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HomeMy WebLinkAbout2766 Galicia Way; MULIT-PERMIT FILE; CBR2017-1403; PermitCity of Carlsbad • • 1635 Faraday Av Carlsbad, CA 92008 Print Date: 07/18/2017 Residential Permit Permit No: CBR2017-1403 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2766 Galicia Way BLDG-Residential 2162200200 $0.00 www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: EVANS: CHANGEOUT AC AND FURNACE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: TRUST EVANS LINDA l LIVING TRUST 05-26-11 2766 Galicia Way CARLSBAD, CA 92009 760-436-6153 Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: Contractor: ASI HASTINGS INC. 4870 Viewridge Ave, Ste 200 SAN DIEGO, CA 92123-1671 619-590-9300 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 06/22/2017 06/22/2017 $0.00 $166.00 I ' THE r,:ou.owtNG APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILD1NG 0FIRE 0HEALTH D HAZMAT/APCD <((~f Building Permit Application Plan Check No.fAe;lt>f7--/l/(J5 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date fa/~;;}./ Jf'-L lsWPPP www.carlsbadca.gov JOB ADDRESS SUITEf/SPACEt/UNITt I APN 2766 GALICIA WAY, CARLSBAD 92009 --- CT/PROJECT# ILOT# 1 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) CHANGEOUT AC AND FURNACE EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE TAIR CONDITIONING I FIRE SPRINKLERS v,so NcCJ vesONoD vESONoO APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME LINDA EVANS .... Con._ct ADDRESS ADDRESS 3645 RUFFIN ROAD# 330-335 2766 GALICIA WAY, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP san die110 ca 92123 CARLSBAD CA PHONE IFAX PHONE IFAX 619-590-9337 7604366153 EMAIL JERMAINE@,WEGREENINC.COM EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san die110 ca 92131 PHONE IFAX PHONE IFAX 619-590-9337 EMAIL EMAIL ISTATELIC.# STATE LIC.# I CL'5S I CITY BUS. "'·; 200804 513115 c20 (Sec. 7031.5 Business and P,rofess1ons Code: Any City or County which reQu1res 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 1s licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, comme_nding with Section 7000 of Div1s1on 3 of the Business and Professions Code} or fhat he is exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 7031.5 by any applicant for a permit subjects the applicant to a civtl penalty of not more than five hundred dollars {$5001). WORKliRS' COMPliNSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D t have and will maintain a certlflcate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the work for whieh this penlllt Is Issued. 0 I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. My workers' compensation insurance carrier ar,d policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Polley No. ASWC711636 Expiration Date 9/112017 l,.tl§,section need not be completed If the permit is for one hundred dollars ($100) LJ Certificate of Exemption: I certify that in lhe performance of the worll for this permit ls Issued, I shall rot employ any person In any manner so as to become subject to the Worl(ers' Compensation Laws of California. WARNING: Failure to secure workers' compensation cov Is unlawful, and shall subject an employer to crtmlnal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In S n 370 he bor code, interest and attorney's fees. fES CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Llc8nse Law for the fol/owing reason: D D 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 wor!( himself or through his own employees, pro','lded 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-bLJllder will have the burden of proving that he did not build or Improve for the purpose of sale). I, as OYmer of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professk:ms Code: The Contractors 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 Contractors 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 constru:tlon of the proposed property Improvement 0Yes Do 2. 