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Home My WebLink About2784 GALICIA WAY; MULIT-PERMIT FILE; CB053573; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-14-2005 Plumbing Permit Permit No: CB053573 Building Inspection Request l-ine (760) 602-2725 Job Address: Permit Type: Parcel No: 2784 GALICIA WY CBAD PLUM 2162300400 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: LARNER RES-NEW DBL SINK.CAN LIGHTS, 1 OUTLET,UNDERCABINET LIGHT Owner: Issued: Inspect Area: Applicant: LARNER ROSS&OLGA M LARNER ROSS&OLGA M 2784 GALICIA WAY CARLSBAD CA 92009 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 1 0 0 0 0 0 0 2784 GALICIA WAY CARLSBAD CA 92009 ISSUED 10/14/2005 LSM 10/14/2005 10/14/2005 $20.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: Inspector: Date: Clearance: $0.00 hat approval of your project includes the Klmposltion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.· 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 . . . . FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C-aos :?> s, 3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL._~~~~~~~~~ Plan Ck. Deposit--------- Validated By ~= Date I O { '4 / n Business Name (at this address} Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use WS'Th-U... tArJ w e, Hr:s Description of Work SQ. FT. #of S \...-4\, !) U' c..ca.-e:, I ~. q,QtUAC.I PERSQN '(lfJ!lttarjiqt .from appllc;entl · State/Zip Telephone# Fax# Name Address City State/Zip Telephone# ~. ··.·,' .·,\i (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). Name Address City State/Zip Telephone# State License # ----------License Class ----------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- l,V Workers' Compensation Declaration: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3 700 of the Labor Code, for the performance of the work for which this permit is issued. 0 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company Policy No. Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS} 0 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, 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 ~~ithin one year of completion, tha owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale), _J:!fC I, as owner of tha property, am axclusivaly contracting with licensed contractors to construct the project (Sac. 7044, Business and Professions Coda: The Contractor's Licansa 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 Licansa Law}. 0 I am exempt under Section ------Business and Professions Code for this reason: 1. I personally plan to provide tha major labor and materials for construction of tha proposed property improvement. 0 YES ONO 2. I (have I hava not] signed an application for a building permit for the proposed work. 3. I have contracted _with tha 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 / address / phone number I contractors license number>=------------------------------------------------- have contracted (hired) the following persons to provide the work indicated (Include name I address I phone number I type Is tha 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? 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. [l!,_:_:~N~:rn.U.~JIQ_N.: L.