The URL can be used to link to this page

Home My WebLink About2654 GALICIA WAY; ; CB951691; PermitB U I L D I N G P E R M I T Permit No: CB951o91 Project No: A950L4b9 Development No: 11/17/95 12:53 • <I Page 1 of l Job Address: 2654 GALICIA WY Permit Type: MECHANICAL Parcel No: 216-180-25-00 Valuation: O Suite: Lot#: t 26 ..1 '1..,, ,. "t O.. , ,: :'-" r Construction Type: Occupancy Group: Reference#: Status: Applied: VN ISSUED 11/17/95 11/17/95 MDP Description: R/R FORCED AIR UNIT Appl/Ownr : ULM , HOWARD 3675 VOLTAIRE STREET SAN DIEGO, CA. 92009 " * * Fees Required Fees: Adjustments: Total Fees: Fee description 24.00 .00 24.00 Apr/Issue: 619 Entered By: 222-9863 Fees Collected & Credits Total Credits: Total Paym•"n ts: Balc1nce Due : .uu .UC 24.00 .~ * * Units Fee/Unit Ext fee Data --------------------------------------------------------------------------- Enter •y· for Mecnan ical Issue Fee> Install Furn/Ducts/Heat Pumps > >< MECHANICAL TOTAL ... 1 1 JL1..n1,n1 CITY OF CARLSBAD .9 .00 15.00 Y 9.00 24.00 PROVAL .;;.-DATE ( ·;i,,tfk vE--------1 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION e . . . r PLAN CHECK NO. err,. ,-l 1o q ( City of Carlsbad Building D-rtEnt 2075 Las PalES Dr., Carlsbad, CA \12~ (~19) 438-1161 . EST. VAL,_ _________ _ PIJ\N CK DEPOSIT, _______ _ I. PEkMII IYPR VAUI>. BY, __________ _ DATI! From Llst 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. PRCllECf INFORMATION FOR OFFICE USE ONLY Address Bu1ldmg or Sune No. 2654 GALICIA WAY Nearest Cross Street LEVANTE S'I' LEGAL DESCRIP i ioN Lot No. Subd1V1s1on Name/Number Umc No. Phase No. CHECK BEWW IF S0BMli 1£0: • 2 Energy Cales • 2 Structural Cales • 2 soils Report • l Addressed Envelope ASSESSOR'S PARCTI. EXISTING USE PROPPSED USE DESCRIP110N OF wo~HANGE OUT OF FORCED AIR FURNACE SQ. FT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS 3. WN JACI PERSliN (II dlHerent from apphcanO NAME (last name first) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCANI }01..!0NIRACIOR OAGENI FORWNIRACIOR DOWNER DAGEN I FOR OWNER NAME(lastnamefirst) HOWARD ULM ADDRESS 3675 VOLTAIRE ST CI1Y SAN DIEGO STATE CA ZIP CODE 92106 DAYTELEPHONE 222-9863 5. PkbPFJlfi OWN£ll NAME (last name first) SUS AN MA THUR ADDRESS 2654 GALICIA WAY CI1YCARLSBAD STATE CA ZIP CODE 92009 DAY TELEPHONE 944-2900 6. WN l'iW!luk HOWARD ULM ADDRESS 3675 VOLTAIRE ST NAME (last name first) CI1Y SA~! DIEGO STATE CA ZIPCODE 92009 DAYTELEPHONE 222-9863 STATE UC.# 272197 UCENSECLASS C-20-36 CI1YBUSINESSUC.# 1202238 DESIGNER NAME (last name fu'St) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOkkERS' WMPENSA:llON Workers' Compensation Deciaratmn: I hereby affirm that I have a cerubcate of consent to selt-msure issued by the Uirector 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 3800, Lab. C). INSURANCE COMPANY CALCOMP POUCYNO. W95612131Jl3PIRATIONDATE 7 1-96 Certi.bcate of Exempuon: I certify that m the performance of the work for which this permit is tsSued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. OWNEk-B0JIDml tmt!LAM.fioN Owner-Builder Declaration: I hereby afnnn that I am exempt from the Confradofs Llcense Law for the followmg reason: • 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 License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or chrough his own employees, provided thac such improvemencs 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 thac he did not build or improve for the purpose of sale.). • 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 License Law does not apply co an owner of property who builds or improves thereon, and contraccs for such projeccs with contractor(s) licensed pursuant to che Contractor's license Law). • I am exempc under Section _______ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit co construct, alter, improve, demolish, or repair any struccure, prior co ics issuance, also requires the applicant for such permic co file a signed statemenc that he is licensed pursuant co the provisions of the Contractor's license Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempc therefrom, and the basis for the alleged exemption. Any violation of Seccion 7031.5 by any applicant for a permic subjeccs the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIIRE DATE COMPQ:1£ IRIS SECIIUN FOR NON-RESIDEN IIAC BOlillING PERMII'S ONLY: Is che applicant or future building occupant required co submit a business plan, acutely hazardous materials regiscration form or risk managemenc and prevention program under Seccions 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Accounc Act? DYES • NO ls the applicant or fucure building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES • NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? • YES • NO IF ANY OF 1llE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nill Bl! lliSllEQ AFTl!R JULY 1, 1989 UNIJlSS 1llE APPUCANT HAS Mirr OR JS MEIITING 1llE REQUIREMENTS OF 1llE OFFICE OF EMERGENCY SERVICES AND 1llE AIR POil.lJ110N OONTROL DISllUCT. 9. WNSIK0CIIDN LENDING XGENCY I hereby afhnn that there ts a construction lending agency for the performance of the work for which ifos permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS JO. APPUCANI CERIIFICAliON I certify iliac I have read the appUcabon and state that the above mformat1on 1s correct. I agree to comply wtch all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AlSO AGRE!! 1U SAVE INDEMNIFY AND KEEP HARMLESS 1llE CTIY OF CARISBAD AGAINST AIL IJABILl1lES, JUDGMENTS, <XlSTS AND EXPENSES WHICH MAY IN ANY WAY Afx:IUJE AGAINST SAID CTIY IN OONSEQUENCE OF 1llE GRANTING OF TIIIS PERMIT. OSHA: An OSHA permit is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandon a. ny time after the work is commenced for a period of 180 days (Section 303(d) Uniform Buildi'.!J Code). APPUCANTS SIGNATURE .J<,...-v ~ .. •~-DATE/'J'W'f..i · WHITE: File YELLOW: Applicant PINK: Fmance 0 . UNSCHEDULED BUILDING INSPECTION , DATE INSPECT~~~CLL~~=:...__ PERMIT# r~ --/? rt PLAN CHECK#----- JOB ADDRESS ~?Jc{ G.nlr l(fr DESCRIPTION ___________________ _ TIME ARRIVE: ----TIME ___ _ CODE DESCRIPTION ACT COMMENTS '1 c.f _1'hv_r,_1r_D_J _l.-,---r __ f:-_A_ifl)_lh ____ _ •