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Home My WebLink About2606 GALICIA WAY; MULTI-PERMIT FILE; CB133209; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-27-2013 Permit No: CB133209 Building Inspection Request Line (760) 602-2725 Job Address: 2606 GALICIA WY CBAD Permit Type: PME Status: ISSUED Parcel No: 2161801200 Lot #: 0 Applied: 12/27/2013 Entered By: SKS Reference #: Plan Approved: 12/27/2013 PC #: Issued: 12/27/2013 Inspect Area: Project Title: WALTERS RES - INSTALL FURNACE SAME LOCATION Applicant: Owner: CALIFORNIA DELTA MECHANICAL WALTERS THOMAS STE 155 6056 E BASELINE RD 2606 GALICIA WAY MESA AZ 85206 CARLSBAD CA 92009 480-898-0007/866-6925273 Plumbing Fees $0.00 Electrical Fees $0.00. Mechanical Fees $158.00 Other PME Fees $0.00 TOTAL PERMIT FEES $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: $0.00 FINAL APPROVAL Inspector: V Date: bLfD7/14 Clearance: NOTICE: Please take NOTICE that approval of your project includes the Inposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING ENGINEERING BUILDING FIRE HEALTH HAZMATIAPCD Building Permit Application Plan Check NoC43 1. 332c 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value - C I T Y 0 r Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck Deposit email: CARLSBAD 10 Date ( 'SWPPP JOB DDRESS . SUITE#/SPACE#/UNIT# JA CT/PROJECT H LOT if PHASE ft OF UNITS U BEDROOMS B BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP DESCRIPTION OF WORM: include Square Feet of Affected Area(s) q2 — EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING YESO# NO YES ENO ~FIRESPRINKLERS YESE NO APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) - ADDRESS . ADDRESS CITY •- . STATE ZIP - - CITY ' - STATE ZIP . PHONE - . FAX PHONE FAX - ' EMAIL . EMAIL PROPE1'( 'ftM. OWNER NAM TE?- CQ?ITRACTOR BUS. NAME IYo(2$k tLT.4c 10E4M(tPlL- ADDR' S L3ky . ADDRESS [20.- CITY ATE ZIP Lsre, CITY TATE ZIP Js .-. PHON.E PH E 8T. II I FA EMAIL ,- . EMAIL v 1td kha4 ARCH/DESIGNER NAME & ADDRESS . STATE LIC. U STATE LI . ., _ I CLASS (L 3(,, CITY BUS. LIC.II (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 tile 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: . . . El 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 Ihe performance of the work for which this permit is issued. IoN I have and will maintain workers' compensation, as required by Section 370001 the LaborCode, f r the performance of the work for which this permit is issued. Myworkers' compensation insurance carrier and policy - numberare: Insurance Co.'çu3 w 1_tijR_t t.SLWLAJ4d_LitpoiicyNo. i'_tiy 449'(opz.) Expiration Dale _____14 _________ This section need not be completed if the permit is for one hundred dollars (S100) or less. Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shalt not employ any person in any manner so as 10 become subject to the Workers' Compiusalion Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil tines up to one hundred thousand dollars )&100,000), in addition to the cost of compensation, dams as provided for in Section 3706 of the Labor code, interest and attorney's fees. CONTRACTOR SIGNATURE o---..... . AGENT DATE I hereby affirm that lam exempt from Contractor's License Law for the following mason: I, 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 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 sate). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. DYes ElNo 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! phone I contractors' license number): I plan 10 provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address! phone /contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name! address! phone / type of work): , _PROPERTY OWNER SIGNATURE - . []AGENT . DATE I p - - 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? ' 0 Yes 0 No - - -• Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 Yes 0 No • 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. . I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). - Lender's Name Lender's Address I certify that have read the application and state that the above information is coroectand that the information on the plans is accurate. I agree to complywith all City ordinances and State laws relating tD building construction. I hereby authorize representative 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,CARLSSAD 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 50' deep and demolition or construction of structures over 3 stories in height. • -: - P - ' 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 pemil is not commenced within 180 days from the date of such permit orif the building or work authorized by such permit i suspended orabandoned at any Iime'afterlhe work is commenced fora period of 180 days (Section 106.4.4 Uniform Building Code). ..APPL:ANTSSIGNATURE -__ DATE / -. r,- . .' • - - - 1 •' . - 4, -• 4 -. • ,,4 • - I - - - -' • , t ,- ., - • • - . ., S. • - - . &,, .-• -p -' . •- ,0. - I • - S - ' - 4, -t '- t 1 & • •SS#' - - St. - -- /p -- •' - . . - -• ' • •- - _ - - .'*-' . - - . - - • di - - - , 1 • -' - -- - - - - - 54 - • • - . - -- -- '- . • -•- - t'c -.', ,,' , _: •• - . •. p. • -. - - -S '' - • - . 'S. •p, •' _,., _5_ .- , p '-- -- - S S.,,,' P - ,', ••' • -, • •,, -• ,r -- .•, -• . - - • - S - .4. •, -. -. . - 4 1 - •;-• - .,'-, 4- ,.. __&-_ --'p -. -- 4-_S.. - __ ' • • -------- .'r , p '.. •• - S - p . - I. - -• - -'S , , - ' 8 - • • • . - 54 +5 - • - - •P'.j - £ •, - -- -, - / 'p • •• 4; .*4 S • - . -S . r,- ,,- '-P •' - •, 4 4 $ -•- - _! -a , ,t4 • 5-.- - S - 4_ I •- - S.-.IL -•; -- 4' .54 -p . - - -$ • -• - 4 5 -4 - - S , 45•44 •I I-, - - ,t ,. A, t S . - -,p I - - •. 4 , - - - ,,•_ - 45 •_ - _..P'-J - _5 5'.'•_. -- +5 - , $ • ... •%,' -,.• - 5,, 4 • - - . S -. S . - - - ' -'- .. £ - - -:' - - -. 5_•__ ''• . -V.. - - . -S • - L.. -.. . -, _;' -- ' •' -'-: -. '••' 4_I - . - - ' ,; '1 ' ' . - ,'4 S --p +5 ''.4. ,.•.- -, .4/• - • : • -. , •4.--' t .•,. 4 - .. - .' !, • - - - -P 1 .',. - -, 1- : , •. . - -- • - •. I. a . -- -- -, • 5 •. . - P. •"• _ • .' '_ 6 .-': •.' - . - •4 -- - , •-- : S- • 8' • - 'I - , -.-,. , - 5- ;4 - - _'•4'•' :.--' -4' 4! -. •,, •'. - •5•5, - - 4 -*" - • - S. -5--- 4 - -, -. - ... - S •' • S .4; - - , ''p •' S • -• - • '•--.- 4 - -- '.' ••• -. ' • .•) •-4 ' • - -'t_•• . .'' ' 5, ., . PS- • -,.S,' ••••• - • P P pP - , , 4, - - -- 4 844 4 • - - - '' •• ,: - S • S - * - p -. P - ,P• - - •• g' , • -4 - Inspection List Permit#: CB133209 Type: PME WALTERS RES - INSTALL FURNACE SAME LOCATION Date Inspection Item Inspector Act Comments 01/24/2014 43 AirCond/Furnace Set - RI 10-12 pm pis 01/24/2014 43 AirCond/Furnace Set MC AP 01/24/2014 49 Final Mechanical - RI 01/24/2014 49 Final Mechanical MC Fl Friday, January 24, 2014 Page 1 of 1 Job Address: Permit Type: Parcel No: Reference #: PC #: Project Title: 2606 GALICIA WY CBAD PME 2161801200 Lot #: WALTERS: REPLACE WTR. HTR. Status: ISSUED Applied: 05/07/2012 Entered By: JMA Plan Approved: 05/07/2012 Issued: 05/07/2012 Inspect Area: 0 Applicant: CALIFORNIA DELTA MECHANICAL SUITE #27 12440 OAK KNOLL RD 92064 (,- .