~~DJN.9....A9ENCY~.-. , ., ;r , n,~_..._....,., .... ... ;.; __ ...,,_ -~ ·.;.,. • ·-. 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). LENDER'S NAME ~~~~;=:;;;;;:=:::;;:;;;~ ............. _ _.,. _____ ,.~ ~ ~~;f.t&4¥f"'~ ~~~~~~ ~1 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 the building or work authorized by such permit is not comm d within 180 d 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 commen ed to a period of O ays (Section 106.4.4 Uniform Building Code). l /"\/J J j/ APPLICANT'S SIGNATURE DATE t'V __ -, [<d'z_ --,'--'--'+-7----YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/04/2006 Permit# CB053573 Title: LARNER RES-NEW DBL SINK,CAN Description: LIGHTS,1 OUTLET,UNDERCABINET LIGHT Type: PLUM Sub Type: Job Address: Suite: Location: 2784 GALICIA WY Lot APPLICANT LARNER ROSS&OLGA M Owner: LARNER ROSS&OLGA M Remarks: Total Time: CD Description 0 Act Comment Inspector Assignment: PY --- Phone: 6192033370 Inspector: ----- Requested By: NA Entered By: CHRISTINE M-.--- --------·----- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 1011712005 24 Roughffopout 1011712005 34 Rough Electric Act lnsp Comments AP PY AP PY ' City of Carlsbad 04/06/1999 Plumbing Permit Permit No:CB991335 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2784 GALICIA WY CBAD PLUM Status: Parcel No: 2162300400 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: A&J FOSTER, INC. STEB WATER HEATER REPLACEMENT 13706 HWY 8 BUS EL CAJON CA 92021 61 9-390-44 77 Plan Approved: Issued: Inspect Area: Owner: Kl'!Af''f aERALD F&PATRICIA M 249S:t SUNl.)~f-lTBEACH RD Cl;.IN.TON WA . " 98~36 ISSUED 04/06/1999 DT 04/06/1999 04/06/1999 Total Fees: $27.00 Total Payments To Dale: $0.00 Balance Due: $27.00 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 TOTAL PERMIT FEES 0 0 0 0 1 0 0 Date: $20.00 . $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Clearance: ------ NOTICE: Please ~e NOT E that approval of your project includes the "Im itiono1of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.· 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 capactiy 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ~{ FOR OFFICE USL 0~ PLAN CH ECK t, .Z//335 ~ERMIT APPLICATION EST. v: .. _ CI TY or= CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 4 38-1161 i1';,;1,,LPJWJECt'1NF.DR""4UO..N~~~~~'2~'YJP'Zl!WtJIWiffO;;lfi'lm 2784 Galicia Way Plan n U Cl)O~~ ~~-. Validated By~\. Dete . ~~ '/ Add11u (lnclud, Bldg/Suh, I I BuJlnua Namt (It lhl, tddrtul Loi No. Subdlvlalon Nam,/Numbet SFR . Unit No. Phu,•, ''?t al I ~' A.uusor's P11col I ExJ1tlng Uu P1opo110 Uu Du cnptlon ol Wo,iL SO. FT. lof IHodu I ol O,d,oorns I ' !.!a" N,m, Addreu City S11 1,/Zlp Toi•:~, ~.:,;~~~~~~ifu~o*/~S~'o'~~~uio.iii~~M·m~0·1.~~~~1: ·~,\¥'~19).39·0-4477 Nim, Addreu City Slate/Zip T ol, ,11ono , '.!4-~'Jn.>.89..f.EJUYiO.W.~~lfi~t~~~~~J'f1&RiR'JW-·~~~.~'})6&f:6 ;33-1345 carpenter , Rob 2 784 Galicia Way . N1mt Addttu City 6111,/Zip T ,1,:,i;;;;-;-;--- IS1c. 7031 .5 Ousinou end Proltuloru Cod,: Any City or County which requlrH I ptrmll to con1lruct, alltr, Improve, demolish or 1tp111 ,·,v ,1111c1,,,,. 