HomeMy WebLinkAbout2756 GALICIA WAY; MULTI-PERMIT FILE; CB900085; Permit01/22/90 08:49
Page 1 of 1
B U I L D I N G
Job Address: 2756 GALICIA WY
Permit Type: PLUMBIN~
Parcel No: .;h«D o-~0~1...A-1
Valuation: 0
PERMIT Permit No: CB900085
Project No: A9000108
Development No:
Str: Fl: Ste:
01/~ 001 01 )2 -PRMT lv-00
Construction Type: NEW
Occupancy Group: Class Code: ()~#=(/tO{ Status: ISSUED
Description: GAS REPAIR
OWNER : VAN WEY, LARRY
*** Fees Required ***
Fees:
Adjustments:
Total Fees:
Fee description
10 .00
.00
10.00
Enter "Y" for Plumbing issue Fee
Gas Piping System * PLUMBING TOTAL
It.**
Applied 01/22/90
Apr/Issue
Validated By: DC
Lie. 619 942-2738
Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units F.ee/Unit
APPROVAL
,00
.00
10.00
Ext fee Data
7.50 Y
2.50
10.00
INSP. ~---OAT£~.........,.,
CL~~~~~~J
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
·-----------~~----~--~----------
PERMIT APPLICATION ~ V
City of Carlsbad Building Department EST. VAL ___________ --c,,..--=--:=: -2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN Ct. DEPOSIT, ____ ~_;:.:------:<::'.:_ ___ _
1. PERMIT TYPE
A COMMERCIAL
• 0 INDUSTRIAL 0NEW
C D RESIDENT JAL D APARTMENT
OouPLEx 0DEMOLJTJON
0 MECHAM I CAL 0POOL
TENANT IMPROVEMENT
0THIANT IMPROVEMENT
0COND0 0SJNGLE FAMILY DWELLING
0RELOCATION 0M061LE HOME 0ELECTRICAL
OsPA 0RETAINtNG WALL OsoLAR ODTHER
VALID. BY ___ ,...,;;;---::.... _______ _
DATE __ «Z'-----------
ON
2. PROJECT INFORMATION PLAN CHECK No.
Address ;z_ ""> .::,-I"_ ~ Al // C / Al
Nearest (ross smetP
LEGAL DESCRIPTION Lot No. Sulxhvision Name/NI.Ml'ber Unit No. Phase No.
CHECX BELOW IF SUBMITTED: 01 Addressed Envelope Q2 Energy Cales 02 Structural Cales Qz Soils Report
PROPOSED USE EXISTING USE
~ ~STORIES
3. CONTACT PERSON
NAME
CITY
SIGNATURE
4. APPLICANT 0 CONTRACTOR
NAME
CITY
ADDRESS
STATE ZIP COOE
0 AGENT FOR CONTRACTOR
ADDRESS
STATE ZIP CODE
DAY TELEPHONE
OmlNER 0 AGENT FOR 0\,/NER
DAY TELEPHONE
5. PROPERTY OWNER QLESSEE 0TENANT
,;-_.. ,'; G.;_,, '-'*7 ADDRESS NAME L ,.,,_,c,,'1 VA-v "Vtrl-f
CITY CA,A,/S DAY TELEPHONE 7', ~-o(_ 7~8'" STATE
6. CONTRACTOR
NAME ADDRESS
CITY STATE ZIP COOE DAY TELEPHONE
STATE LIC. # _____ _ LICENSE CLASS CITY BUSINESS LIC. #
SIGNATURE TITLE DATE
DESIGNER NAME ADDRESS
CITY STATE ZIP COOE DAY TELEPHONE STATE LJC. #
7. WORKERS' COMPENSATION Workers' Compensation Declaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of Industrial Relations,
or a certificate of Workers' C~nsation Insurance by an achitted insurer, or an exact copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. E)(PIRATION OATE
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' Corrpensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION Owner-Builder Declaration: [ hereby affirm that! am exempt from the Contractor's License Law for the following reason:
0 las owner of the property or my employees with wages as the1r 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. !f, 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:
(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, cOll'lllencing 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 dol l ars ($500] ) .