• 866-898-0008 / / Owner: / WALTERS FAM ILYJRUST-10-25-06 \2606 GALICIAWAY CARLSBAD CA 92009 \ $3000 $0.00 Other PME Fees -$6500 TOTAL PERMIT FEES $95.00 = / A Plumbing Fees Electrical Fees Mechanical Fees / 05-07-2012 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 120836 Building Inspection Request Line (760) 602-2725 ''-'--' Total Fees: c $95.00 Total layments I To Date: ' $95.00 BalanceI Due: $0.00 7 1 IiORPORATED ( 1952 ?J i: A, . / Z-Y FINAL APPROVAL lnsoector( Date: 7• "' Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feesIexactions. YOu have 90 days from the date this permit was issued to protest Imposition of these fees/exactions. It 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 right to protest the specified 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired. City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application Plan Check No. Est. Value Plan Ck. Deposit Date JOB ADDRESS 2606 Galicia Way SUITE#/SPACEif/IJNITif APN CT/PROJECT if LOT if PHASE if if OF UNITS [BEDROOMS if BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE 0CC. GROUP I3FSCRIPTION flF WflRI( ln'l d c,. ct nf gffn'tnd Replace existing like for alike water heater EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING YES D# NO[_] YES E NOD IFIRESPRINKLERS YES U NOD CONTACT NAME (f Different Fom Applicant) California Delta Mechanical APPLICANT NAME . • Galina Pavlova ADDRESS - ADDRESS 60526East Baseline rd # 155 6056 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa ' AZ 85206 PHONE FAX PHONE FAX 480-898-0007 1-480-218-5645 . . 858-361-6495 1.858-240-6677 EMAIL EMAIL californiadeltamechanical.com galiapavlovabgyahoo.com PROPERTY OWNER NAME Thomas Walters CONTRACTOR BUS. NAME California Delta Mechanical ADDRESS ADDRESS 2606 Galicia Way 6056 E. Baseline road suite # 155 CITY STATE ZIP CITY STATE - ZIP - Carlsbad CA 92009 Mesa . AZ . 85206 PHONE ' FAX PHONE . FAX 760-445-2710 ' 480-898-0007 EMAIL . EMAIL , ARCH/DESIGNER NAME & ADDRESS STATE LIC. if STATE LIC.if - CLASS CITY BUS. LIC.# 811114 c36 1214281 (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 (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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). xtioo Workers' Compensation Declaration: thereby affirm under penalty of perjury one of the following declarations: lii 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. EZI t 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 workers' compensation insurance carrier and policy number are: Insurance Co ' Policy No. 1697823 Expiration Cafe nnioiisnin This section need not be completed if the permit is for one hundred dollars ($100) or less. Fl/iCertificate 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. // CONTRACTOR SIGNATURE DATE u[DERDECAó1N -- ___ I hereby affirm that lam exempt from Contractor's License Law for the following mason: El I, 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 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). El I am exempt under Section ______________Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. [:]Yes —]No 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 / phone /contractors' license number): 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 / phone / contractors' license number): I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work): ..PROPERTY OWNER SIGNATURE DATE Inspection List S BUILDING PERMIT PermitNo C8962136 11/05/96 17 53 Project No A9603028 Page 1 of 1 DeveIoment No: Job Add.ess: 2606 GALICIA WY. Suite: . . . Perniit Type PLUMBING - .. '. 