0,.0, · issuanc,, ,lso ,,quuu \ht applicant for such parmlt lo 1111 • 1lgn1d 1tattm1nt that ht la Ucenud pu11u1nt to Iha prov111ons of the C ·1t11c11i, , L1~•n1e IChaoter 9, commending with Sactlon 7000 ol Dlvl1lon J ol tha Buslnau and Proftulon, Coda) or that ha 11 u1mp1 1ho1el1om. and · • o.,,, '"' .. ,. , ,umption Any vlol11ion ol Section 7031 .6 by •n¥ ~IJontjpr f..P4llJlll-,lubJ,~J.4 the applicant w.tch.lil..D.otiW ol not ~ 111111~2'()'2'.l '(' 619•} 3•90~44 77 A & J FOSTER PLUMBING i~tUo-B ttwx ~ Bu~. . t U-WUN • N,me Suto Llc1nso I ___ 6_3_0_1_2_0 __ _ Addnu C-36 City S11t1/Zl,,--1-2-0EJB54'~ I Ucen11 Clan---------. City Bu1ln111 Llc,nu I ------- Du rgner Nam, S1a11 Uceru, I ___ N_/_A ____ _ Addrau City S111e/ZI~ T1l1p/l(' •• :.,:i ii.W.ORK.EM:·.COMPENS4JION.itl#!fili?.'~1£J;1~:;Jli;~fl~'Wltt1lia);~~m'.!2/~~1\!)'J;j,? .. ;.;'{;.\ . :_';:J;,, • . Work.,,' Comp11111tlon D1cl11etlon: I h111by altlrm undar p1n1fty ol parjury on, of tht followlng,d1cl111tlon1: 0 I h,v, ,nd will maintain e e1rlfllc1u ol conunt to 111/•ln1u11 for wo1k111' comptnaallon H provldad by Section 3700 ,,1 t11e L,bo• L· • 1u, \1'9 uor·~··• , ol th, wOfk lo, which this parmll ls l11u1d. [j{ I h,v, ,nd will melnt1ln work111' comp,nu llon, 11 r1qul11d by S1c\Jon 3700 ofthe Labo, Cod,, for th, p11lorm11ic o ol th, won ·, "''"''" 1111, ~,,.. Issued. My wo,k11'1 com~su~~pollcy numtitr 111: N2007-56-51 CONTINUOUS lruunnc• Compony Polley No,, ___________ _ ITHIS SECTION NEED NOT BE C(?MPLETED IF THE PERMIT IS FOR ONf HUNDRED DOLI.Al\l ltlOOJ OR LESS) 0 CERTIFICATE OF EXEMPTION: I carilly lh1l In the p1rform1nce ol 1h1 work for which 1h11 permit I• l11u1d, I 1h1II not •moloy ,ny no•, "n ,,, "'' m,,,,,., , c , · to b1com1 1ubJ1c1 to th, Worker•' Comp,nutlon L1w1 of C1fllo1nl1. WARNING: Fanu11 10 11cu11•w0<k11a' comp1n11tlon covtr1g1 11 unlawful, ind shall 1ubJect an employer lo crlmlntf p1nalllo1 and civil 1,110s ur to ono hund1t thouund doll•11 f$100,000J, In 1ddl1fon lo the coal of comp1n11Uon, dam1gt111 p1ovld1d fot In Sactlon 3706 of tha L1bq, cod,. lnt1111t 0 11d 1ttoin1y·1 1 .. , SIGNATURE DATE-------- 7 ' .•. OWNER BUILD• n DECL:AD A "TIO U ,;1il).·,~7l~ ·~p,'!IC'~!i ·,m;.s;,R~:~rn:1.: ... ,t~-JIS.."t.<:lf.ll:.::>tH'll,IU.'11!lWlll!Wlf',tr;.•Hr.mri'l'l'l'c:'lf.ll!!r1•1J.."J'~;l•Ji.,t,v;,11,11; : .. •: • · · ·.,-;,-,.,.• '; . • • • Ul ' ·~ IJ.\.'l.,~"t·'·, .. -..W1t~.m.~b',100z..~r~ ll~~b~.mtl~K .. Clii.l\W1K1iUU01WWl!a\.l"'..N.'~lt~7U.t~:J·l· \._v.,··· .. , ':..i .•.. , I h11eby affirm 1h11 I am u1mpt from the Cont11ctor'1 Ucenn Law lor lh, foUowlng rtHOIU 0 I, u owne, ol the property or my 1mploy111 wllh w1g11 11 their 101, comp1n11\Jon, wlU do the work and th, uruc1u11 Is not 11110· ied o• 0110,,0 10, ,. , ISoc. 10,,. Bus11,u1 ,nd Profusion, Cod,: Th, Cont11clor'1 Uc1ru1 Law do" not epply to an ownar of ptop1r1y who build, o, lmp,ove, 1\0110•,. ,no who co•· such work him11it or th1ough his own 1mploy111, provided that 1uch lmp1ovtm1ni. 111 not lnltndad or oll111d lor 11ft . II . t,, .-,ov11, the b, .. :,110 "' ,mp,~. 