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HomeMy WebLinkAbout2631 GALICIA WAY; ; CB020447; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-12-2002 Miscellaneous Permit Permit No:CB020447 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2631 GALICIA WY CBAD MISC 2161803300 $2,109.00 Subtype: REROOF Lot#: 0 SPOUSTA RES-1900 SF COMPOSITIO Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/12/2002 RMA 02/12/2002 02/12/2002 Q Applicant: JL ROOFING SPOUSTA KEVIN A&VALERm'.fi.4 02/12/02 0002 :J1 02 CGp Tl 2631 GALICIA WAY 960 MARYLAND DR VISTA CA 92083 760-941-4571 CARLSBAD CA 92009 Total Fees: $77.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Payments To Date: $0.00 PERMIT FEE FINAL APPROVAL Inspector: Jl,u,l,..t.f t.,~ Date: 2-/2,.o/o '1-- Balance Due: $77.00 $0.00 $0.00 $77.00 $77.00 Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the "lmpositionH 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 Car1sbad 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 11ou have nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otheiwise exnired. !196~. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PRQJl;CT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO. C/JtJ2_c}f/l( 7 EST. VAL. 9'-, 1 o 7 Plan Ck. Deposit------..,,,...-- Validated By 4.,L Date ·?-/I 2/a ol ,= ss Name (at this address) L~~al Descriptio~:' O <;;6 l<o -/QQ.-35-0 Assessor's Parcel # Description of Work 2. CONTACT PERSON (If different from applicant 3. Name 4. Name 6. CONTRACTOR -CON!PAl')IY filAr.'11: Address Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use / Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms City S.tate/Zip Telephone# (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, mending with Section 7000 of Division 3 of the Business and Professions e) or that he is exempt therefrom, and the basis for the alleged y ation O tion 7 31. y f {~the plica t a civi17Jlfy_$'-£or~ve undred dollars $5 J°~(/S J / Q, 3 q City State/Zip elephone # License Class City Business License # / ~ 0, ·? / {o 3 Designer Name Address City State/Zip Telephone State License # __________ _ 6. WORKERS' COMPENSATION 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 thl;)Nork for which this permit is issued. [D/ 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 co~en tion i sura rrier and olicy number are: (U Insurance Company --='-...)=--..:1..:.::.=...-=--ll--_J<~==.:.________ Policy No. a vS-(JO { ~-C> ~piration Date C> I -OS--0 3 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESSJ 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. nsation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred e cost o compen ion, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees. ~-Jct.4:Ll&(M~~7~~~!::::::::J~---~------DATE ~~ / cJ.., -c}()<:Jd)._ WARNING: 0 I, as owne 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 Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl 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 natl 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 I: ____________________________________________________________ _ 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 form or risk management and prevention program under Sections 25505, 25533 or 25534 of the 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? 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. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ !9. APPLICANT CERTIFICATION 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 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 Offic· nder the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is n mmenced ~ithin 180 ay fr m 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 comm for a period of s (Section 10 4.4 Uniform Building Code). APPLICANT'S SIGNATUR DATE PINK: Finance • City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: q Vd-1 6:ffl (, 1 ~ (,,{ }JL 2. TYPE OF BUILDING: Rf7'DENTIAL ~~ V ~ COMMJ«;IAL ___ ~ 3. ROOF SLOPE: RISE--;t::._inches i~ /'\ 4. NUMBER OF EXISTING ROOF COVERING (circle one} l!) 2 3 5. TYPE OF EXISTING ROOF COVERING.5~SHEATHING ~ ·&. NEW ROOF MATERIAL~ CLAssff WEIGHT PER SQUARE ~-.23s-' 7. -NUMBER OF SQUARES / q . 8. TRADE NAME f_ / /<. P-1T MANUFACTURER_£_/ k __ __,_ 9. ROOF SYSTEM LISTING UL No. _ ICBO No. £ f< Sl/-( Y- 10. 15 THE EXISTING STRUCTURAL DESIGN ~CIENT 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: _ 71 1. Tear Off/Pre-inspection prior to instalfnew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. s;gnaru .. ~ Date 0\ -/ ;J_ -J..oa 2- · •& -Rolled Roofing, Standard/Lite Tile, Asphalt/ omp Fiberglas Built up, Other. City of Carlsbad Bldg Inspection Request For: 02/19/2002 Permit# CB020447 Title: SPOUSTA RES-1900 SF COMPOSITIO Description: Type:MISC Sub Type: REROOF Job Address: Suite: Location: 2631 GALICIA WY Lot APPLICANT JL ROOFING 0 Owner: SPOUSTA KEVIN A&VALERIE L Remarks: Total Time: CD Description Act Comments Inspector Assignment: RCB Phone: Inspector: /? C-.£3 Requested By: LARS Entered By: CHRISTINE 19 Final Structural Al' F-1/i/lrt.--rvo ,,vs/'. c...,f,(D "'IVs ,re Associated PCRs Inspection History Date Description Act lnsp Comments 02/14/2002 15 Roof/Reroof AP RC OK TO COVER 02/13/2002 15 Roof/Reroof NR RC 1/2 SHEETED 1:00 PM