HomeMy WebLinkAbout2043 Alga Rd; ; CBR2017-1422; PermitResidential Permit
Print Date: 06/19/2018
Job Address: 2043 Alga Rd
Permit Type: BLDG-Residential Work Class: P /M/E
Parcel No: 2152200200 Lot#:
Valuation: $ 0.00 Reference#:
Occupancy Group: Construction Type
# Dwelling Units: Bathrooms:
Bedrooms: Orig. Plan Check#:
Plan Check #:
Project Title:
Description: SADEGHI: ISNTALL NEW GAS LINE FOR BBQ & 2 FIREPITS IN BACKYARD
FEE
Owner:
COOWNER PARSI RAMIN & SADEGHI
ARGHAVAN
202 Acropolis Way
VISTA, CA 92084
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $ 166.00 Total Payments To Date : $ 166.00
(city of
Carlsbad
Permit No: CBR2017-1422
Status:
Applied:
Issued:
Permit
Finaled:
Closed -Expired
06/23/2017
06/23/2017
Inspector: JWest
Final
Inspection:
Balance Due:
AMOUNT
$166.00
$0.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
,
EHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING D ENGINEERING t..clJ BUILDING DFIRE 0HEALTH D HAZMAT/APCD
' {city of
Plan Check No.fo4..D"11\ 11-\lf?,1_ Building Permit Application -1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit. email: building@carlsbadca.gov
1-l!l."1/ l I www.carlsbadca.gov Date
JOB ADDRESS 2.o 43 i<'.cl : SUITE#/SPACE#/UNIT# IAPN ---fr/qt-L
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
n_e.,.J J'"·' t,,v.--Jo o Jf!,a _} R,e,.p;+-,.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) lDECKS (SF) FIREPLACE l AIR CONDITIONING I FIRE SPRINKLERS
YESO NOD YES0No0 YES0Noo
APPLICANT NAME !f 1-Cihtl //tl ,1 Jcufe.tJ ),,_ _ _-PROPERTY OWNER ·7/, 7 _....'Vt:' i,.. c.P-, / ~
Primary Contact
ADDRESS -ADDRESS
?pi/3 A-/c;A. C?I
CITY . STATE ZIP CITY STATE ZIP
C ,,_ri, 1,,._..,1 0-ir 7 200 'l
PHONE
71,0_ 7ta..-1'1S-/ I FAX PHONE IFAX
EMAIL It.a g:; a, ~ ... -.' ,:.·o.
EMAIL
/Jrq, tlt/t1 Cv,,..-,
D~N»JFESSION~----_ v , C...,s~/fiA',... CONTRACTOR BUS. NAME
r-z; ~111e&r, ,7 ..,-
V --
ADDRESS ~ ADDRESS
/lc3o S'-lc--+-c'C /Jv..,.... 5,k__ 2--Pt----
CITY STAT~ ZIP CITY STATE ZIP
V15-/7t t:}2<>BI
PHONE IFAX PHONE I FAX l·-Jt>o -<8&-'-/y 'IG --
~L -,;> /J[IJ e-,,_ '1 C-
EMAIL
M.11\. . c:.,.,. .....
'-v l STATE LIC. # STATE.Lie.# I CLASS I CITY BUS. UC.#
(Sec. 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty 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 tliat he is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, comme_nding with Section 7000 of Division 3 of the
Business and Professions Code) or fuat 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 {$500}).
WORKERS' COMPENSATION
' s
Workers' Compensation 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. DI 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 workers' compensation insurance carrier and policy
number are: Insurance Co. . 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
kS CONTRACTOR SIGNATURE 0AGENT DATE
OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
~ I, as owner of the property or my empk>yees 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 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 License 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 License Law).
D 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 I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number)
4. I plan to vide portio of the work, 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 p i e some of e work, but I have contracted {hired) the following persons to provide the work indicated (include name I address I phone I type of work):
kS PROPERTY OWNER S 0AGENT DATE
-"~00"""" ~ ~ ' -"'
fOMPLETE THIS SECTION FOR NON•Rl!·~!!l-ENTIAL BUILDING PERM!TS 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? 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? O 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.
I certify that I have read the application and state that the a bow infonnation is oorrectand that the infotmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building oonstruction.
I hereby autt,orize representative of the City 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 ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations (JJf!J( 5'0' deep and demolitioo oc construction of sbl.lctures O\/€f 3 stocies in he.'Jhl.
EXPIRATION: Every permit issued by the Building Official under tt,e provisions of this Code shall expire by limitation and become null and void if the building orwor1( auttiorized by such permit is not oommeoced wittiin
180 days from the date of such pennit or if ttie building work a by such permit is suspended or abandoned at anytime after tt,e wor1( is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
AS APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Calffornia 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY DPl10NS
D PICK UP: lJ CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
o ASSOCIATED CB#------------O MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
D MAIL/ FAX TO OTHER:-----------------o CHANGE OF USE/ NO CONSTRUCTION
.LS'APPLICANT'S SIGNATURE DATE
' + ' I /;
. , -. -PERMIT INSPECTION Hl§JORY REPORT (CBR2017-1422)
Perm it Type: BLDG-Residential Application Date: 06/23/2017 Owner:
Work Class: P/M/E Issue Date: 06/23/2017 Subdivision:
Status: Closed -Expired Expiration Date: 1212612017 Address:
IVR Number: 4615
Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
06/27/2017 06/27/2017 BLDG-21 027201-2017
Underground/Underf
loor Plumbing
12/15/2017 12/15/2017 BLDG-Final
Inspection
June 19, 2018
Checklist Item
BLDG-Building Deficiency
043460-2017
Checklist Item
BLOG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Passed Jonathan West
COMMENTS
Failed Chris Renfro
COMMENTS
COOWNER PARSI RAMIN &
SADEGHI ARGHAVAN
LA COSTA VALLEY UNIT#4
2043 Alga Rd
Carlsbad, CA 92009
Reinspection Complete
Complete
Passed
Yes
Reinspection Complete
Passed
No
No
No
No
No
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