11nen · · ,old within on• y .. , ol compl,tlon, th, own11·bulld11 will hive the burden of p1ovlng 1h11 ht did not build 01 Improve for th• ""'"o" ol u l, 0 I, 11 own11 ol th, property, •m uclualv,ly contracting wllh llc,nud cont11cto11 to c:on,ttuct'tht project (Sec. 7044. Ou1ln111 ,nu 1·1ol1u1on1 Cc~· Cont11cto1'1 Uc1n11 Law dou not apply to 1n ownar ol prop1r1y who build,. or lmp1ov11 tht11on, and con\/1c11 for ouch p1ol1c11 """ co11:•,c1011,1 :, .. ,. ouuuant to th, Con111ctor'1 Uctnu Law). · 0 I 1m 1u mp1 und11 S1c1lon ------Bu1ln111 1nd Proh11lon1 Cod, for this 11110n: I . I p111 on,lly plan 10 p,ovide th, mejor l1bo1 ind m,1111111 tor con1truc1lon of \ht p1opo11d p1op1rty lmprov,m,nt. 0 YE !; O NO 2. I fh tv, I hi ve notl algned 1n 1ppllc1\lon for I building parmlt for th, p1opo11d work: J. I hav, con111c1 ,d with th, following ptrson (111ml t~ provide th, propoud conllructlon Unclud, n1m1 / 1dd1t11 I oho,,, "umb11 I co· ·,c:c,., ilcenst n•." c •· ,. I plan to p1ovld1 portions of th, work, but I h1v1 hired th, following p111on to coo1dln1t1, 1up11vl11 and provld, Iha m110• work linclud• nanio I 1dc11" numb11 I cont11c1011 lic,nu numb11J: ____________________________________ _ 5. I wlll prov,d, ,om , of th, work, but I h1v1 contr1ct1d (hiradl Iha lollowlng p111ona to p1ovld1 th, work lndlc1t1d linclud, 11am, I 1<J<J1e " I p11u111 nc:m~,· ol workl: __________________ -'-,---------------------------- PROPERTY OWNER SIGNATURE DATE __________ _ ·.co~:rH1s,secno~.F.OR.,a/,QN:M~Q,cy.@:1iUJ!J).inA,i'Jla.M~1lLMW~~~;;:~:.!.:~!'. ... :;:,.~-~-~:::, ls 1h1 1ppllcan1 or lutur, building occup1nl 11qulr1d to submit a bu1ln111 plan, acutalv ht111dou, m1t11l1l1 1,gl11111lon lo,m or rlak m1na,.,me"1 mo 01,. er ptogram ~d11 S1c11oru· 26606. 25633 or 26634 of tht Prul,y-T1Mtr H1u1dou, Sub111nc:1 Acc:ount Acn7 0 YES O NO Is tJ>. 1ppllc1nt Of lutu11 building occupant requlttd to obtain a p11mlt from tht alt poUutJon conllol dlatrlct o< alt quality man, Is I.ht h clllty 10 be constructed within 1,000 1111 of th, outlf boundary of• adlool altd O YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTl11CATf OF OCCUPANCY MAY NOT II lHUED UNLGS THE APPUCAN AS MET on IS MEETIIIG THE R~au1REMENTs oF THE OFFICE ~F EME~GEN~Y se.Rv1c~s ~D THE AJR POLLUTION CONTROL 01sTNCT. . . . ~ PR 5 1999 8,, ·:coNSTRUCTION LENDINO'AOENCY,~·~~'·l U~~B~Z.~Ja:'j'Ua,.~~~t~, .. ;y.,i.0~\1iiri;i·-j· I h11tby ,11;,m 1h11 1h,11 11 • con111uctlon lending 1g1ncy. lor the p11lo1m1nct of 1h1 work fOf which thl1 permit l1 l11u1d IS•r 3097111 Clv,1 ·J ,1 LENDER'S NAME LENDER'S ADORESS ____________ "=,_.""""--------- 9; • APPucANr cERm1c~1101*.::i·-·i.:~tiM ·.::.;,~~Ji.t1..i.n.fo'iiWJ:..~..'.-'.f..iY~W~~.,;ii-~~f~i!U\i&!'ii'i~.·-·:.:\n\· .. _.. I cartlly that I have 111d the 1pplic1llon and 11111 that 1h1 abovt lnlormatlon 11 contct and that th1 lnform1tlon on th, pl1ns 1, 1ccu111,. 1 • .••• 10 comol, City 01din1ncu ind St1t1 l1w1 nilling lo building con1tructlon, I h111by 1uth01lu 11p1Hant1Llv11 of the City ol Carlab,<t 10 ,nu, upo• the ,uov, m • · property tor 1nsp1ctlon purposu. I ALSO AGREE TO SAVE, INDEMNIFY AND KElP .HARMLESS THE CITY OF Cl\nLSBI\O AGl\ll,ST ALL LIA SI~ JUDGMENTS . COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAJNST EAID CITY IN CONSEQUENCE OF THE GflANTING UI THIS PERMIT OSHA: An OSHA parmit 11 11qulr1d 101 uc1v1tlon, ovtr 6'0" dup and damoULlon 111 CONttuc:tJon of 1uuctu1u ov11 J 110110 • In height. EXP1RA TION: Every p11mll luu,d by tha Building Otllcl1I undtr lht p1ovJ1lo ol lhlt Cod, lh1II opltt by llmlll\lon ind bocom, null •111· ·,o,~ " tho bu •o•· work authorized by such parmlt Is not comm, thin 3-8~• fro d11 f audt p11mlt or II lht building or work ,u1ho1iu d by•·-·, 1·0111'•1 '' ,_,~· 0, 1b1ndon1d at any 1lm1 altar th, wor~ ~f;J ~j'~d o 100,4.4 Unllo1m Bulldin·g ~od,J. l.j / (.p / CJ ~ n.uF I • 001 ,,.. A .. ,T'C:: c,r.