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Home My WebLink About2858 CASTILLA PL; ; CB001307; Permit04/06/2000 City of Carlsbad Miscellaneous Permit Permit No:CB001307 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2858 CASTILLA PL CBAD MISC 2162304100 $8,480.00 EDWARDS RESIDENCE RE-ROOF 32 SQ Subtype: REROOF Lot #: 0 Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS.CA 92064 760-577-2935 Status: ISSUED Applied: 04/06/2000 Entered By: GMF Plan Approved: 04/06/2000 Issued: 04/06/2000 Inspect Area: EN F&PAULA R*. 04/06/00 0001 01 02 •fWff-Total Fees: $175.00 :e Due:175.00 Miscelaneous Fee #1 "^ -• *;• v Miscelaneous Fee #2 "s-Jj!-** ** ^ **7?r' •• v ;"i\ '^r. t ' / * * * *"""*» ^N rs.oo $0.00 TOTAL PERMIT FEES Inspecto FNAL APPROVAL Date^Clearance: NOTICE: Please take<NOT!CE that approval of your project includes thenmposition" 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 tees/exactions of which you have previously been given a NOTICE similarto this, oras to which, the statute of limitations has p_reviously otherwise_expired, CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK EST. VAL. Plan Ck. Deposit Validated By Date Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units Name 'pAT (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 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Name State License #"7/fe Address License Class <L City State/Zip City Business License # \Z-Ok I Telephone # Designer Name State License # Address City State/Zip Telephone Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I nave 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. fig 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: , I Policy No. M ^ f\O \\T1^-O ^5' 6°Insurance Company Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 14100] 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 fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE , _ DATE _ ll|Ujl|&iKi0EG^ 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 he did not build or improve for the purpose of sale). C] 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^ licensed pursuant to the Contractor's License Law). D 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. 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 / 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? Q 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? Q YES Q NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. $li!lS!siS^ ;K: ••.. :• :•- ''h.-. ^-.^. • - I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30971!) Civil Code). LENDER'S NAME LENDER'S ADDRESS 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 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at aw time after the work is commenced for aoeriod of 180 days (Section 106.4.4 Uniform Building Code). DATE V'fe»-£g WHITE: File YELLOW: 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 *7 inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) /V) 2 3 5. TYPE OF EXISTING ROOF COVERING_<fMl_SHEATHING *6. NEW ROOF MATERIAL 6^rASS WEIGHT PER SQUARE 7. NUMBER OF SQUARES 8. TRADE NAME e&#&^fr& MANUFACTURER 9. ROOF SYSTEM LISTING UL No. _ ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? (YEsTj 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. Sianatur^—vru^^ ^ri^-^^— Date ^/^ ^o Contractor Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request PermiW CB001307 Title: EDWARDS RESIDENCE Description: RE-ROOF 32 SQ Inspector Assignment: PY Type: MISC Sub Type: REROOF Job Address: 2858 CASTILLA PL Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: EDWARDS STEVEN F&PAULA R Remarks: Phone: 8003386868 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: TERESA Entered By: CHRISTINE Associated PCRs Inspection History Date Description Act Insp Comments 4/10/2000 15 Roof/Reroof AP PY SHEATHING 4/7/2000 15 Roof/Reroof NR PY CONIRACTORS STATE UCENSE BOARD ACTIVE UCENSE iw. 716994 E*CORP «*- PATRIOT ROOPIHG INC DBA A-l ACCURATE ROOFING C39 M 01/31/2002 ACORP. CERTIFICATE OF LIABILITY INSURANCE PRODUCER Hanafin Bates & Associates 8411 walnut Hill Lane Suite 1081 Dallas, TX 75231 214-346-1500 fax: 214-346-1533 MSUKB PATRIOT ROOFING, INC. 7356 TRADE STREET SAN DIEGO, CA 92121 858-693-7663 fax: BS8-693-7300 CERTIFICATE NO. / DATE VC2-36490-34369 2,-H,00 -:S4:2-> Ptt THIS CERTIFICATE IS ISSUED AS A MATTER OF 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. INSURERS AFFORDING COVERAGE INSURER* Reliance National indemnity Co. INSURERS: INSURER C; INSURER ft INSURER C COVERAGES ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE UMTS SHOWN MAY HAVE BEEN REDUCED BY MID CLAIMS. rnsnan A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ~J CLAIMS MADE j ] OCCUR GENX AGGREGATE LIMIT APPLIES PER:~~i«uevn2& pi"* AtrrOMOMLE LIABILITY AMY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED At/TOS NON -OWNED AUTOS OARAGE UAMJTT ANY AUTO EN CMS IIAMLITV OCCUR [CLAIMS MADE DEDUCTHLE RETENTION $ WORKERS COMPENSATION ANDEMPLOYERS- uABM-mr OTHER POLICY NUMBER NWA0117769-06 POLICY EFFECTIVEDATBfMM/DOmi 1/5/00 POLICY EXMRATMMUtTEMHAXVYYl 12/31/00 LIMITS EACH OCCURRENCE RRE DAMAGE <Any on* In) MED EXP (Any <y» parson) PERSONAL S AOV MJURY GENERAL AGGREGATE PRODUCTS • COMFVOP AGG COMBINED SINGLE LIMIT(fa acoCart) BOOLV INJURY (Per pencn) BOOIY INJURY(Par acodert) PHOPCRTY DAMAGE(Per accident) AUTO ONLY - EA ACCIDENT OTHER THAN ^ ACC AUTO ONLY: ^Q EACH OCCURRENCE AGGREGATE „ WC STATU- OTH-X TORY LIMITS 1 ER E.L, EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LMIT LIMIT LIMIT S S I *$ * S S S S t $ $ S t c ( t t 1,000,000 $ 1,000,000 S 1,000,000 *J 1. Insured is afforded workers Compensation & Employers Liability as a co-employer under the policy for employees leased from AMS Staff Leasing, Inc. CERTIFICATE HOLDER ADDmON AL INSURED; MSURER LETTER;CANCELLATION INSURED COPY 7356 TRADE STREET SAN DIEGO, CA 92121 fax: SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BfFORE TWE EXFW1ATION DATE THEREOF, THE ISSUING INSURER WU. ENDEAVOR TO MAX. 30 DAYS WWTTEN NOTICE TO THE CERTTCATE HOLDER NAMED TO THE LEFT, BUT FAMJURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _, ~"> — ^ ^ ^ &£? <? 'S^-xnr ACORD 25-S (7/97)e ACORD CORPORATION 1988