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Home My WebLink About1715 CATALPA RD; ; CB022735; Permit09-13-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB022735 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 1716CATALPARDCBAD MISC 2155110700 $2,442 00 Subtype Lot* CIFARELLI RES 2200 SF REROOF TEAR OFF SHAKE REPLACE W/COMP REROOF 0 Status Applied Entered By Plan Approved Issued Inspect Area Applicant T R CONSTRUCTION 9847 PASEO MONTRIL 92129 Owner CIFARELLI LIVING TRUST 1716CATALPARD CARLSBAD CA 92009 ISSUED 09/13/2002 SB 09/13/2002 09/13/2002 Q9/13,02 ^ 01 Q2 CGR 77-00 Total Fees $7700 Total Payments To Date $000 Balance Due $7700 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $7700 $000 $000 $7700 Inspector FINAL APPROVAL Date Clearance _ NOTICE Please take^HoTICE thai^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 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 PLAN CHECK NO EST Plan Ck Deposit Validated By Date /"St Address (include BTdg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Existing Use Proposed Use Description of Work J SQ FT #of Stones ~7o/vy o I *dif SfererjOwni 'applitfarrtL f # pf Bedrooms # of Bathrooms Name City State/Zip Telephone #Fax # Name 4-t:,;pRplR Address Crty State/2 tp Telephone # OWNER $•?¥& Address City Stated i p Telephone' #Name J5j't"7C"6TNtfAC"rOR' (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 hurjdred dollars [$500]) Tf4 Name State License # Address License Class <r City Stated ip Telephone ft City Business License # __/_gsl/y (£?.S ~£ Designer Name State License ff Address City State/Zip Telephone COMPEplSATION.uUL^V^r^r-^^^ „. *J}tJ. i J.tV; .« tS&Lr.iS, >W j, - 17 j '„ !U. !„!, ,,,* it.," ^Lr, , ' Ji ,1 "^,>, •., 1 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 |H" 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 earner and policy number are Insurance Company S /ff~~7~£:, -F~C>t /y. (•) Policy No f^D "& <£_- Ufjj T ^ _ 'Expiration Date_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS I$100] OR LESS) d CERTIFICATE OF EXEMPTION 1 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 cnmmal penalties and civil fines up to one hundred thousand dollars ($100,00010in addttfoti to the cosjjitcompensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees .SIGNATURE ^d&^7 t??0t/7j DATE 3 /f ?/ft "?_ 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) LJ 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) ' „ 0 ' 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 ^'^S ONO 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 ;FOR!/^ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration iorm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fj YES O NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES (H 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 8'"' 8Cb™NS'TRUCTIO^itENDING AGENCY^ V(!^E " -_. L~j'f ' ir ',T ^ ,.' 7, t; fs; *,VT!! ! ( ^" <t \\~ ,,<! r. ,r , ' | t il „.»'".." ^j1 ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (See 3097(i) Civil Code) LENDER'S NAME LENDER'S ADDRESS <9%,,APPLICANT^CERTIFICATION- "' <•'" iI "!\*l' 1',J'}£* t .' - ( ._"t|j^'^%tl^\ , ^,,.(<§ ,; ^ »,",t, r^ "^ ^ t „., >f.r^t ,J ^,(;vj .^ ,'i^f-j'/^^ 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 f#r a^penod £L180 days (Section 10644 Uniform Building Code) / / ^APPLICANT'S SIGNATURE T DATE WHITE File YELLOW Applicant PINK Finance I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: / 7 > 6» C ft 2. TYPE OF BUILDING: RESIDENTIAL V COMMERCIAL 3. ROOF SLOPE: RISE V inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) (^ 2 3 5. TYPE OF EXISTING ROOF COVERING a)B0p SHEATHING *6. NEW ROOF MATERIAL Tg^ flrVfegCLASS _ WEIGHT PER SQUARE 7. -NUMBER OF SQUARES 8. TRADE NAME €^ _ MANUFACTURER, 9. ROOF SYSTEM LISTING UL No. ICBO No. . 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE ^""""^WEIGHT OF THE PROPOSED ROOF? ^YESy 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 loof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature t^6>^7 t>nfA/[/(^ Date Contractor X" Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 01/28/2003 Permit# CB022735 Title CIFARELLI RES 2200 SF REROOF Description TEAR OFF SHAKE REPLACE W/COMP Inspector Assignment JE 1716 CATALPARD Lot Type MISC Sub Type REROOF Job Address Suite Location APPLICANT T R CONSTRUCTION Owner CIFARELLI LIVING TRUST 12-04-92 Remarks RERMIT-TO-EXPIRE IN-MARCH- CAN'U"FINAL"?^» Phone Inspector 3*- Total Time Requested By CHRISTINE Entered By CHRISTINE CD Description 19 Final Structural Act Comment Associated PCRs/CVs Inspection History Date Description 09/24/2002 15 Roof/Reroof 09/20/2002 15 Roof/Reroof 09/19/2002 13 Shear Panels/HD's 09/19/2002 15 Roof/Reroof 09/18/2002 15 Roof/Reroof Act Insp Comments NR JE AP JE WC JE CO JE NR JE NO LADDER OR INSPECTION CARD STILL SHEATHING ROOF COMPENSATION I N S U R A N C E PO BOX 807, SAN FRANCISCO,CA 94101-0807 F-LJND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 01-01-02 POLICY NUMBER 04G-O2 UNIT O010131 CERTIFICATE EXPIRES 01-01-O3 CONTRACTORS STATE LICENSE BOARD ATTN: "WORKERS' CQMP. UNIT BOX 26000 •- , \ - - - SACRAMENTO CA 95826^ " JOB CONTR LIC #698278 ;• " INCEPTION DATE 01-01 ' :, DO, : ,SAN DIEGO -02^1 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 "V ' ** -'. This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice1 to the employer i . X*( &»' v' W *'We will also give you'so 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 Baiter the coverage afforded by the policies 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 may'pertain, the insurance afforded by the policies described herein is subject to all the terms exclusions and conditions of such 'policies ¥ v PRESIDENT ? ' < l ,' , "' ' \. • ' \, EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS $1,000,000 00" ^ER OCCURRENCE STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS-ARE NOT ELIGIBLE .FOR BENEFITS AS'EMPLOYEES UNDER THIS POLICY ' "f- „* - ^ A \ "f ^\\ ,/ H ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE Ol/6lV02JS ATTACHED TO .AND FORMS A PART OF THIS POLICY ' " - " j, ** ^''' . / **, ;, • , ' EMPLOYER LEGAL NAME"tt TR CONSTRUCTION" 981*7 PASEO MONTR I L SAN DIEGO CA 92129 ROSSETTT, ANTHONY PRINTED 12-18-01 P0409 THIS DOCUMENT HAS A BLUE PATTERNED BACKGROUND SCIF 10265 (REV. 2-01)