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON·RESIDENTIAL BUILDING PERMITS ONLY:
!s the applicant or future building occupant required to suOOlit 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?
ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district7 DYES ONO
DYES ONO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
DYES ONO
IF ANY Of THE ANWERS ARE YES, A FINAL CERTIFICATE OF OCaJPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENaING AGENCY
hereby affirm that there 1s a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(il Civil Code}.
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANT'S SIGNATURE
J certify that I have read the application and state that the above information is correct. J agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the abov,:, mention0d property for inspection purposes. I ALSO
AGREE TO SAVE JNOEl'INIFY AND l(EEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, Jll)GHENTS, COSTS AND EXPENSES WHICH MAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 work authorized by such permit is not cooroenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at the work is cooroenced for a period of 180 days {Section 303(d) Uniform Building Code).
,Ro.iNER D CONTRACTOR D BY PHONE APPROVED BY:
DATE:
HITE: File YELLOW: Applicant PINK: Finance
DATE / · o"-5 ~ .?o
UNSCHEDULED.INSPECTION /)
INSPECTOR_~--,~"""--'"~~....:;;;.. _______ _ •
PERMIT # 7 0-'3:< PLANCK # _____ _
JOB ADDRESS.~_c?;;;.._7_~ __ __,~=--"'--'-~~'~-'---------------
TIME ARRIVE: _____ TIME LEAVE: _____ _
CD LVL DESCRIPTION ACT COMMENTS
_L9[) ____ _
"' z 0 " .. .. :l u "' 0
"' Or il 0 u
"' "' 0 ~ 5
~ "' z !
z 0 s z "' 0. "' 0 u
"' ic "' "' "' 0 3
a: l ~,
0 z ~,
D I hereby affirm that I am licensed under
pro ... lslons ot Chapter 9 (commencing w1tti
S.Ctlon 7000) of Division 3 n! the Buslnesi>
and Professions Code, and my license 1s 1•:
lull force and effect
nereby alfirm !hat am e,empl trorn lhe Cor'·ac
tor's Lcense La\l> 'C' the lo1lcw1ng reasor ,se, ?'.)' .-Acs,ness anc Pr~ress,ons Code Ao, :··y or cnunti wn,r, ·e
q,,ires a ~ern-il lo nnstruct a tw •rrpr~ve Ce"1ol,st, 0'
repa,r any Wucture p11or 10 1ls 1ssuanfe also requ,res 'hf..JP
p11ca't tor such oerm•t lo tile a s,qned stateme1· 'hat n, 15 ,ceased pursuant to the prov1s1ons ol 'he ~ort·ac:o s
License Law ·c~apter 9 commenc,ni; w,tn Ser.:,on 7J00 :,I
J,·,· s1on 3 ol The Bus ness and Profes,1ons Cone, or tnat ,~ e, em~I :ne•efro~ and the ~as,s for lhe al egeo exer"pt100 An,·
,·1oa1,0n 01 Sec,on :'031 ~ Oy an dPP ,ca~· to, a pe,.,.,,r sub
1ects tre app1,can· lo a c,v, penalty ol not more t~ar fi;e nun
crec co la's ,$'iOO',
I. as owner o• The property O' my eriplO)ees ,dh waecs
as 'heir SO·e corr.pensat,on w111 do rr,e work and t~e st oC
'•Jre ,s "·JI ,nterdea or o•fered lor sale ,Sec 7144 clll';:·ess
