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Home My WebLink About1732 SCHOONER WAY; MULTI-PERMIT FILE; CB121514; Permit08-10-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121514 Building Inspection Request Line (760) 602-2725 1732 SCHOONER WY CBAD PME 2073200300 Lot #: GALBREATH RES-REPLACE WTR HTR 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/10/2012 LSM 08/10/2012 08/10/2012 ALL STAR WATER HEATERS & PLUMBING GALBREATH J FAMILY REVOCABLE TRUST 17886 LAKESHORE DR 92530 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1732 SCHOONER WAY CARLSBAD CA 92008 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: FINAL APPROVAL Inspector: fl,1. ~< Date: O 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.' Yc·u 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 fortn 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 x in f hi v r vi I n iv n N Tl E i ii r fli i in I h rwi ' «~~ Plan Check No. QR:,1a15l'-f Building Permit Application ~· }> ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value CITY OF 760-602-2717 I 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.cartsbadca.gov Date ti ,of ,-z. lswPPP JOB ADDRESS 1732 Schooner Way __ , 1-·. --- CT/PROJE1.,T # I LOT# I p,.,..,E # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. E I ULA~. GROUP DESCRIPTION OF WORK: Include Square Feet of Mected Area(s) Replace existing water heater. Same size and location. EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (Sf) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[), •oO mO•oO mO•oD CONTACT NAME (If Different Fom Applicant} APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE IFAX PHONE IFAX 951-345-4083 EMAIL EMAIL PROPERTY OWNER NAME Jerry Galbreath CONTRACTOR BUS. NAME All ~••• Wotar · -~ ADDRESS ADDRESS Same as iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92008 Menifee ~A 92584 PHONE I FAX PHONE I FAX 760-434-1224 951-345-4083 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS ]STATE LIC. # STATE LIC.# ICLASSC36 lc'r~~l Y: lC( 812894 (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 per_mIt 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 fhat he is exemP.1 therefrom. and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the appllcant to a civil penalty of not more than five hundred dollars {~500}). Workerw' Compan11Uon Declaration: / hereby affirm under penalty of petjwy one of the following declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as pro~ided by Section 3700 of the labor Code, for the performance of the work for which this pem1it is issued, [Z] I have and will maintain workers' compensation, as reauired bv Secijon 3700 of the Labor Code, for the perfom1ance of the work for which this pem1il is issued. My workers' compensation insurance carrier and policy number are: Insurance Co Oak River Ins. Co. Policy No, 2200062086121 ExpiraUon Date ________ _ ~section need not be completed if the pem1ij is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of the work for which this pennit 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 workerw' compens■Uon coverage Is unlawful, and shall subject an employer to criminal penalties and civil fin as up to one hundred thousand dollarw (&100,000), In addition to the cost of compensation, damages as provided for In S n 3706 of the Labor code, Interest and attorney's fees. / / AS CONTRACTOR SIGNATURE '2:5' ;:,..._ I z._ I hereby affirm that I am exempt from Contractor's Ucense Law for the following reeson: □ □ □ J, as owner of the property or my employees with wages as their sole compensation, will do the v.<>rk 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 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). 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 !hereon, and oontrac:ts for such projects with contrac:tor(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 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (finn) to provide the proposed construction (include na-ne address I phone I contractors' license number): 4. I plan to provide portions of the v.