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Home My WebLink About2287 GALENA AVE; ; CB051571; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Building Inspection Request Line (760) 602-2725 05-02-2005 Plumbing Permit Permit No: CB051571 Job Address: Permit Type: PLUM Status: ISSUED Parcel No: 2132400300 Lot #: 0 Applied: 05/02/2005 Reference #: Plan Approved: 05/02/2005 issued: 05/02/2005 Project Title: ISLA VISTA MODEL Inspect Area: 2287 GALENA AV CBAD Construction Type: NEW Entered By: MDP GAS & ELECTRIC FOR BBQ Applicant: TERRA FlRMA LANDSCAPE 9550 WAPLES SAN DIEGO CA 92121 RMA Owner: W L LA COSTA 61 ASSOCIATES L L C C/O W L HOMES L L C 61 83 PASEO DEL NORTE #160 CARLSBAD CA 92009 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 $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 Fees: $47.00 Total Payments To Date: $0.00 Balance Due: $47.00 7238 05/02/05 0002 01 02 CGP 47.00 FINAL APPROVAL Inspector: Date: .wF Clearance: r NOTICE: Please take NOTICE that approval of your project includes the “Impositior? 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 fdlow 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 feedexactions 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 PERMIT APPLICATION CITY OF CARLSkAD BUlLDlNG DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO.Qf ! 57 ( EST. VAL. Plan Ck. Deposit Validated By Date Business Name iat this address) Lot No. Subdivision Nsme/Number Unit No. Phase No. Total X of units Existing Use Proposed Use ec\r\'c &rr hks\ Deacriptiod of Work so. FT. #of Stories X of Bedrooms t of Bathrooms Name Address City State/Zip Telephone # Fax 8 ~~~~~~ 3% (Sac. 7031.6 Bualneaa and Professions Code: Any City or County which requires a permlt to construct, alter, improve, demolish or repair any structure, prior to ha isauanca, also requires the applicant for auch parmlt to file a signed atatemant that he la llce~sd pursuant to the provlslona of the Contractor'a License Law (Chapter 9, commending wlth Section 7000 of Division 3 of the Busineaa and Professions Codel or that he ia exempt therefrom, and tha baais for the aibgad exemption. Any violation of Section 7031.6 by any ap llcant for a permit aubjecta the appllCant to a civil penalty of not more than five Name Address T&rq F~rd 7'11.0 La,,,,, z Gt <&%bEobCI LA w\ 71 StatelZip citv ' L City Business License t 17fl 1 state ~icense # License Class StetelZip Telephone 5-&- Designer Name Address State License t Workera' Compenaation Declaration: I hereby affirm under penalty of perjury one of the following daclarationa: a I have and wit1 maintain a certificate of COlMBnt to self-inaure for worked componaatb as provided by Section 3700 of the Labor Code, for the performance of the work for which this permlt io Issued. @f I have and will maintain workers' compensation, a# required by Section 3700 of the Labor Code. for the performance of the work for whlch thla permit is issued. My worker's cornpensadon Insurance carrier and policy number ere: Insurance Company 2cJ~rch - AdgqiLaV\ (THIS SECTION NEED NOT BE COMPUTED IF THE PERMIT IS FOR ONE WNDRU) DOLLARS ($1001 OR LESS) 0 to become aubjact to the Workera' Compenaation Laws of California. - Policy NO.- 9030 5 Explratlon Date CERTIFICATE OF EXEMPTION: I certify that In the parformanca of the work for whtch thin permit is baued, I shall not employ any peraon in any manner IO as a up to one htmdrd I hereby afflrm thet I em exempt from the Contractor's LlCSenW Law foc the following reason: 0 1, as owner of the property or my employaes wlth wagea as their sole compsmtlon, will do the work and the structure is not intended or offered for sale ISec. 7044, Burlnew and ROfeSdOM Code: The Contractor's Licenae Law doas not apply to an ownar of property who builda or improves thereon, and who doea auch work himself or through hb own employaes. provided that such improvementa ere not intended or offered for seis. 