1 (have I have not) signed an application for a building permn 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, supeMSe and provide the major work (Include name I address I phone I contractors· license number)· 5. I will provide some of the worli., but I have contracted (hired) the folbwlng persons to provide the work Indicated (Incl tide name I address I phone I type of worll): ,_g PROPERTY OWNER SIGNATURE 0AGENT DATE ' ! ,. Is the applicant or future buildlng occupant required to submit a business plan, a::utely hazardous materials registration form or risk management ard prevention progran uocler Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes O No Is the applicant or future building occupant required to obtain a permit from the air pollution cootrol district or a:r quality management district? 0 Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a sch:>01 site? Cl Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 15 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 lnfonnation Is correct and that the lnfonnatlon on the plans Is accurate. I agree to compl'J with all City oldnances and State laws relating to building construction. I hereby autho'ize representative of the City of Carlsbad to emer Up:Jl the alxlve mentk:Jned prcperty br insl)3COOO puijX)S0S. 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 AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required for excavaUons over 5'0' deep arKl deroolilion or con n of structures over 3 stcries fl heght. EXPIRATION: Every permit 'ssued by the BuildirYJ CXl'dal under the provisklns of this sha~ expire by lrnitatO'l ¥Id becane nuM and ',()Kf W the buildirYJ or WOO authoriza::f by sl.cil permit is notrorrmenced withJ'I 180 days from the dale of such i;ermit or Wthe buit:lirYJ or work au1hcmed by such is suspendoo or abanooned at any time after the work is coounerced tlr a i;erb:f of 180 106.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE P(,rrnit Type: Work Class: Status· Scheduled Date BLDG-Residential PIMIE Closed -Finaled Actual Start Date Inspection Type Application Date· 0612212017 lssuo Date: 0612212017 Expiration Date: 0111512018 IVR Number: 4575 Inspection No. Inspection Status 07/18/2017 07/18/2017 BLDG43Air Cond./Fumace Set 029053-2017 Passed July 18, 2017 BLDG-Final Inspection Checklist lten1 BLDG-Building Deficiency 029054-2017 Checklist !torn BLDG-Building Deficiency BLDG-Plumbing Final BLDG-Mechanical Final BLDG-Structural Final BLDG-Electrical Final COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST EVANS LINDA L LIVING TRUST 05-26-11 LA COSTA SOUTH UNIT #4 2766 Galicia Way Carlsbad, CA 92009-8141 Re inspection Complete ----------------- Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Page 1 of 1 06-08-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB151730 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2766 GALICIA WY CBAD PME Status: ISSUED 06/05/2015 JMA 06/05/2015 06/05/2015 Parcel No: 2162200200 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: EVANS: PANEL UPGRADE FOR PV Applicant: MILHOLLAND ELECTRIC 1475 N CUYAMACA ST EL CAJON CA 92020-1508 858 541-1097 X 102 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: Owner: EVANS LINDA L LIVING TRUST 05-26-11 2766 GALICIA WAY CARLSBAD CA 92009 $0.00 Total Payments To Date: $0.00 Balance Due: $0.00 $0.00 $0.00 $0.00 $0.00 $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 "fees/exactions." You have 90 days from tne date th\s 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. - THE FOLLOWING APPROVALS REQ"'RED PRIOR TO PERMIT ISSUANCE: 0PlANNINO D ENGINEERING Deu1LDING 0FIRE 0HEALTH D HAZIIAT/APCD Plan Check No. CB!S", (7 2...4' (' Building Permit Application ', 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value el~ \S. ,., 30 ' .. "-·~ '~ CITY Of Ph: 760-602-2719 Fax: 760-602-6558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov Date n. S°• 1 ~ ISWPPP www.carlsbadca.gov JOBADORESS SUllEI/SPACEI/UNfTJ I"" 216 2766 Galicia Way -220 -02 -00 CT/PROJECT# ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS l TENANT BUSINESS NAMI I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: lrrclu* Squa,e Feet ot All'ect9d Atff(•J Install a 15 panel roof mounted photo voltaic system and MSP upgrade to 100 amp, AC 3.269 kw EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 I AIR CONDITIONING I FIRE SPRINKLERS SFR v,so N<O v,s 0No D vesO NoO APPLICANT NAME (Primary Contect) Milholland Electric Inc APPLICANT NAME (Secondary ContectJ ADDRESS ADDRESS 1475 N. Cuyamaca Dr. CITY STATE ZIP CITY STATE ZIP El Cajon CA 92020 PHONE IFAX PHONE IFAX 8585411097 ext 102 8585411197 EMAIL EMAIL brian(.ii!milhollandelectric.com PROPERTY OWNER NAME Linda Evans CONTRACTOR BUS. NAME Milholland Electric Inc ADDRESS ADDRESS 2766 Galicia Wav 1475 N. Cuyamaca Dr. CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 EICaion CA 92020 PHONE IFAX PHONE IFAX (760) 436·6153 8585411097 8585411197 EMAIL EMAIL budsmom3(.ii!aol.com brian@milhollandelectric.com ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# I 'c'.10/46 I CllY BUS, "'·1231048 585514 (Sec. 7031.5 Business and Professions Code: Any City or County which reciulres a permit to construct. alter, improve, demolish or repair any structure, pnor to its issuance, also ~urres the applicant for such permit to file a signed statement tliat he is IJcensed 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 exemP.t therefrom, and the basis for the alleged exemption. Any vlolatlon of Section 7031.5 by any applicant for a permit subjects the applJcant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION I hereby afflrm that I am exempt mn Contractor's L.Jcense Law for the following reason: D I, as owner of the property or my emplOyaes with wages as their sole compensatkm, wilt 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 appl'f ii an owner of property YtflO builds or IIT()roves thel90n, and 'MIO does such work himself or through his own emplOyees, provided that slCh Improvements are not Intended or offered for sale. If, however, the building or lmpro¥ement Is sold within one year of comple!IOn, the owner-builelerwiM 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 exduslYely contracting 'Mth licensed contracilrs to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Li?N does not apply to an owner of property who builds or Improves thereon, and contracts for such projects with contrac!O((s) licensed pursuant to the Contractor's License Law). D I am exempt under Section Business and Professions Code for this reason: 1. I personally plcl'I to provide the major labor and materials torconstructkm of the proposed property Improvement. Oves Do 2. I (have I have not) si!Jned an appllcation tor a bulldlng pennlttor the proposed \Wik. 3. I have contracted v.1th the fOHowing person (finn) to provide the proposed construcllOn (Include name a:ldress I phone I contractors' license nuiroer): 4. I plan to provide portions: of the work, but l tiave hired the follo'Mll{I person to coordinate, supervise and provide the major 'NOrk. (include name I address I phone I contractors' license number): 5. I wiQ provide some of the v.ork, but I have contracted (hlAICI) the folkMlng persons to provide the 'Mll1t indicated (inclooe name I address I phone I type of'Mlf1c:): NS PROPERTY OWNER SIGNATURE 0AGENT DATE ' ' .