HomeMy WebLinkAbout2638 GALICIA WAY; ; CB000164; PermitCity of Carlsbad
01/17/2000 Miscellaneous Permit Permit No:CB000164
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
Applicant:
2638 GALICIA WY CBAD
MISC
2161802100
$2,080.00
RE-ROOF 20 SQ
SECURE ROOF INC
2210 MEYERS
ESCONDIDO CA 92029
760-432-9084
Total Fees: $87.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
Inspector:
Subtype: REROOF
Lot#: 0
Date:
8092 01/17 /00 0001 01
Status: ISSUED C-PRMT
Applied: 01/17/2000
Entered By: GMF
Plan Approved: 01/17/2000
Issued: 01/17/2000
Inspect Area:
$87.00
Clearance:
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 Cartsbad 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otheiwlse ex ired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
02
87-00
• I I Pt:RMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA· 92009
(760) 438-1161
FOR OFFICE USE ONLY
PLAN CHECK NO. c.&JOQ1<p4
EST. VAL. d:OlbC)
Address Clnclude Bldg/Suite II Buslnoss Neme Cel this eddrBSsl
Legel Description Lot No. Subdivision Name/Number Unit No. Phue No. Tolftl fl of units
r Proposed Use c -...., rs-h.:,) et:J 1.,,...,00 0
II o Bodroo s fl of Bathrooms
• j-'! ~· lJ1' I I
Name Address Chy Slete/Zip Telephon!I II
~ffb ~~~1{!~~i.tfb~ ;o~;~a~~=t~wneri'~o C\ ~-, ~ t, t· · ., t>5:g-(,93-',{pfoh~
Name Address City Stftle/Zlp Telephone fl
i'4{\ JrpN6Pi:ltn',tSWNl':i\'i't"1i,~lll'l~~~ri;;~11'~'i1:i::lf(\Tt ,l~'i'l;l.7\' :.;j~tj['l7t"'fl:f r't//F1,,·• ' ~ ;;-t '' . , .. , :,,1 ·'
·;r; E 3 ' W
Neme AddrHs City Stale/Zip
it;J'Hr.1t:C,NfliAt:tbnil't!dMPANYYNAMi!1'i'l\'r.~tnl'U~-~'r,~r1'tT~'.1r·~,1rr:Jiy'[:F!i[;:;fi"'.1:, ,' '1"•1t " ''' ~ , .. -,,q. It, Ir ,
CSec. 7031.6 Business and Professions Code: Any City or County which requires • permit to construct, alter, Improve, demolish or repel, any structure, prior 10 lls
Issuance, elso requires the applicant for such permit to file • signed statement that he Is licensed pursuant to the provisions of the Conlreclor's License Lew
IChepter 9, commending with Section 7000 of Division 3 of the BuslnHs end Professions Codel or that he Is exempt therefrom, end the basis for the elleged
e emption. Any vloletlon of Sectlon~31.6 by any applicant for• permit subjects the applicant to• civil penally of not more then five hundred dollars lt60011. ~ -, . Sr . 'id-\::> ..:s --1Jtob3
AddrHS City State/Zip Telephone fl
City Business License I ''203b&""2-
Designer Neme Address City Stele/Zip Telephone
State License I ----------
'&. ·n,· WORKERS}1COMPENSAtloN'J~~J:-:,:k. i'::·;:rnret; .(;'141\ ~\'.t .11::. ,, ' I I ' •• , " • It 1'1"'
Workers' Comperutlon Decleretlon: I hereby ellirm µnder penalty of perjury one of the following decleretlons:
0 I h11ve end will melnteln. e certlflcete of consent to sell-Insure for workers' compenutlon es provided by Section 3700 of the Labor Code, for the performance
of~ work for which thl• permit Is Issued. ·
lJ I heve end wlll melnt1ln workers' compensetlon, 89 required by Section 3700 of the Lebor Code,. for the perform11nce of the work lor which this permit Is
Issued. My worker·, compen11tlon lnsuience carrier end policy number ere:
Insurance Company \h\\O,, f\oy 0,, · Polley No._~\~5~0 __ \_"1_{p ____ _ Explr11tlon D11te ___ t.\._\_, _\_C:>_\
CTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 on LESS)
O CERTIFICATE OF EXEMPTION: I certify thet In the performance of the work for which this permit Is Issued, I shall not employ any person in eny menner so es
to become eubfect to the Worker•' Compensation uiw• of Cellfornla.
