HomeMy WebLinkAbout1710 CANNAS CT; ; CB002718; Permit07/25/2000
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Miscellaneous Permit Permit No:CB002718
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1710CANNASCTCBAD
MISC
2155011700
$2,987.00
THOMSON RESIDENCE
29 SQUARES OF COMP. REROOF
Subtype: REROOF Status: ISSUED
Lot #: 0 Applied: 07/25/2000
Entered By: MSDP
Plan Approved: 07/25/2000
Issued: 07/25/2000
Inspect Area:
Applicant:
SECURE ROOF INC
7356 TRADE ST
SAN DIEGO CA 92121
800 338-6868
Owner:
ARELLANO JIMMIE&PATRICIA B
403? 07/25/00 0001 01 02
C-PRMT 37-DO
Total Fees:$87.00 Total Payments To Date:$0.00 Balance Due: $87.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
PERMIT $87.00
$0.00
$87.00
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 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 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.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
\~1\0
FOR OFFICE USE ONLY
PLAN CHECK NO.
EST. VAL.
Plan Ck. Deposit
Validated By
Date
Address (include Bldg/Suite #)
SP 0
Business Name (at this address)
Legal Description
3- fS" - $-0 / - / -7
Lot No.Subdivision Name/Number Unit No.Phase No.Total # of units
Assessor's Parcel #Existing, Use.Proposed Use
Description of Work SO. FT.# of Bathrooms
Name State/Zip (_} * Telephone # Fax #
^^^m^^^:^^4Address /~7/£>CitV State/Zip
Name Address
f^i t-A * ..v *
City State/Zip Telephone #
(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 [$500]).
Name
State License » S^fO £ 5
Address
)*f License Class (L "3 ?
City State/Zip
/o/City Business License # /fc^t-
Telephone #
3^SA
^^Designer Name
State License #
jS*^ Address City State/Zip Telephone
K'&'
*''Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Q I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
"EP I have and will maintain workers' compensation, as required by Section 370O of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company vj5?"?H7(E r^C-f M(J Policy No. <P$£f*-rQ &6& Expiration Date_
(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 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 shaH subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars t$1,00,QJ)0), in addition tp the coqf of compensation, damagu as provided for In Section 3706 of the Labor code, interest 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 offeredfpjusate. 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 notbyild-erfrnprove for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed contractgis-ttrConstruct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property wnqjujitdforimproves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
Q I am exempt under Section Business-aria Professions Code for this reason:
1. I personally plan to provide the major laboraria materials for construction of the proposed property improvement. Q YES QNO
2. I (have / have not) signed an appticajionfor 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 ppttfrins of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number / contractors ([cense 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 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? Q YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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.
!«ilil!l)i*S^^
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) 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 any time after the work isxonarnenceEt for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 7/a
2. TYPE OF BUILDING: RESIDENTIAL A COMMERCIAL
3. ROOF SLOPE: RISE inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one)
5. TYPE OF EXISTING ROOF COVERING &*& SHEATHING
*6. NEW ROOF MATERIAL^
7. NUMBER OF SQUARES
8. TRADE NAME K/5*mi
9. ROOF SYSTEM LISTING UL No.
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? /^YES^ ) NO
WEIGHT PER SQUARE
MANUFACTURER
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.
Signature
Contractor Owner _ Contractor Name
*6 - Rolled Roofing, Standard/Lite Tile, As ph a It/Com p Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 8/2/2000
Permits CB002718
Title: THOMSON RESIDENCE
Description. 29 SQUARES OF COMP. REROOF
Type:MJSC Sub Type: REROOF
Job Address: 1710 CANNAS CT
Suite: Lot 0
Location:
APPLICANT SECURE ROOF INC
Owner: ARELLANO JIMMIE&PATRICIA B
Remarks:
Inspector Assignment: SR
Phone: 8003386868X102
Inspector:
Total Time:
CD Description
19 Final Structural
Act Comments
Requested By: TERESA
Entered By: ROBIN
Associated PCRs
Inspection History
Date Description Act Insp Comments
7/28/2000 15 Roof/Rerool AP SR
7/27/2000 15 Roof/Reroof CO SR STILL STRIPPING THE ROOF
ACQBD, CERTIFICATE OF LIABII
PRODUCER
EX Camino Insurance Lic0539016
3156 Vista Nay, Ste 300
Ocean side, CA 92056
760 721-3232
INSURED
Secure Roof, Inc.
7356 Trade Street
San Diego, CA 92121
i
LITY INSURANCE | EESToS
THIS CffiTlFICATC B B9UED AS A MATTE* Of MFORMATICN
OILY AND CaratS NO RIGHTS UPON THE CfflTTHCATE
HOLDER. THIS CStmCATE DOGS NOT AMEND, EXTEND OR
ALTS) THE COVERAGE AFFORDH) Wf THE POLICIES BELOW.
INSURERS AFPORDMQ COVB1AGE
INSURER* State Condensation Insurance Fund
INSURER 8:
INSURER ft
INSURER DC
INSURER E
COVERAGES
THE POUCE80FW8URANCE LISTS) BELOW HAVE BEEN ISSUED TO THE W3UHH) NAMED ABOVE FORTHEPOUCY
ANY REQunSUBW. TOM OR CONDITION OF ANY CONTRACT OR OTHffi DOCUMENT WTH RESPECT TO «HCH
MAY PERTAN. 1HC M9URANCE AFFORDB) BY THE POUCCS OE9CHBEO H0BH tS SUBJECT TO ALL THE TBMS.
POUOES. AOGflECWTEUyiTSWOVmMAYHAVEB^nSJUCEOBYP/gOCUmiS.
MS
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EXCESS LIASIUIY
1 OCCUR r ] CLAIMS MADE
DEDUCTIBLE
RETENTION S
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
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POLICY MUM BEfl
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*30 day cancellation notice except 10 days for non-payment of premium.
CERTIFICATE HOLDER I ADOfflOIIALBiauilEDilHSURHI LETTER:CMICaiATION
Insurance Verification
i
SHOULD ANYOFTHEABOVEOESCM BCD POLVES BE CAM CELLED BEFORE THEEOTRATON
OATETHEREOF. THE ISSUING INSURE* WILL ENDEAVOR TO MAIL*3XL DAYS WRITTEN
NOTICETOTHE CERTIFICATE HOLOEKNAMEDTOTHELEfT. BUT RMLURE TO DOSOSHALL
IMPOSE NO OBLIOATION OH LIABILITY OF ANYKIHD UPON THEINSURER.ITS AGENTS OR
REPRESENTATIVES.
AUTHORaEOREPRESEHTATIVE
fc&i*6e!ZX> -&C*i*e<*+~< — '
ACOR02S-S(7W1 of 2 IS52908/M52907 JKW ACORO CORPORATION 1