HomeMy WebLinkAbout2716 GALICIA WAY; ; CB951746; PermitB U I L D I N G P E R M I T Permit No: CB951746
Project No: A95025J6
Development No:
11/28/95 15:29
Page 1 of 1
Job Address: 2716 GALICIA WY
Permit Type: MISCELLANEOUS
Parcel No: 216-220-07-00
Valuation: 2,880
Suite:
Lot#: ,, r: ~
Construction Type:
Occupancy Group: Reference#: Status:
NEW
ISSUED
11/28/95
11/2tl/95
RMA
Description: 3000 SF RE-ROOF-COMPOSITION
: ELK PRESTIQUE
Appl/Ownr : SMALLEY, CARL
2716 GALICIA WY
CARLSBAD, CA 92009
Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
***
Applied:
Apr/Issue:
Entered By:
619-436-2826
Fees ollected & Credits
Total Cr.edits:
Total Payrnen s~
Bal nee Due:
Units Fee/Unit
90.00
.00
.oo
90. 00
Ext fee Data
90. liO PERMIT F'El
90.00
Fl NAL APPRO AL
:!NSP. b c,.,
1CLEARA JC
DATE /. I (( ·? V
CITY OF CARLSBAD
2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161
.. ••
•PERMn' APPLICATION
City of Carlsbad Building Department
2075 Las Pal.as Dr •• carlsbad. CA 92009 (619> 438-1161
PLAN CHECK NO. q5 / 1 lf &>
FST. VAL 1.\{8D
I. l'kltMi'.1' TYPE
From List 1 (see back) give code of Permit-Type: ------------
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units------------------
2. PRQJF.C'f INFORMATION FOR OFFICE USE ONLY
Address
Zilft:i (;Aue/A WAY Nearest Cross Street
Bulldmg or Suite No.
LECAL DESCRIPTION Lot No. su&l1vts10n Name/Number OmtNo. Phase No.
CHEcR BEIDW IF SOBMI 11 EO:
[J 2 Energy Cales C 2 Structural Cales [J 2 Soils Report [J 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
DEscruPTioN oF woRK CL I<:. p I{ t:.s, 1 ~VG ..., ~ t) ~ t1" rrr ro,.....
SQ. IT. ] (} 0 () # OF STORIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PERSON (11 dmerenf from. avpucanf)
NAME(lastnamefirst) Ale.)' V0i. ,....j°"-ADDRESS ~ oq R.Q.r'tc..J..e..ro.s O,e, -#=J
4. z~ u wtf.A~ STt1ThEt1toR JliNii~EmR ~&lrNAY llltlr~?~~JR OWNHR
NAME (last name first) 5 M 4lJ..E'/ C 4-i<L ADDRESS 2.-, 1 lo q /IL I C,/ A W A)"
CITY c~i!.AP sTATE c A zIP conE 92002 DAY TELEPHONE "3" -2 a 2..1:, s. PRUPElt'iY oWNklt.
NAME (last name first) SH Au..£"/ C A..<.L ADDRESS :l 7 I G, t,cj.A y'
STATE C .-1-ZIP CODE , 2,.o~ J' DAY TELEPHONE 2.., (a
NAME (last name first} ADDRESS
CITY STATE ZIP CODE
LICENSE ClASS
DAY TELEPHONE
STATE UC.# CITY BUSINESS UC. #
DESIGNER NAME (last name hrst) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WORKERS' wMPENSA'iibR
Workers' Compensanon Declaration: I hereby affirm that I have a cernbcace of consent to self-msure JSSued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY ~ POLICY NO. EXPIRATION DATE
cer11t1cate ot t:xempuon: l certify that m the performance of the work for which thlS permit 1s issued, I shall not employ any person m any manner
so as to become subject to the-Workers' Compensation Laws of California.
SIGNATURE DATE
I. OWNklt.-90ilD£k DRCOOtA'noR
Owner-Builder Deciaranon: I hereby afhrm that I am exempt from the Confracfofs license Law for the followmg reason:
a 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 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.).
