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Home My WebLink About2263 GALENA AVE; ; CB060491; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-22-2006 Plumbing Permit Permit No: CB060491 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2263 GALENA AV CBAD PLUM 2132400900 Lot#: 0 Construction Type: NEW BURT RES-GAS & ELECT TO BBQ, FIRE RING & SPA ABOVE GROUND Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/22/2006 RMA 02/22/2006 02/22/2006 CHRISTIAN BROTHERS BURT MATIHEW L&LACHENMEIER KRISTIN A 636 LEUCADIA BLVD 92024 760 436-0933 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $47.00 0 0 0 0 0 1 0 2263 GALENA AVE CARLSBAD CA 92009 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Payments To Date: $47.00 Balance Due: VAL Clearance: $0.00 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. 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 Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action lo 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 project. NOR DOES IT APPLY to any x in fwhi i I n iv n N Tl E imil r hi r hi h h flimi in h PERMIT APPLICATION FOR OFFICE USE P~l PLAN CHECK NO. Ufj&J tcr1 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL.---------- Plan Ck. Deposit-----.--.-- Validated !:::z AF Date ,t;JS.-~,l.,_l~ uite II eN A-Vt:: 1 ,. Business Name (at this address) ~ (!,.jSfA-6--tf' ~ ~ Lot No. Subdivision Name/Number Unit No. Phese No. Total I of units Assessor's Parcel I Existing Use Proposed Use Description ot_ W~ 6,A-6 -5 eue: Name Fax I ~~il&BBi~~umE~ Name Name Address City S.tate/Zip Telephone I (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 exemption. y violation of~ 7031.5 by any applicant for I pe;;it subjects the applicant to I civil penalty not 0ore than five hundred,ol6~~00]). City State License I m~rmiiiiiiinmiimmamm;,.;Ji, •IJ. EB~B~Zi~fil··!l·~l&~DB· ·~~,t:w,sHB~fmt3 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the· following declarations: 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 which this permit is issued. My worker's compensation insurance carrier and policy number are: Company Policy No. Expiration Date _______ _ ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI CE{ITIFICA TE 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 bec:ome subject to the Workers' Compensation L s of California. WARNING: Failure to HCUr t coverage Is unlawful, and 1h11 IUbject an employ• to crlmln8I penaltlaa thousand dollars 1 compensation, damages u provided for In Section 3708 of the SIGNATURE DA TE 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 employns with w1g11 11 their sole compens1tion, will do the work ind the structure is not intended or offered for sale (Sec. 7044, Buaineas and Professions Code: The Contractor's LicenH Law does not apply to an owner of property who builds or improvea thereon, and who does such work himself or through his own employees, provided th1t such Improvements ire 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 purpoH 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 LicenH 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). 1 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I per9onaUy plan to provide the major labor and materials for construction of tha 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 1ddress I phone number I contractors license numberi: 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 / address / phone number I contractors license number): _____________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work indic1tad (Include name I address I phone number I type of work):. _______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE 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 25606, 25533 or 26534 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 ls the facility to be conatructed within 1,000 feet of the outer boundary of a school site? 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. 1 !iim,.NJD~1fflliR1&ii!Alnl~ · ', ''"~~!ir~W~~~'lr.tt!~~il~~:fJ 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 Coda). I certify th1t I have read the application and state that the above information is correct and that the information on the plana is 1ccurete. 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 AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS fERMIT. 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 u er the provisions of this Code shall expire by llmitatlon and become null and void If the building or work authorized by such permit is not commence ithin 180 da rpm the date of such permit or If the building or work authorized by such permit is suspend~ or abandoned at any lime after the work is co ced f r f 1 (Section 106.4.4 Uniform Building Code). ' APPLICANT'S SIGNATURE DATE ---------------WHITE: File YELLOW: Aoolicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/01/2007 Permit# CB060491 Title: BURT RES-GAS & ELECT TO BBQ, Description: FIRE RING & SPA ABOVE GRND,SINK@ BBQ Type: PLUM Sub Type: Job Address: Suite: Location: 2263 GALENA AV Lot APPLICANT CHRISTIAN BROTHERS Owner: TSUCHIYAMA ROBIN Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: JM --- Phone: 7604922443 Inspector: ----- Requested By: NA Entered By: CHRISTINE 29 Final Plumbing t.L_~~~~~~~~~~ ---------- Comments/Notices/Holds rHold- ----- CONTRACTOR'S LICENSE HAS BEEN REVOKED BY CSLB. Associated PCRs/CVs Original PC# lns12ection Histo!Y Date Description Act lnsp Comments 02/28/2007 29 Final Plumbing co JM strap elec conduit 02/28/2007 39 Final Electrical co JM 11/17/2006 29 Final Plumbing CA JM CONTRACTORS UC HAS BEEN REVOKED BY CSLB 10/04/2006 29 Final Plumbing co JM REINSPECTION FEE DUE. SAME AS 8-31-06. 08/31/2006 29 Final Plumbing co JM see notice attached 03/06/2006 21 Underground/Under Floor AP PD 03/06/2006 22 Sewer/Water Seivice AP PD 2" FOR SINK 03/03/2006 22 Sewer/Water Service co PD NO TEST 02/24/2006 23 Gas/Test/Repairs AP JM PIT/BBQ 02/24/2006 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY 02/23/2006 23 GasfTest/Repairs co PD 02/23/2006 31 Underground/Conduit-Wiring co PD NOTICE