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Home My WebLink About1095 BUENA VISTA WAY; ; CB071624; Permit06-12-2007 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB071624 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: 1095 BUENA VISTA WY CBAD MISC Subtype: 1552510100 Lot#: $2,700.00 VANONI RES-2000 SF TORCH DOWN REROOF Status: ISSUED 0 Applied: 06/12/2007 Entered By: RMA Plan Approved: 06/12/2007 Issued: 06/12/2007 Inspect Area: Applicant: PATRIOT ROOFING 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Owner: VANONI JESSICA M PO BOX 1962 CARLSBAD CA 92018 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $77.00 $0.00 $0.00 $77.00 Total Fees:$77.00 Total Payments To Date:$77.00 Balance Due:$0.00 Inspector: FINAL Date:Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions," You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition, You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have previously been oiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717/2718/2719 'Fax: 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit >ate JOB ADDRESS SUITE#/SPACEfl?UNIT# LOTl I PHASE # I # OF UNITSI # BEDROpMS| # BATHROOMS I TENANT BUSINESS NAMECT/PROJECT #CONSTR. TYPE DESCRIPTION OF WORK: (Please describe present use and proposed use),,/ &tstfWs BUILDING AREA (SF)ADDITION AREA (SF)GARAGE (SF)PATIOS (SF)DECKS (SF) NO D AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD CONTACT NAME (If Different Fom Applicant)APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE ftr FAX EMAIL EMAIL PROPERTY OWNER NAME CONTRACTOR BUS. NAME *rj?tADDRESS CITY STATE ^1*103$ / *** STATE ZIP<3Vf - FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS CLASS. CITY BUS. LIC.# (Sec. 7031.S Business and Professions Code: Any Gty or County which requires a permit to construct alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant lor such permit to file a signed statement that he ii 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} o" 'l ' L~ " " J-—i— -j -^ •—- '- -1- -» -j -•-- • --<---- -• Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {JSQO}).• or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of WORKERS' COMPENSATION Workers'Compensation Declaration: thereby affirm under penalty of perjury one of the following declarations: n I have and wilt 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. I have and will maintain workers/ compensation, as recjtii^d by Sectior^TOO of the Labor^ode, for the performanceyof (he^work for whjch this-gprmjt is issued^My workers' compensation insurance carrier and policy 3 7 Expiration Date '&/ -^ ®/& >*number are:i: Insurance Co. frWlt!ri04i>i Policy No.. This section need not be completed if the permit is for one hundred dollars ($100} or less. G 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 Secjfert 3706 of the Labor code^interest and attorney's fees. JSS CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor's License Law for the following reason: D 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). CJ 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), O I am exempt under Section Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes O No 2.1 (have / have not} signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number}: 4.1 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 / contractors' license number): 5,1 will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ROPERTY OWNER SIGNATURE DATE sec TIOI« FORM ON-RESIDJEN T i A t Biiii.0rNGi*ERMifsoRiiY 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? O Yes d No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes D No IF ANY OF THE ANSWERS ARE YES, > EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 {i} Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I haw read the application and state thatthe above informalfon is corredamJ that b^ information cm I hereby authorize representative 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 ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA penriit is required for excavations over 5'0'r^ EXPIRATION: Every permit issued by the Building Official urxler the protons (rf this C^e shall e^ 180 days from the date of such permit or if the buMirgrx work au1hc)rked by such pe^ 1 APPLICANT'S SIGNATURE DATE REROOFING SUPPLEMENTAL BUILDING PERMIT APPLICATION 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 ~&Cn d^jJY\ SHEATHING •6. NEW ROOF MATERIAL ^g n CLASS /4 WEIGHT PER SQ.. 7. NUMBER OF SQUARES. KA0r8. TRADE NAME KA0rn0t MANUFACTURER 9. ROOF SYSTEM LISTING UL NO. ICBO NO. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? W) 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-lnspection 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 s Owner _ Contractor Name f *6. Rolled Roofing, Standard/Lite Tile, Asphalt/Comp fiberglass, Built Up, Other City of Carlsbad Bldg Inspection Request For: 06/18/2007 Permit* CB071624 Title: VANONI RES*2000 SF TORCH DOWN Description: Type: MISC Sub Type: REROOF Job Address: 1095 BUENA VISTA WY Suite: Lot: 0 Location: OWNER VANONI JESSICA M Owner: GEE CRAIG E Remarks: Inspector Assignment: PC Phone: 7604644188 Inspector: Total Time: CD Description 19 Final Structural Act Comments Requested By: IVAN Entered By: CHRISTINE Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Ac! Insp Comments 06/14/2007 15 Roof/Reroof AP PC 06/13/2007 15 Roof/Reroof CA PD 12/04/06 ConfirmNet -> 17606342499 Pg 2/2 'ACORD, CERTIFICATE OF LIABILITY INSURANCE PRODUCER OC44706 1-619-230-4367 Caflanp Iniuranc* S*rvice0 1111 6th Av«nue Floor 3 San Di«go, CA 92101Producer : Br*nd* Jo Robyn INSURED Paerioe Roofing, Inc. 2131 L»f Palaai Orlv*, Suit* £ CarUbad, CA 92009 1 DATE (IttMJD/YY) 12/04/06 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 A: American Horn* Aaauranc* Company INSURER B: Gwini Inauranc* Company INSURER C: INSURER D: INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDrTION OF ANY COftfTRACT 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 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN8RLTR B A TYPE OF INSURANCE GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY 1 CLAIMS MADE MM OCCUR GEN'L AGGREGATE UMIT APPLES PER npoucvn^ HLOC AUTOMOBILE LIABILITY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS GARAGE LIABILITY _JANVAUTO EXCESS LIABILITY 1 OCCUR 1 [CLAIMS MADE DEDUCTIBLE 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER POLICY NUMBER VCGP012B44 tfC 343-34-09 POLICY EFFECTIVEDATE IMMfflD/YYI 06/17/06 10/20/06 POLICY EXPIRATIONDAJE fMMIDD/YY! 06/17/07 10/30/07 UNITS EACH OCCURRENCE FIRE DAMAGE (Any ona Ire) MED EXP (Any one pmon) PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS • COMP/OP AGG COMBINED SWGLE UMIT(EaaccUant) BODILY WJURY(Parpamon) BODILY NJURY(Per accident) PROPERTY DAMAGE(Par Bcddant) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY: EAACC AQG EACH OCCURRENCE AGGREGATE v I WCSTATU-* iTORVLIMfTS |OTH-IGR E,L. EACH ACCIDENT E,L DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $1,000,000 $50,000 $5,000 $1,000,000 $2,000,000 $2,000.000 $ $ $ $ $ 1 $ « $ $ 1 $ $1,000,000 $1,000,000 $1,000,000 S $ S DESCRIPTION OF OPERAllONS/LOCATIONBlVEHICLESJEXCLUSlONS ADOS) BY ENDORSEMENT/SPECIAL PROVISIONS 10 Days Cancellation for Non-paynunt. 30 Day* for All Oth*ri. CERTIFICATE HOLDER M ADDITIONAL INSURED; INSURER LETTER: CANCELLATION Patriot Roofing, Inc. Attn: AilMiv 2131 Lai Palntai Driv* ttE Carlsbad, CA 92009 USA 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 MV8 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE fl - /J^ ACORD 25-S (7/97) Oaalao$214 5274245 0 ACORD CORPORATION 1988