HomeMy WebLinkAbout2728 CAZADERO DR; ; CB043448; Permit\1
09-02-2004
City of Carlsbad ;
1635 Faraday Av Carlsbad, CA 92008 \
Miscellaneous Permit Permit No CB043448
uildmg Inspection Request Line (760) 602-2725 !'
Job Address
Permit Type
Parcel No
Valuation
Reference #
Project Title
2728 CAZADERO DR CBAD
MISC
2154000500
, $5,13000
Subtype REROOF
Lot# 0
HAGHANI RES-4500 SF COMPOSITIO
Status ,' ISSUED
Applied 09/02/2004
Entered By / RMA
Plan Approved n 09/02/2004
Issued ', 09/02/2004
Inspect Area i.
Applicant
SAN DIEGO ROOFING
615 NORTH AVE"
VISTA, CA 92083
760-758-1800
Owner
HAGHANI KAMYAR&ANNIE
2728 CAZADERO DR " " ,
, CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees }
TOTAL PERMIT FEES
PERMITTEE
. V\
, -\] (($11500Vj ' ,. \ so oo
^- v -\ $dioo
v> \\ y J!$11500.
Total Fees $11500~~v Total Payments To Date' •" * ' >00 Balance Due't $11500
0333 09/02/04 0002 01 02
Inspector
FINAL APPROVAL
Date
CGP
Clearance _.
115-00
NOTICE Please take NOTICE mat 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 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 vou havep_reyiouslv been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
run urnue uoc UIMLT
PLAN CHECK NO.
EST VAL'
Plan Ck Deposit
Validated By.
Date "3 Id
Address (include Bldg/Suite #)Business Name (at this address)
Legal Description Lot No Subdivision Name/Number Unit No Phase No Total 8 of units
Assessor's Parcel #Existing Use <-Propos ed Use
Name Address Statfi/Zip Telephone * Fax #
;
:%-«*«•^ LV"
-QW-i
(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 fife a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
[Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged
exemption Any violation of Section 7031 5 by any applicant for a permit subjectsJhe applicant to a civil penalty ofjigt/nore than five hundred dollars [$5001)
Name
State License # fO-
Designer Name
State License #
*- • — ' — fj — •
.V^IX Address tf
License Class
Address A
C?7 City ' ' State/Zip
City Business License # 1 j
City
1
State/Zip
Telephone #
'1_0 ^7 ?-7
Telephone
*£ <^L4J^j^^'^^^^^^-^Jk''''<&''^
Workers' Compensation Declaration 1 hereby affirm under penalty of perjury one of the following declarations
Q I have and wj|| maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
ofJhtf work for which this permit is issued n
>Q I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which trjis permit is
/ issued My worker's compensation insurance^carner and policy number are ^_^ / . ^^
CH, \y — CfjOL* ?JO S~E»n.ratmn Datn ( ftInsurance Company Policy No Expiration Date
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [6100] 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 li
WARNING Failure to secure workers* cornoerumttOn coverage It unlawful, and shall subject an employer to criminal penalties' ana civil fines up to one hundred
thousand dollars (6100,000), In addjjloff*fthe c^Mpfcorvtertiatlon, damages as provided for in Section 3706 of the Lobjmc/yle./nterest and attorney's fees
SIGNATURE ^^ * DATE
I hereby affirm that I am exempt from the Contractor's License Law for the following reason
Q 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 Code 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 ha did not build or improve for trie purpose of sale)
Q 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 If
1 \ personally plan to provide the major labor and materials for construction of the proposed property improvement O VES QNO
2 I (have / hav« not) signed an application for a building permit for the proposed work f
3 I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number)
v
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 / 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 (m< lude name / address / phone number / type
of work)
PROPERTY OWNER SIGNATURE DATE
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 D NOi
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q VES D NO
Is the facility to bo constructed within 1,000 feet of the outer boundary of a school site? Q YES Q NO ji
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLIC ANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT n