'::ISi I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 contractor(s) licensed pursuant to the Contractor's License Law).
[J I am exempt under Section -------Business and Professions Code for this reason:
(Sec. 7031.S 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 Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of 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 a civil penalty of not more than five hundred dollars ($500)).
S1GNA11JRE~ DA'IE S°
Is the applicant or future building occupant r uired 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?
C YES [J NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? a YES a NO
IF ANY OF 11IE ANSWERS ARR YES, A FINAL CERTIFICA'JE OF CXllJPANCY MAY Nm' BE~ AFTER JULY 1, 1989 UNLFSS 1lIR APPLICANT
HAS MET OR IS MEETING 11IE REQUJREMRNTS OF 11-IE OFFICE OF EMERGENCY SFJlVICFS AND 11IE AIR POLLUTION CDNlROL DISTRICT.
9. wNS'ffiOCrtOR LENDING XGENti'
I hereby afhrm that there 1s a construction lendmg agency !or the performance of the work tor which this penmt 1s issued (Sec ;J697(1J dvil Code).
LENDER'S NAME l\j ~ ft LENDER'S ADDRESS
10. APPIJCAN I CmtiiFICX: uN
I certify that I have read the appbcanon and state that the afuve mformation IS correct. I agree to comply with all dty ordinances and State laws
relating to building construction. I hereby authorize representatives of the City or Carlsbad to enter upon the above mentioned property for inspection
purposes. I AUiO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS 1llE Cl1Y OF CARLSBAD AGAINSf AU. IJABIUl'IHS, JUDGMENTS, CDSTS
AND EXPENSES WHIOI MAY IN ANY WAY ACX:RUE AGAINsr SAID CflY IN CDNSEQUENCE OF nm GRANTING OF nus PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 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 after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANT'S SIGNATURE DATE: ----
WI-IlTE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS-"""J:....,]...._1..i...:(0,_____,G"'"A!:1..::!Llc.::CL.Z.(A~LJ='-'fl-y'!..L.-_______ _
2. TYPE OF BUILDING: RESIDENTIAL~ COMMERCIAL __
3. ROOF SLOPE: RISE ~ inches in 12 inches
4. TYPE OF EXISTING ROOF COVERING SI/-A-1<~ SHEATHING_.;;;.5...:.l'l.:...:r_fJ ___ _
5. NUMBER OF EXISTING ROOF COVERINGS (circle one)~ 2 3
*6. NEW ROOF MATERIAL {tsflH,4-l.T /c:or0 CLASS __ WEIGHT PER SQUARE ___ _
7. NUMBER OF SQUARES _.;:;3....,,()"'----
8. TRADE NAME £ L 6 Pi< !?5 n Q (.,( (Z MANUFACTURER._........;E..=-L_._~..,,_ ____ _
9. ROOF SYSTEM APPROVAL UL No. Other ----
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF
THE PROPOSED ROOF YES Ye-;, NO __ _
If the answer is no, a roof plan must be provided with this application.
11. Fire rating of roof: Class A __ Class B. __
I understand the following inspections are required: •
1. Tear Off/Pre-inspection prior to installing new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for inspection.
SIGN DATE
Contractor __ _ Owner~ Contractor Name. _____________ _
*6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up.
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951746 FOR 01/18/96
DESCRIPTION: 3000 SF RE-ROOF-COMPOSITION
ELK PRESTIQUE
TYPE: MISC
STE:
INSPECTOR AREA DC
PLANCK# CB951746
OCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 2716 GALICIA WY
APPLICANT: SMALLEY, CARL
CONTRACTOR:
PHONE: 619-436-2826
PHONE:
OWNER:
REMARKS: MW/CARL/436-2826
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
15 ST Roof/Reroof
DATE
120595
120495
DESCRIPTION
Roof/Reroof
Roof/Reroof
PHONE:
INSPECTOR -J,;./) _______ _
ACT COMMENTS
J}f_ f:1 ivA v
***** INSPECTION HISTORY*****
ACT INSP
AP DC
CA DC
COMMENTS
PER PHONE BY CONTRACTOR