HomeMy WebLinkAbout2746 Galicia Way; ; CBR2017-1071; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 12/21/2017 Residential Permit Permit No: CBR2017-1071
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2746 Galicia Way
BLDG-Reside ntia I
2162200400
$5,500.00
www.carlsbadca.gov
Work Class: Demo
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Fina led:
Inspector:
Closed -Finaled
05/19/2017
05/19/2017
PB urn
Description: WIRE: DEMO SOFFIT & WLL IN KITCHEN [NON-LOAD BEARING)// RUN PLUMBING FOR ICEMAKER // INSTALL NEW CAN
LIGHTING
Owner:
COOWNER WIRE STEPHANIE AND PATRICK
2746 Galicia Way
BUILDING PERMIT FEE $2000+
BUILDING PLAN CHECK FEE (BLDG)
CARLSBAD, CA 92009
ELECTRICAL BLDG RESIDENTIAL NEW/ADDITION/REMODEL
PLUMBING BLDG RESIDENTIAL NEW/ADDITION/REMODEL
SB1473 BUILDING STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Total Fees: $226.84 Total Payments To Date: $226.84 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/ex,;1ctions. 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.
$0.00
$79.48
$55.64
$41.00
$49.00
$1.00
$0.72
THE.fOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING D ENGINEERING
· {cityof
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
emafl: building@carlsbadca.gov
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
0BUILDING OFIRE 0HEALTH 0HAZMAT/APCD
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
CTaOJrij lo PHASE# # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE occ. GROUP
DES~RIPJION OF WORK: Include ~qu~re Feet of Affected Ar~ e.,,vio Kl h::.,L,t.eA Saf'F,t-' €.M-o Aloi/\ Sff'uctv r"' \ w,.....t be
K,tz:,~ 4AJ l),All"') ~.:i•"-", -'-t'\.s-~tl f\.et.J .c4."'-l,~l--tt/'1C3 ;"" ce.l(1'"-~ .. ::I:'.-\s-tc..\\ M.w
lee Ma.K(2(""" bo)'.. ro .r f""'('i'J,e(pl Vl"'\b,n~)
EXISTING USE
APPLICANT NAME
CITY STATE ZIP
PHONE FAX
EMAIL
DESIGN PROFESSIONAL
ADDRESS
GARAGE (SF) PATIOS (SF) DECKS(SF)
ADDRESS ( 7b ~ ,e,;
AIR CONDITIONING
NoD vEsONoD
FIRE SPRINKLERS
YES0No[J
CITY ·-~~~~~~~~~~~~~~~-+~~-v-c'-=-=~~~~~~~~~ ...... ---==--..,ee="""-~~~------~~~~---1 STATE ZIP ZIP
f-c--c-~------·--··----~~-------------h-l-----1.lo.L.L~J-'-4'""-------'"'-;-J~---9_·-'"'<---"'--=--c._-----l PHONE FAX
(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 . .ilso requires the applicant for such permit to file a signed statement tnat 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 Ihat he is exemi;>t therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by .iny applicant for a permit subjects the applicant to a civil perialty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penally of perjury 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 required by Section 3700 of the Labor Code, for the perlo,mance of the work for which this pe'!t is issued. My worl<ers' compensa ·on~s ance ~rand licy
number are: Insurance Co. l,,J eS'co. ·-Policy No. LJt...J L ~ l '£ 11 J_ b Expiration Date I
l]i§.sec!ion need not be completed if 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 lathe Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dama provided for in Sectlo 706 of the Labor code, interest and attorney's fees.
,/i5 CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Conrractor's License Law for the following reason:
D
D
D
I, as owner of the property or my employees with wages as their sole compensation, will do the worl< and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does nol apply to an owner of property who builds or improves thereon, and who does such work himseW 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 wil 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 ccnlracts 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. 0Yes 0No
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 lo coordinate, supervise and provide the major work (include name I address I phone I contractors' license number):
5. I wilt provide some of the work, but I have contracted (hired) the following persons lo provide the work indicated (include name I address I phone I type of work):
,/i5 PROPERTY OWNER SIGNATURE []AGENT DATE
r > V ' ";:
-::OMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY ·-~
Is the applicant or fulure building occupant required lo submit a business plan, acutely hazardous materials registration form or risk management and prevention program under S€ctions 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? c::J Yes c::J No
Is the applicant or future building occupant required to obtain a permit from the air pollulion control district or air quality management district? Cl Yes c::J No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? c::J Yes Cl 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 ls correct and that the information on the plans ls accurate. I agreetocomplywith all Cltyordlnances and State laws relating ID building construction.
I hereby authorize representative of the City of Cal1sbad to enter upoo 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 5'0' deep and demolitioo or collStrUdion of structures i:Ner 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 WOO\ authorized by such permit is not commenced l'ii1hin
180 days from the date of such pemnn or if 1he building or work auttiorized by such permn is suspended or aba11doned al any time after 1he WOO\ is commenced for a period of 180 days (Sedioo 106.4.4 Uniform Building Code).
,I$ APPLICANT'S SIGNATURE DATE
• STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonn to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
c::J PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg.1)
o ASSOCIATED CB#------------c::J MAIL TO: CJ CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
0 MAIL/ FAX TO OTHER:---------------~ o CHANGE OF USE/ NO CONSTRUCTION
,.85 APPLICANT'S SIGNATURE DATE
~ ' ' ,,
, -,., . PE~MIT IN$PECTION HISTORY REPORT (CBR2017-1071)
g "S?~ ,. "
Permit Type: BLDG-Residential Application Date: 05/19/2017 Owner: COOWNER WIRE STEPHANIE
AND PATRICK
Work Class: Demo Issue Date: 05/19/2017 Subdivision: LACOSTA SOUTH UNIT#4
Status: Closed -Finaled Expiration Date: 11/15/2017 Address: 27 46 Galicia Way
Carlsbad, CA 92009-6141
IVR Number: 3844
Scheduled Actual Inspection Type Inspection No. Relnspection Date Start Date Inspection Status Primary Inspector Complete
06/01/2017 06/01/2017 BLDG-91 024965-2017 Passed Paul Burnette Complete
Complaints
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
06/06/2017 06/06/2017 BLDG-91 025355-2017 Passed Paul Burnette Complete
Complaints
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
12/21/2017 12/21/2017 BLDG-Final 044146-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Plumbing Final Yes
BLDG-Mechanical Final Yes
BLOG-Structural Final Yes
BLDG-Electrical Final Yes
December 21, 2017 Page 1 of 1