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Home My WebLink About2623 GALICIA WAY; ; CB981361; PermitB U I L D I ~ G P E R M 1 T Pcrm1t No: Cfd813o1 ProJec-t No: A9801817 Development No: OS/07/':JR 13:16 Page 1 0f. 1 Job Addre.,;s: 2.62~ GALICIA WY Suite: Lc,t #: Perm1 t 1ype: MISCELLANEO'l~ Parcel No: 216-180-34-00 Valuation: 2,704 Occupancy Grnup: Reference#: Description: RERuOF 2600 SF, COMPOSITION 760 Appl/Ownr : URBACH ROOFING 2131 PALOMAR AIRPORT RD #300 CARLSBAD CA 92009 *** Fees Required *** ---------------------------- Fees: AdjustmPnt::::: Total Feet.: Fee oescript1on -------------------~- Miscellaneous Fee# * MISCELLANEOUS TOT CLEARANCE ronstruction 7ype: NEW ISSUED 05/07/•8 05/07/~8 JM StJ.tus: Applied: Apr/Issue: Entered By: 431-5113 6843 05/07 /98 0001 01 ollccted & Credi tGt-PRHT 02 * * * 87-00 ------------------ .00 .oo 87.00 Ext fee Data ----------- 87.UO PERM17 FE:E >37. 00 AP P-~~-JVAL DATE .?' )-J ,ff CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 ✓ ✓ PERMIT APPLICATION ·CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 Address (include Bldg/Suite I) Business Name (at this address) uigal Description Lot No. Subdivision Name/Number Unit No. Phase No. J.Jt., • /~0·3 '-/-OD ~c.v Assessor's Parcel I Existing Use Proposed Use Total II of units Name Address City State/Zip Telephone II Fax II ~AmJCANT.,0..:•~n.ua·ctiir Z.: GA..li'en17tpr.:c9.llfui:ior-"•i:O ov;X_ir;~~;G •A-1ienr ,t.Qr:P.wMi~~'f~~J;;XS:..~~~C-'.;:.7,ii::: : ··"" u,ii,ftyt·-""ao~:r,~;. ~fl',, -~,-i,. jj;J;;;,+:; ~:x·n~ ii~~; Wsb,nL Cl+ 'fJ.009 ~i'~-·-;;.-M-5/I~ Name / Address City State/Zip Telephone I "'"~"~QWJWLqf"~~~~J'!,,.%'n:;~iVffe~";'11,,--;rm:mwttts~~~:-ili::.;.~~~~~;._ •. rt1>1,--k.s famil'J 71<vst, M,,2 6-Jiu°"-wt iCa.Jsb~e Ut 9;.009 ?<,o-'?S!J...ot?97 Name Address . City State/Zip Telephona I i:·!.d~ci:iHTBA.CJ"ifjj'g,'c'c>MP.~~;®§S§M•.§Aiii:#½#ffiiF&&M,¢± %&5i&61Sit1· SM~4t'E~,~i°i¼:i"' (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 ($5001). LJ.tedft'-H Roe>Fm, .Jnc..., o/131 P,,Jamo,u a.+:y,ii::tk Be!-""-100 , Cvt.lsbw_, Cl'1 9>.0ot ?r,o-'f,1-s113 Name r Address v City State/Zip Telephone I State License# ~OA ?? "fl License Class C-~ ff City Business License I li,,OC,fzi 8j Oesigner Name Address City State/Zip Telephone State License II __________ _ ~;WQ.RKfJis.:·.coMPEN~TIOfUl~:.~,!~.l!Eru~~~~~..i~_::·_.~-::.;.:~.l!~i:i~~~~~~~~~=lli~~i~:;<~me:1~;;;~~~~~~~~~.!~;f~~ii-~:~~: . ._:~· ... ~-'-:;.._· .. ,1. Workers' Compensation Declaration: I hereby affirm under penalty of perjury_ one of the following declarations: 0 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 won: for which this permit is issued. ~ 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 ara: Insurance Company s·t,.,'tl; ,j-~ Policy No. ~ IS-9 cf (.Hf/'/-Oo a:; 9,0),. Expiration Date 1-1-9 'I [THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the parformance 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 aecure·worlcers' compensation coverage ia unlawful, and shall subject an employer to criminal p<tna/tiu end civil fines up to one hundred thousand dollars ($1 COOi, in addition the co of compensation, damages u provided for In Section 3706 of the~ ~e, lntereat and attorney's fe-s. SIGNATURE . DATE S't....LL.:z Y :7. ~ -~OWNER .. BUILDER :~ .:-.~.:~~;z¾,.i~"'f;~..:•_f.:~~~~rl.;-;~S,,2i~~~i~~~-~-::•.:::_:~{."'.;~~•r·.'. ,.;· ;_~ · 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 ule). 0 I, as owner of tho property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Buainesa and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves theraon, and contracu for auch projecta 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 matarials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposad work. 3. I have contracted with the following person (firm) to provide the proposed construction !include name / address I phone number / contractors license number): 4. I plan to provide portions of the work, but I hava 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 parsons to provide the work indicated (include name / address / phone number / type of work]:. _____________________________________________________________ _ PROPERTY OWNER SIGNATURE----·---------------------DATE _________ _ 13 -:h~ =~~l!c:~t C:" fut:;re !:ui:c:Hr,w v.:cupant raql.Nritd to ~ubmit a bu~ine~~ µian, acuteiy hazardous materials registration form er nsk. management end prttvention program under Sections 25505, 25533 or 25534 of the Pruley•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 1 O YES O NO Is the facility to be constructed within 1,000 f"t of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. ~-~1!~.Ns:mUCTION LENDING:AGENCY·-~;-::--~~~~~~.;_~~T:'~-~;~~~~t:~~;~,;~:-;.--;-::-;:~~~~~;~~~~~~~;~~-\~:-::.>.· I hereby affirm that there is a construction lending agency for the performance of the work for which thia permit ia iaaued (Sec. 3097(i) Civil Code). LENDER'S NAME _______________ _ 1s;.,, __ APPUCANT-CERTIFICATION LENDER'S ADDRESS _________________________ _ I certify that I have rHd 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 reprHent1tivea of the City of Carlabad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 p<1rmit Is required for excavations over 5'0" deep and demolition or construction of ltructutaa over 3 11oriaa in height. EXPIRATION: Every p<1rmit Issued by the Building Official under the provisions of this Code shell 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 w commenced for• ·od of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance PERMIT# CB981361 DESCRIPTION: REROOF 2600 SF, TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 05/22/98 COMPOSITION STE: INSPECTOR AREA PD PLANCK# CB981361 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2623 GALICIA WY APPLICANT: URBACH ROOFING CONTRACTOR: PHONE: 760 431-5113 OWNER: REMARKS: C/KAREN SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: PHONE, ~ INSPECTO~ ACT COMMENTS _1_9 __ sT ___ F_i_n_a_1_s_t_ru_c_t_u_r_a_1 _______ f ______________ _ ------------------ DATE 051898 051598 DESCRIPTION Roof/Reroof Roof/Reroof ***** INSPECTION HISTORY***** ACT INSP AP PD NR PD COMMENTS 12:35PM a V CITY OF CARLSBAD 1. 2. 3. 4. 5. *6. 7. 8. 9. 10. SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING JOB ADDRESS ;i "a:'> Gg£ / '4.tt.. w"1-- TYPE OF BUILDING: RESIDENTIAL~ COMMERCIAL __ ROOF SLOPE: RISE I.( inches in 12 inches TYPE OF EXISTING ROOF COVERING Sh.kµ SHEATHING ______ _ NUMBER OF EXISTING ROOF COVERINGS {c~rcle one) U) 2 3 NEW ROOF MATERIAL· Sh.m~ CLASS_Jl_ WEIGHT PER SQUARE ___ _ . NUMBER OF SQUARES as¼: ~.....WU, TRADE NAME GR-F ll,l/4(a., 'to flJll MANUFACTURER=r,;6-"-'fJ:,,,,..F=~-----~m ~t>!l'fiM ROOF SYSTEM APPROVAL UL No. "1'11 Other 19-ST"m -.IJ"30l8'f'j_,u-1 IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTff~"THE wfia~f~OFt,,a&~ THE PROPOSED ROOF YES ✓ NO __ _ If the answer is no, a roof plan must be provided with this application. 11. Fire rating of roof: Class A ✓ Class B __ I understand the following inspections are required: l. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. SIGN Contractor--"'✓--Owner __ _ I DATE, URBACH ROOFING, INC 2131 PALOMAR AIRPORT RD, #300 C t t N ~ CARLSBAD, CA 92009 on rac or ame._-4k::-----<~ffi: 11 ~,~~4:l:l-1lL.,liH-l~l:i"----- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.