WARNINO: Failure to aecure workara' compenaellon c:overiige la unlawful, •nd ,hell 111bfect en •mployer to c:rlmln11l penalllH end civil fines up to one hundred
thouHnd doll••• Ct100,000). In addition the co,t of c:cimpenHtlon, dam,gH H provided for In Section 3708 of the Ltbor c:o'\e, lnterHt and ettorney·a fee,.
SIGNATURE fY\ ' _8 . ~ DATE \ _l \ ~ \ EX:)
·11·"''0Wt.leii,)ilJllbER:f>ECllARAfloN'fi,l;{~'r11r'f/\,lf;1,n,.,f':lf(. 1~-:pir.j"~·~n,H1°11~-:,:,N,',,\,,,., I,' ' If !·•1·' ' ,! ,,f,,'i t t,:i:; lit ,ii':':t,::, ,r';Jj i.lt"'lt) .,:, ,,. '·i'" ' '
I hereby affirm that I Im exempt from the Contractor'• Ucense Lew for the following reason:
0 1, es owner of the property or my employees with.wages 19 their sole compensation, will do the work end the structure Is not Intended or ollered for sale
(Sec. 7044, Buslnen and Profesaions Code: The Contractor'• License Law does not 1pply to en owner of property who builds or Improves theu,on, end who does
such work himself or through hie own employees, provided thet euch Improvements••• not Intended or ollered for nle. II, however, the building or Improvement Is
sold within one year of completion, the owner-builder wlll have the burden of proving that he did not build or Improve for the purpose of nlel.
0 I, as owner of the property, em exclusively contracting with licensed contractors to construct the project CSec. 7044, Business end Professions Code: The
Contractor's License Law dou not apply to en owner of property who builds or Improves thereon, end contracts for such projects with contractor(sl licensed
pu11u1nt to the Contrector'1 LlcenH Law).
0 I am exempt under Section ------Business end Professions Code for this reeson:
1. 1 pe11onelly plen to provide the mejor labor and materl•I• for conetructlon of the proposed property Improvement. 0 YES ONO
2. 1 lh1ve I have notl 1lgned en eppllcetlon for e building permit for the proposed work.
3. I h11ve contracted with the following person (firm) to provide the proposed construction Clnclude name I eddre11 I phone number / contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the m11jor work !Include neme / 11ddress / phone
number/contr1ctorellcen1enumbe~:-------------------------------------------------
6. I wlll provide some of the work, but I heve contrect~d (hlredl the following peraons to provide the work Indicated Unclude name / address / phone number / type of workl: ___________________________________________________________ _
PROPERTY OWNER SIONA TURE DA TE -------------(COMP l.tti! :t" 1 iU t CT I b N,J ¥. O i\J NC, N./t n / b EJI/ HAL ( iU I [ ti IN 01 f E It iw it i ( a NI! ',':j;J 11 U I'~!. I! i 'lll; (, N ~ l t, f i 'M > Ji 1) Ntjf ~ l M • rn \, i f.'ll ,I: mi'Ii!I"i:111' t ~.('if~ f. ·) ! , W · 't ! I I\ f •, 1,' I 'i;, r, •: 1 r '· ,rr.• ~)·:;·
11 the eppllcent or future bulldlng occupant required to ,ubmlt • business plan, eculely huerdous m•terlel1 reglslretlon form or risk menegement end prevention
program under Sections 26606, 2~633 or 26634 of the Presley-Tenner Henrdous Substence Account Act7 0 YES O NO
Is the eppllcenl or. future building occupant required to ob~aln • permit from the air pollution control district or air qu11llty mene,11emont district 7 0 YES O NO
Is the fecillly to be c:on111ucted within 1,000 IHI of the outer boundary of • school alle 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 on IS MEETING TIIE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
lil'f~'<:6NiftnUcti6NnffDINll~tiEfUlY~t~~;f~l:Y,~i'r/1!W.~ilf,A•.:r;3J.~~J'.(i'.'J.J:, .>;~'\l:iJ.l;!i'l.t'~lµ.;fjK,m ;.'ff .i~.:1 '.t.[:,,'' ','!:: ,,
I hereby affirm that there ls II construction lending egency for:the perform11nce of the work for which this permit ls Issued CSec. 3097C11 Civil Codel.
