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HomeMy WebLinkAbout2658 GALICIA WAY; ; CB023631; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-03-2002 Plumbing Permit Permit No: CB023631 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2658 GALICIA WY CBAD PLUM 2161802600 Lot#: 0 Construction Type: NEW MAIATICO RES REPLACE H20 HEAT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/03/2002 SB 12/03/2002 12/03/2002 Applicant: A&J FOSTER, INC. STE B MAIATICO RICHARD A&PATR1<26(·U,,i 12/04/02 0002 01 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $27.00 Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 2658 GALICIA WAY CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 1 0 0 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 IT 02 PEmPff EXPIRED IN ACCORDANCE WITH U.B.C. Inspector: SECTION 106.4.4 DATE tel\~~ SIGNATURE_Jw _____ _ FINAL APPROVAL Date: Clearance: ------ NOTICE: Please take NOTICE that 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 permit 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 fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this. or as to which the statute of limitations has nreviouslv otherwisA exnired. 1~00 FOR OFFICE USE ONLY PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 PLAN CHECK NO. c5c>Z '3 ~3, EST.VAL.~~~~~~~~~~­ Plan Ck. Deposit---------- Validated By__,,S::;;_.:....:~:;._------ Date I 2 -3. -c.~ Address (include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total II of units Assessor's Perce! # Existing Use Proposed Use 216-180-26-00 Description of Work SO. FT. #of Stories II of Bedrooms # of Bathrooms Water Heater Replacement ti.. cot,iJACT PEfil,O_Njlf,dlfterent..f!o.!hi!PJ!ll~l!llll-,..;.:1 · ~ :; Richara Ma1at1co Lb~tr Ga 1c1a vva.l' 6ff--?5~ 1092 Name Address City State/Zip Telephone # Fax II (3:'-AJfi;iCAN:t' 'x:J ~onira]idr G4oent tOr'cfilitracto~ Ow_pec D A~or1~Jt . -,..;~~w2~"t:'19 ...... 90 44 ....... Arlen Foster/Carol Foster 1370 -B Hwy.8 Bus. E \...ClJOn, \...a. ':JL.u J.. \o J:> - Name Address City State/Zip Telephone II 1.1.,,.....,PROPEJUY QVfflER '.:,,.-.,,...1;:;\i;lii..._.a..:... .-.._...._ __ ....,.....,_....,_ Richard Maiatico 2658 Galicia Way 92009 Name Address City S.tate/Zip Telephone II lj;. ~@riT~CTOB,.; QQMl'A~NAMi,------ Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish 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 License Law (Chapter 9, commending 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 ($5001), A.~ J Foster PJurobiug JJ7Q6 B Hwy 8 Bus El Ca~on CA. 92021 (619)390-4477 Name Address ity State/Zip Telephone # State License II 630120 License Class C-36 City Business License I 1210836 6esigner Name Address City State/Zip Telephone State License I N/A _ \6. WO_RKERS' CQMPE~SATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued . .CJ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is 'i)sued. My worker's compensation insurance carrier and policy number are: Insurance Company State Comp JDS Policy No. 467-01 0000713 Expiration Date 04-01-03 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit 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 sec ge Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($10 on, damages as provided for In Section 3706 of the LaborJ~e, Interest and attorney's fees. SIGNATURE DATE }2 d 0.'!"!'J.4ER-BUILQW DECLARATION I hereby affirm that I am exempt from the Con actor's License Law for the following reason: 0 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 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). 0 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 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). 0 I am exempt 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. 0 YES ONO 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following parson (firm) to provide the proposed construction (include name I address I phone number I contractors license 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 I phone number I contractors license number):·---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following parsons to provide the work Indicated (include name I address I phone number I type of work): _______________________________________________________ _ DATE 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 0 YES O 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. 1§, • ·cg.f!mu..9r10]iL_~filllfi!V~9EN(fY.!:c,:;1_·, ,,_.....,....a ..... _.....;;._...i...,..:......;......,....;...~:a.. I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for Inspection purposes. 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by lhe building Official under the provls' ns of this Code shall expire by limitation and become null and void if lhe building or work authorized by such permit Is not commenc I 1 BO ~~ the f su permit or if lhe building or work authorized by such permit Is suspended or abandoned at any time after the work Is commen o~ 17 tY! (Se nlform Building Code). 'I'"? 1 ~ APPLICANT'S SIGNATURE DATE __ ,__k,.:.c; _ __;./=--------- YELLOW: Applicant PINK: Finance DATE: 01/29/92 TO: PETAKOVICH, DEYAN 9769 LA MAR ST SPRING VALLEY, CA 92077 PLAN CHECK EXPIRATION PC# CB910188 DATE: 02/14/92 ADDRESS: 2658 GALICIA WY You have applied to have your plans checked on the date shown above, and you have not obtained your building permit. The provisions of Section 304(d) of the Uniform Building Code state: "Section 304(d) Expiration of Plan Review Applications for which no permit is issued within one year following the date of application shall expire by limitation, and plans and other data submitted for review may thereafter be returned to the applicant or destroyed by the Building Official. In order to renew action on an application after expiration, the applicant shall resubmit plans and pay a new plan review fee." Please check the appropriate box indicating your choice and return this letter to the BUILDING DEPARTMENT. PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS. PROJECT ABANDONED. PLANS MAY BE DESTROYED. If you have any questions, please contact the Building Department at (619) 438-1161. DORIS COSMAN Building Department 2075 Las Pal mas Drive "' Carlsbad, California 92009-i 576 ., rc=;.-i o\ ,1 r:,n ~ ~ ~~