-~ Sempra Energy""'' ELECTRIC UNDERGROUND METER & SERVICE LOCATION Customer Copy Notification#: 300000047521 Job#: 1TB: 1147-01 Wanted Date: ON INSPECTION Date Prepared: 06/0512015 Customer Type: Retidentia~1-2 Units) Service Type: UG REWIRE (NO TRENCHING) Project Tltie: EVANS, LINDA (SOT) SOLAR Project Addrau: 2768 GALICIA WAY j Project City: RANCHO LA COSTA Additional Addrea Info: Customer POC: MAYA CVIJIC Customer Phone#: 619 873 3131 SDGE Contact: Service Coonllnator Contact Info: DANNY SADICK,760-476-5614 D Traffic Control Pennft Required 0SDG&EAppllcation Required-Call: 1~11-7343 Excavotlon/Enaoachment Pennits Required By: Munk:lpel lnapectlon required By: CITY OF CARLSBAD I Temp Service Charge due on First Bill $ 0.00 SERVICE ATTACHMENT POINT AND/OR METER LOCATION: Install 100 -amp meter panel at existing location over existing conduit and seNlce condudors. Customer to install the new panel to meet the location of the existing landing lugs. If, for any reason, the conducton, cannot be reconnected due to substandard or dameged conduit, It la customer reaponslbllity to trench and replace the conduit from the panel to the source. To avoid delaya with reconnection, your permit should read "Customer Outage Involved". Station ID#: 752-346 Structure #: 03359469385 I Joint Trench With: Handhole Installed By: Handhole Lid Shall Read: Standards Page: Ladder Arms: I Stop Trench: from Pole Ri-Quad: Bend Installed By: I Bend Type: Bend Info: Conduit Installed By: Conduit Size: Service Panel Rating: 100 Number/Size of Main SWitch: 1/100 I Voftage: 120/240 # of Wires: 3 Phase: 1 Utilities Maximum Contribution to Fault Cu1T8nt: 10000 Metering: Self-Contained Meter Clips: 4 Meter height -4'0" min. (3'0" min. for multiple installation) -6'3" max. From finish gnide to centerilne of meter base. Meters are required to be readily accesalble 24 hours per day. Meters must be located in a safe area free of any potentially hazardous or dangerous condition. Provide 3-ft. x 3-ft. dear and level working space In front of maier. Where meter room is proposed, contact the planner at the nearest SDG&E office. Meter basea and meter service disconnects must be located at or immediately adjacent to each other and be identified with address and unit number. PROCEDURE FOR INSTALLATION 1. PHONE DIG ALERT "811" AT LEAST TWO DAYS PRIOR TO TRENCHING FOR LOCATION OF UNDERGROUND UTILITIES. 2. Phone Service Coordinator at 76~76-5614 for the following: - 3 Worklng daya prior to trenching to arrange pra-meet with inspector and initiate trenching process. -After excavation of trench, installation of conduit and service entrsnoa equipment at meter location, CALL FOR INSPECTION. Do not cover conduit without inspectOl's written approval to backfill. -When trench is backfilled and compacted, CALL FOR INSPECTION. -If service entrance equipment Is installed after backfill, CALL FOR INSPECTION OF THE EQUIPMENT. 3. Meter cannot be set until inspector has approved installation, including service equipment, and receipt of city/county/state Inspection Addltlonal Information: D Right of Way Required Asaesaofs Parcel Number. To minimize the electrical outage, you are advised to schedule a moming disconnect with an aftemoon reconnect. There is no charge for this service. Before you change out your meter consider (1) SDG&E needs 15 worklng days advance notice to schedule a cww and (2) SDG&E wlll not reconnect the service without municipal approval on the new panel. Please contact the City/County regarding pennita and Inspections. City/County Inspection should be received prior to 2:00 p.m. on the sama day as the disconnection of service to allow the SDG&E aew enough time for reconnection of the service on the same day. If SDG&E encounters hazardous or toxic malarial while performing construction of your project, SDG&E wlll halt work immediately and it wlll ba your responsibility to remove and or clean up all hazardous or toxic material prior to SDG&E continuing construction. SDG&E shaU have no liability or obligation whatsoever to cleanup, remove or remedlate any hazardous or toxic materials discovered during the course of construction unless It Is through negligence of