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Home My WebLink About2295 GALENA AVE; ; CB051569; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-02-2005 .·· Plumbing Permit Permit No: CB051569 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2295 GALENA AV CBAD PLUM Status: Parcel No: 2132400100 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: ISLA VISTA MODEL GAS FOR FIREPLACE TERRA FIRMA LANDSCAPE 9550WAPLES SAN DIEGO CA 92121 AMA 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 \~io~a~\\U)~ t T~~ERMIT 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 92009 ISSUED 05/02/2005 MDP 05/02/2005 05/02/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 7238 05/02/05 0002 01 CGP Inspector: ~ FINAL APPROVAL Date: I( 30 tfs Clearance: NOTICE: Please take NOTICE that approval of your project includes the '1mposition" of tees, OOcications, 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 prcx:essing 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f x · n fw i h I n iv N Tl imil r hi · h h flimi i h r vi I h rNi ir . 02 27-00 FOR OFFICE USE ONLY PERMIT APPLICA TlON PLAN CHECK NO. C2._s" t $4,°l CITY OF CARLSB'AD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST.VAL._~~~~~~~~~ Plan Ck. Deposit--------- Validated By __________ _ Date._-'-------------- · Business Name (at this address) J.~]9 V~t<>i . Lot No. Subdivision Name/Number Unit No. Phese No. Total I of units Proposed Use lof Stories I of Bedrooms I of Bathrooms L\•~::,,'J,'N;llil..W,,,..,..1'1,,._.,111,111!'1'MIHf-1.~:.:t,lilr:LJ'.ll:rrJl..U:;;o.<~.±>.i.~ , ·;", t'.ii ·-1, ·""" · :° ,,, .• ·' .. ·:, ·• '·, ·1 ' 1·· • ·.: ,:• :., ,, ·, :. , !1,,(f ·, .J::/:·,:: ··.'.//: .. :n,•.,1 .. '.._:,•: .. ·. ::., ". _:',·,-,_·,.:,,,.·.' l.,.~,{.-,'l~' .. ~-.:_._l_)i-'.. ' .. ·_ ... ,t,1';: J f.-~ ... ·.:·,,-_.: .. ' :. •.i·,.~,· ... ·.1 .• >it·;· '•.·.·:s.•. &~!~'t""~~a1~~~~.~"'~"H .nJlll!l11..,....-,-.:~fM!IJ:!~11~:-v·: .. :11, .. ,,.i.N.,1, .. -"'.-~'' ..... , ··;!ot:•:, ... -:.~ .. ; ·1.: ••P, . ~ -. :i • .. ~., ., _ ·"" State/Zip Telephone I Fax I Name AddraH City &tata/Zfp Telephone I li~lfflMij--~ifiii!lt~;\f,f'.t',::,1~.:'J;~:,; .. ·::.·-;_•;2:.f.'S'-!~/i·~:.1:·:1:~;,u~f;M:!1J.W~:1%),:,f.\lft-iJ~,;,~4t,~·rrl:~~!t~,iti:l~:ti};'l\1~"lul;r:2:~~,ti~~t (Sec. 7031.5 BuafneH and Profusions Code: Any City or County which requires• permit to construct, after, Improve, demolfsh or repair any structure, prior to Its fasuanca, also require• the applfcant tor auch permit to fife • signed statement that he Is licensed pursuant to the provfafons of the Contractor'• Ucenae Law (Chapter 9, commanding with Section 7000 of Division 3.of the BusfneH and ProfeHlons Codal or that he Is exempt thel'efrom, and th• basis for the alleged exemption •. Any violation of Section 7031.5 ~any• leant for• permit subject• the 1pplle1nt to• civil penalty of not more then five _ ed dollers 1•500)1. -1r F·~ , 110 " C Si ~ <S . 0 Name Addrasa / State Ucense I 5 '15 ~ l ~ Ucanse Cfasa __ V _____ _ State/Zip Telephone I 5 . City Busfnns Ucensa I -+-1 w_.-....c1_3>_Z.__,\_ Designer Name AddreH City Stat a/Zip Tef_ephone State License I-------'---- tJ.ta!/.llill-tmt,M~'ttJf(~~}~~.JiJ'{t,1!lf%~i.?.W[,:1f-;ll11~,;.',A,/)'~~;t,~9]/t:iJ.if;\:ii:li;~!M~'1~;#£tj~(i;"ili'gti·,f':!r~i·f .. ~~.;i.';:;;,,·::,'if::~'i'.J::.;,:,'~;1~';· ii·•:.-.·1~"t,f -;..~';Afi'.1t Workers' Compenaatfon Decfaratfon: I hereby affirm under penalty of perjury one of the followfng declarations: · O f have and wfff m1fnt1fn I certftlcete 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 fa IHued. ~ I have and win maintain workers' compensation, H required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is fHued, My worller'• compen1atfon .lnsurence cirrler and polfcy number ere: ?!V J lns1Kance Companv ?.Jrlc..n .. b~-f(\£.4\(\ Pollc:yNo. \.\JLZ.)9'1)0~05 Expfr8tlonDate.d'IJ_Jl,L.0'1 (THIS SECTION NEED NOT BE COMPLET£0 IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1•1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which thle permit le lseued, I shall not employ env peraon In any manner so as to become eubject to the Worker•' C~mpenHtfon Lawe of Calffomla, WARNING: Failure.to -..-e wortian• companntlon covwege fa ~. and ._. aubject an employer to c:rlmklal pellllltlN and cfvll flnea up to one hundred thouaand dohra c• 1~1, In 8ddltlon to coat of COffll)MHtlon, damages u provided for In Section 3708 ~Labor~· lnterut end attorney's fNa, SIGNATURE . DAT't:b.._-+/,_,Q.4"""~...._---- ,;; .: -~-·-·. _ . .. .. ... _ .. -.r~~~~1~liHi:,~~~~t~fi~:i'.,J~?~ff~'.d~~~f!T~wki.:;N:Vi5K~~~J.i~i~'ar.i{:f.'