~ A 11111c City of Carlsbad Inspection Request For: 4/16/99 Permit# CB991335 Title: WATER HEATER REPLACEMENT Description: Type:PLUM Sub Type: Job Address: 2784 GALICIA WY Suite: Lot 0 Location: 11.PPLICANT : A&J FOSTER, INC. Owner: KRAFT GERALD F&PATRICIA M Remarks: AM PULL THE RIGHT GARAGE DOOR OPEN Total Time: Inspector Assignment: ~ r Ci Phone: 7606331345 Inspector: ---- Requested By: SANDY Entered By: CHRISTINE CD Description 25 Water HeaterNents ~Comm~J Inspection History Date Description Act lnsp Comments ., z 0 !ii "' ~ u .. 0 ,. i[ 8 "' .. 0 ... 5 ~ .. z ~ z 0 " ~ z .. .. ~ 0 u ., "' .. "' "' i ![ O I hereby affirm that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lie No Ci.iss I hereby atl,rm that I am exempt from the Con ~~0l~~~~:;sS: ~dw ~~~1~::,~~l;~er~~,\~i, counly which requores a permit to construct alter, 1mpro.-e, demol,sh. or repa,r any structure proor to its issuance a1so requires the applicant •or such penmt to hie a s,gned statemen! that he ,s 1,censed pursuant to the prov,s,ons of the Con !riM:!Dr·s License Law !Chapter 9 commencing wrth Section 700) of Dn11s,on 3 of the Bus,ness and Pro fess,ons Godel or that ,s e~empt therefrom and the bas•i. tor the alleged exemption Any v1olat1on of Section 7031 5 by an applrcant for a perrmt sub1ects tne applicant to a civil penalty 01 no1 more thar hve hundred dollars ($50:Jl "'r!L_I. as owner of the properly. or my employees /,;;;;h wages as their sole compensat•on, w,11 do !he wor1<.. and the struc!ure 1s not intended or olfered !or sale (Sec 7044. Business and P,ofess10M Code The Contractm·s License Law does not apply to an owner of property who builds or ,mpmves thereon and who does such worl<. himself Of throug~ his own employees. provided that such 1mproveme~ts are not mtende1 or ollered for sale If. however. the bu•I01ng or 1mprovemen1 rs sold w1th•n one year of complet,on, the owner-bu,lder will have the burclen o! pro.ing 1ha1 he O,d not build Of ,mpro,e for the purpose of sale) D I. as owner of the proper1y am exclus,vely contractm,;i w1t11 licensed contractors to construct the proJect (Sec 7044. Business and Protess1ons Gode The Contractors License Law does not apply to an owner of property who builds or improves thereon. and who contracts for each p<oJects w,th a contractmjSI license pursuant to the Contr;;,ctors License Law) 0 I am exempt under Sec !o, 1h1s reason B & PC 0 I hereby affirm 1ha1 I ha•e a cer11tocate of consent to sel!