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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