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Home My WebLink About2004 COSTA DEL MAR RD; ; CB021269; Permit04-25-2002 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Miscellaneous Permit Permit No CB021269 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Valuation Reference # Project Title 2004 COSTA DEL MAR RD CBAD MISC Subtype REROOF Lot# 0 $53,280 00 LA COSTA SPA-16,000 SF-REPLACE EXIST STD WT CLAY WITH THE SAME Applicant COMMERCIAL & INDUSTRIAL ROOFING INC 9239 OLIVE DR SPRING VALLEY, CA 91977 619-465-3737 Owner Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 04/25/2002 NEW 04/25/2002 04/25/2002 5865 04/25/02 0002 01 02 CGP 616.00 Total Fees $61600 Total Payments To Date $000 Balance Due $61600 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE $61600 $000 $000 $61600 Inspector FINAL AP 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 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 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 PROJECT INFORMATION o o «-| > ,, y; ". ••' ••^'•:' '^ +A- d €>t W/H- {< FOR OFFICE USE ONL PLAN CHECK NO EST VAL Plan Ck Deposit Validated By L Date Cos4r9- Address (include Bldg/Suite #)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total # of units Assessor's Parcel #Easting Use .a / )J-rtA^&fa<rt b). #of Stoi i2.f jrjCONTACf PERSONA! dfffeYmt,frojn*<ip{i # & Bedrooms of Bathrooms "Na/ie APPLICANT Address City Agent |or Contractor ;'•[£] ;Owher' O Agent for "Owner State/Zip Telephone ff Fax # \ONameAddressCit State/Zip Telephone # Name (^ C^~T (Kc/» £»',' >tt Address °\ .3. 3 ^ ^I i Uf/ iQ i». Cltv ^ l< State/Zip C/L :5 CONTRACTOR - COMPANY NAT!(E J W^* ^ ': "ff; ,,'^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 of the Business and Professions Code] or that he is exempt therefrom, and the basis for the alleged exemption Any violatpon of .Section 7031 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars I$500I) Name State License # J> ifJ >* ^ Address d. v License Class ^ — "* O i City State/Zip City Business License tt \ c*.C Telephone # 363^ M (a - Designer Name State License ff Address City State/Zip Telephone ?6 „ WORKERS' COMPENSATION ' ~J ;:"...' '''3'.^.. .. 'i.1 "•" \.:^',. s ,••*"•. ..' , , :, Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations ^3- 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 Sk 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 carrier and policy number are Insurance Company S>"Uang' /~O *> t3 Policy No 3 8'^" ~tS I Expiration Date 1 " \~O~J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) l~l CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the^Vorkers/^Sompensatio'^aws of California WARNING .Earture "tc/sacure vvorkers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand-dollars$lHBX-otfO) /fnwditiprfK)/me/cost of compensation, damages as provided for in Section 3706 of the Labor cade interest and attorney s fees DATE ^/j°»»'/ ^T"~^> I 7 OWNER-BUILDER DECLARATION ; :>"" -^-*:: *:,;".?<,.:" , ,V. ' ",' ^ i' "' ~" '••• I hereby affirm that I am exempt from the Contractor's License Law for the following reason l~l 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) n 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) l~l 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 [~\ YES 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 ^COMPLETE THfs SECTION FOR /VO/V-/?£S/O£/V77/U BUILDING PERMITS; ONLY \ ; ; 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' l~l YES ^0*NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? O YES •JQ 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 ^:, (CONSTRUCTION LENDING AGENCY j, '' : J'i , ^ : .'•••--.\ ,-.,.- 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 notc^rnmecif^ed within U50~days from the-lJaje of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the workjs<5rnrnencj^nor a per^d of 1 80 LdfyS (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATIJ DATE WHirffe-Ftte YELLOW Applicant PINK Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: 3-CjS)^) ^o$4fr O-e) W\/^- fcd wU>/ 2. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL^ . 