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