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Home My WebLink About2287 GALENA AVE; ; CB051029; PermitCity of Carlsbad 03-25-2005 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 Miscellaneous Permit Permit No: CB051029 2287 GALENA AV CBAD MlSC Subtype: OTHER Status: ISSUED 21 32400300 Lot #: 0 Applied: 03/25/2005 $0.00 Entered By: MDP Plan Approved: 03/25/2005 Issued: 03/25/2005 (,.# ProjectJitb:-- /,,YES - .... ISL OFFICES Q MODEL Applicant: I-e*' W L LA COSTA 61 ASSOCIATE L L C C/O W L HOMES L L C 6183 PASEO DEL NORTE # 0 RLSBAD CA 92009 Inspect Area: Owner: W L LA COSTA 61 ASSOCIATES L L C C/O W L HOMES t L C 61 83 PASEO DEL NORTE #160 CARLSBAD CA 92009 Miscelaneous Fee #I Miscelaneous Fee #2 Additional Fees $75.00 $0.00 $0.00 TOTAL PERMIT FEES $75.00 Total Fees: $75.00 Total Payments To Date: $0.00 Balance Due: $75.00 FINAL APPROVAL Date: 6 ~.7 -d< Clearance: Inspector: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feedexactions." You have 90 days from the date this permit was issued to protest imposition of these feedexactions. 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 to attack, review, set aside, void, or annul their imposition. PERMIT APPLICATION CITY. OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. dn bzy EST. VAL. Plan Ck. Deposit Validated By Date MPRNY NAM (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 IChaoter 9. commendina with Section 7000 of Division 3 of the Business and Professions Code] or that he is exempt therefrom, and the basts for the alleged .. State License # C749tO ERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: @. 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: Insurance Company Policy No. Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS IC1001 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100.000). in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE DATE I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 1, 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 s7 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). n 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 1. 2. 3. 4. I am exempt under Section I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES UNO I (have I have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): Business and Professions Code for this reason: ~~~ 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): Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. YES 0 NO 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 City 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 at any time after the work is permit or if the building or work Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance 1 City of Carlsbad Bldg Inspection Request For: 06/02/2005 Permit# CB051029 Inspector Assignment: RB Title: ISLA VISTA Description: Type: MlSC Sub Type: OTHER Job Address: 2287 GALENA AV Suite: Lot 0 Location: APPLICANT W L LA COSTA 61 ASSOCIATES L L C Owner: Remarks: Total Time: Phone: 7605352615 Inspector: Requested By: WALLY Entered By: CHRISTINE CD Description 39 Final Electrical Associated PCRsKVs Inspection History Date Description Act lnsp Comments 05/12/2005 82 DrywaWExt Lath/Gas Test AP RB 05/12/2005 82 DrywalVExt Lath/Gas Test AP RB 05/11/2005 16 Insulation AP RB 04/29/2005 84 Rough Combo AP PC DO NOT DRYWALL UNTIL HOUSE PLAN CHANAGE IS APPROVED AND INSPECTED