SDG&E. Customer-owned fadlltiea to receive gas service are subject to all applicable local and state of California inspection authority requlrementa. Building address and/or houseline must be permanently identified prior to meter set. Information on this sheet is void after six (6) months. Keep this notice with buildlnn pennit. Planned By: Jennifer Mageo Phone#: 7604765609 Inspection List Permit#: CB151730 Type: PME EVANS: PANEL UPGRADE FOR PV Date Inspection Item Inspector Act Comments ----- 06129/2015 39 Final Electrical AEK Fl 06/1812015 33 Service Change/Upgrade RI DISCONNECT/RECONNECT 0611812015 33 Service Change/Upgrade PY AP Monday, June 29, 2015 Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-04-2003 Plumbing Permit Permit No: CB031532 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2766 GALICIA WY CBAD PLUM 2162200200 Lot #: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 EVANS RESIDENCE WATER HEATER REPLACEMENT Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 1 0 0 Owner: EVANS LINDA 2766 GALICIA WAY CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 06/04/2003 MDP 06/04/2003 06/04/2003 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: Inspector: FINAL APPROVAL Date: o2': 2 ,o"'; Clearance: $27.00 your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter co11ectively referred to as "fees/a 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 pr tlures set lo 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 t hi h Tl I' FOR OFFICE USE ONLY PLAN CHECK N00 > ~c_ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL. _________ ~ Plan Ck. Deposit......,,,,,.--------- Validateda~p Date 4/~ [1;1t~~)lC.trJ:fNfiOF.iM'Ai;f0Nl~r;~t~i~t:J;;~1:t'.fli~Ji~~~{fl~~~~~~i~~t:tSiTuJiE~~~-t,ifnil~~l~{1flm~t1HK 2766 Galicia Way Business Name (at this address) Address (include Bldg/Suite II) Legal Description Lot No. Subdivision Name/Number SFR Unit No. Phase No. Total II of units Assessor's Parcel II Existing Use Proposed Use 216-220-02-00 Name Address City State/Zip Telephone II Fax # 1~)~if!7l:'1f~fc1ANi.1~i!f}f:J)l~smf~:filCi~&1nm1r.rshll'll'iil!ggii\fi6ll'Er~f~wnJitl1EllI~~~~f~w~~r~'9~~l~~~~~~~~~~l1l~rr~1!'£)111rn~~1;:i:~m:1l!i~&:[~~!:~rir{J~i~:!~~r~~~::,,:1 · Arlen FosterACarol Foster 13706-B Hwy .8 Bus. El Cajon, Ca. 92021 (619)390 4477 Name Address City .tate,p e ep one F~'11~~t:~~c.o·NttR~tl'.OR~CbMRAN¥Jr~fNME1ftfK'.ffil}l~~Jf~i~~~rli~~~,~:ri~~jJ~ft1'1[~ifiia1BliD]fj'~tmfii!g"m~t?~~fi~!~tm~~j~~(\~ifai;l~'t':MJ;li~1l (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 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 ($5001). A &. .J Fos.t~:r Plumbing Name JJ206 B Hwy. 8 Bus. ress El Catw . State License II ..,6.!.,3..,_,,_0..,1..,2..,.0,..._ ___ _ License Class ...,.C..=_3.,,6,__ _____ _ City Business License II 1210636 Designer Name Address City State/Zip Telephone 1:~~~;~;.;$_$~o~~~s'Aifi0:~~1~l~lltD~urnT,1i~;~l\i',~1i1iH~rillli:lr~1t~'il~~rmi~tl~,r::rifu'!irJwillll~ri~mm1~~~ii:!~~~;;:~~~~.~r~:irr:/~;~~:,:~[;;i:t,;·:J::>:,1n~\~11J~1::j,:~::''! Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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. vO 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 permit is ~;sued. My worker's compensation Insurance carrier and policy number are: Insurance Company Stat.@ Co~. Ins. Policy No467 01 0000713 (THIS SECTION NEED NOT BE COMPLhED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) Expiration Date_+0..,4"=+0Hl-=-0..,.,.4,-- O 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 work:1111"""iln1D thousand dollars ($100,000), I ltlo SIGNATURE awful, and shall subject an employer to criminal pen ''.'.!:::;.:~~~.,._, .. as provided for In Section 3706 of the abo ,1~;.c.,._~ DATE_~·~.f--:~1---"'-6-..I""-- 0 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). O 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(sl licensed pursuant to the Contractor's License Law). 