and Frc'ess1ons Coce The Contractor's 1,c~nse LlW Goes
nor apply ·o a· ~wner of property whc bu1 ds or mpro,es
t~ereon Jnd ;,ho does suer work h,mselt or trrouqh n,s own employees prc,ioM inaT such •rnpro,~meris JrP not mtend
ed Jr olferec lor sale It however lhe bu1ld1ng or 1mpro·1e
ment ,s sold w1Th1r one year of compleT,on !he owner bu11ae·
w,11 have !he ~urden o' provinq thaT he a,a ~ot ou,ld or ,m
orove for the ~i..roose or sa1e1
I as owner ot 'he property am exclusively contrac•,ng
w,t~ ·,censec contracTors to cons:ruct the oro1ect 1sec 7044
Business .inc Profess,ons CoM ~he ConTrdc1'lr s License
Ldw ctoes not apply 10 an owne, of propwty who tiu,lds o, ,m proves •iereon ana who c~ntracts ior eacr, pro1ects w1Th a
rcnrract,ris·, 1cense pursuanT To the Contractor, 1,reose
Law:
As a homeowner I am ,mprov,ng my nome and r"e 10110w ,nq conoit,on1 e,ist
1 The work ,s being oerlormed prior to salt'
? I have 1-ved ,n my /lon"e for twelve r'1orth<
pr,or •o corrplet,un of :h,s wo,,
I have not c,a1med th,s e,emo··on dl''"~ me 1ast lhree years
, a"' exempt ·Jader Sec B ~" ~ C
for lh,s reason-------------
I hereb, affirm t~at ha,e a cert f,ca:e of consen: to
se'' ,nsure o, a cert,t•ca:e of V/crkers Compensat,o~ In
su'arce CH a ce•t,',ed cop1 :ne•eo' :Sec 3800. Labor Cede
POL,CY NO
CO~P,i,~v
Coo; ,s I lee ·."th the c,t;
Cw1,1ie: cop; ,s "ereb,· •u,n,shec
CERTIFICATE 0~ EX.EMPTION "ROM
WORKERS COMPENSATION INSURANCE
,Th,s sect,on need not tie completed I the per..,,,t
s fo· one huncred do ars 5'00:· Jr IP%'
_ I r:erllfy that ,n the pedormance of :he ;,ork for .,,,,en
"h,s ~er'f'1t 1s ,ssued I s~all not emplo) anv oerson ,nan\
maMer so as to become sub1ect to the Wori<ers Co'l'pen
sat,o~ Laws o• ca:,10,oia
~QTICE TO APPLICANT If. dfter making :h,s Cert.l,cate
01 ExeMpt,os you should becon"e subject to the Workers
Compensat on pro,is1o~s of :he Labor Code ·,ou must
fonnw,th con,ply w,th such po,is,ons or t~,s ~erm,· sha,
::,e deemed ·esokeG
re·eb, J! .. ,r, ··~t ·~-,rP , a CC"~"'JCI .er 'er,; ·q
aGe~~, 'N rre ~-w•-·,.-a~~e -:ne ,. ~-, •er ,, , , h
s os,,eo Sec :cg" c,,~e
o+•r s l\,~r·
USE BALL POINT PEN ONLY & PRESS HARD
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
APPLICATION & PERMIT
;oa ADDRESS
') 1 -s--(,,, 1DATE%7~ SUSI NESS LICENSE# VALUATION PERMIT NUMBER AV.ST.RD.
THOrS ~; t~ h ~ l 6 ~ t, C...'\ "' -Lv~ ,----,o, 8LOCK l SUBDIVISION -i-AssESSOR PARCf-NO CONTRACTOR
ow,,rSkM~"P l~-~ ~ '"bob I q +~w:'44-~f CONTRACTOR'S ADDRESS
OW""/ M4'4-)°0RV'S l l ~. t ll_ v-, e,v.J 6 /\J L.\ I\)' DESIGNER
OESCR•Pr~WORK r:::.. -_::i R"f' o""; ,--
I
I CENSUS TRACT [ PAPK•NI~ ';PAC~ acs u"Vi [
QTY PLUMBING PERMIT -ISSUE '7~
EACH FIXllJRE TRAP
EACH BUI LUING SEWER
EACH WATER HEATER AND OR VENT
/I EACHGASSYSTEMl 1040UTLETS
EACH GAS SYSTEM~ OR MORt.
