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Home My WebLink About2853 CACATUA ST; ; CB070994; Permit04-13-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB070994 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2853 CACATUA ST CBAD MISC 2153702000 $4,788 00 Subtype REROOF Lot# 0 KALISH RES-3800 SF COMPOSITIO Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/13/2007 RMA 04/13/2007 04/13/2007 Applicant ROOFPROS 2687 J ST SAN DIEGO 92102 6192322423 Owner MENOTTI PATH EST OF C/0 MATTHEW MENOTTI 4264 CORDOBES CV SAN DIEGO CA 92130 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $10200 $000 $000 $10200 Total Fees $102 00 Total Payments To Date $10200 Balance Due $000 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 m accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attach, review set aside, void or annul their imposition You are hereby FURTHER NOTIFIED that your right to prates! the specified lees/exactions DOES NOT APPLY to water and sewer connection lees 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 PERMIT APPLICATION CITY OF* CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 FOR OFFICE USE ONLY /O/j f) — PLAN CHECK NO. (^^j [J / EST VAL Plan Ck Deposit Validated By Date AddresA (include Bldg/Suite #)Business Name (at this address) Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed USB Description of Work — ?lr*0.~SQ FT # of Bedrooms # of Bathrooms Address City State/Zip Telephone Fax* •a (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 file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Sgction 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption .AAny violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [S500]) *~* " Name Address State License # ^ ^ CT^ ^-f J License Class ^ - - City State/Zip Telephone # ' «J / City Business License # SeJ^) _2 &~ Ls O Designer Name Address State License # City State/Zip Telephone Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations D 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 D 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 » /xy_jx __ f~ ^^ ^ *^ —— T / I > / / f ~y Insurance Company J> f/*-_7~ f~ ^~C^-~~ Q ^/ p0|,Cy No J? cJ_£-,/$ ~~ -*&& C-\\ Expiration Date /&/* / ° / (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) •^ D 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 fines up to one hundred lousand dollars ($100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor cod£. Interest and attorney's fees SIGNATURE ^ ' 706 of the Labor DATE BUIL'gpftiDEC I hereby affirm that I am^nrnpt from the Contractor's License Law for the following reason O 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 he did not build or improve for the purpose of sale) 0 I, as owner of the property, em 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) C] I am exempt under Section Business and Professions Coda 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 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 / 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) ._ ^__^^_ _ 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? d YES Q NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? CJ YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Q YES G 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 •life! 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 ADDRESSm, 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 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 stones 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 180 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-pSliod of 180 days (Section 106 4 4 Uniform Building Code) / / ~DATE 9/'3/0-7APPLICANT'S SIGNATURE WHITE File YELLOW Applicant PINK Finance REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 1. JOB ADDRESS: 2. TYPE OF BUILDING: RESIDENTIAL <* COMMERCIAL 3. ROOF SLOPE: RISE f~ INCHES IN 12 INCHES 4. NUMBER OF EXISTING ROOF COVERING (CIRCLE ONE) 123 5. TYPE OF EXISTING ROOF COVERING As0# - A6. NEW ROOF MATERIAL fMt^^Lf^ CLASS A WEIGHT PER SQ. 7. NUMBER OF SQUARES 2 fr _ 8. TRADE NAME MANUFACTURER 9. ROOF SYSTEM LISTING UL NO. ICBO NO. 10. IS THE EXISTING STRUCTURAl^ESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? XESV 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 ladjfler extending at least 2 rungs above the roof for inspection. Signature <^7 /^ _ — - _ Date" " Contractor < Owner Contractor Name to-tt /«/ C. *6. Rolled Roofing, Standard/Lite Tile, Asphaft/Comp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For 05/10/2007 Permit# CB070994 Title KALISH RES-3800 SF COMPOSITIO Description Type MISC Sub Type REROOF Job Address 2853 CACATUA ST Suite Lot 0 Location OWNER MENOTTI PATH EST OF Owner KALISH RICHARD D Remarks Inspector Assignment PD Phone 6198 Inspect Total Time CD Description 19 Final Structural Act Comment Requested By ROGER Entered By CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 04/23/2007 15 Roof/Reroof AP PD POLICYHOLDER COPY SD COMPENSATIONINSURANCE PO BOX 420807, SAN FRANCISCO,CA 94142-0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 10-01-2006 GROUP 000229 POLICY NUMBER - 0032275-2008 CERTIFICATE ID 1 CERTIFICATE EXPIRES 10-01-2007 10-01-2008/10-01-2007 CONTRACTORS STATE LICENSE BOARD WORKERS COMPENSATION UNIT PQ BOX 26000 SACRAMENTO CA 95826-0026 SO LIC PERMITS 882933 INCEPTION DATE 10-01-20O6 DO SD This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon ^Q days advance written notice to the employer We will also give you 10 days advance notice should this policy be cancelled prior to its normal expiration This certificate of insurance is not an insurance policy and does not amend extend or alter the coverage afforded by the policy listed herein Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all the terms exclusions, and conditions, of such policy THORIZED REPRESENTATI PRESIDENT UNLESS INDICATED OTHERWISE BY ENDORSEMENT, COVERAGE UNDER THIS POLICY EXCLUDES THE FOLLOWING THOSE NAMED IN THE POLICY DECLARATIONS AS AN INDIVIDUAL EMPLOYER OR A HUSBAND AND WIFE EMPLOYER, EMPLOYEES COVERED ON A COMPREHENSIVE PERSONAL LIABILITY INSURANCE POLICY ALSO AFFORDING CALIFORNIA WORKERS' COMPENSATION BENEFITS, EMPLOYEES EXCLUDED UNDER CALIFORNIA WORKERS' COMPENSATION LAW EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 PER OCCURRENCE EMPLOYER TQMINELLO, ROGER DBA ROOFPROS 2B87 d ST SAN DIEGO CA 92102 SD M0409 (REV 2-05)PRINTED 09-17-2006