0 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 ONO 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 I address I phone number 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 number 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 number I type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE-----------------------DATE _________ _ r¢OMiit.efr~Jti'iifs[se:crrie'MF.OBWq1'lliirtsk.ii~f1A~~fi01Clii.iN'G!i>~ilMJ'.f.~QN~f~~,rtt:rlt]l'tll~~-!~1Illlli~'l1ilefJliritJi;[~,11.:ii~-;~;if~)(~(~~i)~t(t{~f.fil:i~f:I(~ir, Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 D YES D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ,Ji1:r:1zq'QFJ~ff:B~Qfti'Q~~~1:~l?',~1fff~,fi.cy;l:tl~~,~~J7ir1~;1~1~111~~-~~1~1ril~;1~~1:tr1.t/ft~1r~~~1~1.1;~1~~~1~~11:~~~11r;i,i~:fa:i1.i~l1'Ei,t~·1,::':"11~1;~;;:~:1,:,1:tt I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). ,~~~~·E·~.:~tt:; ... ~·~,,.,,,.JJ..l!l'~iw,i!>~,··•~:"f<'••'R•ff!!\l",'ffl!llffii"'r.mr•"""'"':;~~.~=~; .. ~=~!;,~,,,,llil'!\1·.,:.··, .. .,,,,;i,.~-r"'~"""'"""·"i!l'lli!!!!l'i'!"""'"'''a"•"""""ll!i>l.'1'<",~Wc'>""·'"'"'·•""'•~·"··'···"'"''''''"''.""''·',•· 19 ,,'1liili,(.ti,,RRttCA,,.'Jl•"\..~eBi1: .~,'i'.~.i ,'iii!',,£~•liif.f,;iiv;R![~:.{ta:;~;iij_;~~i(~¥.J:;1~i~~&i:~:i:?ru1:::;}t,ijiiiJJ1il':~ir.li~J:1?.iitLi~:©iniiili~ill'"i~1J~1!tr:l1.L=t1t~tr~i11$'~.rr;~;'J.l,.i.~~.J.0..iJ'.F~lijJ.a:~:,.1!ftffi~!li~~~~lm'J!UB1~~rn:r~:t~~H:~1:·:r.1¥:~~:iif!:1ij.,:,~H.i!:n~1i~~,;~i.;i 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 authorize representatives of the Cit\! of Carlsbad to enter upon 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 demolition or construction of structures over 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 lhe building or work authorized by such permit Is not commenced wit · days from the date of sue ermit or if the building or work authorized by suc~rmdit · suspended or abandoned at any time after the work is commenced f 80 ay • lion 1 . Uni orm Building Code). /n '~') ~ APPLICANT'S SIGNATURE DATE ~ {~ PINK: Finance City of Carlsbad Bldg Inspection Request For: 06/30~3 Permit# CB031532 /1, ~ ~ 0 .3nspector Assignment: 1~ Title: EVANS RESIDENCE Description: WATER HEATER REPLACEMENT Type: PLUM Sub Type: Job Address: 2766 GALICIA WY Suite: Location: APPLICANT A&J FOSTER, INC. Owner: EVANS LINDA Remarks: AM PLEASE Total Time: CD Description Lot 0 Act Comment Phone: 7604366153 Inspector: Requested By: LINDA Entered By: ROBIN 25 Water HeaterNents fl{) 11 ~· -<,d Associated PCRs/CVs Inspection History Date Description Act lnsp Comments ( ·.;,, " '~ (, '" ~~ \13 \._~ "' z 0 " .. "' .. ~ <.> w 0 §[ : ~ z 8 "' w 0 ~ 11 01 I l'1 l hereby affirm that I am licensed under ./roY!slons of Chapter 9 1commencing with Section 7000) of Division 3 ol the Business and Professions Code, and my license 1s 1r1 '"" ,o," ia~~~ Lie No8 CIJ•,, C_3_6 __ _ nereby alf,,,r :nar I d'1 e,e-pl from tor's L1cerse Law tor lhe l~llowrrg re;i~o~ Bus,ness and P,alessro~s CJde A~y c,ty G' 8Uires a perr11,· to co>s:rucr a :er mpro·,e rep~1r any s:ru:ture. ~r,ar :o ,ts issuance as; ,,c"''" cce ,c ~~i~~:Jorp~~;~a~i'~11 ii/'~,iv~~~,e/ ;,,C, ; ,,;::,;;, L,ceose Cav, ,C"apter 9 co01menung J,.,, ,,o~ 3 ol lhe Bus,ness anci Profess,on1 •,r 11,01 ·s e, empl "1erelrom asd t'e ~as,s 'or T11e allegea e,er'1~· 0n Ac·1 ,·11.a·,~r ~f SecTror 7031 5 oy an app.,ccwt !or d perm,! s,b ects 'he appl,cant to a civ1: ~e0 alt; ot 101 mare tr.an 1 ·•~ hF d·ed do:lars ,:$500• as 8\1'',er 8f 'he prope'l) or "l) erc,~lcy~~; w •,, ,.,·,~es as roe,· sole .;ompe~sai,on w111 do the IY'or• .1n1 s"uc ture ,s 101 ,nre~dec o: cffereo lor sale 1Sec 71;.:~ and Pro\ess,ono Code Tne Conlraclor s L,r ewe caw does not ;1c~.v to an owner o' P'OOerty wno Du1ICs or 1mpro,e, 1e.ereor, d~C wt'o dOfS su'.h wor; h1moel' 8r •h·o"gl1 01s own