EACH INSTAL AL TEA. REPAIR ·,','ATER PIPE
EACH VACUUM BREAKER
',\'ATER SOFTNER
'i\f, 'I ..l ::P,'.i,"-J , 'J~·[',;
DESIGNER'S ADDRESS
' e F LR ELEV
Y___, '-.L'
GRADING PERMIT ISSUEO
I
RE:DEVE'LOPMENT
AREA
'D ND ,c::; -...c
QTY MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS :JP TO 100 000 BTU
OVER 100 000 BTU
BOILER COMPRESSOR UP TO 3 HP
ROILER COMPRESSOR 3 1~ HP
\1ETAL FIR~Pi ACF
VENT FAN SINGLE ourT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE HEATER
DRYER VENT
NO
STORIES
TYPE
CONST
,sot>
CONTRACTORS PHONE M
STATE LICENSE NO.
DESIGNER'S PHONE
STATE LICENSE NO
ace GP EDU
OCC LOAD FIRE SPR
vO N[J
ZONE C6f?O.,{f,/ . /)
BUILDl'f S~-CfiTAGE
~7 I J-ii
"t1~
I l
Not Vil/id Unlefs M~chine Certified
SUMMARY/ACCOUNT NUMBER
BUIU)~T 01J'·O·: OC OG 8220 _LO -
SIGN PERM'T DO 1-8' Cl ·O,>O:··i32?'
PLAN CHECK 001-81 0-00-00·8891
TOTAL Pl UMBl~G rJ,:: ·.) I O·Or,i-00·322~·
ELECTRICAL 001 b'~ OJ 00-8223
MECl-1ANICAL OU1·111 D·00·00·8224
MOBll.EHOME JG1 b1~' DO·OC1·8225
SOLAR o:, · -s · o -~,c. :JO· s226
STRU~G MUT,UN as:-:i·9 ::l2·33
TQT;.;L MECHANICAL L,,2~ PJBLIC FAC·,LITIES FEE 320·81D·OO·OD·374D
FI RE S PRI ~J -<L ERS :,O 1 ·81:J·OD·O:J·8227
T()JAI PIUli'f-llNl. r In '
QTY ELECTRICAL PERMIT -ISSUE c;OT> QTY
N~W CONST Et, ,:.,MP S1','. fJKR CAR PORT
I PH : PH AWNING
F>IST fJlOG EA A~P S\·Vl llKR GARAGE
I PH J PH
HErJODEl Al TtR PFH C'RCUII
1£1,IPPIILF jl)LJ,'.l,MP\
LJ\,ER )(JU AMPS
llMP ULLUPANCY ·}Q iJAYS1
:(l!Al fl~[,TH"I,;,. I
1 HAv·E CAREFULLY EXAMINf.0 ; .. E:. COMPLETED APPi ICAllO", AND PfRM,T AND DO HEREBY
(:f;,T-"Y UNOE8 1-"E"-IALTY OF .OF"LURY THA" A~L INFORMP..T!ON HERFON NCLUDING T,-.E
Pf::CLAPATIONS ARE l'-llJE A"I\.• C'JPRFCT AND I ""J'1THf.Cl CfP'.IFV AN[1 .:.c-::;REF 1i:: A PF8MiT 1'-,
S'.OUEC ~o C()'Y'PLV \'.'ITL-. .:.~:_ C'IV COU/'."1 '/ Af\O s-A-E LAV\iS GO'-if.'-l",''<G su·LO!NG coi,
SlRLJ!:JION WHfTH'CH SPECll=lfD HERE;N Of-I '.CT ALSO AGREE T::-J SA·/':c. INDEMNIFY A!'.I[)
><'cc.Ff' HARMLESS THE u-y UF CARLSBAD ACiA:',C:' ,~LL l!AB!LITIES Ji.,0GMENTS COSTS AND
F/PE~SES WH<CH MAY IN ANY \/vA.Y ACCRUE ACA NS-: SA'D CITY'"' :c,·,:'E:JuE~~Cf OF THE :,...;µ,,~ 'sG OF THS pc:qv,-
·-""----~---
MOBILE HOME SE~ " ..
