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Home My WebLink About2618 PIRINEOS WAY; ; CB022709; PermitJob Address: 2618 PIRINEOS WY Permit Type: RETAIN Citv of Carlsbad Retaining Wall Status: Applied: Permit No: CB022709 WITHDRAW 09/11/2002 Parcel No: Lot#: 0 Approved: Reference No: Issued: PC#: CB013254 . Inspect Area: Project Trtle: PIRENEOS POINTE-ADD 175 SF OF RET WALL-ADD TO EXIST WALL-C-1 STD Applicant: Owner: DARRYL CLUBB , 858 689-8911 ------- Total Fees: $76.55 · Balance: : ---$76.551 PERMIT APPLICATION CITY OF CARLSBAD BUILDING D 1635 Faraday Ave., Carlsbad, CA 92 08 Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use Name Address City State/Zlp Telephone II Fax I 3. APPLICANT O Contraotor O Agent for Contractor O Owner O Agent for Owner Name 4. Name !)/jpJ)y/_.. /11' (,/& 6. comRKcYori ." COMliANY NAME '/ Address City State/Zip Telephone# Telephone# (Sec. 7031.6 Business end 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 Lew [Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Code) or that ha Is exempt therefrom, end the besls for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars [$600)). Name Address City Stata/Zlp Telephone# State License # ----------License Class----------City Business License # -------- Designer Name Address City State/Zip Telephone State License # ---------- 6. WORKERS' COMPENSATION Workera' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have end 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 Sactlon 3700 of the Labor Code, for the performance of the work for which this permit ls issued. My worker's compensation Insurance carrier and policy number are: Insurance Company Policy No. ___________ _ Explratlon Date. _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOUARS [$100] OR LESS) 0 CERTIFICATE OF ,XEMPTION, I certify"'" lo <ho offlorm,o"' of <ho w~k f~ which'"' oorml< I, o,~100, omolo, ,oy ,.moo lo ,oy m,ooo, ,o u to become subject to the Workers' Compensation Lew11 of California. WARNING: Fellure to ll8CU1II worklll'II' compensation coverage Ill unlawful, end llhell IIUbject an employer to penalties end clvD fines up to one hundred thousand dollanl ($100,000), In addition to the coat of compensation, damages ea provided for In Section 3706 Labor code, Interest end attomey'a fees. SIGNATURE_~~~~~~~~~~~~~~~~~~~~~~~~~~~--,, ... 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Lew for the following raas 0 I, as owner of the property or my employees with wages as their sole comp I rk and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lew d operty who builds or improves thereon, and who does such work himself or through his own employees, provided that such Imp r d for sela. If, however, the building or Improvement Is sold within one year of completion, the owner-builder will have the rd of tha O ulld or improve for the purpose of sale). Contractor's License Lew does not apply to en owner of ro o builds nftrov thereon, and contracts for such projects with contractor(s) licensed 0 I, es ow~ of the property, am excluslvely contrectln th con~ to nstruct the project (Sec. 7044, Business end Profasslona Code: The pursuant to the Contractor's License Lew). · 0 I em exempt under Section ------Business a 1. I personally plan to provide the major labor end materials for construction of the proposed property Improvement. D YES ONO 2. I (have I have not) signed en 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 I address I phone number I contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise end provide the major work (Include name I address I phone number I contractors license numberl=---------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work lndlceted (include name / address / phone number / type of work): _______________________________________________________ ~ PROPERTY OWNER SIGNATURE ______________________ _ DATE -----------COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future builcllng occupant required to submit a business plan, acutely hazardous materials registration~ or risk management and prevention program under Sections 26505, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES r NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dlstrict or air quality management district? O YES~ NO ls the facility to be constructed within 1,000 feat of the outer boundary of a school s/t117 0 YES '\p'( NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSU~S THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 6. CONSTRUCTION LENDING AGENCY I hereby affirm that there is e construction lending agency for the performance of the work for which this permit Is Issued (Sec. 3097(1) Clvll Code). LENDER'S NAME---------------LENDER'S ADDRESS_~~~~~~~~~~~~~~~~~~~~~~~- 9. APPLICANT CERTIRCATION I certify that I have read the eppllcetion and state that the above Information Is correct end that the Information on the plans Is accurate. I agree to comply with ell City ordinances and State laws relating to bulldlng construction. I hereby authorize representatives of the Cltt 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 6'0" deep and demolltlon or construction of structures over 3 stories In height. EXPIRATION: Every pemirt issued by the building Official under the provisions of this Code shall expire by llmltatlon and become null and void If the bulldlng or work authorized by such permit Is not commenced within 180 days from the te of ch pemilt r If e building or work authorized by such pemilt Is suspended or abandoned at any time after the work I for of 180 days ( .4. ntt llding Code). DATE ---<-q--_,_~_'f_-._t1_Z--__ _ PINK: Finance 08/07/2003 08:54 8586890234 Cit l .. DARRYL CLUBB Re: Appffcatlon Date: 09/11/2002 0:00:00 P1an Check#: CB022709 Address: 2618 PlRJNEOS WY Expiration Dato; 09/11 f.2003 0:00:00 Permtt Type: RETAIN CDAST COfTRACTING of Cart /l-7111: OeacripUon: PIRENEOS POINTE-ADO 175 SF OF . RET WAU.-ADD TO EXIST WALL-C,.1 STD PAGE 01 You apptiBd tu ha"8 your pJana checked on 1he date noted above. Tod , the related bulldfng pennlt has not been obtalned. The original plan review sppftc:ation wHI exp1 as no building permit has~ l&sued. Plans submitted and not retrieved fmm the bulldlng department prior to ttH111t11:an check expiration date noted above wRI be~- The l)n)Vislon8 of secdorls 304 (d) of the Uniform Buikflng Code sblte! ~ 304 9d) E>epiraUon of Pkln RevieW Applcations for which no permit is issued within one year KUK:JWIIKJ application shall mcplre by limitatfon, and plans and other data may thehNftar be returned to the applicant or destroyed by the bui In order to renew action on an &ppl(cation after e>i:piration. the lllPr:>leant Shan '9SUbrnft plans and pay a new plan review fee.• ·1n order top~ better'~. pfease lndfcate your handUng choic:e submitted 6fld refutrt ~ letter to the Bufk1fng Department. __ P-roject Abandoned -I wUI ~ up plans within 10 days :::i.. Pn)Jeet Abandoned -P1ans may be das1royed. /you~ any quesUons, please cxmtact the Bufld1ng Department at (760} ,YrY':JL.,, ... 18. 1835 Faraday Avern..te • Carlabacl. CA 92008-7314·• (780) 602-2700 FAX (780) 602-8560 e