employees erov,cej th;it suer 1m:;r~.,ement< a'e net ,~t~nd ec or ctfered for sale 11 however ine tlu·ld,ng or ,m;vove menl 1s sold w,tnin une year of complelion tnf own~r-builr1er w:I' has<e the burden o: pro\',ng t~at ne d•d ~01 Ju11d or .rn pro1·e IJ' the purpose 8' sale1 I as owoer o' the pr,Jper:y am cxc,us1·,e1, c~ntrae' n9 w·:n ·,ce~sed con:,ac'O'S to CO%l'uC! lhe prD1ect I Sec 7044 Business and P·otess1ons Code The Cont,acrn··, L,ceroe Law does rot cppl) to J~ :iwne· of property ,,"J b,1 ds Dr 1r11 oroves t~ereon. dnd .,h~ corr,ac:s lor each pr~1ec·, w1lh a cort,actorrs, , cense p.vs~ant to the Co~··ac10·· s l 1ce1se Law I As a homeowner I am ,,...,p·ov:ng my name ond rhe lodGW ,ng cond1T1ons ex1s· I The work ,s be,og pecforme~ pria, to sJle 2 I ha\'e .1ved 1n 11y hO"le for :we1·,e mont~s prio• tu c;o<np1et1on of t~,s wo·k I nave rot claimed t~,s exempi·on aur1nr, tie last t~ree years I I am exempt under Sec for H11s reason------------- fl & PC z 0 " .. "' z w ~ "' 0 <.> "' ir w " "' 0 3: L ![ )( I hereby affirm t~a, I ~a,e a certd,cate of consent to sel',,nsure or a ce·t,'..cate of Workers Compensat,on I~ ~u-ct·1:e o· a ceri,•,ect copy thereof ,Sec 3800 Labor Code; souo ,o 'IC621698048 00"""Maryland casualty ~ Copy ,s liled ;.·,th the c,1y Certil,ed ccpy ,s hereby furncshed CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1Th,s s1cct1on ~eed oot be comple!ed ,f the perm,t s for one hundred dollars ($100) or less! I cemfy mal ,n the performance of the work 'o, v,h,ch th,s prrm,t ,s issued. I shall not employ any person ,n any manner so as to become sub1ect to the Workers· Com pen sat1on Laws of Cal,fom,a NOTICE TO APPLICANT: If. after makrng thrs Cert1f1cate of Exemption you should become sub1ec1 to !he wo,Kers Compensation p,o,,s,ons of the Labor Code. you must forthwith comply with such prov,s,ons or this pecm1t shall be deemed revoked -· I hereby allirm that there 1s a construction leno,~g agency •o, lhe perlormance ol the work for wh•ch this pe, m,t ,s ,ssued (Sec 3097 Mode: Lender's Name ~ ~ ~ Lender's Address USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. : CARLSBAD BUILDING DEPARTMENT 1 Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT I : I JOB ADDRESS AV. ST.RO. NEAREST.CROSS ST. l DATE OF APPLlCA.TIO~ BUSINESS LtCEt ~ VALUATION PE 0 RMIT NUMBER : 2766 Galicia Wav Lavante 1115186 I 11646 '&'li I) O(j' : LOT I BLOCK I SUBDIVISION ! ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PH{lt,,E. ZONE ~ j I 1 owN1:R·s NAME J owNER's PHONE Arlen Foster 697-4151 : Dick E\7ans 436_6153 CONTRACTOR'S ADO RESS LICENSE NO. PLAN 1.0. # BUILDING SQ FOOTAGE , OWNER'S MA>UNG ADORESS 2819 Central Ave. s.v .92077 443348 , , I DESIGNER ------r I , 2766 Galicia Way UtSIGNER'S PHONE I DESCRIPTION OF WORK I I I water ~tc,_. Y'Onl DESIGNER'S ADDRESS I LICENSE NO, 1 ' . I I t-------------' ' 1 F LR ELEV NO STORIES ace GP EDU 1 I , L: ~o 1 3/13/664376 I AREA CONST 1 Clr..'ouSTRACl I :;PLANDUSE [PARK1N(,SPACE: R~SUNITS I GRADINGPERMITISSU!:C IREDEvELOP'v1ENT TYPE OCCLOAD FIRESPP 1 I , O ~ O , :J ,O YO r-[J I Not V;i/Jd Unless M;ichine Certd1ed , n ~ 11' l : I'. I I I I ' ' MECHANICAL PERMIT, ISSUE SUMMARY~CCOUNTNUMBER 1 QTY PLUMBING PERMIT, ISSUE 7 .50 ,; QTY 1 1 EACH FIXTURE TRAP -+--j----I INSTALi FURN lJUCTSUPTO lOODOOBTU BUILDING PERMIT_ 001-3·0-0~~0-8220 j --------_J EACH eu1l ll1NG sr.wER · I nvER 100 ooo BTU s1G~ PERM·T 001-810-00-00-8221 --------------------------+---------• -------· if - BOILER.COMPRESSOR UP TO 3 HP I i PLAN CHEC~---------~~-~__'.'.__?0-8~~-L-------EACH WATER H[ATE'R ANIJ (JR VENT I - I I 1--~o TOT~L PLUMB'"jg_ 001-810-00-00-8222 I 10. 