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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