HomeMy WebLinkAbout2615 Galicia Way; ; CB881181; Permit.,, z 0 " ..
<C ~ " ... 0
..
![
0
"71" I het'eby affirm that I am llcensed under
~vla1on1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and ProfNalons Code. and my license is m
lutl force and ellecl
"
.. ... 0 ~ 3 ~ ... z ~ 0
z 0
" ~ z ... .. ,.
0 " .,,
"' ...
" <C 0 3
I ne,eti,, alf,rrn that I am exempt lrom the Contrac
rors License L;iw tor the follow,ng reason 1Sec 70}' 5
Business .iM Proless,ons COOe Any c,Ty o• county wh,cr, ,e
ou,res a perrn,1 to construct. alter ·mprove demol,sh. o, 'epa,r any slruc1ure pr,or to ,1s ,ssuance aiso requ,res The ap-
;il,cant tor such perrn,1 to file a s,~ned statemen' thal ne ,s
1,censed pursuant ID the prov,s,ons of The Contractors
L,ce~se Law IChapier 9 cornmenc,ng w1Th Se~T,on 7000 ot D,.·,s,on 3 ot the Business and Proless1ons Code, or Iha! ; e,
ere pt :nerefrom and the basis lor the allegea e,empl1or Any vio1a1,on ol Section 7031 5 Dy an applicant lor a perm,t ;u~
.,eels the apphcant to a c,vrl Penally ol ~ot more lnan li,e ~'Jn
ared dollars 1$500'
1. as owner 01 the property. or my employees w·t~ wages
ilS Their sole compensa1,on w,11 do lhe work and the srruc-l~re ,s nor ,ntenaed O' oflered for sale I Sec 7044 Business
ard Proless,ons Code The Cortractor s L ,cense Law does
not app'y to an owner ol oroperly wno Ou,lds or 1rr'proves thereon and who does such work h,msell or through h sown
employees. provided That such ,mprovemen1s are not intend ed o, offered lor sale 11 however the building or ,mprova
ment ,s sold w,1n,n one year o1 complet,on the owner-b<J1lder will nave !he ~urden ol proving lhat ne did nor build 01 ,m
prove for the puroose 01 sale/
1 as owner 01 the property am e,clus,vely contrac1,ng
w.tn ln;ensed con1rac1ors to construct the pro1ecl 1sec 7044 Busmess and Protess1ons Code The Con1ractor s L•cense
Law does not apply lo an owner ot property wM bu,lds or ,m proves thereon and who contracts •or each pro1ec1s w11r. a contracTO'ISI 11cense pursuant to the Contractor's 1,cerse Law)
As a homeowner I am ,mprovmg my home and the 10110w ,ng cond1t1ons ex,st
1 The work ,s being perlormed prio· to sale 2 1 ~ave lived ,n my home for Twelve months
prior 10 completion 01 th,s work
l 3 , have no1 cla,med this exemp!IOn duri,~ tt,e rast three years
1 am exempt under Sec B & P C
tor th,s reason-------------
XI hereby af'rrm mat I have a cer1d,cale of consent to
se f, ~sure or a cer:d,cate of Wo•kers Compensa11on In
su•ance or a ceri.f,ed cop; t~ereof ,.Sec 3800. Labor Code1
eoon "0 1013568-88 C:OMPA"JY
Copv 15 1rst...abe c,Fund
-xCer!1!1ed CO;)y ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th,s sect,on need not be completed ,f the permit
,s lor one hundred :Jclla•s 1S100i or IPSSI
_ I cer11fy that ,n the oer1ormance ot tM work for wh,ch
tn,s permit rs ,ssued I s~-all not employ any person 1n anv
manner so as to become sub1ect to the Workers Corr pen sat,on Laws of Ca1,forn1a
NOTICE TO APPLICANT I!, after mak,ng th,s Cert,f1cate
ol Exemp!,on you should become sub1ec\ to lhe Workers
Compensation pro.is,ons of the Labor Code you must
torthw,th comply w,th such prov1s10ns or th,s perm,t shal
j be deemed revoked
L
![ , he•eby aflirm that there •s a construct,on 1er.o,ng
agency forlhe performance o1 lhe wo,k lor wh1c'1 this ~er
m,t ,s issued (Sec 3097. C1v'1 Code)
Lende, s Name Nane
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palrnas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RD. THOMAS BROS NO. DATE OF APPLICATION BUSINESS LICENSE# VALUATION PERMIT NUMBER
2615 Galicia Way LaVonte 19451
n f!t!,r/ LO< BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE # ZONE 'D
