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Home My WebLink About1722 CANNAS CT; ; CB040424; Permit02-09-2004 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No: CB040424 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 1722CANNASCTCBAD MISC 2155013700 $3,885.00 Subtype: REROOF Lot#: 0 MCMICHAEL RES 3500 SF REROOF WD SHAKE TO COMP SHINGLE Applicant: PIVA ROOFING, BOB 1192 INDUSTRIAL AV ESCONDIDO, CA 92029 619-74&4700 Owner Status: ISSUED Applied: 02/09/2004 Entered By: SB Plan Approved: 02/09/2004 Issued: 02/09/2004 Inspect Area: A&CHOI K 4919 02/09/04 39-00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT Total Fees:total Payments To Date:$0.00 $89.00 FINAL APPROVAL SIGNATURE 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 Dat Address {include Bldg/Suite *)Business Name (at this address) Legal Description Assessor's Parcel # Description of Work . tot No. Subdivision Name/Number Existing Use SO. FT. »ot Stories Unit No. Phase No. Tola) i of units Proposed Use n of Bedrooms 9 of Bathrooms 350O I Name Address State/Zip Telephone *Fax ft Address City State/Zip Telephone » Name Address 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 cIviLpenstty of not more than five hundred dollars [4500]}.£ej> Pm fafjM iwa Trtd*&Ma Name -' Address State License t <^| 9 l3>% License Class L~ '/ A/C. &CMKJ<ff& CA ySffSt) "&b'--?qg'~tf70Q ,+ City State/Zip Telephone * ^7 Citv Business License # Designer Name Address State License # City State/Zip Telephone * ilSi!^^^ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: n 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. Q 1 have and will maintain workers' compensation, as required by Section 3700 ol the Labor Code, for the performance of the work for which this, permit is issued. My worker's compensation insurance canter and policy number are: ____ Insurance Company >xy#7C "rt^lM Policy No. f^o^WtyCS.> ^O -J Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [5100] OR LESS) ' Q CERTIRCATE 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 (ilfliOOOIjMjJSition to the cost of compensation, damages as provided for In Section 3706 of the Latyor_cqfle, Interest and attorney's fees. SIGNATURE l^'i r^*""^ __ DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: Q I, ss owner of the property or my employees with wages as their sole compensation, wltl do the work and the structure is not intended or offered for stle (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, end who does such work himself or through his own employees, provided that such improvements ere 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). Q 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 contractors) licensed pursuant to the Contractor's License Law). Q 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. Q ^^s 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? D 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? 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. ^U - r ,,' * , t* 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. 1 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 is commencedJgypp'eriotJj*Jeo days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance -1,' City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. -IQR ADDRESS: /*?,£) CotMS fo*& 2. TYPE OF BUILDING: RESIDENTIAL r COMMERCIAL 3. ROOF SLOPE: RISE fT Inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) & 2 3 5. TYPE OF EXISTING ROOF COVERING ^fe SHEATHING *6. NEW ROOF MATERIAL C0S\f> CLASS^J/VEIGHT PER SQUARE 7. DUMBER QF SQUARES 35&0 . 8. TRADE MAMETJiirttod^ && MANUFACTURER 9. ROOF SYSTEM LISTING UL No. . ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? <^> NO Alt 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: y, 1. Tear Off/Pre-inspection prior to installnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. /ofSignature ^^*fc^- — Date Contractor V" Owner Contractor Nairie Bok r/Vfl AWydA *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 03/17/2004 Permit# CB040424 Title: MCMICHAEL RES 3500 SF REROOF Description: WD SHAKE TO COMP SHINGLE Inspector Assignment: JM Sub Type: REROOF 1722 CANNASCT Lot Type: MISC Job Address: Suite: Location: APPLICANT PIVA ROOFING, BOB Owner: MCMICHAEL DEAN A&CHOI K Remarks: Phone: 7608078350 Inspector: Total Time: CD Description 19 Final Structural Act Comment Requested By: BOB Entered By: CHRISTINE Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/12/2004 15 Roof/Reroof AP JM OK TO COVER 03/11/2004 15 Roof/Reroof NR JM 06/04/2003 nwwct* C619;>58< -6400 FAX (619)584-6425 Uestland InsatiJic* Brokers 3S3S Garfno Del Rio North P.O. Box *S4S1 Diego. Ol >2U6-S4»I Bob Piva <oofing Company, Inc. 1192 Industrial Avenue Escondido, CA 92029 TMS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THECERTflCATEHOUDBtTHIS CERTIFICATE DOES NOT AMEND. EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. MSURERS AFFORDING COVERAGE MUG* Adarira? Insurance Company 24S56 Peerless Insurance Company 2419S State C«n«nsat1on ins. Fund 629 MSURBRD: KSWBBIE: COVERAGES AW REQUIREMENT, T0WORCXNUXTnNOFAHrCOHTRACTOR<OiniRD^^ tDDi 1WE IFWniKMKE A03ACX7262 06/01/2003 06/01/2004 X '""'J OCCUR MSB EXP(*y awpmm* 1.000,001 50.0W excluda l.OOO.OfM 2.000.0M 1,000,001 CBP9497628 06/01/2003 06/01/2004 COffifffiD SMGLEUHir 1,000,00! SCHEDUU O AUTOS HttEDAITOS MOLTMMRr ItwacadM) AUTO ONLY- euuxaeir OTHER THAN E*«C EXCEBaWWWilAUAHUTV "^ OCCUR EACHOCCWnBNCE DEDUCT* .£ 2S5000233503 CERTIFICATES OF INSURANCE MUST BE ISSUED BY STATE FUND 06/01/2O03 04/01/2004 XjJKLfSHjEIIff® 1.000,001 1,000,001 .raucr uwr 1,000.001 OTOtt fBECUISnNSMXIBfBr •SUDECT TO 10 IAYS NOTICE OF CANCELLATION FOR NONPAYMENT OF PREHQJH CERTIFICATE HOLtER EVIDENCE 'IF D4SORANCE ********* ********* ********************* ****»**«* M»*«**** Robert Ke*»/mt ;ORD»(200WW)OACOWJ CORPORATION «W