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HomeMy WebLinkAbout2606 Galicia Way; ; 81-441; PermitIll z 0 ~ Cl: ~ u Ill D C ![ 8 C Ill 0 .j 3 I Ill z ~ z 0 s z "' A. :If 0 u Ill a: Ill :.: Cl: 0 ~ -![ O I ller9by affirm that I am licensed under I provlalona of Chapter 9 (commencing with I Section 7000) of Division 3 of the Business I and PT01"8lona Code, and my license Is In . lull force and effect. I Lie No. _______ Cl,ss _____ _ I hef90y affirm that I am exempt from the Con· ~~~·~:= ;!,· ~'~~i~1:Wc!J.~~l~~ county which requires a pennit to conslruct alter. improve, demoHsh. or repair any structure, prior to it1 issuance atso requires the applicant tor such permit to file • signed statement that he is licensed pursuant to the provisions of the Con- lrac:to,'s License Law (Cllaplef 9 commencing With Section 7000 of Oiv1st0n 3 of the Business and Pro. tessions Code) °' lhal ,s uempl ,,_.from and the t>uis for the alleged exemption. Any viola.hon of Section 1031.5 by an applicant lo, a permit subjecll tne applicant to a civil penalty of not more than five hundr-«I dollOB ($!i()(ll. C I, • owner ot the property, 0< my emptoyees ,.,th wages as their sofe compensation, will do the WOftil.. and the structure is not intended or offered for safe (Sec. 70U, Business and Professiotis Code: The Contractor's License Uw does not apply to an owner or p«>perty who builds or improves thereon .-10 who does such WOB him,elt Of through his own empk)yees. provtded thal such improvemei'lts .. not intende1 o, otte,ed 10< -· If, -er. the buikting or imp,ovetMOI 1s 50kS within one ., .. of comptet.Jon, the OwtMtf-builoef will have the burden of proving that he did not build °' improve ror the purpooe of sate). Q I, as owner ot the property, am exclusively contrachn9 with licensed contr~to,s to construct the pro;.e-t (Sec. 7044. Business and Professions Code: The Contractor's License Uw does not apply to an owner ot property who builds o, improves ~'.:=i~':, ~~c=~~!~ ~:~:C:\~~;:.; License Law). C I am uempt under Sec. _____ , 8. & PC. fo,this reason ___________ _ • I hereby affirm t~t I have a certificate of consent to self-insure, or a certificate of Workers· Compensation Insurance. o, a certified copy thereof (Sec. J800, Labo< Code( POLICY NO. ______ _ COMPANY • Copy 1S filed Wllh the city. C Cenified copy ,s hereby furnished. CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1t the permit 1s to, one hundred dollars ($1001 or less) • I certify that in lhe performance of the wortc; '°' wruch this permit 1s issued, I shall not employ any person 1n any manner so as to beCome sub,ecl to the WC>fkers· Compensation Laws ot Calltorma. NOTICE TO APPI.ICANT· If, alter malun~ 1n1s Cen1, tiute of Exemption. you sl'\OUld become subject ,., the Won(ers' Compensation provisions of the ubcH Code. you must forthwith comply with such pr0¥1s1ons or this perm,1 shall be deemed revoked D I hereby attum that there 1s a cons11uct1on 1end1no agency for 1ne perlOf'mance of the work lor which this permll •s issued tSec 3097. C1v11 Godel Lender·s Name ___________ _ Lender's Address __________ _ I I I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 APPLICATION & PERMIT PERMIT NUMIER -~ • X _ A ·, . . . , •, ! '< ., AV. ST. 8USINI-L.ICINSI a ~-eJ:h ~ Ev~ .. •,u ••• ·, . RO, -.r, NEll'SPH'' ONI I'"MI CONTIIAC,TOfl .