HomeMy WebLinkAbout2607 Galicia Way; ; CBR2017-2640; Permit' . City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 01/05/2018 Residential Permit Permit No: CBR2017-2640
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2607 Galicia Way
BLDG-Residential
2161803600
$0.00
www.carlsbadca.gov
Work Class:
lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
P/M/E
Description: RACE: INSTALL 4 TON AC AND REPLACE FURNACE (LIKE FOR LIKE)
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.DD
Owner:
TRUST RACE LUIGI AND GRACE TRUST
2016 Bulrush Ln
CARDIFF, CA 92007-1406
Total Payments To Date: $170.00
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
ASI HASTINGS INC
4870 Viewridge Ave, Ste 200
SAN DIEGO, CA 92123-1671
619-590-9300
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Closed -Finaled
11/02/2017
11/02/2017
TFraz
$0.00
$170.00
THE FOLu1w1NG APPROVALS REQUIRED PRIOR ro PERMIT ISSUANCE: •PLANNING 0 ENGINEERING •BUILDING •FIRE •HEALTH OHAZMATIAPCD
«~ Building Permit Application Plan Check No. ( fl/2 olDI 7 ~Lio
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date I( -') _,-, lswPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2607 GALICIA WAY, CARLSBAD 92009 ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS l # BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
CHANGE OUT FURNACE LIKE FOR LIKE, INSTALL 4 TON AC
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES[), NO• YES •No• YES•No•
APPLICANT NAME JERMAINE MAEWEATHER Prlna -n
PROPERTY OWNER NAME GINO RACE
ADDRESS ADDRESS
4540 KEARNY VILLA RD #213 2607 GALICIA WAY
CITY STATE ZIP CITY STATE ZIP
San DieQo CA 92123 CARLSBAD CA
PHONE I FAX PHONE IFAX 888-991-4377 6195208893
EMAIL EMAIL
JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS ADDRESS 4870 VIEWRIDGE AVE
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123
PHONE IFAX PHONE I FAX 6195909300
EMAIL EMAIL
I STATE LIC. # STATE LIC.#
I CC20/C36 I CITY BUS UC 1200804 ✓ 513115
(Sec, 7031.5 Business and P_rofess1ons 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 tnat he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he ts exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 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: / hereby affirm under penalty of perjury one of the following declarations: D 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
[Z] I have and will maintain workers' compensation, as required bv 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 CYPRESSINSURANCE Policy No ASWC911636 Expiration Date 611/18
This section need not be completed if the permit is for one hundred dollars {$100) or less. 0 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 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 Se ·on 37 of la code, Interest and attorney's fees.
Rf CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason. •
•
•
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 Contracto(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. OYes 0No
2. I (have I have not} signed an application for a building permit for the proposed wort
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
e work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone/ contractors' license riumber)
5. I will provide some of th k, but act ired) the following persons to provide the work indicated (include name/ address I phone/ type of work)
,,@$ PROPERTY OWNER SIGNATURE ~GENT DATE \ \I 1
. .
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 manarJemenl 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 is a construction lending agency for the performance of the work this perrmt 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above infonnatlon Is correct and that the lnfonnation on the plans Is accuratB. I agree to comply with all City ordinances and Stare laws relatlng to building construction.
I hereby authOlize representative of the Cfy of Carlsbad to enter upon the above mentioned prupertyfor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILrTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAJNST SAID CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavatioos over 5'0' deep and demcliticxl or construction of structures over 3 stories it height
EXPIRATION: Eve,y permit issued by the Building Official under the provisions of this Ccxle shall expire by limitation and become null and void W the building or work authorized by such pemit is not commenced 'MIilin
180 days from the date of such permit or Wthe building or work authorized by such · is suspended or abandoned at any time after the work is corrvnenced fer a period of 180 days (Section 106.4.4 Unifonn Building Ccxle).
AS APPLICANT'S SIGNATURE DATE II I I 11,
,1 :
·, PERMITINSPECTION HISTORY REPORT {CBR2017-2640)
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 11/02/2017 Owner:
Issue Date: 11/02/2017 Subdivision:
Expiration Date: 07/05/2018 Address:
IVR Number: 7419
Inspection No. Inspection Status Primary Inspector
01/05/2018 01/05/2018 BL0G-43 Air
Cond./Furnace Set
045056-2018 Passed Tim Frazee
January 05, 2018
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
045058-2018
Checklist Item
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
COMMENTS
Passed Tim Frazee
COMMENTS
TRUST RACE LUIGI AND GRACE
TRUST
LA COSTA-SOUTH UNIT# 1
2607 Galicia Way
Carlsbad, CA 92009-8125
Reinspectlon
Passed
Yes
Passed
Yes
Yes
Yes
Complete
Complete
Complete
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