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Home My WebLink About2726 GALICIA WAY; ; CB120468; Permit03-14-2012 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: CB120468 Building Inspection Request Line (760) 602-2725 2726 GALICIA WY CBAD PME 2162200600 Lot#: 0 SHAPIRO RES-REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/14/2012 LSM 03/14/2012 03/14/2012 QUALITY MECHANICAL PROFESSIONALS.INC SHAPIRO MIKHAIL 1536 FAYETTE ST EL CAJON 92020 619 449 2735 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees 2726 GALICIA WY CARLSBAD CA 92009 760-633-0018 $0.00 $0.00 $150.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: s Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "feeslexactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set fvrth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to tlmely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOA DOES IT APPLY to any nfwhi enivnNTI ftiii h <<~i' Building Permit Application Plan Check No. (!Jo I d-D'-t~8 ~ CITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value OF 760-602-2717 / 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.carlsbadca.gov Date 3. { / L.f / ( 2..-, I SWPPP JOB ADDRESS SU ITE#/SPACE#/UNIT# rPN 2-n-b ~ G,.,p.._,,L,A w'-l c_p,,r_~{Jdl,,r,, '1~ --- CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) <LEVV-l-12-rv>~ 01= e .,,-, ,;. , , ,-) G Fv"'-NAC..E- EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) YESQ IAIR CONDITIONING I FIRE SPRINKLERS No[] YES•No• YES•No• APPLICANTNAME(Pr/mary Contact) APPLICANT NAME (Secondary Contact) f,X 1A,\..,i""'4 /V\t--~lc_f'rl. ADDRESS ADDRESS I S-,,L i=A,(~~ ~, CITY STATE ZIP CITY STATE ZIP €L CftJO "--1 CA ~ -- PHONE IFAX PHONE I FAX ic,•t\ 4 '-\ "t 2-477 "''"' <-1'-l"\ Z$'2-"3 EMAIL EMAIL Ci;\JA--~1T'1 M€CCl-l.A-Nl<A,._/4) 'lA-1-lcO •Le:»~ PROPERTY OWNER NAME CONTRACTOR BUS. NAME ,-A\~<-14-\L 5.14_11 n a.o Ct \A-\...,t ,.-..1 tv'lt:::' I J A ~ I' "-L ADDRESS ADDRESS 2-,.., ,;_ 6,/\ L\l.lA ""'{ lc;21 I' A-! t;:;-,--ri,, S°'" CITY STATE ZIP CITY STATE ZIP CA-e,t..s.G A Q CA l\~Oif\ 18-. c_p,.,:;o.--1 c__p,. 0\'2-02-0 PHONE PHONE ~ -Jbo C::,~~ oo,,s. I FAX (61 'I. '-ILi 'I. ,, -,-;,.,; IFAX C:,,4 4'-' '1_ '2-52-S EMAIL EMAIL Q Q<JA--i.. 1-r-JMe-(_~CA-'L--u,-..i=-~ ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE LIC.# I CLASS lC~TY-iUilt~°' 0 7"1 '--l I "'I "I c-= (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, pnor to its issuance, also requires the applicant for such per_m1t to file a signed statement that he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, comme_nding with Section 7000 of D1v1s1on 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 cIvII penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby affirm under penalty of perju,y one of the following declarations: D 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 ~ I have and will maintain workers' compensation, as reauired by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensation insurance earner and policy numberare:lnsuranceCo .JV'I.Acz.~e:L-\N'::.v"C2..PrlJL~ C.:> ' PolicyNo. MW l..C)QcC, fl..g--D'"Z ExpiralionDate o·z_/~ /2.c:>\~ ~section need not be completed Ff the permit is for one hundred dollars ($100) or less. LJ 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 secure workers' compens~on 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~rovided for In Section 3706 of the Labor code, interest and attorney's fees . .8'5 CONTRACTOR SIGNATURE ~ •AGENT DATE 03, / \3 )-:z...c::>, "2. OWNER~BUILDER DECLARATION / hereby affirm that I am exempt from Contractor's Ucense Law for the following reason· • • • I, as owner of the property or my employees with wages as their sole compensabon, 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 lo 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) 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). 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. Oves ONo 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. I have contracted with the following person (lirm) 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) RS PROPERTY OWNER SIGNATURE •AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business~. 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? D Yes U No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? Oves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Dves LJNo 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lending agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above infonnation Is corrett and thatthe infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Car1sb00 to enter upon the above mentioned property for inspection purpooes, 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 pennd is required for excavations over 5'0' deep and demolition or constru::tion of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Building Official under the provisions of this Ccxle shall expire by limrtation and become null and void if the OOilding or work authorized by such pennit is ool oommenced within 180 days from the dale of sudl pennit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is oommenced for a period of 180 days (Section 100.4.4 Unifoon Building Code) _gAPPLICANT'SSIGNATURE ~ DATE 03 . \ "', / 2.c,,~ . ' . Inspection List Permit#: CB120468 Type: PME Date lnspecUon Item 08/06/2012 43 AirCond/Furnace Set 08/06/2012 43 AirCond/Furnace Set 08/06/2012 49 Final Mechanical 08/06/2012 49 Final Mechanical Tuesday,August0?,2012 Inspector Act MC MC RI AP RI Fl SHAPIRO RES-REPLACE FAU Comments Page 1 of 1