0801 11/06/98' 0001 01 02 PrceiNo: 216-180-12-0O T - Lot#t: . C-PRMT 27.00 Valuation 0 Construction Type NEW Occupancy Group: .. Reference#.: . . - Status': 'ISSUED . Description REPLACE WATER HEATER Applied 1t1/05/96 - - Apr/Issue: .11/05/96' ; - Entere&By: RMA. Appl'/Ownr : CARVER, MARY: 61.9 942-0216 . 2606 GALICIA WY. . •- . "• :. CARLSBAD . CA .92009 *.* Fees Required *- F es Co ected & Credits :; Total Fees: . - '7.0 Total .00 : - * / 7 an o \ 27 66 Feedescription / its -\e/ nit - Ext' fee Data I — _____ F1 NAL F- LP ROVA' a' 'Each Water Heciter an5/ t 7. 00. PLUMBING TOTAL, 27.00 1952, - / INSP.Iij ?ATE. 2I ICLEARANcE I - - CITY OFCARLSBAD 2075 Las Palmas Dr, Carlsbad, CA 92009 (619) 438-1161 - - - -. • • 1 •' •1 PERMJT APPLICA11ON City of Carlsbd Building Deportment 2075 Las Pollan Dr., CarLsbad, CA 92009 (619) 438-1161 rrom ist i (see back) give code-of Permit-Type: For Residential rrojcu. Only: From List 2 (see back) give PLAN CHECK NO. EST. VAI. PLAN OC DETrr________________ VAUI). BY DATE (k of Structure-Type: SFR Net Loss/Gain of Dwelling Units 2. PRWE1-IIN)-TJRMAI1ON FOR OFFicE USE ONLY Address 2606 Galicia Building or Suite No. Nearest Cross SlrceLvte St. F LEGAL DESCRIPTION IL,t No. Subdivision Name/Number • Unit No. Phase No. CHECK BELOW IF SUBMITTED: 02 Energy Caks 02 Structural Gales 02 Soils Report U I Addressed Envelope ASSESSOR,S PARCEL DESCRIPTION OF WORK Water Heater- iep1acei9 4 11 l PROPOSED USE SQ. FT. # OF STORIES # OF BEDROOMS # OF IlATIlILOOMS UJT4INJI PLRAJN kil jJiIIcrcuit Troll NAME (last name fi t)Larver, ADDRESS 2606 Galicia Wy cl-n' Carlsbad STATE CA ZIP CODE 92009 DAY 1tLEPlION420216 APPliCANT UWNIITAUIVR NAME (last name first) Sheily 1iAt'k.NF FUR JOrIflSOfl CUN111ACIUII ADDRESS l3OW' gh Suite B CITY El Cajon STATE CA 92021 71P CODE 390-4477 DAY TEliPI-IONE PROPERTY OWNER NAME (last name firstp1\7er, Mary 2606 Galicia Wy ADDRESS ciiy Carlsbad STATE CA ZIP COD E92009 DAYThLEPIlO420216 WN11tMIUR A & J., NAME (last name first) Inc. ii /.Ub I-iigflway 8 tusinesb, SwLt B - ADDRESS CITY El Cajon STATE CA ZIP CODE 91977 DAYTELEPIIONE 3904477 630120 C-36 1200354 srATE 1.1G. # LICENSE ClASS CITY BUSINESS LIC. # DESIGNER NAME (last name lust) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE tIC. # WORKERS WMPENSATION Workers' Compensation Declaration: I hereby altirm that I have a certilicate 01 consent to sell-insure issued by the Director ol Indusirial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. Q. Farmers N2007-5--51 5-1-97 INSURANCE-COMPANY POLICY NO. EXPIRATION DATE Certificate 01 Exemption: I certiFy that in the pertormance ot the work [or 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. SIGNATURE DATE - OWNER-BUILDER 13E137=11ON Uwner-liuilderlieclaraLion: I hereby album that I am exempt irom the C0htravt0r1 License Law br the bollowmg reason: 0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the sucture 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, die 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 ortflt property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Lawdoes 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). 