of property vnht> builds or Improves thereon and who does
aurh work himself or through his own employees, provided that such Improvements are not Intended or offered for Bale If, however tha 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 (or the purpose of sale)
0 I as owner of the property, am exclusively contracting wllh licensed contractors to construct the project (Sec 7044, Business and Piotssslans Code The
Concede! 6 L(c«ns« Law rfo«» not apply to an OWIA« of piopeHy who builds 01 Impioves thereon, and contracts lor svieli projects wHli contrauoitsj licensed
pursuant lo the Contractor's License LawJ
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 VES QNO "
2 I (have / have not) signed an application for a building permit lor the proposed work
3 I have contracted wllh 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 i)to following person to coordinate, supervise end provide the major work (include name / address / phone
rv,irvvb«i / conttoctois license numbail L _ _ -^
6 I will ptovfda some ol the work, bul I have contracted (hltadl the following parsons to picvklo the woik Indicated (include naino / e(!dtess / phoi\« number
ol work) . _.. ._
PROPERTY OWNER SIGNATURE OAIE
;6UILWNo>ehMiT*'otobYf^lift'Vr^ , i.-p '.-i ' "i i-1
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or rink management and prevention
program undnr Sections 26E>O6, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? O YES Q NO
Is the applicant or future building occupant required to obtain a permit from tho sir pollution control district or air quality management district? O YES Q NO
la the facility to be constructed wllhln I OOO feet of Ilia outer boundary of n nchool site? O YES Q NO
IF ANY OF THE ANSWERS ARE VES A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT MAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUHON CONTROL DISTRICT
IfiCMcoHsTftUcTiaMUKdiN^AfcfeH^^^ >t'<i'u ' ">" ,
I hereby affirm that there is a construction lending agency (onthe performance of the work for which this permit Is issued (Sec 3097(1) Civil Code)
LENDER S NAME LENDER S ADDRESS
WWWPPllCAIlltfctatlfkWf^ < ,,',,',."li,'^ • , *'
I curtlfy that I have read tho application and atate that tha above Information Is correct and that the Information or) the plans is accurate I agree to comply with all
Clly ordinances and Slate laws relating to building construction I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned
property lot Inspection purposes I ALSO AQHEE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL I (ABILITIES,
JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSIIA An OSMA pnmilt Is required for excavations over 6 O" daop end demolition or construction of structures over 3 stories In height
EXPIRATION Every permit Issued bjtjhe Building Official undor tha provisions of ihls Code shall expire by limitation and become null and void If the building or
woik BUlliotlzad by such permit Is^iot commenced within 3Bf> days trom Hie date of such permit or It the building or work authorized by such permit Is suspended
or abandoned at any lime after tjie work\a commenced for a pBr^rffTo^ 180 days (Section 106 4 4 Uniform Building
WPUCM1T 5
WHITF ntfl YCUOW PINK rininrn
CityOfCarisbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: llolM C V\7 W OP Kfl DU -.
2. TYPE OF BUILDING: RESIDENTIAL X. COMMERCIAL _ .
3. ROOF SLOPE: RISE_J3_inches m 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 2 3
5. TYPE OF EXISTING ROOF CO VEMNG5.ftftKfc SHEATHING 3Kl $.
*6. NEW ROOF MATERIAL \\\J6 CLASS H WEIGHT PER SQUARE $ <L> 1 1? f
7. NUMBER OF SQUARES ZsO
8. TRADE NAMEJfV\Q^feYk ^QQQ MANUFACTURER
9 l ^OF'SYSTEM LISTING UL Nof ^ ICBONO.^
10. IS THE EXISTING STRUCTURAL DESIGN SUFTOENT TO SUSTAIN
THE WEIGHT OF THE PROPOSED ROOF?
AJ1 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 ^ U VVwOl . J v ^ MJ' Date .rA ' I \ "t 1
Contractor ?C Owner * Contractor Name J flCU W& t\QOl>.
*6 - Rolled Roofing, StandardflLite TileAAsphalt/Comp Fiberglass, Built up, Other.
