HomeMy WebLinkAbout2637 GALICIA WAY; ; CB031003; PermitCity of Carlsbad
I
1635 Faraday Av Carlsbad, CA 92008
04-08-2J03 Miscellaneous Permit Permit No: CB031003
Building Inspection Request Line (760) 602-2725
Job Ad·',, s:
Permit T.
Parcel t
Valuatio11:
2637 GALICIA WY CBAD
MISC Subtype: REROOF
2161803200 Lot#: 0
$10,982.00
Status:
Applied:
Entered By:
Referen, , H· Plan Approved:
ISSUED
04/08/2003
MDP
04/08/2003
04/08/2003
Project~ ' LIBERTINI RESIDENCE
38 SQUARES OF LIGHT TILE
Applicant:
PATRIOT !cOOFI '1G
1042 E'I .. '.11NO REAL
ENCi N . OA 92064
760-57, '.15
Mis 'cineous Fee #1 PERMIT
Mi neous Fee #2
Ade. .cil Fees
TOT' I_ PERHIT FEES
Owner:
LIBERTINI JOSEPH M
2637 GALICIA WAY
CARLSBAD CA 92009
Tc' ,'(:;:i: $180.00 Total Payments To Date: $0.00
/."'
'nspector: .. J~
Issued:
Inspect Area:
225'!10MY.08/03 0002 01
$0.00 CGP
$0.00
$180.00
Balance Due: $180.00
Clearance:
NC p:.,a_:e take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter collectively
r, ) ~IJ "f _:es/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
fl · prote,t procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
pr ·,g i11 a.;cordance with Carlsbad Municipal Ccxle Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
re :;et asiae, void, or annul their imposition.
Y, . hereby FURTHER NOTIFIED that your right to protest the specifiad fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
ch -, nc·r planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fc,·. __ 1.io"s d hi h h r vi · n · · · · · I · i
02
180-00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK NO._Q_t ~ ~3,
EST. VAL. td 'i'<§=. l '(D
Plan Ck. Depolt -----\~-----
Validated By __________ _
Date. _____________ _
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Existing Use tr en; 1ZLG !>900 I Proposed Use
],
oe'scription {)fWorl(/ SQ. FT. #of Stories # of Bedrooms # of Bathrooms
2. c.QNT ACT PERSON ·(If different from applicant)
DA<>I I> Mft1U'N
Address State/Zip Telephone# Fax#
D .Agent for Contractor
I f)'f p', /:;C,, Cs'i ~ .!-/ZS J
Address Telephone#
4. PROPERTY OWNER
-.,,/Def L-{~I ).bJJ
Name Address City
5. CONTRACTOR -COMPANY NAME
(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 Codel 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 I $5001).
PA--Odor~
Nam""e Address City State/Zip . 1 1,~8)))i;,~ #
State License# ·7/ b °l '1 L{: License Class C -.3 7 City Business License# -~/_2.=/__,7'---'7'-"' (~
Designer Name Address City State/Zip Telephone
State License II ----------
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
D 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.
"21) 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~ensation insurance carrier and policy number are: ! 7 7 "J / ~ /
Insurance Company ~ ~ ~ Policy No. {__fJ '-~ Expiration Date / 2-[2 ,5
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) {
D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work tor 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.
ov rage ia unlawful. and shall subject an employer to criminal nalties and civil fines up to one hundred
aatlon, damage• •• provided for in Section 3706 of the L code, Interest and attorney's feaa.
DATE-1-/-aLl-~~c...<----
l hereby affirm that I am exempt from the Contractor's License Law for the following reason:
O 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 ottered 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).
D 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).
0 I am exempt under Section ------Business and Professions Code for this reason:
1, I personally plan to provide the major labor and materials tor construction of the proposed property improvement. D YES ONO
2. I (have I 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 I address I phone number I 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 I address I phone
number I contractors license number):-------------------------------------------------
5. I will provide some of the work, but I have contracted !hired) the following persons to pravide the work indicated (include name I address I phone number I type ofworkJ: ______________________________________________________ _
PROPERTY OWNER SIGNATURE-----------------------
COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING· PERMITS 'ONLY
DATE ________ _
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 Act7 D 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 district7 D YES O NO
Is the facility to be constructed within 1,000 feet of tha outer boundary of a school site? 0 YES D 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 tor which this permit is issued (Sec. 3097(il Civil Code).
LENDER'S NAME--------------LENDER'S ADDRESS'-------------------------
9. APPLICANT CERTIFICATION
l 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.
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
I. JOB ADDRESS: )_&> 3 J {of+t (Cl/Jr (P) y ,
2. TYPE OF BUILDING: RESIDENTIAL c9 COMMERCIAL. __ -'
3. ROOF SLOPE: RISE s;-Inches In 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) {i) 2 3
5. TYPE OF EXISTING ROOF COVERING~ SHEATHING ~ .
*6. NEW ROOF MATERIAlir, l.l.1T-7Tltc:LAss_fr:_WEIGHT PER SQUARE '>fD
7. -NUMBER OF SQUARES ]5?
8. TRADE NAME c.fi:>el2-kttE MANUFACTURER J.}.J;,J-/fi?_
9. ROOF SYSTEM LISTING UL No. Ef2. .:ZO'J'l, ICBO No. . ·-----~
10. IS THE EXISTING STRUCTURAL DESIG~ICIENT 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: -.-,
(,'
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
~:::· fl~ t_ am W3
Contractor~Owner Contractor Naf!1e k ·/!{£)-frµ-b
*6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
' m City of Carlsbad Bldg Inspection Request
For: 04/23/2003
...
Permit# CB031003
Title: LIBERTINI RESIDENCE
Description: 38 SQUARES OF LIGHT TILE
Type: MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2637 GALICIA WY
Lot
APPLICANT PATRIOT ROOFING
Owner: LIBERTINI JOSEPH M
Remarks:
Total Time:
CD Description
0
Act Comment
Inspector Assignment: JM ---
Phone: 8583531253
Inspector: ----
Requested By: DAVE
Entered By: CHRISTINE
19 Final Structural ~-------
Associated PCRs/CVs
Inspection History
Date Description Act 1nsp Comments
0411112003 15 Roof/Reroof AP JM OK TO COVER