The URL can be used to link to this page

Home My WebLink About1730 CATALPA RD; ; CB991707; Permit05/04/1999 City of Carlsbad Miscellaneous Permit Permit No.CB991707 Building Inspection Request Line (760)438-3101 Job Address Permit Type Parcel No Valuation Reference # Project Title 1730 CATALPA RD CBAD MISC 2155111400 $2,91200 Subtype REROOF Lot# 0 REROOF 2800 SF-FIBERGLASS Status ISSUED Applied 05/04/1999 JM 05/04/1999 Entered By Plan Approved Issued Inspect Area 05/04/1999 Applicant HOFFMAN ROOFING PO BOX 442 ESCONDIDO CA 92033 760-741-7363 TOTAL PERMIT FEES Total Fees $8700 , Total Payments To Date^;- * $000\ -x Balance Due v / Miscelaneous Fee #1 ^ Miscelaneous Fee #2 / $8700 \ ^ ^ ,/>" . ' ^ $8700 /' vX - ' '~' /"~~ ' 1 $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 m 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 limitationsjas previously otherwise expired CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760)438-1161 PROJECT INFORMATION _ Address (include BIdg/Suite if) FOR OFFICE USE ONLY PLAN CHECK NO jff/Tf)/' EST VAL Plan Ck Deposit Validated By Date_ 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 2 CONTACT PERSON Of different from applicant) SO FT #of Stones # of Bedrooms # of Bathrooms Name / 3 " APPLICANT D Agent for Contractor Q Owner Q Agent for Owner State/Zip /£.., Telephone Fax # Name 4 PROPERTY OWNER Address City State/Zip Telephone * Name Address City State/Zip Telephone # 5 CONTRACTOR - COMPANY NAME„ .j " . ^^^ „ ;. r ',U . __' ,. _£ _. " „ (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 o* the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemptjon Any violation of Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not morn than five hundred dollarsJsSOO]) "7 Address License Class Name State License # City State/Zip City Business License # Telephone Designer Name Address City State/Zip Telephone State License * 6 WORKERS' COMPENSATION Workers' Compensation Declaration I hereby affirm under penally of perjury one of the following declarations D 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 •0- 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 "$~T&T? /l/F-d Policy No /*%•?// ? (/ <3OC& Expiration Date o?^^7^7 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [SI00] OR LESS) D CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not omploy 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 cnminal penalties and civil fines up to one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE __ DATE 7 OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason 0 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) 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 contractor(s) licensed pursuant to the Contractor's License Law) Q I 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 YES f~lNQ 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 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY , ~ . Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration foim or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Q YES L3 NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YE^ 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 8. CONSTRUCTION LENDING AGENCY V, - " * * * I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(0 Civil Code) LENDER'S NAME LENDER'S ADDRESS 9 APPLICANT CERTIFICATION ~~ V" " "~ , " -L, . -^ -L „," „ ^ -t „;"",, , * 1 '" '• 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 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 365 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 for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE /fttfU. /&/T7**v^—- DATE WHITE File YELLOW Applicant PINK Finance I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 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 ?/***** SHEATHING c c*6. NEW ROOF MATERIAL CLASS WEIGHT PER SQUARE 7. NUMBER OF SQUARES J2 $ _ a 8. TRADE NAME ^ze^ MANUFACTURER/ 9. ROOF SYSTEM LISTING UL No. ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN Sg^HCIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? YES^/ 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 roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Signature j - - Date Contractor T~ - Owner _ Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For 5/21/99 Permit# CB991707 Title REROOF 2800 SF-FIBERGLASS Description Inspector Assignment SP Type MISC Sub Type REROOF Job Address 1730 CATALPA RD Suite Lot 0 Location APPLICANT HOFFMAN ROOFING Owner SHELTON MARK W Remarks Phone 760-741-r363 Inspector Total Time CD Description 19 Final Structural Act Comments f\? Requested By MIKE Entered By CHRISTINE Inspection History Date ' Description Act Insp Comments 5/5/99 15Roof/Reroof AP SP COMPENSATIONINSURANCE PO BOX 807, SAN FRANCISCO.CA 94101-0807 FUND CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE 03-01-99 - - < - POLICY NUMBER 1238134 - 99 CERTIFICATE EXPIRES 03-01-00 STATE CONTRACTORS LICENSE BOARD-WORKER'S COMP. BOX 26000 SACRAMENTO CA 95826 •JOB LJC #332921 INCEPTION DATE O3-01-9S D 0 SAN DIEGO "XC0°3 O Uto 3<*> < This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California 'nsjranco Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days' advance written notice to the employer We will also give you 30 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 alter the coverage afforded by the policies listed herein Notwithstanding any requtremeri, 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 EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS PRESIDENT t $1,OOO,OOO.OO PER OCCURRENCE. STANDARD EXCLUSION INDIVIDUAL EMPLOYERS AND HUSBAND AND WIFE EMPLOYERS ARE NOT ELIGIBLE FOR BENEFITS AS EMPLOYEES UNDER THIS POLICY ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 03/01/99 IS ATTACHED TO AND FORMS A PART OF THIS POLICY - EMPLOYER LEGAL NAME HOFFMAN ROOFING P.O. BOX kk2 ESCONDIDO CA 92033 HOFFMAN, MIKE PRINTED 02-18-99 R0409