-mswe or a cer11t,ca1e of Workers Compensation Insurance, Of a cer1,f>ed copy thereof ISec 3800. Labor Code) POLICY NO COMPANY D Copy ,s filed w11ti the city D Cer11t1ed copy 1s hereby furn.shed CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s sect,on need no1 be completed ,1 me perm,t rs !or one hundred dollars ($1001 or less! };l(i certify tha! ,n the performance o1 the work for wh,ch this permit 1s issued. I shall not employ any person 1n any manner so as to t>ecome sub1ec1 to the Worl<.ers· Compensation Laws o! Caidorn,a NOTICE TO APPLICANT I!. alter mak1n;i tn1s Cert, 11cate of Exempt,on. you should t>ecome sut.11ect 1°, the Workers Compensation pro.is,ons of 1ne Labor Code, you must tor1hw1th comply wilh sue~ prov,s,ons or ih1s permit shall t,e cleemei1 re,oked 0 I hereby atfirm It.at tne,e ,s a cons1ruct1on 1endong agency lor the pe,-1,,r.-nance vt The work lor wr-uch 1h15 pe,m,1 ,s ,~sued 1Sec :l09? c,,,1 Coc!e Lenaer s Name ___________ _ Lenoe, s Address ----------- USE BALL POINT PEN ONLY & PRESS HARO APPLICANT--cl LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBA_ BUILDING DEPARTMENT At-r•LICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 JOB ADDRESS W&'f AV. ST. ,; l~F;PLij''°NI BUSINESS LICENSE# VALUATION PERMIT NUMBER '1:"7 ~~ G:,a_\ ,u:r... RO. ~ S-oa --31~ o~c~~-p A-L-""J l c.., l,43bw~5~,°j' I"' -,.. -'-:-' . :-~ 4~~ l's&,(<..... CONTRACTORS PHONE # ZONE 44-{ P< T~ -1---~-, I._ r-.A.1Uv'/J1Vf1 .. ~ '"' OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS :ft (o,i J ~ LICENSE NO. PLAN I.O. t; BLDG USE CODE SQ..IM.l Ct.I.) .SoB Vo-0 p 12--et; 5 I~·''"' -757g 6ihro:/ril', r 5 .. -...., ....... L~T l BLOCK l SUBDIVISION I ~rr: PAr:::.Et:.2. 3 o -<) (j OESIGNER STATE LICENSE# STANDARD PLAN# BUILDING SQ FOOTAGE DESCAIPT!ON OF WORK ~ DESIGNER'S ADDRESS DESIGNER'S PHONE I \<\ STfrt.Lfft 10 ~ of So~ IWP,.-'i'1 ~ UV\ i T ___()I,.) F'~, ---------F: p F LR ELEV NO ace GP EDU f\MCO¢,-SOW"-STORIES YD ND CENSUS TRACT I GP LANO USE PARK LNG SPACE RES UNITS 1 GRADING f:ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST ,o 'D y CJ "D vO NO Not V;,/id Unless Machine Certified QTYI PLUMBING PERMIT -ISSUE ' !:So QTY. MECHANICAL PERMIT -ISSUE -~f\T', SUMMARYIACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT -------------------- EACH BUILDING SEWER t OVER 1000008TU '-SIGN PERMIT ----------t -------------- EACH WATER HEATER AND OR VENT i BO~LE~COMPRESSOR UP TO 3 ~~ PLAN CHECK ------------------------l -·---=-w-~ EACH GAS SYSTEM 1 TO 4 OUTLETS -t S_OILERiCOMPRESSOR 315 HP TOTAL PLUMBING ---------------i -------- EACH GAS SYSTEM 5 OR MORE j ~Jc METAL FIREPLACE ELECTRICAL t ----------------------------- EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL -------- 1 EACH VACUUM BREAKER : MECH EXHAUST HOOO:OLJCTS MOBILEHOME --+--------··+--------. ---------- . WATER SOFTNER i RELOCATION OF EA FURNACE1HEATER MOBILE HOME PARK INSP =-.JEfj,_ --------------__ L.._ i EACH ROOF ORAi~ {iNSIDEl ________ ---+---_ SOLAR -------------------- _j -lf).., TOTt..l MECHANICAL STRONG MOTION ------- -------- TOTAL PLUMBING ____ l _ _ __ FIRE SPRINKLERS ----------- QTY_ I ELECTRICAL PERMIT -~~E~ ~ 1-2._o_o__ z.. PUBLIC FACILITIES FEE QTY_ SOLAR -ISSUE ./' I---------. -. - -- ---------- ------~--------- BRIDGE FEE ;------- ----. -----------~-------- ' NEW CONST EA AMP SWT BKR COLLECTORS '7. --SCHOOL FEE -DISTRICT --------------__ , I---------------------------------------- 1 PH ___ 3 ~ ___ __j__ _ ___ STORAGt TANKS "2-:.. ~ Carlsbad ~--------- EXIST BLDG EA AMPISWT.'BKR I ROCK STD1E Enc1n1tas --~-------- 1 PH 3 PH San D1e~~o ----------+-------PUMP ~C iJi~ ------ REMODEL 'ALTER PER CIRCUIT PLA'II CHECK FEE -z,.