<>rlr:, 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/ type of work): ,.IS PROPERTY OWNER SIGNATURE □AGENT DATE . . ls lhe applicant or future building occuparit required to submit a business.ROO, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Arfl D Yes LJNo Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or a~allty management district? Des O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo 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 certlfythlt I have read the application and state that the above Information Is corred: and that the information on the plans lsaa:urate. I a,,eeto comply with all City ordinances and State laws relating ID bulkllng CX1f11tl'ldon. I hereby authorize representative of the City of Cartsba:l to enter upon the atove mentioned property for ins~bi purposes. t 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 a' THE GRI\NTING a' THIS P'i'RMIT. OSHA: An OSHA permit is required for excavaoons over 5'0' deep and demolition or o:mstruction of structures over 3 stories in hei;;jht. EXPIRATION: Every penn~ issued by the Building Official under the pro\-isOOS of this Code shall expire by limitatbn cm becane null ard -..:lid iflhe building er 'Mll"k. authorized by such permit is oot cx:rnmenced within 100 days from the date of sudl permtt or if · rk authorized by such pern,lt is su nded or ctir:ncklned at any time after the work is oommem:ed for a perbd of 180 days (Secoon 106.4.4 Uniform Building Code). A! APPLICANT'S SIGNATURE c==: .___ __ _:::::::::::::c:::::._ DATE f; / ;;)__ I I 2_ Inspection List Permit#: CB121514 Type: PME Date Inspection Item 09/10/2012 25 Water HeaterNents 09/10/2012 25 Water HeaterNents 09/10/2012 25 Water HeaterNents 09/10/2012 29 Final Plumbing 09/10/2012 29 Final Plumbing 09/10/2012 29 Final Plumbing Tuesday, September 11, 2012 Inspector MC MC MC MC GALBREATH RES-REPLACE WTR HTR Act Comments RI CALL W/ ETA AP EXISTING LOCATION AP EXISTING LOCATION RI Fl Fl Page 1 of 1 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01/16/2001 Plumbing Permit Permit No:CB010180 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1732 SCHOONER WY CBAD PLUM Status: ISSUED 01/16/2001 CB 01/16/2001 01/16/2001 Parcel No: 2073200300 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: GALBREATH RES/NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STEB 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 Total Fees: $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 Inspector: Owner: GALBREATH J FAMILY REVOCABLE TRUST 1732 SCHOONER WAY CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 1 0 0 FINAL APPROVAL 8976 01/16/01 0002 01 CGF• Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 Date 2 /a/o l Clearance: NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carisbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar ta this, or as to which the statute of limitations has oreviouslv otherwise exoired. 02 FOR OFFICE USE ONLY PERMIT APPLICATION (i) . PLAN CH ECK NO. '="'--<-,t.!.!"'-'-.1..>1.JI CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 . EST. VAL _______ _ . Plan Ck. Deposit ~~,,,_,... ___ _ Validated By -~l~t:z.~---- Date / , /((}' 0/ Address (include Bldg/Suite#) Legal Description Assessor's Pan::el # WATER HEATER REPLACEMENT Description of Work Lot No Buainess Name (at this address) Subdivision Name/Number Unit No Phase No. Total # of units Existing Use Proposed Use SQ. FT. # of Stories # of Bedrooms # of Bathrooms llbil1F$!~t.,:!::m1111tllKl!IBilin1!\;1Pii/lilll!illHlll!l!IUIIIHUIIIIIIIIIIIUIHHIIIUIIHli!ihi1;1i!1l!!!IIIIIIIHB■fflffllU!-Ulililllli~1i;~;r,7Mli~-lllll!ml!HllilUiflt1 S1 Name Address City State/Zip Telephooe# Fax# lllll~~;1□1illllBIIIICllill!ii!llf0~il!iirili□-lllllllll□!lllllllri!~i.i1iihC!J!llttUH■1■111111111■-Ullll1IHllli~]ll!lllllffl--f:JE!teTer1tln'C'"" 'o/~6"BUblloue Ave """§au San ~r'arl""§i §4'61¥0B~ ~aa31 a&f.f.r''--·~-•=· Name Address City State/Zip Telephone# IIIIIIIIIDB!llm.ll!!!i!!-llllllllllll-llli~lfflllllll~l:iHilaillll!Hllllllllllllll■1■1llii■lllllili1iilli:llllllllll!llffl-llllll-lffiliiili- GALBREATH.JERRv 1732 SCHOONER WAY CARLSBAD CP 92008 760-434-1223 Name Address City State/Zip Telephone# !illili~~fi1i,,Jil.i1IIIIHl!HIHlllllllffllll-lilllillliilii~;,,,, :::c1!ll\lll!fil!Hll!Hlllllllllllllll-/!!if!!i'JIHl~l;i,,;1i. ,:i (Se<::. 