00 ELECTRICAL 001-810-00-00-82 23 +---------- --------- EACH GAS SYSTEM I TU 4 UIJT LETS ---- BOILER.COMPRESSOR 3 15 HP ---+---/"' ~--- I ME'TAL F RFPLACE + -----EACH GAS SYSTEM J [) R "ii[JR[ ---------+-- VENT f-AN SINGLE DUCT MECHANICAL 001-8 1, 0-00-00-82 24 I ,-- I EACH INSIA~ ALTER. HEPAIR ',','ATEH PIP[ EACH VACUUM BREAKER MECH FXHAUST HOOO OUCTS --:r" MOBILEHOME 001-810-00-00-8225-+-----------< I :H / MOBILEHOME PARK INSP -~ RELOCATION OF EA FURNACE·HEAJ,{R _l__ ,__ / I SOLAR WATER SOF ft'-JER 001-810-00-00·8226 I , ------l . ~--TOT kl MECHANICAL / I STRONGMOT!ON 880-519-92·33 ·;c.1::,: +-I ,'.,,CH W.11:F nR.<l'J -- : ~ 1 101A1 '"'""'Ne. I ' 10.00I; I F1RESPR1Nm,Rs 001'810,00,00,am i QTY. ELECTRICAL P.ERMIT. issuE 'I QTY. . so. LAR. tss E Pu sue F~c1u11Es FEE 332-8_1_Q-oo.:.Qo-s9JQ_+--_ I ----:I -- NEWCONST~-~~MPSV.lfJKR _' CCLLEcc,~:; ------I --SCHOOLFEE-DISTRICT 1 I PH _ .l PH I _ STURAGF r,\~JKS f Carlsbad ----1 ---- 1 Fx1SIBL[1G-EAAMPSWTBKR 1 ___ ~Du<s::_;RAr:iE: --------Encinitas =r--=.__ _ __ _ 1 1 PH J PH ·--__ . 1 PU\1P _ I San D1egu1to I REMODELAlTfR PE'RCIR~ -Pi,\1·.C•IF[KF~F/ SanMarcos ---- - ----- ----L---------------- -+--------- 1 TEMP POLf ?UO AMP</ _ f : OVER LOO AMPS/ ---LICENSE TAX 001·810·00·00·8162 --- : TEMPO,C,CIJPAfJC~AYSI ,i-, _ =t= t--::-:~_1__ ___ , ::DITDEPO~:T _ 880~199257 _ -'. 1 l1)lA! ~ltl,TRl(.Al I 1· ' l()TA• SGl<'<;:i ---t-I 1 I . : I , I TOTAL FEES PAYABLE 10.00 I ' . ' . I I ! 1 HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" ANO 00 HEREBY Expiration. EV9ry perm1t issued by the Building Ofhc1al under the prov1s1onsofth1s * A.N OSHA PERMIT IS REOUtREO FOR EXCAVATIONS OVER 5· O" DEEP A.NO OEMOLfTJON OR CONSTRUCTION OF STRUCT\JR£S OVER 3 STORIES IN HEIGHT l CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall &l<.p1re by limitation and become null and void II the building or work OECLARAT!ONS ARE TRUE AND CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT !S authonzed by such permit is not commenced within 180 days lrom the date o! such I ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-perm,t. or ii the bu1ldmg or work authorized by such perrrut is suspended or 1 abandoned at arw time after the work 1s commenced tor a =r1od of 180 davs 1 STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. J ALSO AGREE TO SAVE INDEMNIFY AND I I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIA81UTJES. JUDGMENTS. COSTS AND ~PPLICANT' SIGNATURE • OWNER O CONTRACTOR~ APPROVED BY t--_. DA TE I I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAlD CITY JN CONSEQUENCE OF THE _,-... /1 ....L., /".-\ "' '1 I j f ; I GRANTING O~XH!S PERMIT ~ -• '.1 ".I;_/ -.7"' ,• ) /£~ .,, I BY PHONE D I ;,/. -I 7 ; {) y V I w LL ~ ;;; 0 0, E w f- 'O 0 CJ ~p 0 Q 0, <r I ~ C ii 0 w m w m m <r ,: 2 w r ~ m w u 0 ,t "' <ii 0 CT w 0 C "' C LL s C w ;" CJ 0 0 w 0, ~ C w ,C ::: TYPE BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME D FLOOR SHEATHING D ROOF FRAME EXTERIOR LATH INSULATION D CEl~ING D SHEAR T I 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 01 UFFER ROUGH ELECTRIC DATE INSPECTOR FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTION PRIOR TO REO IF I INSPECTORS CHECKED APPROVAL FOUNDA ..,.IOr-.. INSP I DATE SOILS COMPL,ANCE ~ I STRUCTURAL CO~CRETE --1 +---~--- OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIQr,,,ED CONCRETE FIELD WELOl~G i I I ! rl,r;rl SlRENGTH ·---r--1~ ~TS I -~ SPECIAL MASONRY 1-----------t----t------t-----l PILE:.S CAl::_;so ... t· -----+-----+-----·-·-----+--- +------+------+---- t---+-------+--- 8" ~ • .;:L.8'0 ~ INSPECTOR'S NOTES D ELECTRIC SERVICE D TEMP(?RARY D BONDING D POOL ------+---~-, r,-----------------------------------~ MECHANICAL ' D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS 1 VENTILATING SYSTEMS I CALL FOR FINAL INSPECT/ON WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. FINAL --·-+ I i I c--! --+-- t----------+--+-. -+--- PLUMBING ' 1 _j -J ELECTRICAL , _ , MECHANICAL 1 ! GAS ' ' / BUILDING , ?, _iq_ ~ r/./-,_.,... 1 , -----1 V I ,"1 ... "' I SPECIAL CONDITIONS 1 '' ,,,,_., i,-_ ___L___ ________ ------ I /~ ~-------- ~