HomeMy WebLinkAbout2612 GALICIA WAY; ; CB133223; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
01-02-2014 Permit No: CB133223
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2612 GALICIA WY CBAD
PME
2161801300
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: LABRIE RES-REPLACE WALL HEATER
Applicant:
ASI HASTINGS
STE 200
4870 VIEWRIDGE AV
SAN DIEGO CA 92123
619-590-9300
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
LABRIE NORMAN C&GALE TRS
2612 GALICIA WAY
CARLSBAD CA 92009
ISSUED
12/30/2013
RMA
01/02/2014
01/02/2014
$0.00
$0.00
$158.00
$0.00
$158.00
Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due:
FINAL APPROVAL
Inspector: J,1,\. C-U,.:...s Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this pennit 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
f T E imil r h"
To: c:.rlebcad Pago '1 of 2 From: .Jennifer Colo
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BU1LD1NG OFIRE 0 HEALTH D HAZMAT/APCD I
' :, Plan Check No. rm , ~ i;) tA2.. <<~ Building Permit Application _, ]
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value '¥ CI TY O F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Dvoslt , CARLSBAD email: building@carlsbadca.gov IAA-www.carlsbadca.gov ""Date ll 7] Pl I}, lswPPP l
SOB ADDRESS .. '• . . $UITEf/SPACEf/UNITI" rPN .......... --: .. .. .... ... 2~12 Galicia W_ay ---..
CT /PROJECT ~ .. .. r OT# . I PHASE# l # OF·U~-IT~-.1 ?=DROOMS # BA.THROOMS l~~~IME$S~~ l~ST~.WP~ I ~:G.ROUP ... ...• . .. ... ' .. , ..
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s) ... . , .. .. . . .. .. '• .. • .
'. ... . , •. .. ' . .. ' ' • .. ·, Re_pla~e W~II He,a.te.r .. .• .. ... ·.-.. .. .. . . . . ·. .. .. '• . ... ,, . .. ... ..
·' " ... ,· .. .. '· . .
'• .. ' .. ' . .. ' ... .. -. •• ..... ' '
•, ... .. .. .. ... . . ... . . .... ... . . ,., ' ·. .., .. ' .. ..• . .. ' .. . . ' .. •' .. .... ....... ., •, " . .. ·, ... ... ,··· .. ... " .. .. . .. ... .. ' '• .•.. . .. '• . •. ... ' , .
... ... .. ..... ......... .. .
EXISJffjG USE .. ... I Plt~.~ED USE . . I GARAGE (SF!. PATIOS (SF) I DECKS !SF) ... FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS
.. ... , .. YES[J,t ' . N<O YES0 No0 YES0 Nc(J
APPLICANT NAME (Pr/muy Contltot) Jennifer & Randy Cole
APPLICANT NAME ($too11dary Contact)·.· '
.. . . ' .... '• .. , .... .. .. ....
ADDRESS ADDRESS '· .. 9880Magnolia Ave #119 .•. •'• ..... •. ....... .. ... ,. .. . . .
CITY STATE . •. ZIP CITY ' STATE ._ZIP
' Santee ... CA 92071 .. . ..
',. .. .... . . . . ·, '
PHONE ·. ·.:.'I FAX
...... "
PHONE .. I FAX ........
619-405::-2648
... .. '• . ······ ·, ...... . .. .. ····· .. .. '
EMAIL ... .. ·, EMAIL ., .. ····· .. . ... ...
... ',, .. ...... ' .. . ... , .. . ...........
PROPERTY OWNER NAME · ....
Norman Labrie CONTRACTOR BUS. NAME . ..... .... ASI Hastinqs
ADDRESS •'•, ADDRESS ..
2612 Galicia Way 4870 VIEWRIDGE AVENUE #200
CITY •, STATE •. ZIP CITY STATE .. ZIP
·carlsbad .. ' CA -92009 .SAN DIEGO ·.·CA · .... -.92123
PHONE rAX PHONE -I FAX ' 76Q'.".~32-9607 ' " ......... .. '
•'•• ... . (619) 590~9300 . .... ...... '• . .... · '
EMAIL ' ....... · EMAIL ' .•. ,. ' " .. '· .. " .. .. ' . .. .. . ... .. , .... ' . ARCH/DES_IGNER NAME & ADDRESS .. I STATE UC.# ... '• STATE LIC.# I CU$$ ICITYBU$.l1:j#200804 513115 .. C20
(Sec. 7031.5 Business and Professions Code: Any City or Counly wh1cn requires a permit to construct alter, improve, demollsh 0< repa,r any StfU¢ture. pnor to ,ts issuance, also reQuires tile apphcant tor sucn permit to file a sited statement that he is licensed pursuant to the provisions of the Contractor's License Law fhapter 9, commending with Section 7000 of Division 3 of the
~i~fil~~~l~~it~gre~~lit~~~eohun~~~g ~~~~~§~W8Wrom, and the basis for the alleged exemption. Any violation of Sectloo 031.5 by any applicant for a permit subjects the applicant to a
· w d n K i n s. · c .o M r l N s A 'T, o ,N · , · . · : · . · , ' ' ', ' ,,,,( ' ' ' ' , ' .