0 I am exempt under Section Business and Professions Code for this reason: (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 (Chapter 9, commencing 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). SIGNATURE DATE COMPLETE THIS SECTION FOR NONRESIDENTIAL 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? 13 YES 0 N Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? OYES ONO is the facility to be constructed within 1,000 feet of the outer boundary of a school site? OYES ONO IF ANY OF TIlE ANSWERS ARE YES, A FINAL QJLTWICATE OF OCCUPANCY MAY NOT BE ISSUED AFtER JULY], 1989 UNLESS illE AI'l'LICANT hAS MET OR IS MEETING TIlE ItJtQU1REMENTS OF TIlE OFFICE OF EMERGENCY SERVICES AND TIlE AIR tVhi.tfllON (X)N1110I. I)lSlliiCf. V. WNS11IUUI1UN LkJltJlN( AGENCY I hereby allirm tha0tle is a construction lending agency (or the perlonnance ot the work [or which this permit is issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS RcltiIthàt1i1ãvC read the application and state that the above inbormation is correct. 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 MREETO SAVE INDEMNIFY AND KEEP hARMLESS THE Q1Y OP CARlSBAD MAINST AlL hiA8lhIflFS Juix;m6wis, (XXIS AND EXPENSES WI DCII MAY IN ANYWAY ACX]UJK AGAINST SAID CITY IN (DNSEQUENCE OP ThE GRANTING OF TillS PERMIT. (XIlA An OSIIA permit is required for excavations over SV 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 not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). AvPucANrs SIGNATURE )0yyJ\j DAli: LLo CITY OF CARLSBAD ;INSPECTION REQUEST - PERMIT# CB962136 FOR 12/04/96 INSPECTOR AREA DC DESCRIPTION: REPLACE WATER HEATER PLANCK# CB962136 OCCGRP TYPE: PLUM CONSTR. TYPE NEW JOB ADDRESS: 2606 GALICIA WY STE: LOT: APPLICANT: CARVER, MARY PHONE: 619 942-0216 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: MW/THOMAS/942-0216 INSPECTOR1) SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 14 ST Frame/Steel/Bolting/Welding 24/ fi ,,t14 24 PL Rough/Topout. 34 EL Rough Electric 44 ME Rough/Ducts/Dampers ***** INSPECTION HISTORY ***** DATE DESCRIPTION . ACT INSP COMMENTS 111596 Water Heater/Vents * CO DC ND EQ-STRAPS .0 - . '.-.• .. ,.- -4 I 44 - B U L-D I MG P'E RM I T Permit No: C8960524. Q3/21/96 141 Project NO: A9600731, Page. 1 of 1 Development No: Job Address:' 2606 GALICIA WY SUite: - Permit Type MECHANICAL 6627 03/21/96 Parcel No: 216-180-12-00 Lot#: ioi 01. 0 ' Valuation 0 Construction Typ VN V\ Occupancy Goup: Reference#: Status: ISSUED Description REPLACE A/C CONDENSER ONLY Applied 03/21/96 Apr/IsEue: 03/21/96 Entered By MDP Appl/Ownr : ILM, HOWARD : 619..528-9088 6152 MISS-ION GORGE ROAD #F - SAN DIEGO, CA. 92120 •' *** Fees Required *** -& F1e,s Co1acted & Credits Fees: 24.0,/o) '• - Adjustments: /.00 Total 'dj.ts: . •00 Total'Fees: • .2,4. 0 Total aymen&: • .00 / Baan eSl!te'\ 24.00 -- Fee description / ,, trts eUr1it Ext fee Data 'Enter '1,' for 15.00 Y Install Furn/Ducts/HatPThp's > 9-b-0 9.00 * MECHANICAL TOTAL 24.00 7V - lNLJr1POR#TED - • 1952 - . - rn' - - ' ' •• - - 4 - -- - • 1- - •- -i.