HomeMy WebLinkAbout2638 GALICIA WAY; ; CB951230; PermitB U I L D I N G P E R M I T Permit No: CB951230
ProJect No: A950181b
Development No:
09/07/95 12:08
Page 1 of 1
Job Address: 2638 GALICIA WY
Permit Type: MISCELLANEOUS
Parcel No: 216-180-21-00
Valuation: 4,145
Construction Type: NEW
Occupancy Group:
Suite:
Lot#:
Reference#:
3557 09t0ili5 0001 01 t: /-~Rf'olT
Description: 307 SF RETAINING
: CITY SPECS #222
WALL PER CITY
Status: ISSUED
Applied: 09/07/95
Apr/Issue: 09/07/95
Entered By: RMA
619-440-1106 Appl/Ownr : OPLUSTIC, WES
10642 FELIX DR
SANTEE , CA 92021
*** Fees Required
Fees:
Adjustments:
Total Fees:
119.00
. () ()
119.:)0
Fees Collected & Credits ** J<. --------------------------------------------
Total Cr.edits: .oo
Total Payments: .00
Balance Due: 119.00
Fee description Units Fee/Unit Ext fee Data -~~~~~ii~~~~:~-;~~-;~-~-----------~~;~~~-----------------~~;~~~-;~;~IT
* MISCELLANEOUS TOTAL 119.00
"·
\
FINAL APPROVAL
~NSP. }> (/ DATE q.J5· 1<
· "' r" 0 " ~'CE --------1 • ,J '1 "4
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
FEE
PERMIT APPUCATION PLAN CHECK NO. q ~ I 9--J o
City of Carlsbad Building Departlleflt
EST. VAL._.,,.1lf~,_;_' 'l....,..S: __ _ 2075 Las Pal-Dr., carlsbad, CA 92009 (619> 438-1161
I. i'P.kMII i'YPE PLAN CK D':''~~,~·~:::::::;:;::+::::::::::=-VAIJD. BY_ I
DATE I.A 1-IC/ r7'
From list 1 (see back) give code of Permit-Type: ------------
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PROJECT INFORMATION FOR OFFICE USE ONLY
Aadress ..it.:, C' t,. ,t/,'e.; .'A
Nearest Cross Street
Bu1ld1ng or Suite No.
fr .er,,,. fir~~--66 CHECK EU 11 IED:
r ' t/A &f. 1(619 ,..1
D 2 Energy Cales D 2 Structural Cales CJ 2 Soils Report D 1 Addressed Envelope
.,;t'I\ W A-L l-A) / 1> [1.rn # OF STOllms -
GP[ s # :)..~ -
~BEDROOMS
DESCRIPTION OF WORK
1 1 eren rom app 1can
NAME (last name first) 0/'l.,:>,.'c. t./.e 5
c-//c'
NAME (last name first) e)//v:.r.', L./ ~ s
CITY 5.-,,., STATE C.~ ZIP CODE ~ -"t DAY TELEPHONE f./ c,;, -/ / o b
NAME (last name first) /IAl?/(,',.,:,To-. /\/e>rM""' ADDRESS "2.GJ,8' (!,.4/."c.,.'A W,oy
C, .A ZIP CODE 9 ,< oo z DAY TELEPHONE <j L/ '( -"7 6 8 3
l.Je> ADDREss/~c;Vz. r.,-r.',' pr 6. WNiitAl.~ I _ ,
NAME (last name first) (!') /' "' .S ' • ,
CITY C r#4:/Sff_,. ,/ STATE
STATE C,,. ZIP CODE '?;lo'>-/ DAYTELEPHONE lf~d'-rr~,;.
STATE LIC. # ]V7CC<> LICENSE C!ASS C. -,L 'i CITY BUSINESS LIC. #
DESIGNER NAME (last name ftrstJ ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WdklMt:,4 CDMPKNSA:t IUN
Workers' Compensation Declarauon: I hereby afhnn that I have a cernhcate of consent to self-insure ts.sued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 38001 Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Ceruhcate of Exemptton: I certtfy that 1n the performance of the work for which this permit 1s is.sued, I shall not employ any person tn any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE 7-
ner-u1 er ara on: ere ya 1rm a am exemp n ac o s cense o owing reason:
D 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 Llcense 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.).
D 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 Llcense 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 Contractor's Llcense Law).
[] I am exempt under Section -------Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish1 or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPI.E:IE 'IRIS SECIION FOR NON-RESIDEN IIAL BUILDING PERMIIS 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 management district?
[] YES [] NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
[] YES CJ NO
IF ANY OF 11IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOT BE ISSUED AFrnR JULY 1, 1989 UNIBSS 11IE APPUCANT
HAS Mirr OR IS MEIITING 11IE REQUIREMENTS OF 11IE OFFICE OF EMERGENCY SERVICES AND 11IE AIR P0Ll.lJ110N ffiNTROL DISIRICT.
9. WNSIROCIIUN LRNDING XGF.NCY
I hereby afhrm that there 1s a construction lending agency for the performance of the work for which thlS permit ts lSSUed (Sec 3097(t) Civil Ccxie).
LENDER'S NAME LENDER'S ADDRESS
10. APPIJCAN I C£R'IIFICA:11UN
I certify that I have read the application and state that the above 1nformat1on lS correct. I agree to comply with all City ofCUnances and State laws
relating to building construction. I hereby authorize representatives of the City of c.arlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 11IE CITY OF CARISIIAD AGAINST AIL IJABIIITIES, JUDGMENTS, CDSrS
AND EXPENSES WIIlCH MAY IN ANY WAY ACXJ\UE AGAINST SAID CITY IN ffiNSEQUENCE OF 111E GRANTING OF 11IIS PERMIT.
OOHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit is.sued by the Building Official under the provisions of this Code shall expir by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the te of su permit or if the building or work authorized by
such permit is suspended or abando ed at any time ter the work is commenced for a riod o O days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE: ?-7 -5 > -
'
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB951230 FOR 09/25/95
DESCRIPTION: 307 SF RETAINING WALL PER CITY
CITY SPECS #222
TYPE: MISC
JOB ADDRESS: 2638 GALICIA WY
APPLICANT: OPLUSTIC, WES
CONTRACTOR:
OWNER:
REMARKS: RS/944-7681
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB951230
OCC GRP
CONSTR. TYPE NEW
STE: LOT:
619-440-1106
CD LVL DESCRIPTION ACT COMMENTS
69 MA Final Masonry M----~~ ~ ~~~~~~~~~~~~~~~
DATE
091495
090895
DESCRIPTION
Grout
Footing
***** INSPECTION HISTORY*****
ACT INSP
AP PY
AP MP
COMMENTS