-'6'~" 'I BRIDGE FEE 360-8 10-00-00·8740 i I
(S'~ PARK·IN-L'EU 1AREA
It!-l'"'' 11\C'JO 'f 312·810-00-00-8835
cT7 ,,1 311-810-00·00·8835 ,IT "' LA COSTA T F -1\1·.J
I : ;,_~! )RE~ FMF ~,-.'-\· _>:_.;,<.' , LICENSE TAX o:' -s' ·> :,> :,~-~' ,';l
--n --,-., fo MFF 88:J-5'9·92·5,· _, I .dW ._:~ r:, .... <&?ol,;c,7-~
CREDIT DEPOSIT
/D ----I "' TOTAL FEES PAYABLE
Expiration Every permit issued bytl"ie8u1ld+ng Ot1<c,a1 under the p,ovis1onsofthrs
Code shall expire by l1m,ta!1on and become null and vmd 11 the building o, wor~
authorized by such perr-1,t 1s <101 commenced w,th,n 180 days from tre date 01 suer.
permit. or ,1 Iha building or work authorozed b~ suth perm,r ,s suspended 01
abandoned a! an~a alter th~ work ,s commenced for a.pe~ of 180 days
OWNE~ CONTRACTOR [;
" ,/ BY PHONE ~·]
>
* AN OSHA PERM:T IS REOUIAED FOR EXCAVATK>NS OVER
5· O" DEEP AND DEMOUTK)N OR CONSTRUCTJON OF
STRUCTUAES OVER 3 STORIES IN HEK,HT
APP80VEC B'r • ~ J -CATE
Jlr;~------i#18:_
w
u.
~
,i
0 o_
E w ,-
TI
0
CJ
c m
0
o_ o_
<l'.
I
~
C
ii:
0 " ~ m " " <l'.
I
~ 0
,; >-
w u C ro
C
u.
:c
C w ~
CJ
0
u w o_
~
C
X
~
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME D FLOOR D CEILING
SHEATHING D ROOF D SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
D SEWER AND BUCO D PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
-r-,.,.,_xx, \tftf I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -·
INSPECTION RED IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE .
FIELD WELDING -
·-HIGH STRENGTH
BOLTS . '.
SPECIAL MASONRY
PILES CAISS0N2'
--~
--
. ------
-
-
-
~-
207~ LAS PALMAS DRIVE
CARLSBAD, CA 9~9
Date: 10-4-88
Qtit!' of ('.arhibab
DEVELOPMENT PROCESSING
SERVICES DIVISION
PC# 880451
Last Inspection:
Date: 4-11-88
none
To: Bob Hopkins
2756 Galicia Way
Carlsbad, CA 92009
PLEASE CALL FOR A
IF WORK DONE
gas repair
FINAL INSPECTION
BUILDING PERMIT EXPIRATION
Our records indicate that your building permit will expire by limitation of time on
10-11-88 , 19
The provisions of UBC, Section 303(d) state: "(d) 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 work authorized by such permit Is not commenced
within 180 days from the date of such permit, or If the building or work authorized by
such permit is suspended or abandoned at any time after the work Is commenced for
a period of 180 days. Before such work can be recommenced, a new permit shall be
first obtained so to do, and the fee therefor shall be one-half the amount required for
a new permit for such work, provided no changes have been made or will be made In
the original plans and specifications for such work; and provided further that such
suspension or abandonment has not exceeded one ( 1) year, Any permittee holding an
unexpired permit may apply for an extension of the time within which he may commence
work under that permit when he is unable to commence work within the time required by
this section for good and satisfactory reasons. The Building Official may extend the time
for action by the permittee for a period not exceeding 180 days upon written request by
the permittee showing that circumstances beyond the control of the permittee have
prevented action from being taken. No permit shall be extended more than once. In
order to renew action on a permit after expiration, the permittee shall pay a new full
permit fee."
Please check below Indicating your intentions and return this letter to us.
Project abandoned. New permit will be obtained prior to commencing work.
Maximum 180-day time extension requested. NOTE: Separate letter for an
extension request and reason for such must accompany this form.
If you have questions, please contact this department at 438-1161.
11 I B 6