-,-,-...,,..,=,,,.,..,,.,,...,,,-----1t-,,-,--M~---L..!..-:rL-~ ·, _.• ,,_..., .. ' / ' -) -,/ J } . . ,. ' . I ' • ., _ _.. r'Y ' • ---: ~ :. ~---. . ki7"~ -~ • . ,. r/:/~ . . J . 1'!-'/'l:J _:.J--A._,..,,,i..;..,.-t-: "i"'°,r : .• :-!:-~~~ - ~It'll MAILING M>DIIESS • j ' j_:~r J~t,.~K ,. •, I SUIOIVISION ~"'•<>¥~ ~ - 1ASSE~ PARC6L ,..0. 1 -J.~-,-) ~ .1L::._~. ~_,;"" CONTIIACTOR°I AOQtUU - f.:i/ ' ) ~ ~-r ,-'...+. 1' .• r ·7'""''';; ._•·• --_, . r~ 4' .__-4..._r-....... . -~ / DESIGNEII -:--:. '""'· _....,,...,,_._,.,,. OIIIGNlll'S AOOIIISS --,-.,.._~ UCINIING. ITATI L.ICINM (I h--·• DHfGMfl'II, ....... ..- ...... -"· ' J ,~l't---~.;.,;_...., --~;i: .. ---~~--~-------9'""-•'•'-·-.,.-al!'~--11-----.. ----• ,,·; '• H' ~ " -.·., -F/P F LR ELEV. NO occ GP EDU • 11 .,.. ........ '-.• ~-"!-~c,; ':f '; r ... -STORIES PLAV,O~~ :-/ ILOG USE CODE STANDARD PLAN# BUtLOING SQ. FOOTAGE • I·.-I : I I /7 ,. !.J . f', CENSUS TRACT r·LANO USE PARKING SPACE RES UNITS GRADING J'.ERMIT ISSUED YO N D vO NO l REDEV ELOPMENT AREA TYPE CONST occ LOAD I FIRE SPR ,l I I 17 7 I / n. I . I ~.t .. \1 vO NO vO NO Nor Valid Unlm M«hiM t:.rrifi«I QTY. PLUMBING PERMIT · ISSUE ? <{)j QTY. MECHANICAL PERMIT· ISSUE -~• C'\c1 SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP I -I I INSTALL FURN. DUCTS i.JP TO 100.000 BTU I I BUILDING PERMIT ·-· EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT EACHWATERHEATERANOIORVENT BOILER/COMPRESSOR UPT0 3HP PLANCHECK 10 /. ·-/•., f:~,) EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP I I TOTAL PLUMBING EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE I I ELECTRICAL EACH INSTAL .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS MOBILEHOME WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOMEPARKINSP EACH flMDRAIN (INSIDE) I II I I I SOLAR TOTJ;L MECHANICAL STRONG.MOTION TOTAL PLUMBING l FIRE SPRINKLERS IQTY. ELECTRICAL PERMIT -ISSUE _.,. I ,.,(, Q() QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE BRIDGE FEE NEW CONST EA AMP/SWT IBKR COLLECTORS SCHOOL FEE • DISTRICT 1 PH 3 PH STORAGE TANKS Carlsbad EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 1 PH 3 PH PUMP San Dieguito REMODE L/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE l C ., .r ·+ ,\:J .., -;- l~'VI CAMl'Ul.[TOAMINEDTHtC0MIUTIDM~TION-ftAMn'" ANO DO HEREBY ~ PEIW.TY 01'. PEMIIIY THAt. AU, INfOMIATIOM HEA&ON INCLUDING TME ~ -OORIIECT Ale I PUll'rtt8'GIR1'1P'IAND MAIi IF A PERMIT IS CtTf, COUNTY ANG 8TAT! LAWS GOV&ANING BUILDING CON-HEREIN Oft NO't. I ALSO AGAEI! TO SAVE INDEMNIFY AND tlAALSIIAD ~ ALL UAIILITIU, JUDGMENTS, C08l8 AND 1XPEN1D WHICH MAY IN ANY WAY ACCRUi AGAIHSI' SAID cm' IN CONSeQuacE OF THI GIWfTIN8 01' TMIS PERMIT. a:r.=:~.,~=-~i::ro,:.-:.o::-~::~:,.,. . ·, · !!f:l?I E ~ . . . . -rt ... ·"•·. . -.~ -••-=:1.:.,.-•---!!.l••-••ll-. --.. ....• . .? ; ::ifl .. IUlllorllldllvlUCll ..... llllll-lClllwilllln1IOdarl"-rn..... ·"-.... . . .-:.-t ;,i ~:1r •, """"'°'".. o,wti ......... IUCll,_...,.11• dN• ·. . .. ~-.• . •~ .. · t . ·• ~ ~TUM .. •. CZ i . ~0 ~~~· APPROVED BY DATE ,i .: · c IYPHCN °1 ~'°":-."'