3. ROOF SLOPE: RISE H ^ finches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) <jD 2 3 5. TYPE OF EXISTING ROOF COVERING SHEATHING V* ,'id £ civ *6. NEW ROOF MATERIAL ^\* A CLASS_gg^WEIGHT PER SQUARE 7. -NUMBER OF SQUARES < o(p 8. TRADE NAME C )*y-Me MANUFACTURER ^S . 9. ROOF SYSTEM LISTING UL No. ICBO No. <P fl ~ 3*^ . 10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ^YEa> 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: Q) 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 ^S-^^^U^^-? Date Contractor _Owner Contractor Name C<j,u/Qyp^-) *6 - Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For 11/04/2002 Permit# CB021269 Title LA COSTA SPA-16,000 SF-REPLACE Description EXIST STD WT CLAY WITH THE SAME Inspector Assignment RB 2004 COSTA DEL MAR RD Lot 0 Type MISC Sub Type REROOF Job Address Suite Location APPLICANT COMMERCIAL & INDUSTRIAL ROOFING INC Owner Remarks PERMIT TO EXPIRE Phone 6192474664 Inspector Total Time Requested By CHRISTINE Entered By CHRISTINE CD Description 19 Final Structural Act Comments Associated PCRs/CVs Date 06/07/2002 06/04/2002 05/30/2002 05/29/2002 Inspection History Description Act Insp Comments 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof 15 Roof/Reroof AP RB COMPLETED PA RB EAST SIDE OF GABLE OK PA RB SHED ROOF @ N W AREA OK PA RB SHED ROOF @ S END OK PPR-25-2002 09-14 FROM'.COMMERCIflL 8, INDUSTR 6194658578 TO 17606028558 Mam. CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE 13 ISSUED AS A MATTER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATEDOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED PY THE POLICIES BELOW ALL. COMMERCIAL INSURANCE SERVICES, L|_C. 6790 TOP GUN STREET (K3 SAN DIEGO CA 921 21 PHONE 858/642-021)0 FAX 858/042-0205 Agency Llc# OCS4S52 INSURED COMMERCIALS INDUSTRIAL ROOFING COMPANY, INC 9239 OLIVE DRIVE SPRING VALLEV CA 91977 COMPANIES AFFORDING COVERAGE 'COMPANY A ADMIRAL INSURANCE COMPANY COMPANY B GOLDEN £AGu£ CORPORATION COMPANY C TOPA INSURANCE COMPANY COMPANY D' STATE FUND ' COMPANY E THIS IS TO LbKriTY THAT (Hb POLICIES OF INSURANCE LISTEI) BtLOW HAVE HhbN ISSUED TO IHb INSURED NAMbL NOTWITH31ANDING ANY RtQUIREMENT TERM OR CONDITION OF ANY CONTPACr OR OTllCR DOCUMENT WITH RfcSPEOR MAY HERTAIN, THF INSURANCE AFFORDfcD BY THE POLICIES DESCRPFU HtREIN IS SUBJFCT TO ALL THF TERM3IIMITS 440WN MAY MwF BFEN REDUCE'i nY mo CLAIMS **$ TYPE Of INSURANCE POLICY NUMBER 'SvttiiiiEiaSPv!' 'oKnaSSSSifn' i.fcNERAL LIABII ITY A01A010604 MAY 1 01 MAY 102 X i uMMI iii lAI '.INH»AL LIABILITY 01 AIMS MADt X OCCUR A OFlVL AGGREGATE LIMIT APPLIES PFR- POUCY WO.MT ,LOC AUTOMOBILE LJAOIUIY CCP54&685-02 MAY 1 01 MAY 102 ANY AUTO | X ALl OWNt-U AUTOS ' ' SCHFWIED AUTOS X 1 HUM) AUTO'. X NONuWNHIALirOS 1 GAKAUP LIABILITY ANY AUTO KXLF66 LIABILITY XL11447 MAY 1 01 MAY 1 02 X OCCUR CI.AIM3 MADE C IJI DULIIbIL I'l a N I ii IN < HSKKv«:S»^0.ll!K1N?nTI°"MAN|J 285-1753-02 JAN 1 02 JAN 1 03rndvl iTbN^> IflDlLI 1 I D ( 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS FOR INFORMATI ABOVE FOR IHE POLICY Hl- CT TO WHICH THIS CCBTIFICAEXCLUSIONS AND CONDITION LIMITS bACH OCOJRHbNLt FIRE OAMAOb (Any Onn FM MED EXP(AnyOnn>ixBon) PERSONAL iAOV INJURY OENERAL AOQHEQATE pnoDucTs-coMr/op AQO COMBINED SINGLF LIMIT(EaacaaeAl) BODILY INJURY(Per pnmon) ROOILY INJURY PROPERTY OAMA3E AUl O ONLY - 6A ACCIDENT OTHER THAN EAACC AU 10 ONLY AQO AGGREGATE EL £ACH ACCIDENT E L DI3EASE-FA EMPLOYEE EL DISFASE KJLICY LIMIT ONAL PURPOSES ONLY <IUL> INDICATEDTE MAY DE ISSUFP S OF SUCH POl ICltS |$ 1,600,000 $ 100,000 1 EXCLUDED 5 1,000,000 t 2,000,000 9 1,000,000 S 1.000,000 f S if 1 5,000.000 $ S S i 1,000,000 S 1,000,000 1 1,000000 CERTIFICATE HOLDER ADDITIONAL INSURED INSURER LETTER CANCELLATION FOR INFORMATIONAL PURPOSES ONLY Attention SHOULD ANY OF THF ABOVEEXPIRATION DATE THEREOr, 1DAYS WRITTEN NOTICE TO TV-FAILURE TO DO SU SHALL IMPOINSURER, IT '1 An|-NT9 OR REP AUTHOKIAU HEPRFShNIAIIVE DUSCPIflbD POLICIES B6 cy\NCCLLFO BEFORE THE FMF ISSUING COMPANY WILL ENDFAVOR TO MAIt 10 F. CERTIFICATE HOLDER NAMFO TO THE LEFT PUISfe NO OBLIGATION OR LIABILITY OF ANY KIND UPON I HLRESENTATTVES /?f *,€,/£- jf£&»- ACORD 25-S (7/97)Certificate # 20441 Mark Rubin 0822037