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HomeMy WebLinkAbout2291 GALENA AVE; ; CB051570; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-02-2005 Plumbing Permit Permit No: CB051570 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2291 GALENA AV CBAD PLUM Status: Parcel No: 2132400200 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: ISLA VISTA MODEL Inspect Area: GAS & ELECTRIC FOR BBQ AND FOUNTAIN Applicant: TERRA FIRMA LANDSCAPE 9550WAPLES SAN DIEGO CA 92121 AMA 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 ;~;:~~~e~ ees ~. . d 1 >\Q ,I 11[Cof "--roTAL PE 1¥ IT F S 0 0 0 0 0 1 0 Owner: W L LA COSTA 61 ASSOCIATES LL C C/O W L HOMES LL C 6183 PASEO DEL NORTE #160 CARLSBAD CA 92009 ISSUED 05/02/2005 MOP 05/02/2005 05/02/2005 $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 CGP Inspector: ~ FINAL APPROVAL Date: ( f to 0) • Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn 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 to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your nght to protest the specilied 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 i n f whi h v . I N Tl E imil r whi h f limi . n h r vi I rwt x ir 02 47-00 FOR OFFICE USE ONLY PERMIT APPLICATION . r> PLAN CHECK NO.(5::> CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date_-'-------------- Addre•• Uncl~ Bldg/Suite I) s r-.O \ Business Name (It this address) l~·)g ,,,~ TO\ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel I~ 6'a ', t fil.q~f\v aar t,l)a / Exlstin;&ae ~0,1 o.\f\ Proposed Use Description of Work ' SO. FT. lot Stories I of Bedrooms I of Bathrooms State/Zip Telephone I Fax I Name City .!~-~ :: .. UA Name 15.'DlillU&ttO@~,Mfiiffl•~;~l\'t=,~-~~(r.,,'. · '.' ;~ :,::_,.:;,,•.,tt. J,'. \ · -:;':~!,!.~_l);.lij~.r,:~,:·.~;fl;r;;:J1.~~~~~t~~~~ (Sec. 7031 .5 8ualnn1 and Profnslons Code: Any Chy or County which requlrn • permit to construct, •her, Improve, demollah or repair any atruc:tute, prior to ha l••u•nc•, also requir•a the applicant for auch permit to fNe • ligned ltatemant that he Is licensed purauant to the provl•lons of the Contractor'• Llc•na• Law (Chapter 9, commending whh Section 7000 of Dlvlalon 3.of the Bualneu and Prof .. slons Code) or that he Is exempt therefrom, and the belie for the alleged exemption. _Any vlolatlon of Section 7031.5 ~ any leant for• permit subjects the appllcsnt to• civil penalty of not more than five _ ed dollars IUOO)I. O Ir ~,_. i 110 i' {, Si ~ <3 . Name Addre11 / State Uc-• I 5 '1 s ~ 7 ~ License Cl•H __ L/ _____ _ s Designer Name Address City State/Zip Tel_ephone State License I _________ _ [tl,1 • ijfil(IAl3!qG..fflll ,.'[~~;.::;rr,-,;;f~~,:a_';{!M-:i.,.;-.ti~-l'll-Wii:,'1::i,>~1t~t~J.:itit?:Wlil'~tif'. -~~•1 -.~·:. :2?:: . .">f.i•v.'..~ • ~:.::i>i~.~i:-:i·•:-1··1-11f'.it;i:i,);14 Worker•' Compen••tlon Decl•r•tlon: I hereby affirm under penalty of perjury one of the following declarations: · O I have and wlll maintain • certificate of consent to self-ln•ure for workers' compen••tlon u provided by Section 3700 of the Labor Code, for the performance of the work for which thl• permit Is l••ued. ef I heve and wlN maintain worltlfl' com~tlon, •1 required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is ls•ued. My worlter'• compen••tlon lnauranc• carrier and policy number •re: 1 / / lnaur•nc• Company 2,Jrl@ .. b'/iA~(i(.4\/\ !'ollcY No. \.\JLZ, }~, )0~,5 Expiration Date Jrll[OG (THIS SECTION NEED NOT IE COMl'lETED IF THE PERMIT IS FOR ONE HUNDRED DOU.AAS 1noo1 OR LESS) 0 CERTIFICAT£ OF EXEMPTION: I certify that In the performance of the work for whl·ch thl• permit I• l11ued, I shall not employ any p•r•on In any manner 10 H to become aubfect to the Worker•' Compen••tlon Law• of C•llfoml•• WAANIH0: F•-ur..to __. wortllfl' compenaatlon -•oe I• inewful, and •hell •ubject •n •mployw to ~ peneltlN and clvff fine• up to on• hundred thouellnd dolar• 1•1~), In addition to cott of c:ompenaatlon. d•m•gee ea provided fOf In Section 3708 o~Labor code, lnt-t and attorney'• fNI. ~l~NATU,RE ·• . ~ . . . ·•· ··:a;~~.f,•.'t~'r"~~Fi~~!l~f:~~~i~,~~~·~11h1r:'j.c;:·~~- I h«eby affirm that I •m exempt from the Contractor's Lie-• Law for the following ra•,on: · 0 I, •1 owner of the property or my employ-whh wagea u their sole compensation, win do the work and the •tructure Is not Intended or offered for sale (Sec. 7044, Bu•lnns and Profe•lions Code: The Contractor'• License Law does not apply to •n owner of property who bulld• or Improve• thereon, and who does •uch work hlmaelf or through his own employeea, provided that such Improvement, •re not Intended or offered for sale. If, however, the building or Improvement 11 sold within one year of completion, the owner-builder wlll heve the burden of proving that he did not build or Improve for the purpo•e of •1lel. 0 I, H owner of the property, •m exclu•lvely contracting with licensed contractors to construct the proJect ·csec. 7044, 8ualnes• and Professions Cpde: The Contractor'• Uc-• Law don not ·•pply to •n owner of property who builds or Improves thereon, and contracts for such projects with contractor(al llcen•ed pur•uant to the Contractor'• License Lawl. · 0 I •m exempt under Section ______ 8uslne11 and Profeslions Code for this reason: 1 . I personally plan to provide the major labor and ~•terlals for construction of the propo••d property Improvement. 