HomeMy WebLinkAbout2661 GALICIA WAY; ; CB992397; Permit\~~
06/29/1999
City of Carlsbad
Miscellaneous Permit Permit No:CB992397
Building Inspection Request Line (760) 438-3101
Job Address:
Permit Type:
2661 GALICIA WY CBAD
MISC Subtype: REROOF Status: ISSUED
06/29/1999
JM189
06/29/1999
06/29/1999
Parcel No: 2162200900
Valuation: $9,275.00
Reference #:
Project Title: REROOF 3400 SF-LITE TILE
Applicant:
CAHEY ROOING
3048 VIA MAROPOSA
CAR;SBAD CA 92009
760-591-3123
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
.Qwner:
·HOOl;)~y W TRUST 08-02-96
• 26$1: GALl~IP,WAY, 1356 06/29/99 0001 01
CARl.~BAO CA C-PRMT
· 92009
'0 '
Total Fees: $189.00 · 'f otef Payments To mite: $0.00 Ballince Due: $189.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
$189.00
; :$0.00 . '
, • ... $189.00
¼• . . .
' '
.
EXPIRED PERMIT
02
PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C.
SECTION 106A.4
DATE /d /vict SIGNATURE'llA feo/1
Inspector:
FINAL APPROVAL K Date: 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 r~ht to protest the specrrie<I 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 otherwise exnired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
189-00
'PERMIT APPLICATION
FOR OFFICE U~~h 11
PLAN CHECK "'!fol _L,, J
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. _________ _
Plan Ck. Deposit ________ _
Validated By _________ _
Date ______________ _
1. PRO.iECT INFORMATION
l. b \o , b C>-J , C
Address (include Bldg/Suite I) J -,-i....
Business Name tat this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Assessor's Parcel I
Rt.-,ti~f \.J \ \,,,} L wt
Existing Use lo" t . :JSO O
Proposed Use
Description of Work SO. FT. lof Stories I of Bedrooms II of Bathrooms
2. CONTACT PERSON (If different from appllc:entl
Name Address City State/Zip Telephone# Fax#
3. APPLICANT
Bolo
Name
,0' Contractor
(__,µ..h X • "\
D Agent for Contractor . ••. Owner . n ,,6,geni; for Owner
~ o'-f ia VI u., r1 w, p oJ e,,... t,.,L loJrtA.,
Address City State/Zip Telephone I
4. PROPERTY OWNER : -~ l . ..., .-.
)..\ C4 C \I C-"1 \:1:0 l1i.) (nC,.,J) C \ Ci:::
Name Address City State/Zip Telephone I
6. CONTRACTOR • COMPANY NAME·
(Sec. 7031 .5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 ot the Business and Professions Code) 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• civil penalty of not more than five hundred dollars 1$500)). ca H P:7 £,.1,0 6 n 1 ::3 o':i <c, \)\ u., K u.1, pm "" Lo .. , o4ro. tt luo ~ ...r<t 1 -Ji LJ
Name Address City State/Zip Telephone I
State License I S '0 ½ 3 \o L License Class ( .-3 'f City Business License I _______ _
Designer Name Address City State/Zip Telephone
State License I _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O 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.
,0'" 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 insurance carrier and policy number are:
Insurance Company J J1L-1 (.. r \J '\Q Policy No. e 4 lo -~ lf Expiration Date / • / ' Q}
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 Califomie.
WARNING: Failure to aecure work.,.' compenaetion cove,age la unlawful, and ahaH subject an employe, to crlmklal penaltle1 and civil fines up to one hundr•cl
thousand dollars 1$100,000), in addition to the coat of compenntion, damage•·•• provided for in Section 3706 of the Labor code, intar•1t end attorney'• fH1.
SIGNATURE ~ t1 L~ DATE '\o . ,2_C( ' 4 4
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Lew for the following reason:
0 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 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 ere not intended or offered for aale. 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 sele).
0 I, as owner of the property, em exclusively contracting with licensed contractors to construct the project tSec. 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 contractortsl 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 not) signed en application for• building permit for the proposed work.
3. I have contracted with the following person tfirm) to provide the proposed construction Unclude 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 end provide the m11or work tinclude neme / address / phone number / contractors license number): ______________________________________________ _
5. I will provide some of the work, but I have contracted thired) the following persons to provide the work indicated I include name / address / phone number / type of work): _________________________________________________________ _
PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDEN11Al:BUILDINO PERMITS .. ONLY
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 POUUTION CONTROL DISTRICT.
8. "CONSTRUCTION LENDING AGENCY ~ •. ., ''. . ,, ··· ~ ~ ,-•.
I hereby affirm that there is• construction lending agency for the performance of the work for which this permit is issued tSec. 3097ti) Civil Code).
LENDER'S NAME ______________ _
9. APPLICANT CERTIFICATION
LENDER'S ADDRESS. _______________________ _
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 C•rl1bad to enter upon the •·bove mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS ANO 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 structuru over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code 1hall expire by limitation and become null and void ii 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 aher the work is commenced for a period of 180 days tSection 106.4.4 Uniform Building Code).
APPLICANT'S Sl!3NATURE ~ '::::\ ( c.....,\.,-,.. DATE lo ')_ ('.t ,. 4 't
WHITE: File YELLOW: Applicant PINK: Finance
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: 2 1,, \, 1 G, (..\_~ 1 c , u-~ w C4,
2. TYPE OF BUILDING: RESIDENTIAL ---COMMERCIAL __ ~
3. ROOF SLOPE: RISE S inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3
5. TYPE OF EXISTING ROOF COVERINGJht,->le, SHEATHING..:>''>?
*6. NEW ROOF MATERIAL 1 , '{. CLASS (,} WEIGHT PER SQUARE Sb S
7. NUMBER OF SQUARES_____,,.J'-'::\...___~
8. TRADE NAME I= u <t l C l, ic C MANUFACTURER £ u ¥ it
9. ROOF SYSTEM LISTING UL No. 3l 2 I ICBO No. '----~
10. IS THE EXISTING STRUCTURAL DESIGN ~F~IENT 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:
I. 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.
Signature ·JS__ ,-1 C (.A_)v._,__.._
Contractor·,,,----Owner ____ Contractor Name CA /1 £, P-.oof I r-JJ
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
UNSCHEDULED BIITT,DING INSPECTION
DATE J)-:\ _qq INSPECTOR _S_R~--
' .
PERMIT# 99 -~7 PLAN CHECK# ___ _
JOB ADDRESS ~\ GaD.'c, 0--< G• ~
DESCRIPTION=-·----,---------------~
CODE DESCRIPTION ACT CO1\.1MENTS