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HomeMy WebLinkAbout1745 CATALPA RD; ; CB993309; Permit09/07/1999 City of Carlsbad Miscellaneous Permit Permit No'CB993309 Building Inspection Request Line (760)438-3101 Job Address Permit Type Parcel No Valuation Reference # Project Title 1745 CATALPA RD CBAD MISC 2155150400 $2,808 00 Subtype REROOF Lot# 0 TAYLOR RES-2700 SF COMPOSITION Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 09/07/1999 RMA 09/07/1999 09/07/1999 Applicant LAFAYETTE ROOFING 633 W 5TH AV ESCONDIDO CA 92025 760738-3718 tAW©R«J©HN&MARION FAMILY TRUST 3*41 09/07/99 0001 01 02 87.00 Total Fees Miscelaneous Fee#1 Miscelaneous Fee #2 TOTAL PERMIT FEES $8700iotaffeayments To'Date $87 00So oo $87 00 Inspector FINAL APPROVAL fo/GfflDate 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 nght to protest the specified fees/exactions DOES NOT APPLY to water and sewet connection fees and capacfry 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 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 ,1 PROJECT INFORMATION • , *CA-rnt-Pft fL A FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Deposit Validated By Date Address (include Bldg/Suite #}Business Name (at this address) Legal Description Lot No Subdivision Name/Number umt No Phase No Total # of units Assessor's Parcel Existing Use Proposed Use Description of Work CONTACT PERSON (if different from applicant} SQ FT #of Stories of Bedrooms # of Bathrooms Name * Address 3"," APPLICANT^ '2J Contractor * > tD^Agent for Contractor - n vs" 6n i City Agent 'for Owner " State/Zip Telephone #Fax Name 4 ,„ PROPERTY OWNER Address City State/Zip Telephone ft Name Address City State/Zip Telephone # 5 " CONTRACTOR'- COMPANY NAME (', .•, ^ -• - -' . _' 7,:~ ' n"\*" - "'\;" • 7 ^ n 7 ' - ;,",, 4! -r'.V, •*- " ' ,! ,. „ (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 # / 33 iff *—' Address License Class ity State/Zip City Business License # Telephone # Designer Name Address City State/Zip Telephone State License ff 6 WORKERS'COMPENSATION ' , ' ,, ,', s, >f v , . Workers Compensation Declaration I hereby affirm gnder penalty of perjury one of the following declarations l~l 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 J^TTiave 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 carrier and policy number are Insurance Company J/VPZ^O ZLA&VVZVVflJCJL, Policy No jAj C-Z-^H,^ 11^ Expiration Date__v» / l^> I ZJ3& «J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) C] CERTIFICATE OF EXEMPTION I certify that m 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 ($100,OOD) .m addijCon to the cost of compensation, damages as provided for m Section 3703 of the Labor code interest and attorney's fees SIGNATURE ~sb< f&vlTW "^^^V DATE *?/ 7/ ? ? 7 OWNER-BUILDER DECLARATION " '. ,., , ', ^'•< """' 1 '" "',_'."' 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 suth 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 I personally P'an to provide the major labor and materials for construction of the proposed property improvement L7) YE3 f~lNO 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 NO COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY-" • " ,.'