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Home My WebLink About2612 GALICIA WAY; ; 82-326; Permit"' z 0 : :l " w 0 ~[ : .. z 8 "' w 0 ... 3 !! "' w z ! z 0 " ~ z w .. ,. 0 " "' ir w " "' ~ i[ D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7CXXl) of Division 3 of the Business and Professions Code, and my license is in full force and effect Lie No Class I hereby alfmn tha1 I am exemp! from the Con Vro~0s'B~~~i;:se a~; ~~f~~~.1i~~0c:Je'8t~~:i~r county which requires a perm,1 lo construct a,lter, improve, demol>sh, or repair any structure. prior to its issuance also requires the apphcan1 tor such perrmt 10 file a s1,1ned statement that he ,s licensed pursuant 10 the prov1s1ons of the Con tractor's License Law (Chapter 9 commenc,ng with Section 7000 ol D1v,s1on 3 of the Busmess and Pro less,ons Coce: or that ,s exempt therefrom and the bas•s for the alleged exemp1,on Any v1olat,on ot Section 7001 5 by an applicant for a perm,! sub1ec1s tne apphcant to a c1v1t penalty o! not more than t,ve hundred dollars ($5{()) 0 I, as owner of the property, or my employees ,,.,th wages as their sole compensat,on. will do the wOfl<. and !he structure ,s 'lot ,ntended or offered to, sale (Sec 7044. Business and Protess,ons Code The Con1ractor's License La,,. 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 tha1 such ,mproveme,11s are not 1ntende".l 01 otfered for sale I!, however the building 01 improvement ,s sold w,th,n one year ot completion, the owner-bu,lder will have the burden of proving tha1 he did not build Of improve to, the purpose of sale) O I, as owner o1 the property. am exclusively contracting w1!h licensed cont/actors to construe! the proJect (Sec 7044. Business and Pro!ess1ons Code The Contrac1or's License La,,. does not apply to an owner ot property who builds or ,mproves thereon, and who con1rac1s tor each pro1ects with a contractol"js) license pursuant to ll'>e Contractor's License Law: 0 I am exemp1 under Sec tor th,s reason . 8 & PC 0 I hereby affirm that I na,e a cert,ticate of consent to self-insure, or a cert1t1ca1e of Workers Gompensat,on Insurance, or a certd1ed copy thereof (Sec ~-Labor Code) POLICY NO COMPANY 0 Copy ,s !,led with the city 0 Certified copy ,s hereby tum1shed CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (Th,s section neecl not tie completed 11 !he permit 1s tor one hundred dollars ($100) or less) 0 I certify !hat ,n the per1ormance o! the worl< tor wh,ch this perm,1 1s ,ssued, I shall not employ any person in any manner so as to become sub1ect 10 1he Worl<ers· Compensation Laws of Ca11torn1a NOTICE TO APPLICANT If. after makm~ this Cert, t,cale ot bempt,on. you should become sub1ect l'J the Workers· Compensation p,ov1s1ons of lhe Labor Code. you mus1 forthwith comply w11h such prov1S10ns or !his permit shall tie deemed revo~ecl D I hereby a/firm that there ,s a cons1ruct,or lending agency tv lhp performance of the wori< lor wh,ch th,s per"'·',., :ssued 1Sec 3097. c .. ,1 Code1 Lenders Na"·'' lenders Ad<!'""' ----------- USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO F~LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD _ JILDING DEPARTMENT API---1CATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS AV. ST, OA,::,:~·OH, BUSINESS LICENSE # VALUATION PERMIT NUMBER 1-/,:,/,Z, ("1'A-1.,.