City of Carlsbad Inspection Request
For 2/24/99
Permit# CB990589
Title 3000SF LITE WEIGHT TILE
Description
Inspector Assignment PD
Type MISC Sub Type REROOF
Job Address 2624 CAZADERO DR
Suite Lot 0
Location
APPLICANT SECURE ROOFING
Owner OBRIEN WILLIAM A&SAMIRA A
Remarks
Phone 7604329084
Inspector
Total Time
CD Description
19 Final Structural
Act Comments
Requested By NA
Entered By CHRISTINE
Inspection History
Date Description Act Insp Comments
2/18/99 15Roof/Reroof AP PD
*Jii«ilBII.;JN3^
TH)S BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE'jg>NOITION5 SHOWN
PRODUCE* Iwgj^ WK_760-721-3232 ^-CC&IPANY
^- r '',' ' ," ,' ^\ ' ,' DATE (MWOn^TYJ
r«N-4«E^pEVERSE SIDE OF THIS FORM.
^^•^^WDWI
El Camino Insurance ( State Compensation Insur BIN£)ER22750
License # 0539016
3156 Vista Way, SL
Oceanside, CA 92 C
>s- *^_ EFFECTIVB /BIPIRATtON^- ^_, ^TJ*I^T] TIME JjrfTE. TMI
Lite ^uu 01/01 ;99 'TJT^1 C*r»M Oi'Ol'SS xll2l0lAw56 "~^ ' \ \ | PM *'*t**-i-' | | ^^
-_ . •miSBlNCBHISISSUEDTOEJT
C00£- SUB CODE. ra" EXPIRING POUCY r
rEND COVERAGE IN THE ABOVE NAMED COMPANY
^rtSiEn ID 1332 DESCRIPTION OF OP WAnoNS/vEWCLES/pflOPWTY onoiudinc Lwrionj
INSURED secure Roof, Inc. Resdiential Rooring construction
2210 Meyers Avenue
Eecondicio, CA 92029
i
TYPE OF INSURANCE
PflftPEHTY CAUSES OF LOSS
I BASIC [ 1 BftCAO | ! SPEC
GENERAL LIABILITY
'.COMMERCIAL flENSrUL LiABSUTY
___[ | CLAIMS MADE [ __ J OCCUR
1
AUTOfclOaiLE LIABILITY
1 A iiTnR'ALL OWNED AUTOS
^___^ SCHEDULED AI/TQ5
". .. 1 MIRED AUTOS
MON-CWNED AUTOS
AUTO PHYSICAL DAMAOE DEDUCTIBLE
I COLLISION
1 OTHER THAN COL-
QAFUQg LIABILITY
dANY ALTO
EXCESS UABIUTY
j UMBRSLLAPOflM
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION
ANDEMPLOYER'S LIABILITY
CDVEFUGEJHXH4S
j ALLVEHfCLES ( f SCHEDULED VEHICLES
-
RETRO DATE FOR CLAIMS MADE
Per Company Forms
AMOUNT DEDUCTIBLE COINS %
1
GENERAL AGGREGATE i $
PRODUCTS - CGfcwGP A5G $
PERSONAL & AOV INJURY i
cACH GCCwnn£iiCE £
FlftE DAMAGe (Any ana flf*i S
mcD cXT (Any OTa pofoOfli S
CO-MSINED SINGLE LtUT S
DI^^II V 4^L!f |OV ?£/ ^a££^^ S
BODILY INJURY (Pw Kcid«nl) S
PPOpcnTVD^.QP £
MPOiCAL PAYMENTS 5
PERSONAL INJURY PHOT 5
UNINSURED MOTOPiST 5
Is
ACTUAL CASH VALUE
STATED AMOUNT S
OTHER
AUTO ONLY • EA ACCIDENT S
OTnea THAM AUTO ONLY- - -" ,„ -' ; ^,,
EACH ACCIDENT S
AGGREGATE $
EACH OCCUTWIENCE 8
AGGREGATE S
3ELF-INSUHSO RETENTION £
X STATUTOflY UMIT3 „ ^^ , ^ ~S-
6ACHACCIOENT «1 , 000, 000
DlSeASE - POUCY LIMIT f si , 0 0 0 , 0 0 0
DISEASE - EACH EMPLOYEE III , 000 , 000
Ep8e,AL Payment Terms: Company Direct Bill; Monthly Payroll Reporting; Subject
mytHmowtf Annual Audit .
COVERAGES
fWME-SEADDRESS^''"""-' " " ' " " ' " - - - •• ,•. - , * v\ ,,,t if " - " - - , ^f ^ - ,-•-"
Insurance 1
L
ACORI>'7S-S-(1S/9BV 1 of 2 - 421
, ^MonrGASfiS LJ*DOIVerification |nONAt. INSURED
MAN.
5"4 NOTE: IMPORTAVtSTAtE'lNPORMATION OM BEVEftSPBibe " S !*£''-" A ACOTD CORPORATION t9S3