HomeMy WebLinkAbout2627 CAZADERO DR; ; CB994480; Permit12/06/1999
City of Carlsbad
Miscellaneous Permit Permit No.CB994480
Building Inspection Request Line (760) 438-3101
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2627 CAZADERO DR CBAD
MISC Subtype
2153002502 Lot#
$1,59000
REROOF
0
CHEEMA RESIDENCE
6 SQUARES OF LIGHT WEIGHT TILE
Applicant
P1VA ROOFING, BOB
1192 INDUSTRIAL AV
ESCONDIDO,CA 92029
619-745-4700
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Owner,
CHEEMA GURPRIT
2627 CAZADERO
CARLSBAD CA 92009
ISSUED
12/06/1999
MDP
12/06/1999
12/06/1999
Total Fees $6000 Total Payments To Date $000 Balance Due $6000
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
PERMIT $6000to oo
$6000
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 tmely 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 capacity
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
1. PROJECT INFORMATION
FOR OFFICE USE ONLY
PLAN CHECK NO
EST VAL /__
Plan Ck Deposit
Validated By
Date
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number,
Existing Use
jli riaiiiaMtuiiiuoij;A, fas/*i Unit No Phase No Total # of units
Assessor's Parcel Proposed Use
Description of Work
2. CONTACT PERSON W «B«««nt horn appfiewrtj
SQ FT #of Stones # of Bedrooms # of Bathrooms
Name
3 . APPLICANT Contractor
Address City
Qfc Agent for Contractor D Owner D Agent for Owner
State/Zip Telephone Fax tt
Name
4 PROPERTY OWNER
Address City State/Zip
{A.
Telephone #
7*6
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 We 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 basts for the alleged
exemption Any violation of Section 7031 5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500])
Name
State License # ^* / O*T 3\O
Address
License Class
City State/Zip Telephone #
City Business License # / tft 0 j I 7 a
Designer Name Address City State/Zip Telephone
State License # _____
6. WORKERS' COMPENSATION
Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations
Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued
H, I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued My worker's compensation insurance carrier and policy number are
Insurance Company ^////A *JA\J£^ Policy No 3 && 7$"*<( 7 ^ Expiration Date. 4~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
Q 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 workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil frnes up to one hundred
thousand dollars (&JOOJJOO) maddition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
SIGNATURE ^^f^ &£>*>*-T-^ — ...... DATE /£- 6~ f¥
7 OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
f~) 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 Coda 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)
D 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 C] 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 parson (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
4 I plan to provide portions of the work, but ! 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)
DATEPROPERTY OWNER SIGNATURE
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? Q YES Q NO
Is tt\e 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
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(0 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 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 authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after the work is commenced for a period of 180 days (Section 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: J6& 7 £+*.«. Je/V 0*
2. TYPE OF BUILDING: RESIDENTIAL X COMMERCIAL
3. ROOF SLOPE: RISE £ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) <$) 2 3
5. TYPE OF EXISTING ROOF COVERING J^?^SHEATHING
*6. NEW ROOF MATERIAL A CLASS Sff WEIGHT PER SQUARE
7. NUMBER OF SQUARES
8. TRADE NAME *fJ*~*j*. MANUFACTURER
9. ROOF SYSTEM LISTING UL No. _ ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? ^JS^ 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 ~ ***. -- _ _ Date //?-
Contractor ^>C Owner , Contractor Name J&Q&
*6 - Rolled Roofing, StandafcffLite Til0^Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Inspection Request
For 12/21/1999
Permit# CB994480
Title CHEEMA RESIDENCE
Description 6 SQUARES OF LIGHT WEIGHT TILE
Inspector Assignment SR
Type MISC Sub Type REROOF
Job Address 2627 CAZADERO DR
Suite Lot 0
Location
APPLICANT PIVA ROOFING, BOB
Owner CHEEMA GURPRIT
Remarks
Phone 7607454700
Inspector
Total Time
CD Description
19 Final Structural
Act Comments
Requested By PETER
Entered By CHRISTINE
Associated PCRs
Inspection History
Date Description Act Insp Comments
12/13/1999 15 Roof/Reroof AP SR
K'**1 CERTIFICATE OF LIABILITY INSURANCE
;rno'
1-5400
8 rokers
o North
fcA?92186-S481
RoofT ng
ist n al Avenue
CA 92029
FAX (619)584-6425 rcERi
DATE (MM/OO/YY)
. 06/04/1999
ICAI b IS ISSUbU AS A MA 11 fcH OF INUJHMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
Ext
BWlEfW^ / ^ , " '","'",iiitfvTnTEKTlFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
§FTTim&toTWlTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
OTtf&fP&TOftUY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS
TffijWONfi AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
POLICY NUMBERrYP6 OF INSURANCE
*
OHOWU LIABILITY~~
ED AUTOSS.eOULED AUTOS
iREDALTrbs
OARASB LIABILITY
UMBRELLA FORM
bjHWjjHAW UMBRELLA FORM
WORKjRt.eOHPENSATION AND
MPCpYIBS'LWBIUTY
COMPANY
A
COMPANY
8
COMPANY
C
COMPANY
D
COMPANIES AFFORDING COVERAGE
VILLANOVA INSURANCE COMPANY/AMERICAN
PATRIOT
POLICY EFFECTIVE POLICY EXPIRATION
DATE (MM/OD/YY) DATE (MM/DD/YY)LIMITS
(EoSweRCWL GENERAL LIABILITY
PRSsMADE OCCUR
mefr&Ji,Jiffs & CONTRACTOR S PROT
GENERAL AGGREGATE S
PRODUCTS - COMP/OP AGG $
PERSONAL & AOV INJURY S
EACH OCCURRENCE J
FIRE DAMAGE (Any one fire) 5
MED EXP (Any one person) S
COMBINED SINGLE LIMIT
BODILY INJURY(Par persoo)
BODILY INJURY
(Per accKJenl)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT S
OTHER THAN AUTO ONLY
EACH ACCIDENT S
AGGREGATE S
EACH OCCURRENCE S
AGGREGATE S
S
06/01/1999 06/01/2000
X TORY LIMITS ER
El EACH ACCIDENT £
EL DISEASE - POLICY LIMIT S
EL DISEASE • EA EMPLOYEE S
1,000,000
1,000,000
1,000 ,000
CANCELLATION FOR NONPAYMENT
CANCELLATION. t
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF ANY K1NDJ1PON THE COMPANY, ITS AGENTS OR REPRESENTATIVES
UTHOR1ZHTREPRESENTATWE /vApiJ* -L/itLU^^t 'Ir^tf ORD CORPORATION 1988