OWNf R"S NAME I 43 7-28155
'HONE
Arlen Foster Plumbing 697-4151
Michael H. Collier CONTRACTOR'S ADDRESS ST ATE LICENSE NO. BUILDING sa FOOTAGE
2819 Central Ave. 443348 OWNER'S MAI Li NG ADDRESS
DESIGNER DESIGNER'S PHONE 2615 Galicia Way 1750 09/07/88 0001 01 02
OESCR•PT!ON OF WORK Bldf'mt 10.()j ' -· n--,1 ' OESIGNER.S ADDRESS STATE LICENSE/"
' ' FLA ELEV NO
OCC[P ~ ;/, ~uu STORIES
y[__J -...c l CENSUS TRACT l PARKING SPACE RES UNITS I GRADING PERMIT ISSUED 1 REDEVELOPMfNT TYPE occ:LOAD FIRESPP
AREA CpNST/ .v ,o 'D y :J .... o ! vO "'O Not Valld Unlers frhchme Cert1 lied
QTY PLUMBING PERMIT. ISSUE $7.'i~ QTY MECHANICAL PERMIT· ISSU~ ' ,,) SUMMARY/ACCOUNT NUMBER
EAf.H ~IXTURE. !RAP . INSTALL FURN DUCTS iJP TO 100 000 BfU·' i I. ou1•_lJING n:RMI !JU. -8' IJ·O'u·UIJ·o! ,O
EACH t!UILlJING SE.WEA OVER 100 000 l)'T~ I/ v S;GN PERMIT 001-8"0-00 OU-822'
1 EACH WATER HEATER ANO OR VENT <;? c;n BOILER,CUMPRESSOR UP TO 3 HP i; ,{ PLAN CHECK 001-810-00·00-8891
EACHGASSYSTEMl lU~UUlLETS BOILER.COMPRESSOR 3 Ei HP / /1 TOTAL PLU'V1B1NG oo; 8'.·J-o:,-oc, 822? Sl0.00
EACH GAS SYSTEM 5 OR MORE ME!A.L F REPLACF ~ v /., ELECTRICAL 00 1 -81 J-00-00-82 (3
EACH INST AL ALTER. REPAIR \r','ATER PIPE VENT FAN SINGLE DUCT / MECHANICAL oo 1-s · o -00-00-82 2<!
EACH VACUUM BREAKER MECHE XHAUST HODO DUCTS I MOBILE.HOME oo 1-s 1 =,-oo-o:J-8225
VI/ATER SOFT~ER RELOCATION OF EA FURNACE HEA}i€R SOLAR 001-5 · G 0:J-00-8226
fi\Cf-1 R()(1( ')R,'.,1fJ I '!~T·'., DRYER VENT I STRONG MOTION 880-519-92-33
TOTJ'..L MECHANICAL/ FIRE SPRINI\LERS QO 1-81 :J-OCi-0:J-8227
r [)TA l Pl ur,,.,FJ INL I "'' n on PUBLIC FACILITIES FEE 320-81 o-::io-oo-s1 ~c
_¢ MOBILE H9'°'1E SETUP
BRIDGE FEE 360-810-00·00-8740
QTY ELECTRICAL PERMIT. ISSUE QTY PARK·IN-L,EU (AR:':A. '
NEW CONST EA AMP SW! c\KR / CAR PORT / TIF 312-81 0·00-00-8835
I PH I PH ,,. AWNING / LA COSTA TIF 311-810·00-00-8835
FX1Sr HLDG EA AMP SWT HKR / GARAGE / FMF
I PH \PH / / LICENSE TAX co 1-s1 o c:0-,Jo-s 1 62
R[MOOEL Al Tt.R PtR [IR_L;.trll / MFF 880-S 19-92-J I
TEMPPOLf: JIJU AMPY° I
OVER 2UU AMPS ........... I
!£MP [lC~AN[Y ,30 OAYS1 /
./ I CRED1T DEPOSIT
/ TOTAL f' LlLTRl(.Al I / TD" /\.l TOT AL FEES PAYABLE I ~,n nn
! HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT'-AND DO HEREBY EJCp1rat1on Ever}' per mt I issued b}' the Bu1ldmg Olf1c,el under the provisions otthts * AN OSHA PEAM:T lS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall 8JCpire by hm1tahon and become null and vo,d If tne butldmg or work 5· O" DEEP ANO DEMOlfTION OR CONSTRUCTION Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w1thm 180 days from the date ol such STFIUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED-TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-:~~!n~ ·~, ':~v ~~!~i~ff.?~n:~~:~!hc°~~~~J.(0~~ ~~~~·~tr~na~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE W SAVE INOEMNIFY AND APPLIC?i:Z.TURE ¥ OWNERn CONTAACTO~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AN~K/;. ~ 07ff EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID C!TY IN CONSEQUENCE OF THE • .1 ;_ BY PHONE fJ ~ I GRANTING OF THIS PERMIT fYY1 .-.----~
" " , . ,
~
LL
i':' ro
0 0.
E w f-
l
D
0
'"
C ro u
0. 0.
"" I
~
C
0.
0 " " w " " ""
~ 0
w >-
w u C ro
C
U:
C w ~
('.)
0 u w 0.
" C
-" ~ ,:
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BL/CO D PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS AfJOVE HA VE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
--
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOL_Ts
SPECIAL MASONRY
~
PIL.ES CAISSON'.:
-~--~-~---~
--1,........_ ___
---
:, .·
-.. +'--·-'-. .