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Home My WebLink About2333 GALENA AVE; ; CB153993; Permit• • ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 11-17-2015 Permit No: CB153993 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2333 GALENA AV CBAD PME 2132430100 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: POST: REPLACE WATER HEATER Applicant: ANDERSON PLUMBING INC.WALTER 1150 N MARSHALL AVE EL CAJON CA 92020-1831 619-449-7646 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: POST JOHN C&BRENDA B 2333 GALENA AVE CARLSBAD CA 92009 ISSUED 11/17/2015 SLE 11/17/2015 11/17/2015 $38.00 $0.00 $0.00 $60.00 $98.00 Total Fees: $98.00 Total Payments To Date: $98.00 Balance Due: Inspector: ~ Clearance: $0.00 NClTlCE Rease ta<e NClTlCE lh,t iqro,a ci )OJ: ~eel irdl.des Ire "lrrµ,;itiorl' ci fees, da'.lcaicrs, ressvatia,s, C, ether exa:.tcrs -aJledi,.,iy referred to as 'fees'exa:.tors." Yoo t>,,e 9'.l da)s frcm Ire-!tis pemil""" iss..ed to p,ctest irrµ,;ruo, ci trese fees'exa:.tors. If yo., p,ctest lrerT\ yo., rrust fdlo,,,lhe i:,ctest JJOC8(ires set forth in <?oterrmrt Cede Sedioo 60020(a), ard file Ire p,ctest ard any ether req.jred infooraio, 1/Jlh Ire Oty ""'-le, ~"!J ;,, ax.oda rewlh a.tsllad Mndpa Cede Sediai 3.32.030. Falu,,totirrely fdlo,,,ti"at i:,ucecl.re\lJII aranySL!Jsaµrt lega actonto~ rev;ew, set asiOO, vdd, a anJ treir irq:x:sitioo. Yoo ae l"ffib; R.RT1-ER NClTlFIEDtt-al y:,.rrig-t to p,ctest Ire specified fees'exa:.oo,s lXES NOT APPI..Yto\\Serard se.,ercrmectio, fees ard~ duigas, nc, plmrg, zuirg galrg c, ether srrila-<l)piicalio, ~rg c, servioe fees in crmection 1/Jlh !tis ~eel. i'l'.R lXES IT APPLY to any f v.h sirril v.ti the Ii . , THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMAT/APCD {"city of Building Permit Application Plan Check No.('(')/ C:::., 399 ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov www.carlsbadca.gov Date I 1111 / / F;' lswPPP JOB ADDRESS SUITEI/SPACEI/UNITI IAPN '2'.333 G ~ \-e."'a.. t!..,, e. --- CT/PRQjECT # I LOT# I PHASE# l#OFUNITS l#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Atfected Atea(s) I o.n k \.,_ss. w o..-\-c..c-~c.a..·h: . .-..l..-.-... G=-.,...a..,sc.. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YESQ Nc0 YES •No• YES•No• APPLICANT NAME PROPERTY OWNER"\-_\_~--;---, \ Primary Contact • ADDRESS ADDRESS 23~3. Gc,jenco.. A-ve. CITY STATE ZIP CITY STATE ZIP r--\s\:,.,.d CA 92c,oC., PHONE IFAX PHONE IFAX 7fa0··1.\cs-7SS~ EMAIL EMAIL DESIGN PROFESSIONAL ~NTRA~OR BUS. NAM~ ... ,\_ ' :-.. t-le~l.,-, .a:;.-A,r ADDRESS ADDRESS ~ IISDN I'll"'-~"''"'--II Ave. CITY STATE ZIP CITY STATE ZIP ~, r"-:~-c' A 9~~~,-.. PHONE IFAX PHONE IFAX Co 19 -'l<-1 q -,c,1 .. H. EMAIL EMAIL STATE LIC.# I STATE UC.# I.J93)(..3 lcLASs ir_J~TYsus.uc.# C-20 I 07t+'-J f""V"\ (Sec. 7031.5 Business and Professions Code. Any City or Coun_ty which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit 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. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: DJ 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. ~ave and wlll maintain waiters• compensation, as r:quired by Section 3700 of the Labor Code, for the performance of the work for which thls permit is issued, My workers' compensation . sur nee carrier and policy number are: Insurance Co. ~~e... A"'.C'C\C c, CC?\.b Policy No. WL "Re.. L-\-'a" 57~l°l(.o Expiration Date 3 ' l c.... ~secUon need not be completed if the permit is for one hundred dollars {$100) or less. LJ Certificate of Exemption: I certify that in the perfom1ance 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: Fallure 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 . .8ScONTRACTORSIGNATURE ~ c;;:::::..,.... ,._ ~NT I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: • • D I, as OWf1er 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 wor1( 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). 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) 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. 0Yes 0No 2. I (have I have not) signed an application for a building pem1it for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4, I plan to provide portions of the wor1(, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' Hcense 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/ type of wor1(): /15 PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) Civil Code) lender's Name lender's Address APPLICANT CERTIFICATION I certlfylhat I have read the application and state that the above information ls correct and lhatthe infonnation on the plans Is aa:urate. I agree to comp/yYttth all Cllyordlnances and 51ate law.; relating to building construction. I hereby authorize representative of the City of Carlsbad to enter up:m the aOOve mentioned property Rlr insl)3(fun pul'JX)SeS. I AL.SO AGREE TO SAVE, INDEMNIFY AfJD KEEP HARMLESS THE CITY OF C.ARLSMD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AG.AJNST SAID Crri IN CONSEQJENCE OF THE GRANTING OF THIS PERMIT. OSHA: NI OSHA pennlt is requred for excavations over 5'0' deep and demolltk:m or 001strudion of structures over 3 stories in height EXPIRATION: Every permit issued by the Buik:ling Offcial under the pro','isk:ms of this Code shall expire by ll'Tiitaoon and become null and vok:I W the buik:ling orv.ork authorized by such permit is notCXJmmenced 'Mlhin 180 days from the date of such permit or if the building orv.ork authorized by such permit is suspended or abandoned at any time after the wk is CXJmmenred for a peliod of 180 days (Sectbn 100.4.4 Unifoon Buik:ling Code). .k!APPLICANT'SSIGNATURE s-~ S::Z DATE 11 / n i5"" • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Garlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CONTACT NAME ADDRESS CITY STATE PHONE EMAIL DELIVERY OPTIONS PICKUP: MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) CONTACT (Listed above) CONTRACTOR (On Pg. 1) ZIP FAX OCCUPANT (Listed above) OCCUPANT (Listed above) MAIL/FAXTOOTHER: _______________ _ A$ APPLICANT'S SIGNATURE CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE Carlsbad CA OCCUPANT'S BUS. LIC. No. ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB153993 Type: PME Date Inspection Item 12/14/2015 25 Water HeaterNents 12/14/2015 25 Water HeaterNents 12/14/2015 29 Final Plumbing 12/14/2015 29 Final Plumbing Monday, December 14, 2015 Inspector Act AEK AEK RI AP RI Fl POST: REPLACE WATER HEATER Comments Page 1 of 1