7031.5 Business and Professions Code: Any City or County which requires a pennlt 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 ProlessIons Code) or that he is exempt therefrom. and the bHis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty ol not more than five hundred dollars [$5001). A & J Foster lncoroorated PO Box 2758 El Caion CP 92021 6193904477 Name Address City State/Zip Telephone# State License# 623a0e1s2e0,_ ____ _ License Class Cs3a6L. ______ _ City Business License# 1210836 S1 Designer Name Address City State/Zip Te~phone State Licence# ________ _ 6. WORKERS' COMPENSATION Workers' Compensa~on Declaration· I hereby affirm under penalty of perjury one of the following declarations D 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 end 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 Mid-Centurv Ins. Policy No. A20075651 Expiration Dale 05/01/2001 (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 peflOn in any manner ao as to become subje<::I to the Workers' Compensation Laws of Califomia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subJect an employer to criminal penalties and civil fines up to one hundred tt,ousand dollars (S100.000). in addrtion to the cost of compensation, damages as provided lor in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE .M4-,,,." DATE~0~1/~1~1~/2~0~0~1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following 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 Code: The Contractor's License Law does not apply to an owner of property wtlo 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 bullding 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 lhe purpose of sale). 0 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 threreon, and contracts lor such projects with contractor(&) licensed ~rsuant to the Contractor's License Law). U 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. □ YES ONO 2. I (have I have not) signed an applicant for a building permit for the proposed work I have contracted with the following person (firm) to provide the proposed construction (include name I address/ phone number I contractors license number)· <Name> <Address> <Work Phone> <State License> 4. l plan to provide portions or thP. wnrk hut I h"v" hlrM thA lnlll>WiM n"""'n to coordinate, supervise and provide the "!~?r work (Include name I address I phone number/ contractors license number) <Name> <Address> <work Phone> <State License> 5. I ~II provide some of the work. but I have contracted (hired) the following person to provide the work Indicated (include name I address I pt,one number I type of work}: <Name> <Address> <Work Phone> <Work Tvoe> PROPERTY OWNER SIGNATURE ______________________ OATia ________ _ ~-!!!'1!'/!IJ.~~l!l~l!!ll!lliilili,'illlllllliifflfflf~ .. ,l'i!l~)!!!!iii!l:im-.u11::m1~DIIIIIW•m•111i1111Hl!HIRl!li,~lmil'JliHll!li■- ls the applicant or future building occupant required to submit a business plan, acutely hazardous materials ~istration form or risk management and prevention program under Sections 25505, 25533 or 25534 ol the Presley-Tanner Hazardous Substance Account Act? U YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES ONO Is the facility to be constructed within 1,000 leet of the outer boundary of school site? DYES D 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. •llllalDll!Ja--11-llllllllilllm!~1l'llilllllllll-1111-llll-lll-1 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(i) Civil Code) LENDER'S NAM! ______________ LENDER'S ADDRESS !1:'FJl!laQU!!!'lllllllilll-llB11i1ililil!l!:nllll-111!!111'311-lll!l-!!lll!!!l!B-lllllllia.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 or the City of Carlsbad to enter upon the above mentioned property for inspection purpoaes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUEAGAlNST 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 e~pire by limitation and become null and void if the building or work authorized by such permit i5 not commenced within 180 days from the date of such permit or ii the building or work authorized by such permit is suspended or abandoned at any ~me after the work is commenced lor a period of 1 eo days (Section 106.4.4 Uniform Building Code} APPLICANTS SIGNATURE ~. DATE -~0~1/~1~1~/2~0~0~1 ______ _ City of Carlsbad Bldg Inspection Request For: 02/01/2001 Permit# CB010180 Title: GALBREATH RES/NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: Suite: Location: 1732 SCHOONER WY Lot APPLICANT A&J FOSTER, INC. 0 Owner: GALBREATH J FAMILY REVOCABLE TRUST Remarks: Total Time: Description CD 25 Water HeaterNents Associated PCRs Inspection History Date Description Act Comments ~ t~ Act lnsp Comments Inspector Assignment: SR --- Phone: Inspector: ~ _ _c.:.._..:__ Requested By: MR. GALBRITH Entered By: CHRISTINE 01/30/2001 25 Water HeaterNents CO SR LEAK IN FLUX WELD AT PRESSURE VALVE Cl) z 0 ;:: C ac C ... u .., 0 ac ~ [ ~ I hereby affirm that I am licensed under u prcwlalona of Chapter 9 jcommenclng with : Section 7000) of Division 3 of the Business ... and Proleulons Code, and my license Is In ~ full force and effect. u ac .., 0 ... 5 ! .., z ~ z 0 ~ Cl) z "' II,. :I 0 0 Cl) a: .., :.: ac 0 3 1[ I hereby atllrm ll'lal I am exempl from the Contrac· tor's License Law tor the loUowing reason (Sec 7031 5 Business and Professions COde Any C11y or coonty wh1cr. re• quires a perm1I 10 conslrucl. alter, improve, demohsh, or repair any SllUClure, pnor to its issuance also requires !heap-phcant tor such perm,t 10 file a signed statement thal he ,s licensed pursuant lo !he provisions ol lhe GonIractCK s Locense Law (Chapter 9 commenong w•th Sect.on 7000 of Otv1s10n 3 of lhe Business and Professions Code) or lhal 1s ex· empt therefrom and the basts for the alttgeo exemption Any vio1a11on of Seclion 7031.5 by an apphcant tor a perm11 sub· 1ects lhe apphcanl 10 a t1V1I penalty of not lllOfe tnan h~ hun· dred dollars ( $500) I, as owner ol tl'le property. or my employees wnh wages as lhe1r sole compensahon will do lhe WOfk, and lhe slruc· lure is not intended or oflered tor sate (Sec 7044, Business and Pro1ess1ons Code The Contractor's License law does nol apply to an owner ol property who butlds or improves thereon an<! who does such work himself or lhrough h1s own emplayees. provided lhal such 1mprovemen1s are nol mlend· ed or ottered lor sa~ If, howevef, the bu1ldmg 01' improve· men! ,s solt1 w1lhin one year of complehoo. lhe owner-builder will have lhe burden of proving thal he did not build or 1m· prove lor the purpose of sa1e·1 I I, as owner of lhe property, am exclusively contracting Wllh licensed con.tractOfs to conslrucl the proiect (Sec 7044. Business and Pfoless1ons Code The Contractor's license law ctoes nol a~y to an owner ot property woo bu1kSs or im-proves lhefeon. and who contracts tor each pfOiects w1tt1 a contractOf(S) license pursuanl to 11\e Contractor's license Law) { J As a homeowner I am ,mprovmg my home. and the follow mg con<ht1ons exist 1 The wOJk 1s being performed prior lo sale 2 I have hved in my home tor twelve months pr,or lo completioo of lh1s work 3 I have not claimed lh1s e,cempttOn dunng the last three years 0 I am exempl under Sec ______ . B & PC for !his reason ____________ _ [X I hereby afhrm thal I have a certificate of consent to sell•insure or a certificate o1 Workers Compensation In• surance. or a cert1fle<l copy thereof (Sec. 3800. labor Code) ::L~;AN~y 1013568-88 = Copy .. IStatie <•Fund ex Certified copy IS nereby furnished CERTIFICATE OF EXEMPTION FROM WOAl<EAS' COMPENSATION INSURANCE (This section need not be completed if the permit ,s lor one hundred dollars ($100) or less) D I certify that m the performance of the work for wtuch 1h1s perm,1 1s issued. I shall nol employ any person In any manner so as to t>ecome subJect to the Workers· Compen• sat1on Laws ol Cal1lorn1a. NOTICE TO APPLICANT: It. after making this Certificate of E1temp11on. you should become sub1ect to the Workers· Compensation provisions of the labor Code. you must forthwith comply with such prov,s,ons or this permit shall be deeme<l revoked. 