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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