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Home My WebLink About2725 Galicia Way; ; CBR2017-2108; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 09/28/2017 Residential Permit Permit No: CBR2017-2108 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2725 Galicia Way BLDG-Residential 2162201200 $6,400.00 www.carlsbadca.gov Work Class: Cogen Lot#: Reference #: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: KING: 16 FLUSH-ROOF MOUNTED PV PANELS, 5.6KW, NORMA, NO UPGRADE BUILDING PERMIT FEE ($2000+) BUILDING PLAN CHECK FEE (BLDG) SB1473 GREEN BUILDING STATE STANDARDS FEE STRONG MOTION-RESIDENTIAL Total Fees: $152.02 Owner: LYNN C KING 2725 Galicia Walk CARLSBAD, CA 92009 Total Payments To Date: $152.02 Status: Applied: Issued: Fina led: Inspector: Contractor: NRG CLEAN POWER 7012 Owensmouth Ave Canoga Park, CA 91303-2005 800-880-0004 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Finaled 09/11/2017 09/11/2017 $0.00 $88.35 $61.84 $1.00 $0.83 ' { City of Carlsbad JOB ADDRESS CT/PROJECT# LOT# Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 Ph: 760-602~719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date APN PHASE# #OF # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) (' ~ -va-6i s CONSTR. lYPE L J OCC. GROUP EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) NO D AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD APPLICANT NAME (Primary Contact) D:;n, \\" PROPERTY OWNER NAME (' ADDRESS t I 1.,,, S~r ADDRESS 'l-.9-J..5 STATE ZIP CITY ZIP C Jtj'i Ce-, s be. Cf\ 4. ioo CITY FAX PHONE FAX ,oq io5 06 !./~ PHONE °1°'1 ;..u ~ o EMAIL EMAIL DESIGN PROFESSIONAL NAME CONTRACTOR BUS. NAME N (. C, C I c. c.n o .,,; er ADDRESS ADDRESS -Z 0\ 1-0 ~ e "s""w ~ Avfl... CITY STATE ZIP CITY C STATE ZIP Ov'\O "' Oe,rK CA 1 r 3o~ PHONE FAX PHONE FAX EMAIL EMAIL STATE UC.# STATE UC.# CLASS B-781~53 (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 exem11t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). Workers' Compensation Declaration: I hereby amrm 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 lhe performance of the work for which this permil is issued. 0 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 ~rmit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. C W C Policy No. -Z f 1 I:{ 1 CJ b l, 3 Expiration Dale I { l I I 8 This section need nol 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 lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' ompensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dama es provided for i lion 3706 of the Labor code, interest and attorney's rees. _NS CONTRACTOR SIGNATURE I hereby affirm that I am exempl from Con/factor's License Law for the following 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 Contractors 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). D I, as owner of the property, am exclusively contracting with licensed con/factors to construct the project (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and con/facts for such projects with contractor(s} licensed pursuant to the Contractors License Law). D 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. D Yes D No 2. I (have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone 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 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 type of work): _.a:! PROPERTY OWNER SIGNATURE ClAGENT DATE ' Is the applicant or futJre building occupant required to submit a business plfn_i)!Cutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanrier Hazardous Substance Account Act? D Yes ~o Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D Yes ~ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 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 authonze representative of the City of Carlsbad to enter upon the above mentioned property for nspection purposes. I ALSO AGREE TO SAVE, INDEM'-llFY AND KEEP HARM.ESS 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 pem1tt is required for excavations rJ,Jer 5'0' deep and demolition or construction of struciures (}J9f 3 stories i1 height EXPIRATION: Every pem1tt issued by the Building Official under the pl"OYisions of this Code shall expire by limitation and become nul and void if the building or v.oo< authorized by such permit is not cormienced withri 180 days from the date of such pennit or if~ bf i~ or v.oo< authorized by such pem1tt is suspended or abandoned at any time after the v.oo< is cormienced for a period of 180 days (Section 106.4.4 Unifoon Building Code) . ..@S' APPLICANT'S SIGNATURE I{/ "' DATE C, I t"''*'' ''"'t' ' ~ . . PERMIT INSPECTION HISTORY REPORT (CBR2017-2108} Permit Type: BLDG-Residential Application Dato: 09/11/2017 Owner: LYNN KING Work Class: Cogen Issue Date: 09/11/2017 Subdivision: LA COSTA SOUTH UNIT #4 Status: Closed -Finaled Expiration Dato: 03/27/2018 Address: 2725 Galicia Way Carlsbad, CA 92009-8142 IVR Number: 6268 Scheduled Actual Inspection No. Inspection Status Primary Inspector Re inspection Complete Date Start Date Inspection Type 09/28/2017 09/28/2017 BLDG-35 Solar 036125-2017 Passed Andy Krogh Complete Panel BLDG-Final 036126-2017 Passed Andy Krogh Complete Inspection Checklist Item COMMENTS Passed BLDG-Electrical Final Yes September 28, 2017 Page 1 of 1