HomeMy WebLinkAbout2654 GALICIA WAY; ; CB012534; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-30-2001 Miscellaneous Permit Permit No:CB012534
Building Inspection RE.1uest Line (760) 602-2725
'
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
2654 GALICIA WY CBAD
MISC
2161802500
$1,908.00
MATHUR RESIDENCE
Subtype: REROOF Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
18 SQUARES OF COMP REROOF
Applicant:
ADVANCED ROOFING CONCEPTS
Owner:
MATHUR ERIC J&SUSAN W
451 S. MARSHALL AVE
ISSUED
07/30/2001
MDP
07/30/2001
07/30/2001
EL CAJON, CA 92020
2654 GALICIA WAY
CARLSBAD CA 92009 6016 07/30/01 0002 01 02
619-588-2000
Total Fees: $64.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Total Payments To Date: $0.00
PERMIT
Inspector: ,4,d~
FINAL APPROVAL
Date: 't-3 4'/
Balance Due:
$64.00
$0.00
$0.00
$64.00
CGP 64-00
$64.00
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 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv othetwise eYnired.
FOR OFFICE USE ONLY
PERM.ff APPLICATION .
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
PLAN CHECK NO.~...i....~--
EST. VAL. ~14--~()_tf;:.__+-1-11----
Plan Ck. Deposit ----4-----
Validated By __________ _
Date, _____________ _
Address (include Bldg/Suite II Business Name Cat this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel I Existing Use Proposed Use
I of Bathrooms
':2-
Fax II
City State/Zip Telephone#
-S-ta_t_•_u_· c_e_n_s_e_,_ -_ ....;-"'_ '-_ -_ ... _ -_ ... _ ... _ .&--_ -_ ;...-... _ .. _ -:_ -_ ----,-,-u.,.· c_e_n_•_e_c_ia_•_s_-:::::::::::::::::~----;C:;.t:::--------;S;:t::a::te:;/Z:;;:.,p:----,T:.:-e:i1::e:-ph;::o::n::e:-'--(_..e._"\. __ c.....J __ ___,..__d...
Designer Name Address I Y -(
State License # _________ _
1.7%iS-iWO.tj~~1ClfM~n~::SZ.it:r~~~!iiE~~~:t::-it~-."'~~w.--;;,~:11.~:\Tr,;_,. ·: .;·
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a cenificate 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. rJi 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 insurence carrier and policy number are: . Mr;:;.,o I 10· I/). . . 1t I t O ~
Insurance Company 0J1({E A} N Q Polley No .. _~.::;;;--"'_l'../;::;.....;:;....;_._ ___ "T"t/:....;;;....__ Expiration Date. _ _._-4_...i._ -4-C...::-~IL.--
CTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) .
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 Califomia.
WARNING: Fal mpenaatlon coverage la unlawful, 1111d ahaR aubject en employer to criminal penalties and civil fines up to one hundred
thousand doUers I to the st of companaatlon, damages u provided for In Section 3708 of the Labor code, lntllfllt and attorney's fee,.
~;~~ER; .. :-:11i""[fiiiJ~~~t~tii~>!!l!(d· ~-;;{;,.~ ... ~ . .i!lg. -~~i,;;---i~~i .1...,n•--~~ij_;11~~;;-i· ~1i.~-~-:11i,ki.~•~~~-~·--i.~i:11i,~~-~--·ij~~~~:Jri,1~-.;~·r~~-~-•-~i-~~fl'i~~~;;:1;',;~~;~-t'TT:~-~"'.7:::;..;r~· , .... ,_ ·'-.-::'"! .•.
I hereby affirm th t I m ex mpt rom he ontractor's License Law for the following reason:
~ .•,•
0 I, as owner of the prope 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 salel.
0 I, as owner of the proparty, am exclusively contracting with licensed contractors to construct the projact (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 contractorCsl licensed
pursuant to the Contractor's License Lawl.
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 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 / 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 Cinclude name / address / phone number / type
of work): _________________________________________________________ _
PROPERTY OWNER SIGNATURE______________________ DATE _________ _
'COMPL'EtE'TiflS.:SEctfOt{~W~o;fi!~;!z~~C..:.;~t'.~.7'.?.?'..''·':""C;~;~:::.'.:.2.,.;'
Is the applicant or future building occupant required to aubmit • business plan, acutely hauirdous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 26534 of the Presley-Tanner Hazardous Sub,t!\r,e'! t>.==:,:~! .l'.r.:t? 0 Y!:S 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? O YES O NO
Is the facility to be constructed within 1,000 faet of the outer boundary of a school site? 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCATE 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 POUUTI0N CONTROL DISTRICT.
~~o]fs~u·c,:1otJr~-''4'C1'•C;'{W~~~Jr;!..~~~..;;~~~;;E~:R~~:. ... ,::;.,:-:. -~--· ..
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _
!&;~c~;CER,TIR~~-~~~;~m_.,~;'j_~~t.~"'m:~.Ji'.r;,~.,·· .'.:'?7·· ....
I certify that I have raad 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 Cit\! 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: ~very permit issued by the Building Official under the provisions of this Code shall 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 aft hew k is co enced for• period of 160 days (Section 106.4.4 Uniform Building Code).
DATE ---------------WHITE: File YELLOW; Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: :tJ.. Sf G-Ac 1 <'-/ A WO;'j
7 2. TYPE OF BUILDING: RESIDENTIAL ____ COMMERCIAL. __ ~
3. ROOF SLOPE: RISE ~ inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) W 2 3
5. TYPE OF EXISTING ROOF COVERING siitcc..t, SHEATHING Sl(.,t f"
*6. NEW ROOF MATERIAL~M-P CLASS /4:: WEIGHT PER SQUARE
7. NUMBER OF SQUARES I 5 G.-fl./\,c-->ID-c.---~
8. TRADE NAME ~e-.f--s0-6u..o,k MANUFACTURER._~_f~·7 ___ -----"
9. ROOF SYSTEM LISTING UL No. V ICBO No. ------<
10. IS THE EXISTING STRUCTURAL OESIGN 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:
Tear Off/Pre-inspection prior to install new roof covering.
Final Inspection 1 1 c. r9=
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection. ' '
___ Owner ____ Contractor Name ______ _
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 08/02/2001 ,
Permit# CB012534
Title: MATHUR RESIDENCE
Description: 18 SQUARES OF COMP REROOF
Type:MISC Sub Type: REROOF
Job Address:
Suite:
Location:
2654 GALICIA WY
Lot 0
APPLICANT ADVANCED ROOFING CONCEPTS
Owner: MATHUR ERIC J&SUSAN W
Remarks:
Total Time:
CD Description Act Comments
Inspector Assignment: GG ---
Phone: 6195882000
Inspector: -----
Requested By: NA
Entered By: CHRISTINE
19 Final Structural 11:2_ _______ _
Associated PCRs
Inspection History
Date Description
07/31/2001 15 Roof/Reroof
07/31/2001 17 Interior Lath/Drywall
Act lnsp Comments
AP GG
WC GG