The URL can be used to link to this page

Home My WebLink About2634 GALICIA WAY; ; CB881284; Permit"' z 0 " .. "' ~ 0 .. C 0: i[ 0 "' .. C ., 5 ~ .. z ~ z 0 " ~ z .. .. ,. 0 0 "' ic .. " "' 0 3 ![ D I hereby affirm that I am licensed under provl1lon11 of Chapter 9 jcommencing with Section 7000) of Division 3 of the Business and Proteaalona Code, and my l!cense 1s in lull force and effect I hereby alf,rm that I am exempt lrom the Conlrac Tor's License Law lor the following reason !Sec 7031 5 Business ano Proless,ons Code Any c,1y or counTy wh1(~ re qu,res a perrn,1 to conslrucl alter ,mp,ove demol,sh o- repa,r any siructure. pnor to ,ts issuance also requ,res !heap p ,cant lor sucn permit 10 hie a s,qned stalemen! that ne s I,censeo pursuant to lhe prov,s,ons of rne Lon1raoor s L,cense Law !Chapter 9 commenc,ng wrTh Ser1,or 7000 ol 01,is1on 3 al me Business and Proless,ons Code, or that , ex emot therefrom and INe basis to, the allegea e,emp1,o~ Ary vI01a1,on 01 Sec1,on 7031 S by an appl1unt lor a permit sub 1ects the app1,canl to a cIvII penaIty of not "'ore than live hun dred do l;irs iSSOOI 1. as owner ot me oroperly or my e1'1ployees w,1~ wages as Their sole campensat,on w,I1 ao lhe work and lhe slruc lure 15 not ,nlended or oHered for sa•e 1sec 7044 Business ana Protess,o~, Crxle The Contraclor s License Law does not apply lo .in owner ot property who nu,lds or improves I hereon and w~o does such work hire.sell or Through h,s own employees prov,ded thaT such improvements are not intend ec or ottered •or sale If, however. the burld1ng or Imorove ment ,s sold w,th,n one year of completion. the owner· builder w,II have lhe burden of proving Thar he did not build o, Im prove for the purpose of sale1 1 as owner of the property. am exclusively conlracr,ng w,th I,censM contractors to construct the pro1ect /Sec 7044 Business and ProlesS>ons Code The Contractor s Ucense Law dots nol apply to an owner o1 property who builds or ,m proves thereon. and who contracts lor each pro1ects w,th a cMtractor1s1 license pursuant to the Contractor's license Lawl As a homeowner I am rmp,ov,ng my home ;md the tollow ,ng condIhons exrst 1 The work ,s being performed prior to saie 2 I have lived ,n my home 10, Twelve month; prior to comple11on ot th,s work I have nor cla,med lhIs exemption cturing the last Three years ram exempt u~der Sec -----~ B & PC 10, this reason ____________ _ _ I hereby al',r,n I hat I have a cert,f,cate of consent lo se,f--nsu<e o, a certrf,cate of Workers Compensation In su,ance. or a cer1d•ed cop; thereo• ,Sec J800. Labor Code) POLICY NO COMPANY Cooy ,s 11,ed ,.,,th the c,1y Certd1ed copy ,s hereby furn,shed CERTIFICATE OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE 1Th1s sect,on need not be completed 1f the permit ,s for one hundred dollars 1$1001 or le-ss) I cer1dy lhat 1n the performance or the work for wh,ch t~·s perrr,1Is issued I shall not employ any person ,nan, ..,.,anner so as 10 become subIect to the Workers Com~en sat1on laws 01 Ca1,lorn,a NOTICE TO APPLICANT If after making this Cer11f1ca1e of Exemption you should become sub1ect to the Workers Compensation prov,s,ons of 1he Labor Code. you mus! to,thwI1~ comply w11h such prov,s,ons or 1hIs perm,t sh al be deemed revoked I '1eretJy allirm that there rs a construct,on lending agency lo, the performance ol the work for wh,ch this per m,t ,s ,ssued ,.Sec 3097. Civil Code) Lenders Name 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 Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 JOS ADDRESS AV. ST. RO. THOMAS BROS NO. 1q:E;: ~P~l;;;N BUSINESS LICENSE # VALUATION PERMIT NUMBER ~6sil-GA 1.-,c..i A L,c...JAI./ ~(/~f'I cOT I BLOCK I SUBOI VISION r ASSESSOR PARCEL NO C0(7)A~* CONTRACTORS PHONE # ZONE OWNER'S NAME I~~-=,~~~~, /:,,\.,.' -• I I I ? • \ t) LI /._) t5;,.~ ,J CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE OWNER"S MAILING ADDRESS '2-03 /I ,,:A\...