~'.:.,.:J,1;· I hereby affirm that I am exempt from the Contractor'• Ucense I.aw for the foflowfng raHon: · 0 I, as owner of the property or my employeu with wages u their sole compensation, wfH do the work and the struct1Ke Is not Intended or offered for Hie (Sec. 7044, BuafneH and Profeufona Coda: Th• Contractor's Ucense Law does not apply to en owner of property who bullds or fmprovH thereon, and who does auch work hfmaelf or through hf• own empfoyus, provided thet such Improvements era not Intended or offered for Hie. ff, however, the bulldlng or improvement is sold within one veer of completion, the owner-builder wfll have the burden of proving that he did not bulld or improve for the purpose of 11le). 0 I, H owner of the property, am excfuafvefy contracting· with flcansed contractors to construct the project '(Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not ·apply to an owner of property who bullda or Improves thereon, and contract, for such projects with contractorlsl licensed purauent to the Contractor'• Ucenae Lewi. · 0 I am exempt under Section Business and Profe11fons Code for this reason: 1. I personally plan to provide the major labor and ~aterlefa for construction of the propoaed property fmproveme_nt. 0 YES . ONO 2. I (have I have notl signed an applfcatfon for • buffdlng permit for the proposed work. 3. I have contracted .with the following person lffrml to provide the proposed construction (Include neme 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 rriejor work (include name / sddress / phone number I contrectora lfcenae numberl:·------------------"---------------------------- 6. I wfll provide aome of the work, but I have contracted lhfredl the followfng persons to provide the work Indicated (include neme I eddress / phone number I type ofworkl:. __________ -;.---------------------------------------------~ PROPERTY OWNER SiGNATURE-----------------------DATE _________ ""°" !g:gf,ffl,~Jj_ft~Qfiji'/~fttl/Q'-~6.tN.~.Btiill0.1ffO!~~M1tt\g$llV:'.~~i;··:/::it.~:g-/~.::,~~~.;;:·.~-r..i1:J;1tT;,\t 1:t,;\t·;,:,H.:1!':ff;;:1''.·,\ifi,J:C\i!;;.;.;rJ;11ji\i:i:-i~,:·· ·:,;;,.·.\;;,,;~;. la the applicant or future bulldlng occupant required to aubmlt a business plan, •cutely hazardous material• registration form or risk management end prevention program under Sections 26606, 26533 or 25634 of the Pre~ley-Tanner Hazardous Substance Account Act? 0 YES O NO 11 the appflcant or future bulfdfng occupant required to obtefn • permit from the air poflutlon control district or air quellty. m11n11gement district? ·O YES O NO Is the facllfty to be constructed within' 1,000 Int of the outer boundary of• school site7 0 YES O NO IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. m~rt•8.1ffl~1;Ufl.i.\Jt!RjijWsiW!llij'i-J1~.?V:~i\}!o:~f1-DJ;:,::;;::/Jt't~Jt7-t'.:\~·;ftii:!\/,J;;·,\r:,,,.;;,:t;;_f : ,'°'~.~/; H~· :·tt~a{:\1 ::~:{; : .:',,,::-r;:;Ii::i~: Iii.\:.:,,;.,: rt .· ., ·?r·: i;-, ,.,. I hereby affirm that there Is a construction fending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Clvfl Codel. LENDER'S NAME______________ LENDER'S ADDRESS:----:-::--------------------- . 1Mir4S.t'Ulf~o~;,fi~At°ll.~ii6-:..1;l!K~(?!,,\:il.$i~'.'';ii;,i.;\t:1i~·;i11i;·,;~f·;Jir..."'ii·i·~~~?l,~"t~:.;(:•·-I\;:;;:::;.;,~iJ:"Jt,,M:.i\iifi;;:!l,_;('!\!Ai~:i:Ji,i,;;f1·s;;,.1•::~'1;:\4:r;.~:!:wii~!(! I certify that I have reed the applfcatlon and i tate that the above Information Is correct and that the Information on the plans fa accurate. I agru to comply with all City ordlnancaa end State fews refetlng to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for Inspection purpoHs, I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AOAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS l>ERMIT. OSHA: An OSHA permit Is required for axcav1tlon1 over 5'0" deep and demofltlon or construction of structures over 3 ~torfea In height. EXPIRATION: Every permit Issued by the bulidfng Olllclaf under the provisions of this Code shall expire by flmltatlon and become null and void If the bulldlng or work authorized by 11uch permit Is not commenced within 180 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 lhe work Is commenced f~rlod of 180 ys (Section 106.4.4 Uniform Bufldlng Code). /... APPLICANT'S SIGNATURE DATE ~Z/0,5 ·YELLOW: Appllcent PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB051569 Title: ISLA VISTA MODEL Description: GAS FOR FIREPLACE For 11/30/2005 Type: PLUM Sub Type: Job Address: 2295 GALENA AV Suite: Lot 0 Location: APPLICANT TERRA FIRMA LANDSCAPE Owner: Remarks: Can you final? Total Time: CD Description Act Comment 29 Final Plumbing 39 Final Electrical t Comments/Notices/Hold Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 0511912005 23 Gas/TesVRepairs AP PD 05/19/2005 31 Underground/Conduit-Wiring AP PD Inspector Assignment: PD --- Phone: Inspector: __ .;../Z __ I] sµ Requested By: CHRISTINE Entered By: CHRISTINE