-.,r San Marcos -------------" ------------------------------ TEMP POLE 200 AMPS ~-~ ------. ---I--------~ ----------~--------------------- 1--------i-O-~ER 2oq AMPS -------------------~--___ :....__._ -------------------- ! TEMP OCCUPANCY 130 DAYSI --,------~ ------------------------ -_j_ -------... ---------~ I - TOT Al ELECTRICAL TOTAL SOLAR ID iU TOTAL FEES PAYABLE I ~D ,--'?A), I HAVE CAREFULLY EXAMINED THE COMPLETED "APPUCATlON AND PERMff'' AND DO HEREBY E)(piration. E~ry per.mit issued by the Building Official undertheprovisionsofthis * AN OSHA PEINIT IS REQUIRED FOR EXCAVATIONS OYER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL JNFORMAT10N HEREON INCLUDING THE Code shall 8)(p1re by hm.,t~tlon and become null and void II the burlding or work 5' O" DEEP AND DEMOLITION OR CONSTRUCTION Of DECLARATIONS ARE TRUE AND CORRECT AND f FURTHER CERTIFY AND AGREE !FA PERMIT IS authorized by such ~ri:rut ts not commence_d wittun 180 days fr'?rT! the date of such STRUCTUR!S OYER 3 STORtES IN HEIGHT permit, or if the bu1ld1~ or work authorized by such permit 1s suspended or ISSUED: TO COMPLY WITH All CITY, COUNT" AND STATE LAWS GOVERNING BUILDING CON-abando_.-:: .. at an" time ter the work is commenced for ·oc1 of 180 da.,8 STAUCTlON, WHETHER SPECIFIED HEREIN OR NOT. ! ALSO AGREE TO SAVE INDEMNIFY AND "i , CONTRACTOR 0 14~~ DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS A~rn NT S SIGNATURE ,,_ . OWNE 1 10-IS ·84 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY lN CONSEQUENCE OF TH l£1 ~ . BY PHONE 0 GRANTING OF THIS PERMIT. <.___ , ' ~ U: >-~ 0 Q_ E w I-- I D 8 c • -~ <i Q_ .,: I ~ C ii: 0 "' "' w "' "' .,: I " _Q w >- ,,i "' w g if. • • 0 ~ • C C " C u: ' Q Q i! < ' ' ' ' ' INSPECTION TYPE DATE INSPECTOR BUILDING 8' J -'±'::!_ 'k FIELD INSPECTION RECORO FOUNDATION REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY INSPECTION REQ. IF INSPECTORS DATE CHECKED APPROVAL ··--GUNITE OR GROUT SOILS COMPLIANCE -- FLOOR & CEILING SUB FRAME PRIOR TO - FOUNDATION INSP SHEATHING STRUCTURAL CONCRETE FRAME OVER 2000 PSI EXTERIOR LATH lNSULATION PRESTRESSED - CONCRETE ------..L.._ _____ -----------INTERIOR LATH & DRYWALL POST TENSIONEC --- CONCRETE PLUMBING ' ---- FIELD WELDING SEWER AND BL/CO HIGH STRENGTH " -~-------------,_ __________ --------- PLUMBING UNDERGROUND BOLTS ------------------------------ PLUMBING TOP OUT SPECIAL MASONRY TUB AND SHOWER PAN I ' ' ~---------------~-----· GAS TEST I PILES CAISSON::: -- ELECTRICAL I --~ TEMPORARY POWER ! . --------·--------- ELECTRIC UNDERGROUND ' ! ------ ROUGH ELECTRIC ELECTRIC SERVICE ' .._ ____ BONDING -------··-- G. F. I. -SMOKE DETECTOR MECHANICAL -. -------------------------~ DUCT & PLEM., REF. PIPING --------------------~ HEAT -AIR COND. -SOLAR SYSTEMS -VENTILATING SYSTEMS --------CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. ----- JOB SITE FINAL / ~ ------------ PLUMBING A/ .Y ELECTRICAL -,('J-~ • ' J I\ --- MECHANICAL , ----------- GAS ,~ ~ BUILDING J..' ->Cl' -----------------~ SPECIAL CONDITIONS --/I ~ ----------- CERT OF ocr'IPANCY ISSUED