~•-:::,-....,,,.:.,t• "'. •• ~ I ~ u:: >, cii 0 a. E (I) I- I "O 0 (!) c <II .2 Q. a. ·:f-l 'l '.:.:i c::I a:, o\ ll <(, 3: .2 ai >- u; .,, Cl) 8 ..I j I u:: 0 c:: Cl) ~ (!) 0 i3 (I) a. .,, c:: ~ s::: ~ INSPECTION TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GR"UT FLOOR & CEILING SUB FRAME SHEATHING FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING SEWER AND BL/CO PLUMBING UNDERGROUND PLUMBING TOP OUT TUB AND ~HOWER PAN -GAS TEST ELECTRICAL TEMPORARY POWER ELECTRIC UNDERGROUND ROUGH ELECTRIC ELECTRIC SERVICE BONDING A G. F. I. -SMOKE DETECTOR. MECHANICAL DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. JOB SITE FINAL PLUMBING .ELECTRICAL • I MECHANICAL /YJ,J, GAS /a ~ I -BUILDING ~ J .,-r- SPECIAL CONDITIONS ---CERT OF OCCUPANCY ISSUED Y\-4'-1 ( FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS ' INSPECTOR"S NOTES INSPECTION REQ. IF INSPECTOR'S DATE CHECKED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSEO CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS SPECIAL MASONRY PILES·CAISSONS . . .. City o ~arlsbad MISCELLANEOUS . • 120!) ELM, C. ,dAD, CA 92008 • TEL. (714) 438-5525 RECEIPT I / I / 11 I ,;l IJ I~ i:-I I I I I , ~~~r:J. (-; (J (c, 6t:JL/C:.11} 'I w '--t MISCELLANEOUS FEE RECEIPT f O It J-. Owner ~ TE/2 /I.~ r'__o LL1,,J.f' I • • PLAN CHECK FEE Mailing 5~ • VALUATION ~ j-._,_, l/, -Address f c2: f111 LS 8 4..b I Zip Tel. • DEMOLITION Con~lor j ,_ ,{ JFI , .A /JooL~ 7-A/ ct. • HOUSE MOVING Ad,ss -• PARKS AND RECREATION FEE '-I -...( ~. W t4 ';!--Ir ',,JJ -ro;...,, ~ c~}' -. 1 ~tnb'¥P 7 1-<) l ~-?'11-sooo • PUBLIC FACILITIES FEE • SCHOOL FEE · DISTRICT State Lie. ), <'2,1./(J City s. Clas~J"'i\ ~ e--:r i Lie. No. • Carlsbad COMPµTE FOR PLAN CHECK ONLY ' • Encinitas • San Diego LEGAL DESCRIPTION ; • San Marcos I n ASSESSORS PARCEL NO ;}_J6-JJ>11 -J~ n n DESCRIPTION OF WORK -n ?JJ () Jd r o-vJL n n J• n D Jt-YY / • . PLAN ID NO. • DESIGNER ADDRESS • ,· • PHONE $4 (1 .(. ~--)~,r.r'-' f1ri? TOTAL FEE CONTACT PERSW *WARNING: PLAN CHECK FEES. WHERE NO ACTION IS TAKEN BY THE ( ~i>-~r,-r) \ APPLICANT IN 180 DAYS AND NO BUILDING PERMIT IS ISSUED, FEE ARE I FORFEITED TO THE CITY. ~'-___..,/ COMMENTS: . Signature of Appllca-:YJ_ ),,,_ -~ Date lol.20/ ;~/ ' ~ v ' ~ White -Applicant Yellow -File Pink -(1) Finance (2) Data Process Gold -Assessor INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT DATE: ECEIVED BUILDING ADDRESS~ bcrrt 0~~ lv~ __ o_c_r_1_')_1_ss_1 __ CITY OF CARLSBAD Building Dcoartment PLANNING DEPARTMENT i ZONE __________ LOT SIZE _________ LOT WIDTH _________ _ UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ------------ % COVERAGE ALLOWED _____________ PROVIDED __________ _ BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED ______ _ , INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: OK TO ISSUE: ________ DATE ____ _ ENGINEERING DEPARTMEN "1 R.O.W. ______ IND WASTE _______ IMPROVEMENTS _______ _ ... SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _ GRADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _ LEGAL DESCRIPTION __ --,-__________________________ _ ADDITIONAL COMMENTS ____________________________ _ OK TO ISSUE:Jt&-e DAT/})~7/-t?l PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS LOCATION __________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ 8/-YY/