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Home My WebLink About2772 GALICIA WAY; ; CB931327; PermitCITY OF CARLSBAD L APPROVAL/ / 1 ~,a........,...._OATE~ E _______ I 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Depart1ment 2075 Las Pal.as Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL·----,,,,---------PLAN CK DEPOSIT _______ _ VAUD.BY __________ ~ DATE I. PEltMI I I YPE A-U Commerc1al LI New Butld1ng D lenanr improvement B -D Industrial D New Building D Tenant Improvement C -II Residential D Apartment D Condo D Single Family Dwelling IB'-A.ddition/ Alteration D Duplex D Demolition O Relocation D Mobile Home D Electrical D Plumbing D Mechanical D PCX>I D Spa D Retaining Wall D Solar CJ Other 2. PRQJF.Cf INFORMATION FOR OFFICE USE ONLY Address z 71J ~ '*--Building or Suite No. Oil O. Cl 2 Energy Cales D 2 Structural Cales D 2 Soils Report [] I Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK /.-,/--~ ~ r ~ SQ. FT. ~F STORIES n,. 3. ~iACI P~:r~cant) ADDRESS Cl1Y STATE ZIP CODE DAY TELEPHONE 4. APPUCXNI NAME UWNIRXCIUR DAGEN I FORWNIRACIOR DOWNER DAGEN I FOROWNEll ADDRESS CITY STATE ZIP CODE DAY TELEPHONE ADDRESS :i.11.t-~?..,. 5.~~~~ ~ CITY ~ STATE C,,. ZIP CODE ?.h7"7'7 DAY TELEPHONE ADDRESS '7(1Jl tfY~ ~ f Jr-1 Jf7 6. ~~itACu ~~ ~ CITY ~ STATE ~ ZIP CODE '1 ;l--rrq DAY TELEPHONE STATE !JC.# LICENSE CLASS CITY BUSINESS !JC. # CITY STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WOIUMlS' WMPENSA'I 10N Workers' Compensation Deciarauon: I hereby afiirm that I have a certificate of consent to self-insure issued by the D1rectorof lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted 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. EXPIRATION DATE Certthcate of Exemption: I certify that 10 the performance of the work for which this permit ts issued, I shall not employ any person 10 any manner so as to become subj~orkers' Compensation Laws of California. SIGNATURE/?{~ DATE 8. OWNEK-BOlihEk tllARAliON Owner-Builder Oeclarat1on: I hereby affirm that I am exempt from the Contracto?s Lcense Law for the follow1ng reason: 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 Ccxle: The Contractor's Llcense 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.). 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 Llcense 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 Llcense Law). [] 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, alter1 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, 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.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPlliE IRIS SEGIION FOR NON-RESIDENIIAL BOIWING PERMil'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? CJ YES [] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? DYES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? CJ YES [] NO IF ANY OF nm ANSWERS ARR YES, A FINAL CERTIFICATE OF cx=PANCY MAY Nor BE ISSUED AYil!R JULY I, 1989 UNUlSS nm APPUCANT HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POll.lmON CDNTROL DISTRICT. 9. WNSIRUCIION LENDLNG AGENCY I hereby afhrm that there 1s a construction lending agency ior the performance of the work ior which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. AWLicAN I CF.ltflFICA:ilUN I certify that I have read the apphcat1on and state that the above 1nformauon 1s correct. I 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 above mentioned property for inspection purposes. I AI.<;O AGREE TO SAVE INDEMNIFY AND KEEP IIARMIJlSS nm CTlY OF CARISBAD AGAINST ALL UABIU111!S, JUDGMENTS, CDSTS AND EXPENSES WIDCII MAY IN ANY WAY ACXJ!UE AGAINST SAID CTlY IN mNSF.QUENCI! OF nm GRANTING OF nns 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 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 365 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 (Section 303(d) Uniform Building Code). DATE:------ WHITE: File YELLOW: Applicant PINK: Finance I PERMIT# CB931327 DESCRIPTION: R/R STUCCO CITY OF CARLSBAD INSPECTION REQUEST FOR 01/21/94 AROUND WINDOWS INSPECTOR AREA PY PLANCK# CB931327 OCC GRP TYPE: MISC JOB ADDRESS: 2772 GALICIA WY APPLICANT: WITHERALL, MARK CONTRACTOR: OWNER: REMARKS: MH/MARK/931-1317 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION 19 ST Final Structural 29 PL Final Plumbing 39 EL Final Electrical CONSTR. TYPE NEW STE: LOT: PHONE: 619 931-1317 PHONE: PHONE: ACT COMMENTS ~ n --I-+----------------~/'----------------'..L( ______________ _ 49 ME Final Mechanical ....... ~,--------------------------------~ -~·--------------- ***** INSPECTION HISTORY***** DATE DESCRIPTION 120893 Exterior Lath/Drywall ACT INSP AP PY COMMENTS