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Home My WebLink About2259 GALENA AVE; ; CB060631; PermitCity of Carlsbad . ' 1635 Faraday Av Carlsbad, CA 92008 03-07-2006 Plumbing Permit Permit No: CB060631 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2259 GALENA AV CBAD PLUM Status: Parcel No: 2132401000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: PARK RES-GAS LINE TO FUTURE FIREPIT,ELECT TO FUTURE BBQ Applicant: CLIFF PARK 2259 GALENA AV CARLSBAD 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 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: W L LA COSTA 61 ASSOCIATES LL C C/0 W L HOMES L L C 6183 PASEO DEL NORTE #160 CARLSBAD CA 92011 ISSUED 03/07/2006 LSM 03/07/2006 03/07/2006 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $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:~ FINAL APPROVAL "l -'t,.p(e Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f vi I n iv n N Tl hi flimi in h vi I h i PERMIT APPLICATION CITY bF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ~L '( PLAN CHECK NO. Ci!JO(o t!:J Ca .:> l EST. VAL.---------- Plan Ck. Deposit Validated By ~ Date ~ Addrets (include Bldg/Suite I I '\ Buslnesa Name (at this address) io ::E!ilo IJ .C.$~ a, LA_(.os~ qf~.(' ....... .S Legal Description Lot No. Subdivision Name/Number. Unit No. Ph11a No. T ptsl I of units I of Bathrooms Name Address City State/Zip Telephone I Fax I ll~ifiiliiiiNIEli!ililllafiliiii&iirliiilliiiiii.lJi!ll2.m11@··iiJml!i:i·IJlJ,.i\lll!lffi~i~i'd!m·2t~~J,l;@ij~~9.lll.9·fii!ill~~~flilii11'ii!I·~,~ Name Address State/Zip Telephone I i!.l.l~Dml:ii~m~.t.!1ltl:.1m~;.l&r CA "'1~00 7&fJ-936-;).S/-5 Name Address (Sac. 7031.5 Business and Professions Coda: Any City or County which requires a permit to construct, altar, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that ha Is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commanding with Section 7000 of Division 3 of the Business and Professions Coda) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 . 5 by any eppllcant for a permit subjects the applicant to a civil penalty of not more than five hundred dollar• [ • 5001). Name Address City State/Zip Telephone I State License I---------License Class---------City Business License I------- Designer Name State License I Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is issued. My worker's compensation Insurance c1rriar 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) ~ 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 10 as to bac;:oma subject to the Workers' Compenaation Laws of California. WARNINO: Failure to MCure workwa' compenutlon covwege la unlawful, Md INII llibject 911 employ• to ctlmln8I pen8ltlu Md clvl flnN up to one hundred thouaand dollars ($100,000), In addition to the coat of compenutlon, damagea ea provided for In Section 3708 of the labor code, lntweat end attorney'• fHa. ~s11 GiN1A~T~UiRiEiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii1ru~~~'DmATE~iiiiiiiiiiiiiiiiiiSliil'jffl!~i!ill£!11 a !!'Si I hereby affirm that I am exempt from the Contractor's Llcanae Law for the following reason: D I, as owner of the property or my employees with wages as their sole compana•tion, will do the work and the structure la not Intended or offer•d for 11le (Sac. 7044, Business •nd Professions Code: The Contractor's LJcanH Law does not •pply to an owner of property who builds or improves thereon, and who doaa such work himself or through his own employees, provided that such Improvements era not Intended or offered for 11le. If, however, the bullding or Improvement ia sold within one year of completion, the owner-builder will have the burden of proving th•t he did not build or improve for the purpoH of 11le). ~ I, 11 owner of the property, am exclusively contracting with licenHd contractors to construct the project (Sac. 7044, Business and Profe11ion1 Coda: Th• Contractor's LicanH L•w does not apply to an owner of property who builds or improves thereon, end contract• for such projects with contr1ctor(1) licensed pursuant to the Contr•ctor'a License L•wl. 0 I am exempt under Section Business and Professions Coda for this reason: 1. I peraon•Uy pl•n to provide the major l•bor and m•teri1l1 for construction of the propoHd property lmprov•m•nt. 0 YES ONO 2. I lh•ve I have not) signed •n •ppllcation for I building permit for the proposed work. 3. 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise end provide the major work (Include name I addre" I phone number I contrectora llcenae number):. _________ -.1-:....;.--------------------------------- 6. I will provide some of the work, but I have contr• e following persona to provide the work indic•ted (Include n•m• /address/ phone number/ type ofwork):, ___________ -4 __ __,"'-,~~-l-.,£..---------------------------------- PROPERTY OWNER SIGNATURE DATE 3~ ?-t>L? Is the appllc•nt or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25633 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? D YES D NO 11 the f•cillty to be constructed within 1,000 feet of the outer boundary of a school site 7 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 MEETINO THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. ~~c: " · 1:~·· !lm[:imt!D~BEBm!Bil!iBr.l!!~m....9S 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 LENDER'S ADDRESS I certify that I hava read the application and state that the above information is correct and that the information on the plans is 1ccurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 AOAINST AU LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE ORANTING OF THIS PERMIT. • DATE _3_-.....,7'----lJ_&~--- WHITE: FIie YELLOW: Aoolicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/16/2006 Permit# CB060631 Tille: PARK RES-GAS LINE TO FUTURE Description: FIREPIT,ELECT TO FUTURE BBQ Sub Type: 1 (I Type: PLUM Job Address: 2259 GALENA AV ,,r Suite: Lot 0 Location: APPLICANT CLIFF PARK fl Owner: W L LA COSTA 61 ASSOCIATES LL C Remarks: LATE PM PLEASE Total Time: CD 23 31 Date Description Gas/Test/Repairs Underground/Conduit-Wiring Act Comment if_ -----------------· Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Description Act 1 nsp Comments Inspector Assignment: Phone: 7608155508 Inspector: ......... ,~,.}-- Requested By: NA Entered By: CHRISTINE ,,;. ' i . l f) ~51 6q le~o. Aut ~ls~c( cA 1?<:()1 OG:?3 \