*".. L ,,> >. , J * 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 !s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Q YES 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 , , ' " *T ' , , r 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 __ _________________ __ 9 APPLICANT CERTIFICATION >, "." > ^ > ! ,' , ' ,. "•-.., „„ „> t , , > 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 Carlsb.id 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 workys commenced for a period of 180 days (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE / JL// fat4%$ '~/Ms*'l>>*l DATE _ WHITE Flip YELLOW Aoclicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: nny 2. TYPE OF BUILDING: RESIDENTIAL >^ COMMERCIAL 3. ROOF SLOPE: RISE H inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) G) 2 3 5. TYPE OF EXISTING ROOF COVERING JTtrtVt SHEATHING *6. NEW ROOF MATERIAL COWf CLASS A WEIGHT PER SQUARE 2 4 o ft* 7. NUMBER OF SQUARES 8. TRADE NAME /fcfesn J/l- MANUFACTURER Lilt, 9. ROOF SYSTEM LISTING UL No. iZ-Sttf ICBO No. 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE /"""^WEIGHT OF THE PROPOSED ROOF? /YES ) NO AH 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/*fM, ~7~4H Date 1 } 7 / f f Contractor A Owner Contractor Name *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Inspection Request For 10/12/99 Permit# CB993309 Title TAYLOR RES-2700 SF COMPOSITION Description Inspector Assignment SR Type MISC Sub Type REROOF Job Address 1745 CATALPA RD Suite Lot 0 Location APPLICANT LAFAYETTE ROOFING Owner TAYLOR JOHN&MARION FAMILY TRUST Remarks Phone 0000000000 Inspector Total Time CD Description 19 Final Structural Act Comments Requested By PER MIKE PETERSON Entered By CHRISTINE Inspection History Date Description Act Insp Comments 9/8/99 15Roof/Reroof AP SR fiUG 25 1999 9 02flM LRFPYETTE ROOFING NO.248 CERTIFICATE OF LIABILITY INSURANCE CBRAW BIPH.LW DATE (MM/DD/YY) 07/12/BB PROOL/CSR Barrow Group, LLC 63« Exchange Place, Suite 300 Lilbnm, GA 30047 THIS CERTIFICATE IS ISSUED AS A MATTER OP INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Conf a"V SAFECO Insurance of AmericaA Lafayette Rooting 911 Bastmont Place Escondido, CA 92026- company 8 Company C Company D COVERAGES IHIS1 INDICATED, NoTWnHSTAMJnlG ANY REQUIREMENTS, TERM Oil CONDmON OF ANY CONTRACT OR OTHHl DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY tERTAlN, THE INSURANCE ATFOBIffiD BY THE POUC1BS DESCRIBED HEREIN IS SUBJEC1 TO AIL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOTICED BY PAID CLAIMS. CD L.T*TYPEOF INSURANCE POLICY NUMBER POLICY EPFBBTWE POUCVEXWHATION Ltwins GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY "nCLAFMSMADe | | OCCUR. OWNER'S & CONTRACTORS PRDT PERSONA * ADV INJURY EACH OCCUBAHCE PIPE DAMAGE (Any on* Fir*) MED EWiArvwifl person) AUTOMOBILE LIABILITY ANY AUTO ALl. AUTO GCHEOtJLED AUTOS WRED AUTOS NON-OWN5D AOTOS COMBINED SINGl£ LIMIT BODILY INJURY {Per person) BODILY INJURY pRopgRTYPAMAOE fiARftSE VIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT OTHER THAH AUTQ ONLY- EACH ACCIDENT AGGREGATE EXCESS LIABILITYnUMBRKLLA FORM OTHER THAN UMSRELW FORM EACH OCCUfWNCE WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCSTATU 0TH- WC2349179 06/16/19&9 06/16/2000 EL EACH ACCIDENT 31,000,000 THE PROPRIETOR/ PARTNER8/EXECUTIVE I«CL BXCl El DISEASE - POLICY LIMIT $1,000,000 EL DISEASE - EA EM M.OVee $1,000,000 OTHER DESCRIPTION OF DfEHATIONSn/EHICLSVaPEClAL HEMS «q,YEMPLOYB6aoF BUILDERS ST AIT CORPORATION EVIDENCE DP CQVBMGB PJtOVTOED TlffiNATUft£Al*5COPBQPTHEm.E CERTIFICATH HOLDER EVIDENCE OF INSURANCE For Torification of coverage Call (760) M3-2350 Ext 5 ACORD CANQELUTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL_30_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAME TO THE LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL WHOSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE Robert G. 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