0 YES ONO 2. I (have / have notl •tgned an •ppllc•tlon for a building pilrmh for the propo•ed work. 3. I have contracted _with the following person lflrml to provide the proposed construction (Include name / •ddresa / phone number I contractors llcen•e numberl: 4. I plan to provide portion• of the work, but I have hired the following person to coordinate, supervise and provide the ma)or work (Include name / address / phone number/ contractor• llcen•e numberl: ____________________________________________ _ 5. I wlll provide aorne of th• work, but I have contracted (hired) the following persons to provide the work Indicated (Include name / addreas / phone number / type of workl:, ______________________________________________________ _ PROPERTY OWNER SiGNATURE ________________________ DATE _________ _ ~ijill'{ffl;ffmiliJ1ftCi."ti~-!\ti.fQ'-S(~tN.b,J.ll!Bl,!il:QIN.Ol(itl,MlT~QNl!V:;.k,; . .:[::i~:;::~ ;-~~!. ;:-. ,'l__+'.,i 'l.~'f~~::. l-~: ,1t:Y·'1(;_!,' ('/~,~' 'ii., t..Jl.:,.: ,::--~i '(, ~ ·:~.:. .;:11,.,.;:, Is the applicant or future building occupant requlrad to aubmlt a business plan, acutely haztrdoua material• reglatr•tlon form or risk management and prevention program under Sections 26606, 25533 or 26634 of the Pre~ley-Tanner Hazardous Substance Account Act? 0 YES O NO la the applicant or future building occupant required to obtain I permit from the air pollution control district or air quality manage;,,ent district? ·O YES O NO Is the facility to be constructed within· 1,000 feet of the outer boundary of• 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 POLLUTION CONTROL DISTRICT. i ~Bmffl~9,.'1i~.M.l~Qi'1P..i'AC!.'1(Yi.t1Lt;.M~b'r;jff.;'JJ;·J~~~•--;_~;1:,t·.,;:: ;~,f'.l!W~·;\t,\·,, t4~}l~~ .. -: ..... ~~/ · ~~-~~;1,. :-,\ -:"~t'.-,: · t•jt:ii Ji:~ .. IL;. :, ..,,, ;-i' '.'•::\ ~-. , I hereby affirm that there 11 • construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097111 Civil Codel. LENDER'S NAME ______________ LENDER'S ADDRESS.:----:-----------------------.• ...,...C'm~'IM . '. . 1~t~~r11~~!l,1i.\.\~~-1.~i.:,;:,,h:,:;:~· -~·.;o,1-1, :: ~·;,;;,.-:1i1•~~i~~;i:,ii:;..i.:.i,;,;;,::;~~i ~~:'.,\~iii-(~-:~~,:.' "li~'::i,:;.:::;'l-~1 .~;-tr.:•ti-;»~,;,l.~tJ I certify that I have read the application and at•te that the above Information Is correct and that the Information on the plane Is accurate. I agree to comply with all City ordinances and Stat• laws relating to building construction. I hereby authorize representatlvea of the Cltt of C•risb•d to enter upon the above mentioned property for lnapectlon purposes. I ALSO A0REE TO SAVE, INDEMNIFY AHO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDOMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTIN0 OF THIS PERMIT. OSHA: An OSHA permit Is required for exc•v•tlons over 6'0" deep and demolition or construction of atructurn over 3 atorles In height. EXPIRATION: Every permit Issued by the building Offlclal under Ille provisions of this Code shall expire by llmltatlon and become null and void If the building or work authorized by such permit Is not commenced within 180 days from Ille data of such permit or If Ille bulldlng or work authorized by such permit Is suspended or abandoned at any tJme after lhe work Is commenced f~rlod ol 180 ya (Section 106.4.4 Uniform Building Code). /. APPLICANT'S SIGNATURE -----~,L.t:2::::...~&L£...:=====---------DATE 5;/z:/05 ·YELLOW: Applicant PINK: Flnence City of Carlsbad Bldg Inspection Request For: 11/30/2005 Permit# CB051570 Title: ISLA VISTA MODEL Description: GAS & ELECTRIC FOR BBQ AND FOUNTAIN Type: PLUM Sub Type: Job Address: 2291 GALENA AV Suite: Lot 0 Location: APPLICANT TERRA FIRMA LANDSCAPE Owner: Remarks: Can you final permit? Total Time: CD Description Act Comment 29 Final Plumbing 1 39 Final Electrical Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 05/19/2005 23 Gas/TesURepairs AP PD 05/19/2005 31 Underground/Conduit-Wiring AP PD Inspector Assignment: PD --- Phone: Inspector: ___ r......;.. & BJJ Requested By: CHRISTINE Entered By: CHRISTINE