LENDER'S NAME ---------------LENDER'S ADDRESS ________________________ ~
ti
I certify that I h•v• reed the eppllcatlon end 1t1te thet the e~ove Information Is correct end that the Information on the plans Is eccurete. I egree to comply with ell
City ordinances end St,te l,w, relating to building construction. I hereby authorize represent11tlves of the Cllt of Cerlsbed to enter upon the ebove mentioned
property for Inspection purpo1e1. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS UIE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TUE ORANTING OF TWS PERMIT.
OSHA: An OSHA permit Is required for excev1tlon1 over 6'0" deep end demolition or construction of 1tructur111 over 3 alorles In height.
EXPIRATION: Every permit Issued by the Building Offltl•I under the provisions of this Code 1h1ll eMplre by llmll1111on end become null end void If the building or
work authorized by such permit Is not commenced.within. 366 days from the date of such permit or If the building or work euthorlzed by such permit Is suspended
or abandoned 111 any time after the work Is commenced for I period of 160 days (Section 106.4 .4 Uniform Building Codol. ' . .
APPLICANT'S SIGNATURE DATE
: Ap11llcRnt rtNK: FlnRnce
... ~ • City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: ·u '?:)'3 (;G\ \ i. C:..,\ '0i w°='i}
2. TYPE OF BUILDING: RESIDENTIAL I( COMMERCIAL __ ~
3. ROOF SLOPE: RISE ,3 inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) (j) 2 3
v-sD
5. TYPE OF EXISTING RO~~RING ~ SHEATHING .
*6. NEW ROOF MATERIAL~ CLASS A WEIGHT PER SQUARE 3:,t>LB~
7. NUMBER OF SQUARES 'c).O •
8. TRADE NAME G,.A-F "'i,O°iR MANUFACTURER_G.-V\_f' ___ _,
9. ROOF SYSTEM LISTING UL No. l's-'d.l ICBO No .. ____ ~
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT 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 install new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
U'm ~, _ () (\ "' . : . ' \ , ri \ oo Signature._~..»,...;--"'~'---~---vc__.~-----·Date._--'------'-6
Contractor ____ Owner __ ._Contractor Name ~€.C...u,'\L ~ ~e. .
'
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other.
City of Carlsbad Bldg Inspection Request
For: 1/24/2000
Permit# CB000164 Inspector Assignment: TL ---
Title: RE-ROOF 20 SQ
Description:
Type:MISC Sub Type: REROOF
Phone: 8003386868 EX 102
Job Address:
Suite:
Location:
2638 GALICIA WY
Lot
APPLICANT SECURE ROOF INC
Owner: REAGAN PETER
Remarks:
Total Time:
CD Description
19 Final Structural
Associated PC Rs
Inspection History
Date Description
1/18/2000 15 Roof/Reroof
0
Act Comments
Inspector: ----
Requested By: TERESA
Entered By: CHRISTINE
1£_ _____ _
Act lnsp Comments
AP TL