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Home My WebLink About2649 GALICIA WAY; ; CB132177; Permit09-10-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB132177 Building Inspection Request Line (760) 602-2725 2649 GALICIA WY CBAD PME 2161803000 Lot#: o TERENGHI-CAPPELLETTI RES -GAS LINE TO KITCHEN Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 09/10/2013 SKS 09/10/2013 09/10/2013 TERENGHI MARCO/CAPPELLETTI CHIARA TERENGHI MARCO/CAPPELLETTI CHIARA 2649 GALICIA WAY CARLSBAD CA 92009 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2649 GALICIA WAY CARLSBAD CA 92009 $158.00 $0.00 $0.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: FINAL APj7J.OJAL Date &f g Z.I~ ~· Clearance: $0.00 NOTICE: Please take NOTICE th 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 I x i f whi h I n iv n N Tl E imilar hi r a whi h f Ii i i n h vi I ~LLOWlNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: •PLANNING •ENGINEERING •BUILDING •FIRE •HEALTH 0HAZMAT/APCD <<,, Building Permit Application Plan Check No. ffi I ~1J 71 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value -~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov ~{µ, Plan Ck. Depos t www.carlsbadca.gov Date "7'// a r< ISWPPP )OB ADDRESS ~ITEI/SPACEf/UNIT# IAPN ' ,:, "2649 GAUC!A WP.Y. CAAL'::. 6AD CA 9-'rY --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS l # BEDROOMS # BATHROOMS TTENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP ' _9ESCRIPTION Of WORK: Include Square Feet of Affected Area(s) . 6-AS. U.t--l c T'O let iG-\. &N EXlSTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF} I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO No[] YES •NO• YES• NO• APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE IFAX PHONE IFAX EMAIL EMAIL c;, :•0·,~1uA~•7 J..~u .. .-t-ct, 1 M ,.,R.oo ~~&i, CONTRACTOR BUS. NAME KtlDRU49 WAY ADDRESS &ALICIA CITY STATE q CITY STATE ZIP /' M..l.S ()...A.!) /''A 2od9 PHONE IFAX PHONE IFAX I' 8o4-~'34-'fT49 EMAIL EMAIL ' ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. LIC.# {Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair an>" structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he Is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_us1ness and Professions Code} or that he is ex.empt 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 cIvII penalty of not more than five hundred dollars {$500)). Workers' CompensatiOn Declaration: / hereby affirm under penalty of pe{jury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for mrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pem1it is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the perfom1ance of the work for which this oem1it is issued, My workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ Policy No. ______________ Expiration Date _________ _ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfom1ance of the work for which this pem1it is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crlmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,K! CONTRACTOR SIGNATURE •AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the fol/owing reason: • D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stfl.Jcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himselt" 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) I, as owner of the property, am ex.elusively contracting with licensed contractors to construct the project (Sec, 7044, Business and Professions Code: The Contractor's License 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 License Law), I am ex.empt under Section _____ Business and Professions Code for this reason: 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No 2. I (have/ have not) signed an applicatkm for a building pem1it for the proposed work. 3. I have contracted with the following person (fim1) to provide the proposed construction (include name address/ phone I contractors' I;cense number): 4, I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address/ phone I contractors' license number): 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone I of work): -0 25 PROPERTY OWNER SIGNATURE •AGENT DATE I . , Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management arid prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes No Is the ap~icant 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 No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above information ls comnand that the lnfonnation on the plans Is accurate. I agree 1D c:omplywlth all City ordinances and State laws relattng 1D building construction. I hereby authorize representa~ve of the City of Ca~sbad to enter upon the aOOve mentioned property br inspection pufJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/>JNST SAID CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pennlt is requred for excava~ons over 5'0' deep and demo@::in or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buik:ling Official under the provisklns of this Code shall expire by limitation and beoome nu! and void if the building or v.ork authorized by sudl permit is not commenced 'Mthin 180 days fi'om the date of sudl permit or if the building orv.ork authorized by sudl permit is suspended or abandoned at anytime after the v.ori<. is rommenced bra peood of 180 days (Sectkln 100.4.4 Unifonn Building Code). JlS APPLICANT'S SIGNATURE ffi,.: Q.}Q., ~ ~ DATE • ' STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax {760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Ltsted above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB132177 Type: PME Date Inspection Item 09/17/2013 23 GasffesVRepairs 09/17/2013 23 GasrresVRepairs 09/17/2013 29 Final Plumbing 09/16/2013 23 Gasrr esVRepairs 09/16/2013 23 GasrresVRepairs Wednesday, September 18, 2013 Inspector PY PY PY Act RI AP AP RI NR TERENGHI-CAPPELLETTI RES -GAS LINE TO KITCHEN Comments TERENGHI RES Page 1 of 1 . , ( ( ( ( {J- o t- RECEIVED SEP 1 0 2013 CITY OF CARLSBAD BUILDING DIVISION G v ,~Crt ')'\:i ~- -· -----·- r \. ------ ' I . ! . ,\ 1, ·I ··-:-r '1 ·• I 1-. --·----------, \ I I I ~~ -----·--..... --...... .... _, __ J ------·---- !> f)( I ,;',IN G, 1-1 Ni. i\) ?~'V-\c\l ~,V"'. 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