• r I~ DESIGNER DESIGNER'S PHONE Ll.J"'. , DESCR!PAON OF WORK , .r-n-.. .... ~ "J~ 110\,... T &::/'I ~~ OES!GNER'S ADDRESS STATE LICENSE NO. ':)CY-h I \ ('._ = r.o):,.. <;; ;--, J\ 2060 09/23/88 0001 01 02 ' ' FLRELEV NO ace GP EDU BlclPtnt 15-0 STORIES yCJ .... o I CENSUS TRACT I PA PK ING SPACl RES UNITS I GRADING PERMIT ISSUED REDEVELOPMENT TYPE ace LOAD FIRE SPF> AREA CONST ,o 'D ,• -...• vO NO Not Valid Unlers Milchme Certified QTY. PLUMBING PERMIT -ISSUE ?~ QTY. MECHANICAL PERMIT· ISSUE L~1::: _ k> SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU ,-,: I ~ ~~RIVII U1Jl-81IJ-00-00-8220 tACH BUILlJING SfWER OVER 100.000 BTU I"\.., c fl ~M!T 001-81:·-•~,-0Q-8?2' EACH WATER HEATER ANO OR VENT BOILER:CUMPHESSOR UP TO 3 HP -~~ ~ )\~HECK 001-810-00-00-8891 >-...C EACH GAS SYSTEM l TO 4 our LE IS BOILER COMPRESSOR 3 15 HP -..,, -,,,, ' Olli' PLUMBING oo;-s 1 0-oo oo-s222 -- EACH GAS SY'.;H.M 5 OR MO Rf METAL F;Rf'PL.AU ""-I '-.) _, CEHCTRICAL DO 1 -8 • 0-00-00-8223 /"4: - EACHINSTAL ALT ER. HEPA IR \r','Al ER Pl PE VENT FAN SINGLE DUCT "1 ,~, °'l.M E:CHAN I CAL 001-0 10-U:J-U'.J-8:! :!4 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS ' 1 .. -:-.::::: ~ MOBILE.HOME 001-81 '.l 00-00-8225 WATER SOFTNER RELOCATION OF EA FURNACE HEATER .• ~SOLAR 00; -8' 0-00-00-8226 F,~cc• f1C_irir ~1,i,\IfJ ,''JSIr:,:, DRYER VENT . ,.: ":"'i STRONG MOTION 380-519-92·33 TOTH MECHANlf.AL FIRE SPRi~Jr\LERS 001-810-00-C0-8227 T(JIA! Pll!M8INL T ~ ?UBLIC FACILITIES FEE 320· 8 1O-CO-C0-874G BRIDGE FEE 360·810-00-00-8 7 40 QTY ELECTRICAL PERMIT· ISSUE s '[!: QTY MOBILE HOME SETUP PARK-IN-LIEU 1AREA ' f\lEW CONST EA AMP Sl/'11 !lKH CAR PORT T F 312-810-00-00-8835 I PH i PH . AWNING LA COSTA TIF 311·810-00-00-8835 EXIST bLOG EA AMP SWT BKR GARAGE FMF I PH 1 PH LICENSE TAX 00 1 s10<,,J-2,o-s·52 REMODEL AL Tt R PER CIRCUIT MFF 880-5 1 9-92-Si TEMPP(llE 200 .'..MPS OVER 20U AMPS TEMP OCCUPANCY ,JO OAYS1 I • 10 CREDIT DEPOSIT TIITAl Eltl,IHII.Al 1 /J ,. 10· A.l TOTAL FEES PAYABLE I ;5tn1 J HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Expiration Ellilry per_mtt issued bythe8uddmgOlf1c1al unde1 thepro111s,onsolth,s 1r AN OSHA PERlll:T tS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmttalion and become null and 1101d If !he bu1ldm9 or work 5· O" DEEP AND OEMOL.fTK>N OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT If;. aulhonzed by such permit is not commenced wilhm l80 days from the date of such STRUCTURES OVER 3 STORtES IN HEIGHT permit. or 1I the bu1tdmff or work authonzed by such permit 1s suspended or . ISSUED· TO COMPLY WITH All CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON-abandoned al anv time a er the work 1s commenced for a nenod of 180 da s STRUCTION WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND . ~L li:r " -VEDBY• ~ Drl ,1171 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~ C~ ~ SIGNATURE OWNER CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA\D CITY IN CONSEQUENCE OF THE I L BY p [] " 1-~-I ,~1, ~ GRANTING OF THIS PERMIT. . J J . • ~ HONE ~ ---' "' u. ~ ~ a 0. E "' .... I "O 0 l'.J C ro u 0. 0. " I ~ C a: 0 ~ ~ "' ~ ~ " I ~ .2 " >- "' u C ro C u. C "' ~ l'.J a u "' 0. ~ C "" ,c ,: TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME • FLOOR • CEILING SHEATHING • ROOF • SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING • SEWER AND BL/CO • PL/CO UNDERGROUND • WASTE • WATER TOP OUT • WASTE D WATER TUB AND SHOWER PAN GAS TEST • WATER HEATER • SOLAR WATER ELECTRICAL • ELECTRIC UNDERGROUND • UFFER ROUGH ELECTRIC • ELECTRIC SERVICE D TEMPORARY • BONDING • POOL MECHANICAL • DUCT & PLEM., • REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL I PLUMBING \\ . I ELECTRICAL = \Al MECHANICAL (I,._ "\J GAS r , '\I' BUILDING "'\ ' SPECIAL CONDITIONS . 0€,U I J-.g!.f FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES IN,SPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL SOILS COMPL:ANCE PRIOR TO FOUNDATION INSP . -STRUCTURAL CONCRETE OVER 2000 PSI PRESTRESSEO CONCRETE POST TENS!ONED CONCRETE Fi El D v\lELOING ----------HIGH SlRENGTH ROL TS ::>PECIAL MASONRY ----"- Pll_ES CP.ISSOr,,.,'.:'. ' ~-·-- C---· . --- ·~ ----- . · _,. . (\t· .3:i \ 8a :,{: ~-:· _·. ;· •.. -. -,--. ., .... \, .