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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 LTR A fVPEOF INSURANCE OEMEIULUAIILmr COM HEHCIALaENBWLUABlLnY ~~] CLAIMS MADE[_] OCCUR QSH'L AQQH B3ATE U MT APPU E5 PER ^pouw! |5ggf I ILOC AUTOMOBILE LIADIUTV ANY AUTO ALL OWN ED AUTOS SCHEDULED AUTOS HIRED AUTOS NON .OWNED AUTOS GARAGE UABI LITY ANY AUTO EXCESS LIASIUIY 1 OCCUR r ] CLAIMS MADE DEDUCTIBLE RETENTION S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER POLICY MUM BEfl 285148600 POLICY EFFECTIVEOATEIMMJDD/W1 ,,- 01/01/00 POLICY EXniUTVM DATEtMM/DfUV« 01/01/01 PEBCOWDCATH5. NOTWT IMS CERIFCATE MAYBE EKOJUaONSANO CCNOTK rKSTAMDMQ ISSUED OR MS OF SUCH UMtTS EACH OCCURRENCE FIRE DAMAQEptny am fir* MEO EXP(AnvoMfMrMn) PERSONAL ft ADV INJURY 3ENERAL AQQRBSATE PRODUCTS -COMFVOPAGQ COMBINED SINGLE LIMIT(EKKcktarU) BODILY INJURY P«rp*wn) BODILYINJURYjpw«codanl) PROPERTY OAMASEJRvicodMl) AUTO ONLY- EA ACCIDENT pr-u^THAN EAACC AUTOOBLV; MQ EACH OCCURRENCE AGGREGATE X IWCSTATU- 1 OTH-fTORYUMITS 1 TEH EL EACH ACCIDENT E.L.OISEASE-EA EMPIDYEE £ L, OlSEAS E - POLICY U MIT S K S S *S S t t S si, 000, 000 si, 000, 000 tl, 000, 000 OESCRirrK)MOFOPEIUTlONS/U>CArKMa/VEHlCLB/EXCLU$ION9ADOEDBrOlOORSEUEHT/SKCIALPffOVISIOMS *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