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Home My WebLink About2766 Galicia Way; ; CBR2018-1553; Permit{city of Carlsbad Residential Permit Print Date: 07/31/2018 Permit No: CBR2018-1553 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: 2766 Galicia Way BLDG-Residential 2162200200 $0.00 Work Class: Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: P/M/E Status: Applied: Issued: Permit Finaled: Inspector: Closed -Finaled 06/29/2018 06/29/2018 Plan Check#: Final Inspection: 7/31/2018 12:49:25PM Project Title: Description: EVAN: INSTALL WATER HEATER Owner: TRUST EVANS LINDA L LIVING TRUST 2766 Galicia Way CARLSBAD, CA 92009 WATER HEATER -PLUMBING, ELECTRICAL, MECHANICAL Total Fees: $98.00 Total Payments To Date: $98.00 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. $0.00 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-6D2-2700 I 760-602-8560 f I www.carlsbadca.gov $98.DO ITHE FOLLOl\<IIGAPPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING 0BUILDING DFIRE 0HEALTH D HAZMAT/APCD ' Plan Check No. ('D/1,'.}-)J!>-155/) «1 Building Permit Application 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 www.carlsbadca.gov Date (of :J.. <.f//x' lswPPP JOB ADDRESS SUITE#/SPACEf/UNIT# IAPN 2766 GALICIA WAY, CARLSBAD 92009 --- CT/PROJECT# ILOT# I PHASE# l#OFUNITS l#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) INSTALL TANKlill WATER HEATER EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE 1 IAIR CONDITIONING I FIRE SPRINKLERS YES[), NoD ves0No0 YESONoO APPLICANT NAME JERMAINE MAEWEATHER PROPERTY OWNER NAME LINDA EVANS Prtn · A ntact ADDRESS ADDRESS 4540 KEARNY VILLA RD #213 2766 GALICIA WAY, CARLSBAD 92009 CITY STATE ZIP CITY STATE ZIP San DieQo CA 92123 CARLSBAD CA PHONE lFAX PHONE IFAX 888-991-4377 7604366153 EMAIL EMAIL JERMAINE@WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS ADDRESS ADDRESS 4870 VIEWRIDGE AVE CITY STATE ZIP CITY STATE ZIP SAN DIEGO CA 92123 PHONE I FAX PHONE I FAX 6195909300 EMAIL EMAIL I STATE LIC. # STATE LIC.# 1 'c20,c361 CITYBUS "' 1200804 513115 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to_c_onstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement tliat he 1s licensed pursuant to the prov1s1ons of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or fuat he is exemP.t 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}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and wlll 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. 0 I have and will maintain worilers' compensation, as reQuired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. CYPRESSINSURANCE Policy No. ASWC817703 Expiration Date 911/2018 l,.t!.i§.section 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 to the Workers' Compensation Laws of California. WARNING: Failure to secure worilers' compensation coverage is unlawful, and shall subject an employer to crlmtnal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees . .lif CONTRACTOR SIGNATURE / hereby affirm that I am exempt from Contractor's License Law for the following 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 himse~ 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). D D D 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. 0Yes Oo 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 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): .lif PROPERTY OWNER SIGNATURE 0AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air polluijon control district or air quality management district? D Yes D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes a 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 infonnatlon Is correct and that the Information on the plans is accurate. I agree to comply with all Ci1yordinances and State laws relating to building construction. I hEJeby au~alize represenlative of the CHy of Carlsbad ID enter upon ~e above mentioned propeny for nspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARM.ES$ 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 pennit is required for excavatioos Ol/6 5'0' deep and derndilion or construction of sbuctures over 3 stories in height EXPIRATION: Every pennit issued by the Building Official under the pMions of this Code shall expire by limitaticWl and becane null and void if the buildilg or wait authoriZed by such permt is not corrrnenc:ed within 180 days from the date of such pennit or if the building or wait authorized by such pennit is suspended or abandoned at any time after the wait is commenced for a period of 180 days (Section 106.4.4 Unifoml Building Code). ,,$ APPLICANT'S SIGNATURE DATE Pcnnit Type: BLDG-Residential Application Date: 06/29/2018 Work Class: P/M/E Issue Date: 06/29/2018 Status: Closed -Finaled Expiration Date: 01/28/2019 Scheduled Date Actual Start Date 07/31/2018 07/31/2018 July 31, 2018 IVR Number: 12228 Inspection Type Inspection No. BLDG-25 Water HeaterNents 065453-2018 BLDG-Final Inspection Checklist Item BLDG-Building Deficiency 065454-2018 Checklist ltc1n BLOG-Building Deficiency BLOG-Plumbing Final BLDG-Mechanical Final BLOG-Structural Final BLDG-Electrical Final Inspection Status Passed COMMENTS Passed COMMENTS Owner: Subdivision: Address: Primary Inspector Chris Renfro Chris Renfro TRUST EVANS LINDA L LIVING TRUST LA COSTA SOUTH UNIT #4 2766 Galicia Way Carlsbad, CA 92009-8141 Re inspection Passed Yes Passed Yes Yes Yes Yes Yes Complete Complete Complete Page 1 of 1