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Home My WebLink About2600 GALICIA WAY; ; CB051616; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-·19-20d5 Miscellaneous Permit Permit No: CB051616 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference#: Project Title: Applicant: PATRIOT ROOFING 2600 GALICIA WY CBAD MISC 2161801100 $8,700.00 CONLIN RES-30 SQ LITE TILE 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Subtype: REROOF Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: CONLIN JAMES J 139 LOMAS SANTA FE DR SOLANA BEACH CA 92075 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees PERMIT FEE TOTAL PERMIT FEES Total Fees: $153.00 Total Payments To Date: $153.00 Balance Due: Inspector: Clearance: ISSUED 05/09/2005 LSM 05/09/2005 05/09/2005 $153.00 $0.00 $0.00 $153.00 $0.00 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 nght 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 f f ' ' . I FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF' CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK No.00 C) S ) 0 1 ~ EST. VAL. __ f5 __ 1_V{)~~--;r;1-r--- Plan Ck. Deposit -1:l...-..,'.!::!:~:S.:::S~!:£..-- Validated By __ ---'!c........;'-r-'-"------ Date _____ =+~-+-~------ ,.1.. ,..'t, Business Name (at this address) Legal Description Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Proposed Use Description of Work #of tories # of edrooms # of Bathrooms Name Address City ,.,• Owner . ;0 Agerit,f.or'Owner City State/Zip Telephone# ·,. State/Zip Telephone# N City State/Zip Telephone # State License # --"" ...... "'-+-..._--'-----City Business License# JJ1 l//} j l , r • I Designer Name Address City State/Zip Telephone State License # __________ _ ts:~:~wlii'l1CiiRs<,1C:oMP,~S"+it:19'N,,J.~' ,.;-·,)\:·:., ,·::: •. , . · .:,. ,, <:1:' • • :., ,, ' ... ,. \.,;,t. ~' -~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Fax# .~• . ["~_,;, ' O 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 whic issued. My worker's pe,:isation insurance carr'?Jand po cy nu ber are: } /' ti (J(){)Q2- lnsurance Company ( ~ Policy No. t{ _ L f} <;fl /0 ':J-0 I Expiration Date,.....,.~.u,~~--- ITHIS SECTION NEE NOT BE COMPLETED IF THE PERMI IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 0 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 Workers' Compensation Laws of California. WARNING: Fallur .to 'Hcure workers' compensation coverage la unlawful, and shall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars 1 ,0001, In a ion to the coat of compensation, damages H provided for In Section 3706 of the Labor code, lnt,t and attorney's faes. SIGNATURE•;;;:;z:,;~~~~~~~t;:-::::::;:;:;-:::;:::;;:;:;:;'7;:::;:::-;:::-::;;::-:;-:::::;;;-:;;:::-:-:;--::-:;-;:;:-::;-;-:;::::-~ DATE . x 1--tJ s jj;jJf\Ji~Nij-ff,,_jQ. 1P.£'.lif~E~~R'.Aifl~~~~i•:~l:~~:,.: :}. /·: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). 0 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 Lew 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 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. 0 YES 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 constructicn (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 _______________________ _ [CQNiP.,l;,1'.l;;;r,HISiSi:C:rJoNiFOR 'N.ON-RfS/bENT/AL;Bl,IILOING ,l'rERMITS. 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 tha Presley-Tanner Hazardous Substance Account Act? 0 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O 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. ft,l:;ii[pg~~l',QJJ;C1iJdij/~ENQINP}A,G1;~¢:'(•~:1) ;: ;: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Code). LENDER'S NAME ______________ _ rs~;?.~A~~iQ.NJT.~~C.ERJ!tf;'ieA11ofih<~1:::.··. ;:1-:;:,:J:~~.i:1 i;:,; '. ;,::i•,,\; 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 Citt 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 l>ERMIT. 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 OHiclal 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 lhe 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 com nee for a period of days (Section 106.4.4 Uniform Building Code). DATE YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDREss: J(Ror) wa/icla uJ~ 2. TYPE OF BUILDING: RESIDENTIAL K COMMERCIAL. __ _. 3. ROOF SLOPE: RISELf • S' inches In 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) c) 2 3 _ 5 •. TYPE OF EXISTING ~pp~ov~RING~SHEATHING ~ • *6. NEW ROOF MATERll'Ccor1( -h\J cLA's~03 O WEIGHT PER SQUARE 7. -NUMBER OF S~~~R~Q s. TRADE NAME~J .. ,Xe;iNuFAcruRER Mon ,.iJ ::L\e_, 9. ROOF SYSTEM LISTING UL No. . ICBO No. 2-(c.)"le . 1 O. IS THE EXISTING STRUCTURAL DESIG~IENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? ~ 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: .iJ I' 1. Tear Off/Pre-Inspection prior to lnstalf'new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. Signature i?~J.w(,J(j,L( Date S -"7 ~os- Contractor~Owner . Contractor Na111e /1,/Y, ·rrj /JJc:117, *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, ~- Other. m ,, . • . City of Carlsbad Bldg Inspection Request For: 06/01/2005 . Permit# CB051616 Title: CONLIN RES· 30 SQ LITE TILE Description: Type: MISC Sub Type: REROOF Job Address: 2600 GALICIA WY Suite: Lot 0 Inspector Assignment: Phone: 7605222285 Location: Inspector: ---- OWNER CONLIN JAMES J Owner: CONLIN JAMES J Remarks: Total Time: CD Description 19 Final Structural Act Comment Requested By: AILEEN Entered By: CHRISTINE t;k------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 05/20/2005 15 Roof/Reroof AP JM OK TO COVER