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 axcluaively contracting with licensed contractors to construct the project (Sec. 7044, Busineas and Professions Code: Tha Contractor'a License Law does not apply to an owner of property who builds or improves thereon, and contracta for such projects with contractor(s) licensed pursuant to the Contractor's Licensa Law). 0 1. 2. 3. I am exempt under Section I personally plan to provide the major labor and matariats for conatrunion of the proposed property improvement. 0 YES ON0 I (have I have not) algned an applcatlon for a building permit for the prbposad work. I have contracted wlth the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number]: Business and Professions Code for this reason: ~ ~~~ 4. number I contractors llcenae number): 5. of work): I pian to provide portions of the work, but I have hired the following person to coordinate, supenrise and provide the major work (include name I address I phone I will provide aome of the work, but 1 have contracted Ihired) tha following persona to provide the work indicated (include name I address I phone number I type PROPERTY OWNER SIGNATURE DATE f&&i la the epplicant or future building occupant required to submit s business plan, acutely hazardous materials registration form or risk management and prevention program under Section8 25506, 26533 or 25534 of the Presiey-Tanner Hazardous Substance Account Act? 0 YES NO Is the applicant or future building ~Ccupant 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 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 AN0 THE AIR POLLUTION CONTROL DISTRICT. .o YES 0 NO 0 YES I hereby affirm that there la a construction lending agency for the performance of the work for which this permit is issued (Sec. 309711) Civil Code). I certify that I have read the application and state that the above Information is correct end that the Information on the plans is accurate. I agree to comply with ell 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 UABIUTIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA10 CITY IN CONSEQUENCE OF THE GAANTINQ 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 Olticlal under the provisions d this code shall expire by litlon and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date of such pennil or If the building or work authorized by such permit is suspended or abandoned at any the after the work is commenced f ays (Sectton 106.4.4 Unifom Bullding We). J APPLICANT'S SIGNATURE / flWITE: File YELLOW. Applicant PINK: Fhance City of Carlsbad Bldg Inspection Request For: 1 1 /30/2005 Permit# CB051571 Title: ISLA VISTA MODEL Description: GAS tk ELECTRIC FOR BBQ Type: PLUM Sub Type: Job Address: 2287 GALENA AV Suite: Lot 0 APPLICANT TERRA FIRMA LANDSCAPE Location: Owner: Remarks: can you final? Total Time: CD Description ,,;. Commen. Inspector Assignment: RB Phone: Inspector: Arc, Requested By: CHRISTINE Entered By: CHRISTINE 29 Final Plumbing 4P Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 05/25/2005 21 UndergroundNnder Floor AP RB UNDRGGASLINE 05/25/2005 23 GasiTesURepairs AP RB 05/25/2005 31 UndergroundlConduit-Wiring AP RB JMS DATE IMMIDDMyYy] POLICY EFFECTIVE DATE IMMJDDPfY) n Burnham*lnsurmce Svcs Diego, CA 92101 CA Lic 0099753 I750 B St., #2400 , 231-1010 INSURED Terra Firma Landscape Company (L.A. Swikard, Inc. dba:) 7710 Kenamar Ct. San Diego, CA 92121 1 010 1 104 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAlC # INSURER A Zurich-American Ins. CO. 16535 INSURER B INSURER C INSURER D INSURER E I0101 105 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFI, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR CONTRACTORS STATE LICENSE BRD. ATTN: WORKERS COMP UNIT P.O. BOX 26000 SACRAMENTO, CA 95826 REPRESENTATIVES. AUTHORlZED REPRESENTATIVE LIMITS I EACHOCCURRENCE s s DAMAGE TO RENTED -ncel MEDEXP(Anympwxm) 1; , 1 PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMPIOP AGO S COMBINED SINGLE LIMIT (Ea accident) I s BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE OTHERTHAN EAACC AUTO ONLY: EACH OCCURRENCE AGGREGATE 19 I Is x WCSTATU- OTH- 1