HomeMy WebLinkAbout2746 GALICIA WAY; ; CB950824; PermitB U I L D I N G P E R M I T Permit No: CB950824
Project No: A9501182
Development No:
06/21/95 11:25
Page 1 of 1
Job Address: 2746 GALICIA WY
Permit Type: PLUMBING
Parcel No : 216-220-04-00
Valuation: o
Construction Type: NEW
Suite:
Lot#:
Occupancy Group: Reference#: Status: ISSUED
06/21/95
06/21/95
RMA
Description: REPLACE WATER HEATER
Appl/Ownr : A & J FOSTER INC
2819 CENTRAL AV
SPRING VALLEY, CA
*** Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
***
27.00
.00
27.00
91977
***
Applied:
Apr/Issue:
Entered By:
619-697-4151
Fees Collected & Credits
Total Credits:
Total Payments:
Balance Due:
.00
.00
27.00
***
Units Fee/Unit Ext fee Data
---------------------------------------------------------------------------
Enter "Y" for Plumbing Issue Fee >
Each Water Heater and/or Vent >
* PLUMBING TOTAL
1 7 .00
20.00 Y
7.00
27.00
2415 06/21/95 0001 01
C-PRMT 02
FINAL APPROVAL
1 JY < DATE6 ·d.1 'qs Y i.NSP. ---i.~'--
\CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
,.
PERMIT APPUCATION PI.AN CHECK NO. qs O [> 1).
City of Carlsbad Building D-rt-,t
2075 Las PalES Dr., Carlsbad, CA 92009 (619) 438-1161
I. PEkMII l'VP£
From Llst 1 (see back) give code of Permit-Type: ___________ _
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For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: -------""S'=FR-"'------------
Net Loss/Gain of Dwelling Units
2. PROJECf INFORMATION FOR OFFICE USE ONLY
Address d.J46 Galicia Way
Nearest Cross StreeLevante St.
Bu1ldmg or Suite No.
Phase No. il:GAL DEsCkiP I lbN Lot No. Suba1V1s1on Name/Number 0mt No.
CHECK BEWW IF S0BMI 11 Eb: • 2 Energy Cales • 2 Structural Cales • 2 Soils Report • 1 Addressed Envelope
ASSESSOR'S PARCEL FfS,W ~ DESCRIPTION oF woRKWater Heater Replacemenllon
PROPQSED USE
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS
3. WN IACi PFltSON CU 9.J.tf(;irent irom awUcant)
NAME (last name first:i;'1.sner, G.J:'. ADDRESs2746 Galicia Way
CI'IY carlsbad, STATE CA ZIP CODE92009 DAY TELEPHONE943-0164
4. APPUCANI UCONIRACIOR ;f]AGENI FORWNIRACIOR DOWNER DAGEN I FOR OWNER
NAME (last name firstKristy Foster ADDRESS2819 Central Ave.
Cl'IY Spring Valley STATE CA ZIP com:91977 DAY TELEPHON1ii97-4151
S. PRUPEklY OWNrut NAME (lastnamefirst)Fisher, G.P. ADDRESS 2746 Galicia Way
c11Y Carlsbad STATE CA. ZIP CODE92009 DAY TELEPHON843-Ql64
6. WN l'RAC'IOK
NAME (last name firstf\. & J Foster, Inc. ADDREss2819 Central Ave.
CI'IY Spring Valley STATE CA ZIP CODE 91977 DAY TELEPHONE697-4151
STATE UC. # 630120 UCENSE CLASS C 36 CI'IY BUSINESS UC.#] 200354
DESIGNER NAME (last name hrst) ADDRESS
CI'IY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WUkkEIB'WMPENSAlluN
Workers' Compensation beclarat1on: I hereby affirm that I have a cert1tlcate of consent to self-msure issued by the Director 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 Deparnnent (Section 3800, Lab. C).
•
•
•
Owner-Builder tkciaration: I hereby afhrm that I am exempt from the Confractofs License 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 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 chis reason:
(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 Llcense Law (Chapter 9, commencing 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 [$500]).
SIGNATURE DATE
COMPLEIE IRIS SECIION FOR NON-RESioENIIAt BOILbiNG PEkMll'S ONLY:
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? •YES •NO
Is the applicant or future building occupant required to obtain a pennit 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 CER1lFICATE OF ocx:uPANCY MAY NOT BE ISSUED AFlllRJULY 1, 1989 UNlJ!SS THE APPLlCANT
HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POILIJTION CONTROL DISTRICT.
9. WNSI KOCI IUN LENDING XGENCY
I hereby afhnn that there is a construction iendmg agency for the performance of the work for which this pernut 1s issued {Sec :3097(1) C1vU Code).
LENDER'S NAME None LENDER'S ADDRESS
10. APPllCAN i CEklll'Jt!AliUN
I certify that I have read the apphcat1on and state that the above miormat1on 1s correct. I agree to comply with ali 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 AGREE TO SAVE INDEMNIFY AND KEEP HARMIBSS THE CI1Y OF CARISBAD AGAIN!» AIL LIAIIIIITlES, JUIJGMENTI,, <XlSTS
AND EXPENSF.S WIIlCH MAY IN ANY WAY =tUE AGAINST SAID CI1Y IN CONSEQUENCE OF THE 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 pennit 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 pennit is not commenced within 365 days from the date of such pennit or if the building or work authorized by
such permit is suspended or abandoned at an}'. time after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building :t}e),,;
APPUCANT'S SIGNATURE <../, t,{ ~ DATE: 1/--1_5
WHITE: ile YELLOW: App tcant PINK: Finance
0
,-CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB950824 FOR 06/27/95
DESCRIPTION: REPLACE WATER HEATER
TYPE: PWM
JOB ADDRESS:
APPLICANT: A
CONTRACTOR:
2746 GALICIA WY
& J FOSTER INC PHONE:
PHONE:
INSPECTOR AREA
PLANCK# CB950824
OCC GRP
CONSTR. TYPE NEW
STE:
619-697-4151
LOT:
OWNER:
REMARKS: MW/DANA/943-0164
SPECIAL INSTRUCT: AM PLEASE
PHONE:
INSPECTOR-=~=-, _ ___,.( ____ _
TOTAL TIME:
CD LVL DESCRIPTION
25 PL Water Heater/Vents
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS