The URL can be used to link to this page

Home My WebLink About2780 GALICIA WAY; ; CB022329; Permitt_,\:)O \ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 08-09-2002 Miscellaneous Permit Permit No: CB022329 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2780 GALICIA WY CBAD MISC 2162300300 $3,330.00 Subtype: REROOF Lot#: 0 BROWN RES 3000 SF RE ROOF REMOVE SHAKE REPLACE WITH COMP Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/09/2002 SB 08/09/2002 08/09/2002 Applicant: PATRIOT ROOFING BROWN RICHARD A&MARY J~ii: )8,' i)9/02 )0((' '.>1. 1042 EL CAMINO REAL ENCINITAS, CA 92064 760-577-2935 Total Fees: $89.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Inspector: 2780 GALICIA WAY CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE FINAL A7"1ROVAL Date: ,_M Balance Due: Clearance: $89.00 $0.00 $0.00 $89.00 $89.00 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. lf 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 Carlsbad 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees _in connection with this ~roject. NOR DOES IT APPLY to. any FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C7i3a2ZS.'.29 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __ 3--1.-5.:.._3:::;.._0 ___ _ Plan Ck. Deposit-------,~~---- Validated Bv_....,..,,_ __ _..::,~o..:::..<----- Date ~-C(-0'2. 1. PROJECT INFORMATION 2 7 '6 Q 6/h. IC../ /4: Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units f)~ Existing Use @Jlf-3gt90 I Proposed Use ,3 ~ssor's Parcel# Description of Work SO. FT. #of s'tories # of Bedrooms # of Bathrooms ~2. • CONT~Cli PER.SON (If dlffer'e1it from eppllcentJ Name Address State/Zip Telephone# Fax# j~. APPLICANT ~ Contra,ctor . IT Ag,ent for Co~rac;ttor O Owner, P~~ ~ te4-'Z-~- Name Address City 0Agent for Owner a. c.A:M,,µp City ~ @c.J.FrtPr-9 (~)n-r2.8 State/Zip Telephone # (4,. ~tY,~,W['#~d!--- Name Address City S.tate/Zip Telephone # &. CONT.[IACTOR • COMPA~ PJIAME (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 [Chapter 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 exem tion. Any violation of S~,° 1.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name , f Address City State/Zip Telephone # State License # _J..L..:..f _,,,&,"-°}_.._~__,_J'.~--License Class --'c=-·_-__ 30\ _____ _ City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKe_RS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have end will maintain a certificate of consent to self-Insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ 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 /fs;ued. My worker's compensation insurance carrier and policy number are: //- Insurance Company STPrr'fE!{: ~ Policy No. ( ~ 7 7 2/ 2 -0 / Expiration Date / '2.. --(9 "2-- (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 shell not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage la unlawful, end shall subject en employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damages es provided for In Section 3706 of the Labor code, Interest end attorney's fees. DATE ---:=:;::;::;;;;:;:::;:::;::=;::::;:::;::;;;-:=:;- 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 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 pr~ving 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 (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(sl 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 person (firm) to provide the 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 end provide the major work (include name I address I phone number I contractors license number):------------------------------------------------ 5. ,I wlll provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name I address I phone number I type of work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. tll, CONST~UCTION l,,ENDING AGENCY I hereby affirm that there is e construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Godel. 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 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: Every permit Issued b e .building Official un er 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 com en ed within 180 days o the date of such permll or if the building or work authorized by sue is suspended or abandoned at any time after the work is comme ced or &()erl of 180 a (Section 106.4.4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance City Of Carlsbad SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING I. JOB ADDRESS: 2-lZ t) l9A:vlc..1 A: Wr.f. C~B,,4p CA. Cf ,._oocr 2. TYPE OF BUILDING: RESIDENTIAL \/:) COMMERCIAL. __ ___. 3. ROOF SLOPE: RISE l-{ inches in 12 inches 4. NUMBER OF EXISTING ROOF COVERING (circle one) , ~ 2, . 3 -:{_isla//1~ hLlU 5. TYPE OF EXISTING ROOF COVERING$}tf(.f? SHEA+HING se,; -:{' fl.1,f v.}ot9U.) *6. NEW ROOF MATERIAL Ce/V\f CLASS_&_WEIG~T PER SQUARE :S.oo 7. -NUMBER OF SQUARES ...2 0 . 8 8. TRADE NAME f9PcP': 4s MANUFACTURERrl flWDt'..LJ.,tl-G'. 9. ROOF SYSTEM LISTING UL No. \2-7-\ ICBO No., ____ __, I 0. IS THE EXISTING STRUCTURAL DESIGN~ICIENT 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: -,-, .-·, 1. Tear Off/Pre-inspection prior to instalinew roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for Inspection. ~~ ~" Signature_~~~-"------''""-----'--------Date Contractor1owner Contractor Narre ~1lT · ~ 0 *6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up, Other. City of Carlsbad Bldg Inspection Request For: 12/24/2002 Permit# CB022329 Title: BROWN RES 3000 SF RE ROOF Description: REMOVE SHAKE REPLACE WITH COMP Type: MISC Sub Type: REROOF Job Address: 2780 GALICIA WY Suite: Lot 0 Location: APPLICANT PATRIOT ROOFING Owner: BROWN RICHARD A&MARY JOYCE Remarks: Total Time: CD Description ~ Comment 19 Final Structural Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: SR --- Phone: Inspector: ~ Requested By: CHRISTINE Entered By: CHRISTINE 08/14/2002 15 Roof/Reroof AP SR OK TO COVER