The URL can be used to link to this page

Home My WebLink About2629 CAZADERO DR; ; CB994481; Permit12/06/1999 City of Carlsbad Miscellaneous Permit Permit No:CB994481 Building Inspection Request Line (760) 438-3101 Job Address Permit Type Parcel No VaJuafcon Reference # Project Title 2629 CAZADERO DR CBAD MISC 2153002501 $1,59000 Subtype REROOF Lot# 0 CORRALES RESIDENCE 6 SQUARES OF LIGHTWEIGHT TILE Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 12/06/1999 MDP 12/06/1999 12/06/1999 Applicant PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO.CA 92029 619-745-4700 RGE H&NEWCOMB ANN-MARIE Miscelaneous Fee #1 Miscelaneous Fee #2 TOTAL PERMIT FEES Inspector FINAL APPROVAL 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/exactons 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 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 NO, EST. VAL. ___ Plan Ck. Deposit Validated By Date , 0Htt /^O/iftc Address (include BIdg/Surte *)Business Nama (at this address) Legal Description Lot No.Subdivision Name/Number Unit No Phase No Total * of units Assessor's Fv istlng Uw * TV/e. Proposed Use Description of Work SQ FT.If of Stories t of Bedrooms * of Bathrooms Name Address Citv State/Zip Telephone # Fax * State/Zip Telephone # (Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct, liter, improve, demolish or repair any structure, prior to its 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 (Chapter 9, commending wrth Section 7000 of Division 3 of the Business end Professions Code) or that he is exempt therefrom, end the basis for the alleged exemption Any violation of Section 703T 5 by any applicant for a permit subject* the applicant to e civil penalty of not more than five hundred dollars (4500)) 1 Name State License #/ jS / 3 & Address License Class 3f City State/Zip City Business License * Telephone # Designer Name State License # Address State/Zip Telephone Workers' Compensation Declaration I hereby sfflrm under penalty of perjury one of the following declarations Q t have and will maintain a certificate of consent to self-Insure for workers' compensation ss provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued & 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 IB issued My worker's compensation insurance earner and policy number are- Insurance Company [////k .AJ 6 /<L Policy No ~£ tftf. "?3TY 7$ Expiration Date _ff.-_._^-^_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [*100] OR LESS) Q CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is Issued, I shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California WARNING Failure to MCUT* workers' compensation covtng* is unlawful, and shaH subject an employer to criminal penalties and ehrfl fines up to one hundred thousand doflar* {|100,OpOI, in addition to the cost of compencetion, damages «s provided for hi Section 3706 of ttw Labor code, brteratt and attorney'* fees. SIGNATURE >^L^2T~ X^-*^^_~ . • DATE /•?- 6~ \ hereby affirm that 1 am exempt from the Contractor's License Law for the following reason Q I, as owner of the property or my employees with wages ss their sole compensation, will do the work and the structure Is not Intended or offered for sale (Sec. 7044, Business end Professions Code1 The Contractor's License Lew 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 la 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 sals) D t. as owner of the property, am exclusively contracting with licensed contractors to construct the project (See 7044, Business and Professions Code. The Contractor's License Law does not Apply to an owner of property who builds or improves thereon, snd contracts for such projects with contrsctor(s) licensed pursuant to the Contractor's License Law) D I am exempt under Section . Business snd Professions Code for this reason. 1 I personally plan to provide the major labor and matanals 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 I phone number / contractors license number)- ^ __i _ 6 ) will provide some of the work, but I have contracted {hired} the following persons to provide th» work indicated (include name / address I phone number / type of work) , PROPERTY OWNER SIGNATURE DATE la 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, 2S533 or 25534 of the PxssJsy-Tsnrwr Hazardous Substance Account Act? D -*ES.—O- NO. 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 wrthm 1,000 feet of the outer boundary of a school srte? 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 there is a construction landing agency for the performance of the work for which this permit is Issued (Sac 3097(0 Civil Code) LENDER'S NAME _ __ . LENDER'S ADDRESS 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 lews relating to building construction I hereby authorize representative* of the Crtf 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 Coda shall expire by limitation and become null snd void If the building or work authortzed.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 « any time after tfw $prk is. commenced for e period of 1 BO days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE: File YaLOW Applicant PINK 'Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL 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 *6. NEW ROOF MATERIAL /4 CLASS-SET WEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME +t+*>f*- MANUFACTURER 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? *Elt> 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 1 agree to provide a ladder extending at least 2 rungs above the roof for inspection. -s-Signature f,^^* C**~€ot^ . Date Contractor Owner _ Contractor Name *6 - Rolled Roofmgt StandartKyte Tjlof Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For 12/21/1999 Permit# CB994481 Inspector Assignment SR Title CORRALES RESIDENCE Description 6 SQUARES OF LIGHTWEIGHT TILE Type MISC Sub Type REROOF Phone 7607454700 Job Address 2629 CAZADERO DR Suite Lot 0 Location Inspector APPLICANT PIVA ROOFING, BOB Owner CORRALES GEORGE H&NEWCOMB ANN-MARIE Remarks Total Time Requested By PETER Entered By CHRISTINE CD Description Act Comments 19 Final Structural QJT* ^W»-o£> ( (\*5 ^k\*^ fcp^bg AV^X^j^ Jt^nA Associated PCRs Inspection History Date Descnption Act Insp Comments 12/13/1999 15Roof/Reroof AP SR CERTIFICATE OF LIABILITY INSURANCE FAX (619)5S4-6425 DATE (MH/DD/YYJ ___ . 06/04/1999 I HIS UbHI IMCAIE IS ISSUED AS A MA I TER UF INFORMATION 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 cfo, CA 92029 COMPANY A COMPANY B COMPANYc COMPANY D COMPANIES AFFORDING COVERAGE VILLAKOVA INSURANCE COMPANY/AMERICAN PATRIOT W$j rPffffFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODJh^WdTWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ftbKMrXY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS ,TNSAND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS IDFINSURANCE ~ ™. ..~™POLICY NUMBER POLICY EFFECTIVE POLtCY EXPIRATION OATE(MM/DD/YY) DATE (MM/DD/YY) ..... „ UMITS GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG S PERSONAL i ADV INJURY S EACH OCCURRENCE J FIRE DAMAGE (Any one fire) S MED EXP (Any one parson) 5 COMBINED SINGLE LIMIT BODILY INJURY(Per person) BODILY INJURY(Per accident) PROPERTY DAMAGE AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EACH ACCIDENT AGGREGATE EACH OCCURRENCE AGGREGATE LLA FORM — WU S I'ATU- CTTTPX TORY UMITS ER EL EACH ACCIDENT S EL DISEASE - POLICY LIMIT 3 EL DISEASE - EA EMPLOYEE S 'OjKI|*$.60MPENSAT10N AND INCL EXCL WC3Q07S478 06/01/1999 06/01/2000 1,000,000 1,000,000 1,000,000 CJ OF CANCELLATION FOR NONPAYMENT —rUKt«Sfc»^>-ii:J;irj.-.v _-;•** « v SJLENCINITAS ,5CAN AVENUE- ITAS, CA 92024 CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3Q* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO HAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY K1ND.UPON THE COMPANY ITS AGENTSOR REPRESENTATIVES ^UJRKmiZKmEfRESEMTATOE^ J - ' r/ J f) / / I / * /7LdZU KC^nafe/ *:0«D CORPORATION 1988