- - • - F •'t, 'S - ' CITY OF CARLSBAD S • - 2075 Las Palmas Dr, Carlsbad, CA 92009 (619) 438-1161 PIRMF APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CHECK NO. EST. VAL PLAN CK DEPOSIT_______________ VALID. BY DATE From List I (see back) give code of Permit-Type: For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: Net Loss/Gain of Dwelling Units 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address Building or Suite No. 2606 GALICIA WAY Nearest Cross Street LAVANET ST . LEGAL DESCRIPTION Lot No. Subdivision Name/Number Unit No. Phase No. SFD CHECK BELOW IF SUBMITLED: 02 Energy Calcs 02 Structural Calcs 02 Soils Report DI Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK REPLACE AIR COND. CONDENSER ONLY SQ. FT. # OF STORIES # OF BEDROOMS # OF BATHROOMS J. WN lAin PERSON (it ctitrerent from applicant) NAME (lastname first) ADDRESS T('IM WALTERS SAME STATE ZIP CODE DAY TELEPHONE APPLICANT )çONIHAcrOR U AGENT FOR CONTHACIUR Li OWNER U AGENT FOR OWNER NAME (last name first) ADDRESS HOWARD ULM 6152 MISSION GORGE RD *F SAN DIEGO, CA. - CITY STATE ZIP CODE DAY TELEPHONE 528-9088 PROPERTY OWNER NAME (last name first) ADDRESS T T SAME ERS, OM STATE ZIP CODE DAY TELEPHONE 942-0216 CDNTRACIOR NAME (last name first) ADDRESS ULM, HOWARD 6152 MISSION GORGE RD *F CITY STATE ZIP CODE DAY TELEPHONE SAN DIEGO C Q'71 20 528-9088 STh'FE [Ia. 7 72 1 Q 7 LiCENSE CLASS C 7Q 3-6 CITY BUSINESS LIC. # 1 202238 DESIGNER NAME (last name first) CITY STATE ZIP CODE DAY TELEPHONE STATE UC. # WORKERS' CX)MPENSATION Workers' Compensation Declaration: I hereby affirm that I have a certificate of consent to sell-insure issued by the Director 01 Industrial Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY CALCOMP POLICY NOW 9561213'XPIRATIONDATE 07/01/96 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 beco ect to the Workers' Compensation Laws of California. SIGNATURE /__&ATE 3/19/96 OWNER-1J)Pit 1)JdIA11ON Owner-Builder Declaration: I hereby affirm that 1 am exempt from the Contractors License Law for the following reason: 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 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). 0 I am exempt under Section Business and Professions Code for this reason: (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 (Chapter 9, commencing 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 7031.5 by any applicant for a permit subjects the apt1cant to a civi nalty of not more than five hundred dollars [$500]). SIGNATlJR , . DATE 3/19/96 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? DYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? DYES 0 N IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NCYF BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISIIUCF. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAff ICERtiFICATION I certify that I have read the application and state that the above information is correct. 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 CI1Y OF CARlSBAD AGAINST ALL UABILITIES, 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 pemit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abap2'at any time ajt r the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS DATE: 3/19 / g 6 0 CITY OF CARLSBAD INSPECTION REQUEST S PERMIT# CB960524 - FOR 03/25/96 INSPECTOR AREA. DESCRIPTION: REPLACE A/C CONDENSER ONLY - PLANCK# CB960524 - OCCGRP TYPE: MECH CONSTR. TYPE VN - JOB ADDRESS: 2606 GALICIA WY STE: LOT: APPLICANT: ILM, HOWARD PHONE: 619 528-9088 CONTRACTOR: PHONE: OWNER: PHONE: REMARKS: RS/THOMAS WALTERS/942-0216 INSPECTOR SPECIAL INSTRUCT: TOTAL TIME: - CD LVL DESCRIPTION ACT COMMENTS - 43 ME AirCond/Furnace' Set C SeeTY8 CgIS' ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS - r C - 5,