I hereby affirm that there >s a construction lending aoency for the performance of the work for which this permit is issued i Sec 3097(0 Civil Coda)
LENDER'S NAME
I certify that I havg read the application and state that the above information is correct and that the information on the pluns is accurate I agree to comply with all
City ordinances and State laws relating to building construction I hereby authorize representatives of the City 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 1 80 days from the date of such perrfflpor if the building or work authorized by such permiUs suspended or abandoned
at any time after the work is commenced for a period of 180 days (Sectiojj4Q6 4 4 Unifo^iJJuilding Code)' '
APPLICANT'S SIGNATURE -27 -p
WHITE File YELLOW Applicant
DATE
PINK Finance
4-
•^ "•
City Of Carlisbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING',t
1. JOB ADDRESS: 9*1 U 6 CA2 $^£$-C) I
2. TYPE OF BUILDING: RESIDENTIAL —^ COMMERCIAL^
3. ROOF SLOPE: RISE *% inches in 12 inches :
4. NUMBER OF EXISTING ROOF COVERING (circle one) (J\)l 3
5. TYPE OF EXISTING ROOF COVERING_^jj^HEATHING $b/rd /
*6. NEW ROOF MATERIAL <-&T CLASS A~ WEIGHT PER SQUARE
7. -NUMBER OF SQUARES
8. TRADE NAME /Sf (y£L MANUFACTURER
9. ROOF SYSTEM LISTING UL No. *77° ICBO No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT T|0 SUSTAIN THE
S ) J
WEIGHT OF THE PROPOSED ROOF? /YESX NON — --^ t
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 forj
inspection.
Signature Date ? ?/£/>?
Contractor Owner Contractor Name_
*6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other. !'
City of Carlsbad Bldg Inspection Request
For 10/05/2004
Permit# CB043448
Title HAGHANI RES-4500 SF COMPOS1TIO
Description
Inspector Assignment PY
2728 CAZADERO DR
Lot 0
Type M1SC
Job Address
Suite
Location
OWNER HAGHANI KAMYAR&ANNIE
Owner HAGHANI KAMYAR&ANNIE
Remarks
Total Time
Sub Type REROOF
CD Description
19 Final Structural
Act Comment
Phone 7604207449
Inspector
Requested By LEE
Entered By ROBIN
Associated PCRs/CVs
Inspection History
Date Description Act Insp Comments
09/08/2004 15 Roof/Reroof AP PY EXISTING SHEATHING
License Detail Page 1 of2
California Home
License Detail
Contractor License # 686318
CAt'lFORMlA CONTRACTORS STATE LIC
DISCLAIMER ij
A license status check provides information taken from the CSLB license data base Before relying on this information, yo
be aware of the following limitations L
if1>
* CSLB complaint disclosure is restricted by law (B&PJ1246) If this entity is subject to public complaint disclosure
complaint disclosure will appear below Click on the link or button to obtain complaint and/or legal action mformatu
* Per B&P_7p_7UT7, only construction related civil judgments known to the CSLB are disclosed
« Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration
* Due to workload, there may be relevant information that has not yet been entered onto the Board's license data bi
Extract Date 09/02/2004 i
J* * * Business Information * * * r
f
, SAN DIEGO ROOFING INC J<
1351 BROADWAY <;
EL CAJON, CA 92021 f
Business Phone Number (619)236-1800 j
Entity Corporation I
Issue Date 03/30/1994 Expire Date 03/31/2006
* * * License Status * * * ;
This license is current and active All information below should be reviewed
* * * Classifications * * *
|Class||pescription|
UROOFING
* * * Bonding Information * * * ;
CONTRACTOR'S BOND This license filed Contractor's Bond number 137974 in the amount of $10,000 with the bondm<
AMERICAN CONTRACTORS INDEMNITY COMF'ANY
Effective Date 01/01/2004 „
Contractor's Bondingjjistory j,
f
-BOND OP-QUALIFYING INDIVIDUAL(I) The Responsible Managing Officer(RMO) KEITH ALLEN HULME certified tf
owns 10 percent or more of the voting stock/equity of the corporation A bond of qualifying individual is not requir
Effective Date 05/12/2004 »
* * * Workers Compensation Information * * *
This license has workers compensation insurance with the
STATE COMPENSATION INSURANCE FUND
Policy Number 046-0006955 Effective Date 01/01/2000 Expire Date 01/01/2005
http //www2 cslb ca gov/CSLB_LIBRARY/License+Detail asp 9/2/04