0 I hereby affirm that there is a construction lending agency for the performance of the wotk lor wn,ch this per· m1t 1s issued (Sec. 3097. CMI Code) Lender's Name-----Nefl<=>-------- Lender"s Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 _(_619) 438-1161 APPLICATION & PERMIT JOB ADDRESS 1732 Schooner Way AV.ST.RO. THOMAS BROS NO. Isle Dr I DATE OF APPLICATION I BUSINESS LICENSE • VALUATION 19451 LOT l BLOCK l SUBOI VISION l ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE OWNER'S NAME Jerry Galbreath I 434-~w;;;·s PHONE Arlen Foster Plumbing CONTRACTOR'S ADDRESS 2819 Central Ave. 697-4151 STATE LICENSE NO. 443348 OWNER'S MAILING ADDRESS DESIGNER DESIGNER"$ PHONE 171? ~~hoonPr Wav PERMIT NUMBER alo. -qv&,,r").... BUILDING -SO. FOOT AGE ~ u:: >, ;;; 0 a. OESCRIPToON OF WOR« I I DESIGNER'S ADDRESS water neater Replacement STATE LICENSE NO. 1750 09/07/88 0001 01 BldP!ftt 02 10-~ ~ t- CENSUS TRACT l PARl<•NG SPACE QTY. PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP EACH BUI LUING SEWER 1 EACH WATER HEATER ANO OR VENT EACH GAS SYSTEM I 10 4 OUTLETS EACH GAS SYSTEM ; OR MORE EACH lNSTAL . ALTER . REPAIR WATER PIPE EACH VACUUM BREAKER WATE R SOFTNER EACH ROOF OR!IIN IINSIOE I TO I AL PLUMB IN(, 1 QTY. ELECTRICAL PERMIT -ISSUE NEW CONST EA AMP 'SWl BKR I PH 3 PH EXIST BLOG EA AMP1SWT BKR 7 1 PH 3 PH / REMODEL AL ltR PER Cl~ TEMP POLE 700 AM~ OVER 100 AMpV fEMP O~ANCY !30 OAYSI ~ 1/ TOTAL ELE CTRICAL l RES UNITS l "'7 ~ ~7 An__ C ') ~n c::,n nn So/ 7 17 F/P FLRELEV. vO NO GRADING PERMIT ISSUED l REDEVELOPMENT AREA y O N 0 vO NO QTY. ~HANICAL PERMIT· ISSUE ,:,_ _._._ ________ _ IN~FURN DUCTS .iilf T0~.000 BTU ~ J§ -~-~00.000 BTU ~,c@'RES~_'iP 3 HP ~)lOILER~MPRFNR.~ HP ""-}f MET~ ~EPLAJ° t~ )' I v~~i)AN s'-t'tBucT ~X~~' HOOO'OUCTS 7 RELO~l~F EA FURNACE,HEATER 7 ORYm!~ 7 ~L MECHANICAL § 7 1 QTY.I MOBILE HOME ~P CAR PORT 7 AWNING 7 GARAGE / 7 / 7 7 7 / if7 TOTAL NO STORIES TYPE CONST }_67 -l 7 7__ I 7 V occ GP I EDU OCC LOAO I FIRESPR vO NO Not Valid Unl~t IIIJchine Certified SUMMARY/ACCOUNT NUMBER 11□1com!J mu;m 001-SI0-00-00-8221! SIGN PERMIT 001 ·810-00-00-8221 PLAN CHECK 001-810-00-00·8891 TOTAL PLUMBING OOi-810-00-00·8222 I $1Q. nn ELECTRICAL 001-810-00-00·8223 MECHANICAL 001 ·810·00·00·8224 MOBILEHOME 001-810-00·00-8225 SOLAR 001-810-00·00-8226 STRONG MOTION 880·519-92-33 FIRE SPRINKLERS 001 ·810-00-00·8227 PUBLIC FACILITIES FEE 320·810-00·00-8740 BRIDGE FEE 360-810-00·00·87 40 PARK-IN·LIEU (AREA ) TIF 312·810-00-00·8835 LA COSTA TIF 311·810·00·00-8835 -FMF LICENSE TAX 001-810·00-00·8162 MFF 880-519-92·57 CREDIT DEPOSIT TOTAL FEES PAYABLE l ~ nn I HAVE CAREFULL V EXAMINED THE COMPLETED APPLICATION AND PERMIT ANO DO HEREBY Exporahon Every perm,! issued by the Bu1ldtng Ott.c,el under tt,e prov15,ons of th,s CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ••pire by flm,t■hon and become null ■nd void II the buoldmg or work DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT t~ authorozed by such permn is not commenced w•th,n 180 days from the date ol such ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON perm,t, or '1 the buotdinff or work author,zed by such permn ,s suopended o, * AN OSHA PERllll:T IS REQUIAEO FOR EXCAVATIONS OVER 5' O" DEEP ANO 0£IIIOLITION OR CONSTRUCTION Of STAUCTUAtS OVER 3 STORIES IN HEIGHT STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandoned at an time• er the work "commenced lot a "od of t80 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND APPLICANT'~SI ATURE • OWNER□ CONTRACTOR'll- EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE J/• 0 GRANTING OF THIS PERMIT Al./rn nad J..tJ, BY PHONE [J --- APPRO~(~ - -.;;..,~ - -n i/Jfrl 71 IJ 77 i "O 0 (.'.J C "' u a. a. <{ I .:,,:: C a: 0 <I) <I) <ll <I) <I) <{ I ~ .2 <ll >- <ll u C "' C u:: C <ll <ll C, 0 u <ll a. <I) C <ll .c s: TYPE BUILDING OUNDATION EINFORCED STEEL F R M G IASONRY iUNITE OR GROUT I . SUB FRAME □ FLOOR □ CEILING SHEATHING s Fl D ROOF D SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL . I PLUMBING □ SEWER AND BUCO □ PL/CO CNDERGROUND D WASTE D WATER TOP OUT D WASTE D WATER l'"UB AND SHOWER PAN GAS TEST D WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND D UFFER ROUGH ELECTRIC D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL MECHANICAL D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS VENTILATING SYSTEMS ' DATE INSPECTOR CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED. FINAL PLUMBING ' ELECTRICAL ' \ i\. I MECHANICAL ! \ \ GAS : ✓r \ \✓ BUILDING ' ~/I <;Vt)\) \ j ~/ : SPECIAL CONDITIONS ' \ V \ / ' / / -. • (> ..£,~ l l l("d--' .. FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OVER 2000 PSI PRES TRESSED CONCRETE POST TENSIONED CONCRETE FIELD WELDING HIGH STRENGTH BOLTS ' SPECIAL MASONRY < ,_ -. ~ .. PILES CAISSONS -' ,.,. .. t ...... ~ ,, ' -"' l,<-~ '_, -4,,.. ·-• .::l ... 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