\~IA '.:.!~ '", AD. "J;otoo-82-'3,U, CwJL;• + JUD( S,ObAJ2r 17'5::;~·7~ PRIME CONTRACTOR CONTAACTOFIS PHONE # ZONE If"' hEIC- OWNER'S MAILING ADDRESS. C(')ITT"RACTOR'S ADDRESS LICENSE NO. PLAN I.a.# BLDG use CODE -j ... ~ 1-7,,..y ~ -· l.!art. tZ, -I su~".''::/F'1 I H'\'C." ::1'0i ~ -::z. DESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SQ. FOOTAGE 4o~-iil OESCRlPT10N OF WORK . . • DESIGNER'S ADDRESS DESIGNER'S PHONE . _t~_£"'toP-Y ~--A"f ~ ~ U-. ._..._s;:: ~11 I~/~;:-.. ,,; 0:_ ~-1 f,~;7··, ~II;;.. . "' NO EDU . ... FLA ELEV OCC GP . ~IES I<.' ::.; -vO NO -- CENSUS TRACT ! GP LANO USE' I PARKING SPAC!: RES UNITS I GRADING PERMIT ISSUED REOEVELOPMENT TYPE OCC LOAD FIRE SPA y ~ N" AREA y D N"'r/ '7'.:'t.J "" J 0 vO N~ Nor Valid Unless Machine Certified i r .'::?.o, , QTY., PLUMBING PERMIT· ISSUE i 7,Si, QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER ,I J - EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU -B~l~O!f-.!.G PERMIT 01-0QQ-4220 --y-1,. I ·.-,, ""' - EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMIT 01-000-4221 ~··---·----------l -----· PLAN CHECKJ7P, {./1'} 1"'-il.o&H ------- EACH WATER HEATER ANO.QR VENT BOILER/COMPRESSOR UP TO 3 HP ~-------1----- TOTAL PLUMBING . . EACH GAS SYSTEM 1 TO 4 OUTLETS -l-BOILER/COMPRESSOR 3-15 HP 01-0QQ-4r2~ ~ ------- EACH GAS SYSTEM I OR MORE ~ METAL FIREPLACE ELECTRICAL 01-000-4223 1---------------------· . -------------1--.--------------·--·------- , EACH INST Al. ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 -----... ----· ---.. EACH VACUUM BREAKER . ' MECH EXHAUST -HOQOlOUCTS MOBILEHOME 01-000-4225 -t------------------r ------•·------ 1----L~~'._ER ~-~NER -----RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP -· ------------ i EACH ROOF DRAIN ilNSIDEJ SOLAR 01-000-4226 I --T J TOT~l MECHANICAL STRONG MOTION 65-640-0519 -::!SQ= -------- TOTAL PLUMBING FIRE SPR!~lgJR_S ___ 01-000-422] _ --.. -. -- QTY.I ELECTRICAL PERMIT· ISSUE .),,. QTY. SOLAR · ISSUE ~~LIC FACILITIES FEE 25-000-4933 BRIDGE FEE -------------~------- NEW CONST EA AMP'SWT ElKR COLLECTORS SCHOOL FEE -DISTRICT ~---·------------·---·------· I PH :; PH I STORAGE TANKS Carlsbad 65-623-0519 ----·----·----------- EXIST BLDG EA AMPISWT/BKR ROCK STORAGE Encinitas 65-624-0519 ---- I PH J PH PUMP San Dieguito 65-625-0519 -------------------- REMODEL.'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519 -·-1------· ------ - ------· ----- TEMP POLE 200 AMPS ----·------------------------- OVER 200 AMPS - -----------------·---------- TEMP OCCUPANCY (30 DAYS! --~---------------- ----~--·------------· -------- ---l ---·---------~----------- TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE I 45.00 1 HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO DO HEREBY Expiration. Every per.mu i$sued by the Building Official under the provisions ofthis * AN OSHA PERMIT IS REQUIRED F0A EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmUat1on and become null and void II the bUilding or work 5' o·· DEEP 4ND DEMOLITION 0A CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit is not commenced within 180 days from the date ol such STAUCTUAtS OVER 3 STORIES IN HEJGHT pe,m«. o, ,1 the """"'::X o, wo<k '"'""'"ed by ,~m« ;, ,u,pemled o, ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-abat'ldoned al anv time a er the work is commenced for a ,,..,. of 180 d STRUCTlON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPUCAN S Sl,ATU~ c--7 OWN CONTRACTOR 0 ~Jt DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB!UT!ES. JUDGMENTS, COSTS AND i'i' I /J ,. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ' -•I L~ . BY PHONED I J . ' I 2 ii: ~ ~ 0 0. E " f- l "O 0 Cl C ro -~ --°"' 0. " I -"' C a: 0 w w " w w " I ~ ~ o; >- ,,; w " g a: ro -;;; 0 §: " u C ro C ii: ,:. C " " i3 0 13 " 0. w C -"' £' 'B" ,;i.. -3 olp INSPECTION TYPE DATE INSPECTOR BUILDING FIELD INSPECTION RECORD FOUNDATION REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL - GUNITE OR GROUT SOILS COMPLIANCE FLOOR & CEILING SUB FRAME PRIOR TO FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE ---- FRAME OVER 2000 PSI EXTERIOR LATH lNSULATION PRES TRESSED CONCRETE -~ INTERIOR LATH & DRYWALL POST TENSIONED CONCRETE PLUMBING --FIELD WELDING SEWER AND BL/CO HIGH STRENGTH PLUMBING UNDERGROUND BOLTS PLUMBING TOP OUT SPECIAL MASONRY ' TUB AND ~HOWER PAN ' --~- GAS TEST i PILES CAISSON~~ ELECTRICAL I TEMPORARY POWER -- ELECTRIC UNDERGROUND ' ROUGH ELECTRIC ! r·\ _j ,;:;---------- I ,-_ ELECTRIC SERVICE ------· BONDING 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 HAVE BEEN APPROVED. . I ------- JOB SITE FINAL PLUMBING /"I . ELECTRICAL /1, ' ' 1/J ' ' MECHANICAL -v • , ---- GAS ' I 'I.Iv'. /. /I~ ---·-·--·-BUILDING /'Ill, w . .. l, ~ SPECIAL CONDITIONS ./. -"I,\ - CERT OF OCCUPANCY ISSUED .,, I('} • ·,"' ./' flECEIVED I NTERDEPARTMEm ALJNE.O.Rt1AI I ON SHEET 51:P 7 1982 BUILDING DEPARTME:.NT CJ.... r '_ • ~ . DATetrV Or. €ARlSSAD BUILPING ADDRESS=~~~~~~~-1~~-~-~~~----~-____ B_u,_~_,n_s_~_e_p_art_m_e_~ ,\.P.N: ;).J{q-/;30--13 C.T: ' ----------------- F .:Ji.lil * * * * * * * * * * * * * * * * * * * * * * ;~ * * * * *"""FD::** t, * * * * * * * * ;~ * * * * * * * * * 1: * * * * * * * * * D "' * * * PLANNING QE~RTMENT ZONE: \(_:;i( · SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _ ENCINITAS CARLSBAD ---------- ·UNITS REQ'D: PROVIDED: ---------------------- % COVERAGE ALLOWED: . PROVIDED: ---Tr\-'-\-+\ +b--+'------ PARKING SPACES REQ'D: PROVIDED: ~\ ·---=--------BUILDING HEIGHT REQ'D: PROVIDED: --------- FRONT SETBACK SIDE SETBACK REAR SETBACK ALLOWED: \l PROVIDED: ~ :---~ INTRUSIONS: ---- D(L RE-DEVELOPMENT APPROVAL REQ'D: tJPr LANDSCAPE & IRRIGATION PLAN COMMENTS: rJft --'--------------- ENVIRONMENTAL PROTECT I ON REQ: __ ...oe:.[_i..: __ 1::,_-h'\___;_{)f ______________ _ ADDITIONAL COMMENTS: ----------------------- OK TO ISSUE: DATE: --------- ENGINEERING DEPARTMENT R.O.W: ------ PUBLIC FACILITIES FEE: SEWER CONNECTION: -------------- DRIVEWAY LOCATION(S) : _____________ _ GRADING PERMIT: -------------------------EASEMENTS: DRAINAGE: ----------------------LEGAL DESCRIPTION: ------------------------~ ADDITIONAL COMMENTS: ------------------------ *CIIECK IP ENGI OK TO ISSUE,'!: :.J.-1..,,A~~.;...;.. DATE: ___ ...,,.__ FINAL: ------------OK TO FINAL: ----------- m * * * *-* * * * * * * * * * * * * * u *-* * * ~. * * * * kJi..:kJi.1i..illJdi.1i.:LJaJi..nnu. * *******-mun . .-£££ * IF TIIIS ITEM rs NOT CIIECKl:D, BUTLDING DEPARTMENT WILL MAKE FINAL INSPECTION.