The URL can be used to link to this page

Home My WebLink About2267 GALENA AVE; ; CB061656; PermitCity of Carlsbad •1635 Faraday Av Carlsbad, CA 92008 06-08-2006 Plumbing Permit Permit No: CB061656 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2267 GALENA AV CBAD PLUM 2132400800 Lot #: 0 Construction Type: NEW NIKIFOROV RES-GAS TO BBQ&FIRE PIT,ELECT TO 3 WATER FEATURES & BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/08/2006 RMA 06/08/2006 06/08/2006 WILLOW LANE GROWERS NIKIFOROV THEO T&STOYNOVA LUDMILA T 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 2267 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: 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 pemiit 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 infonnation 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 project. NOR DOES IT APPLY to any f f i h v vi I n iv n N Tl Esimil r hi r whi h h a flimi i · PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK No.ao@·r;; EST.VAL.~~~~~~~~~~ Plan Ck. Deposit ~ ~:::•ted By b-,/ob /JfJ /11:TEe;,Q~l\l-E'J ~ C'A~~ Business Name(atthisaddiess) Address (include Bldg/Suite #) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use k Descripp;SWork e<2fl\\1"' ~ Y\~·c,~~ 2. ~ONTACT l soN (It different from applicentl Name Address 3. APPLICANT O Contractor . 0 Agent for Contractor O Owner Address City 0 Agent for Owner Proposed Use State/Zip Telephone# State/Zip Telephone Fax# ~ °IJoO't · ~3to· 0~ \ S.tata/Zip Telephoni # Name Address City 6. COfflJIACTOR.: COM.PANY ~ME (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 Divisio~ 3 of th~,t'.si~ess a_nd Professio~s Code) or_ ~hat he is exempt therefrom, and the basis for the alleged ex ti n violati of S tion 7031 .5 by any appht;;or aV'l t sub1ect th apphc o a c1vol penalty of not more than five hundred dollars ($500]). Design~r Name rno-t::'.'" I" tate License # -~-=---;>"-__. __ __x__,,.___ 6. WORK~S' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. -S I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whic thi permit is " 1 issued. My worker's P. nsation insurance carrier v,.n~icy number ar'\./ . , _ t\l <Sc:O n l\ ~\ 1 . . q 1 2tJO ~ Insurance Company t-J _, Polley No\N I ~xp1rat1on Date __ l-~f----- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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. O I, as owner of e 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). 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(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 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 and provide the major work (include name I address I phone number I contractors license number):------------------------------------------------- 5. I will provide some 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----------------------- COMPLETE.THIS SECTION_FOR NON-RESIDENTIAL BUILDING PERMITS ONJ;Y 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 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 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 AND THE AIR POLLUTION CONTROL DISTRICT. [a. __ CON§TRUCTION LEt:,IDING AG~NCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME -----------------LENDER'S ADDRESS ________________________ _ 9. APP~ANT CERTIFICATION 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 fo cavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the uilding Official under the provisions of this Code shall expire by limitation and becoJ null and void ii the building or work authorized by such permi · not comm nee with 180 da from the e of such permit or if the building or work authorized by sue permit Is suspend~ or abandoned at any time after the work I men rape i days (S ti 106.4.4 Uniform Building Code). <:J ~ o,~ APPLICANT'S SIGNATURE DATE 0 , City of Carlsbad Bldg Inspection Request For: 08/11/2006 Permit# CB061656 Title: NIKIFOROV RES-GAS TO BBQ&FIRE Description: PIT,ELECT TO 3 WATER FEATURES & BBQ Type: PLUM Sub Type: Job Address: Suite: 2267 GALENA AV Lot 0 Inspector Assignment: JM --- Phone: 7604760551 Location: Inspector: ----- OWNER NIKIFOROV THEO T&STOYNOVA LUDMILA T Owner: NIKIFOROV THEO T&STOYNOVA LUDMILA T Remarks: Total Time: CD Description Act Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical ---·--·- Comments/Notices/Hold Associated PCRs/CVs Original PC# lns!2ection Histo[Y Date Description Act lnsp Comments 08/03/2006 29 Final Plumbing co JM Requested By: NA Entered Bf CHRISTINE 08/03/2006 39 Final Electrical co JM SECURE CONDUIT TO HOUSE 06/09/2006 23 Gas/Test/Repairs AP JM BBQ/ PIT 06/09/2006 31 Underground/Conduit-Wiring AP JM