Workers· Compenution Declaration: I hereby afflrm un<ier penllffy of pe1ur; one of tho folowing declantHons:
..•
'
D I have and will malntoln a certificate of consent to telf•lnsure tor workers' col1l)ensation as provided by Section 3700 of the laoor Code, rorlhe performance of the wOf1< for which this permit is issued.
[Z] I have and will maintain workers' compenution, as reQUlred bV Section 3700 of the Labor Code. for the performance of the work for whidl this permit IS issued. My worbrs' canpensabon ins,nmce carr« and poticy
numberare:insoranceeo OAK RIVER INSURANCE COMPANY Porc,No. 3300065233131 ExplrationOate 09/01/2014
· i& issued, I shai not empby any person in any rnaoner so as to beoomo subject to the Werle!$' Col1l)onsation Laws of
I hereby afflnn that I am exempt tom Conlr ' e Law D I, as owner of the property or my employees •iln wage,; M sole <.0011>Cnsation, wil do the work and the stl1Jcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Con1J'aetofs
Ucense Law does not apply to an owner of property who builds or improves thereon, and who does such work himseK or through his own employees, prow1ed that such improvements are not inlended or offered for
sale. II, however, the building or improvement is sold within one year of completion, the owner-builder will have the buroen of proving Iha! he did not build or improve for the porpose of sale~ D I, as owner of Ille property, am exclusively contracting wiUl licensed contract01s to constl1Jct the project (Sec. 7044, Business and Prolmions Code: The Contractor's License LN does not appt,, to an owner of
property-.ilo builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the ContractOl's License I.ft)
D I am exempt under Section Busiless and Professi:>ns Code for 1his reason:
1.1 personally plan to provlde the major labor and materials for construction of the proposed propeny improvement. O ves 0 No
2. I (have I have not) signed an application for a building permij for the proposed WOii<.
3. I have contracted wilh the following person (frm} to provide the proposed construction (include name address I phone I conJeCton;' l~sa number):
4. I plan lo provide portiorn; of the v.o!I(, but I have hiied lhe followng person to coordinate, supervise and provide the major work (include name I address I phone I contractors' license nuniler~
5. I will provide some of the work, but! have contracted (hired) the following persons to provide the work indicated (include name I address I phone I type of work):
_,g PROPERTY OWNER SIGNATURE 0AGENT DATE
I
To: car-la l:usd 2 013-12-30 18:5 4 :39 (GMT) Fr-om• .Jennl1'e r-C o le
Is the applicant or furure buil(!jng occupant required to submit a business plan, acutely hazaldous materials registratioo fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazaldous Substance Account Act? a Yes a No
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quaity managemGnt district? a Yes a No
Is the facility to be oonstru<:ted within 1,f:IXJ feet of the OU1er boundary of a school site? a Yes a No
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFlCE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRJCT.
1 c:ertfythatl have lead the applic.ti:ln lnl state that the abolle intormati:ln is oonectandthattheinbmati:lnmlhe plans isaa:urate.1 agree tocom~with all Cit)' oldinallO!s aoo Stale laws relatilg k> buiklingoomm:tion.
I hereby authorize representa!iveofthe Qty of Carlsbad to enter upon lhe.roie menooned property br inspectioo p.uposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARl.S8AD
AGAINST ALL LIABILITIES, JUDGMENT~ COSTS.MID.EXPENSl.'S Mi!C',H MAY IN mY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA permit is requred fa-exaivalions ~ 5'0' deep IWld demcition a lion of slruclJlll$ <:Ner 3 slories 111 height
EXPIRATION: Every permttissued by fleBllilding Ofli · under lheJi'rMSioos · e,'lhalexpre by imitaoorl and becoolenul aoo wid if lhe boiklingo-v.ori< au1horized by such permit is notcanmeocedwthin
100days from the daleof such pemjatlhe buidin orv.alc authorized by ch it· s ded a abandoned at any tine after the wiscommenced bra peoodof 100days (Secfun 100.4.4 Unoorm ~l:ing Code).
...s' APPLICANT'S SIGNATIJRE DATE 12/30/13
Inspection List
Penni!#: CB133223 Type: PME
Date Inspection Item
07/28/2014 43 AirCond/Furnace Set
07/28/2014 49 Final Mechanical
07/25/2014 43 AirCond/Furnace Set
07/25/2014 49 Final Mechanical
Tuesday, July 29, 2014
Inspector Act
MC
MC
RI
RI
AP
Fl
LABRIE RES-REPLACE WALL HEATER
Comments
AFTER 2PM PLS
NO CARD ON SITE
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