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HomeMy WebLinkAbout2706 GALICIA WAY; ; CB052720; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 . 07-25-2005 Miscellaneous Permit Permit No: CB052720 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference#: 2706 GALICIA WY CBAD MISC Subtype: REROOF 2162200800 $6,670.00 OCONNOR RES-2300 SF STAND CONCRETE Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: OCONNOR JOSEPH K&JUDITH M Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $128.00 2706 GALICIA WAY CARLSBAD CA 92009 PERMIT FEE Total Payments To Date: $0.00 Balance Due: ISSUED 07/25/2005 LSM 07/25/2005 07/25/2005 $128.00 $0.00 $0.00 $128.00 $128.00 3228 07 /25/05 0002 01 CGP Inspector: Clearance: ------- NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of lees, dedications, reserva1ions, or other exactions hereafter collectively referred to as '1ees/exac1ions." You have 90 days 1rom 1he date this permit was issued to protest imposition of these 1ees/exac1ions. 11 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 in1ormation with the City Manager for processing in accordance with Carlsbad Municipal Code Seciion 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this projec1. NOR DOES IT APPLY 10 any . . . . . . . . . 02 126-00 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO.~ 0Sd"1o-O EST. VAL. ({;,ltJ70 , I .. CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit __ .,..... ______ _ Validated By __ ..,~___;;;z..,..:....;..-=---- Date ___ --'-7+/-"~'---+1=0 ..... ~ ______ _ r J r ..... , . :;~ . Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use # of Bathrooms Address l'§:~i:;:,c,i~.ti!J'RX(;r,gM~eo.MPMYliNFhii:l*'i'l',"•{i,,:'f.\!i~,,:~f:,,,/•(;•· State/Zip Telephone # Fax# Telephone# (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 (C pter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged ptl n. ,Any viol ·on of ectio 7031 5 b any applican; r a ermit subjects he appli ant to a.£!Yil penalty of ot mo: t§ five hundred dollars ($5001). City State/Zip Telephone # g & & -7 r,/ 7 - State License II License Class City Business License II /d }J/07 {ft "7 v (/ 3 Designer Name Address City State/Zip Telephone State License II ---------- 0 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 whzich this permit is issued. My worker's co ns,ation insurance carrier nd pol" y numb are: . I) 1-~ Insurance Company ~ Polley No. uJco SD 16 ti{) I MO Expiration Date II s- 1TH1s SECTION NEED NOT BE COMPLETED IF THE PERMI FOR ONE HUNDRED DOLLARS ($100) OR LESS) f 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 California. WARNING: Failure to secure worllera' compensation coverage la unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 1 0,000), I ltion to the coat of compensation, damages aa provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DA TE r 'it!i ~ t).:J !rt .• ·: 'MLUtt ., ·~tc~irimt· · ,''t~iit~J,r•· 1&;~,~.1t~~t~~1~~"~~;t,\':,;;1,}}#'·}\1..;.s;~,;;;;~,;,,~i~'~:iin~l .. ;1~,,;"·,;,r;1rt[•ief.1~~"i1,1,1 :. i' .//, · I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages as their sola compensation, will do the work and tha structure is not intended or. offered for sale (Sec. 7044, Business and Professions Coda: 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). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sac. 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 for construction of the proposed property improvement. 0 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 parson (firm) to provide tha 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 soma of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone number I type of work)=---------'-------------------------------------~~------------- PROPERTY OWNER SIGNATURE DATE ---------- f@Ml!.l!Utilffl00SJ;Q;'[IQ.N)f,QB;"M,QN:Wll,W.D~IUJ.liQ.lNU\ffl;JlM.iJ;Sil;J.NJi'(i \.,'.~~1'ii!ii~'l:t1Ati~··~~ltLi(~~fa-\i.u~.(~:11)f~,~~'~1'21·'i,(i,io,'.:1:l l'ii,,;,,:;,· 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 Act? 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? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 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 POLLUTION CONTROL DISTRICT. tt '11lJl~QN$l'.f!l;ltlt9'N::~QJND.~~~~;lffitif~t}~:,~,,.(i\Ii:·'C:1:iti!.fl1:f~;,;f'1£:;.;;;~.,f,. 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 _______________________ _ ~· 1~0NmRB~B)···, ·w~~~'ti\~~,iitl\;:t.~"'''~if('f #tl€1.iJ;;:il10{{j~~/,:;.*'r.i!V)~f;;iif1~/i1t,J~ii'~fi1ix,VJt~!t::.,tJ;;\l,~\;;,;r,cl~;~~;i' 'J'm:.,.,,,f,::; ,,,. ,·;,t··' ,, .... 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 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: Every 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 mmenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co me ed for a p · of 180 days (Section 106.4.4 Uniform Building Code). YELLOW: Applicant PINK: Finance I City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING 1. JOB ADDRESS: ';)10 /p lJtJ i(d4 W~ 2. TYPE OF BUILDING: RESIDENTIAL Y COMMERCIAL~ _ __. J. ROOF SLOPE: RISE Ll inches in 12 Inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) 6) 2 3 5 •. TYPE OF EXISTIN?}~P?fJ~O~~~INGJ;b(I,/{) SHEATHING naru. *6. NEW ROOF MAT~~L fJ £, CLASSJM]lWEIGHT PER SQUARE 7. -NUMBER OF SQUARES 2:3 . 8. TRADE NAME5fo/· 112+-MANUFACTURER hvbt.vi n 9. ROOF SYSTEM LISTING UL No. ICBO No. '}.. 7:,/ 0 10. IS THE EXISTING STRUCTURAL DESIGN ~CIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF? e,J NO All roof coverings are required to be CLASS A. Combustible roof coverings of any type or classlfication are prohibited. I understand the following Inspections are required: .. i~.I 1. Tear Off/Pre-Inspection prior to lnstalf'new roofcovering. 2. Final Inspection I agree t_o provide a ladder extending at least 2 rungs above the roof for Inspection . . Signature~/A ~/ Contractor~Owner . Contractor Nalfle ta {Y;i;./ m/r11.' *6 • Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, ~ Other. City of Carlsbad Bldg Inspection Request For: 08/26/2005 Permit# CB052720 Title: OCONNOR RES· 2300 SF STAND Description: CONCRETE Type: MISC Sub Type: REROOF Job Address: 2706 GALICIA WY Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: OCONNOR JOSEPH K&JUDITH M Remarks: Total Time: CD Description Act Comment Inspector Assignment: JM --- Phone: 7605222285 Inspector: ---- Requested By: EILEEN Entered By: CW 19 Final Structural ff~~~~~~~~- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 08/08/2005 15 Roof/Reroof AP JM OK TO COVER