Loading...
HomeMy WebLinkAbout2630 PIRINEOS WAY; 14; CB044347; PermitJ~, City of Carlsbad ~-I! 1635 Faraday Av Carlsbad, CA 92008 12-03-2004 Miscellaneous Permit Permit No: CB044347 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 2630 PIRINEOS WY CBAD St: 14 MISC Subtype: OTHER 2162002~ \4' Lot#: 0 $0.00 VAKJLI RESIDENCE, REMOVE PART! INSTALL CAN L TS, OUTLETS.REMOVE SINK Owner: VAKIL! HOMA Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: 2630 PIRINEOS WAY #14 CARLSBAD 92009 · , Mlscelaneous Fee #1 Mlscelaneous Fee #2 Additional Fees TOT AL PERMIT FEES Total Fees: ELEC PLUM $47.00 · · Total Payments To Date: $0.90 ·' Bala.nee Due: ' 'I ISSUED 12/03/2004 MOP 12/03/2004 12/03/2004 $20.00 $27.00 $0.00 $47.00 $47.00 : , · · .. 6737 12/03/04 @02 01 02 ·, GP 47.00 Ins ector: .. FINAL APPROVAL Date: I -.J--oif Clearance: ------ Non CE: Please take NOTICE that awovaJ of your project loc!udes the 'I mposltlon' ci fees, dedications, reservations, or other exactions hereafter collactlvely referred lo as 'fees/exoctlons.' You have 90 days from the date this permit was Issued to protest Imposition of these fees/exacfuls. ff you protest them, you must folk:m the protest procedures set forth In Government Cooe Section 66020(a), and file the protest and any other required I nformatlon wt1h the City Manager for processlr,;i In accordance with Carlsbad Mllllclpal Code Section 3. 32. 030. Failure to timely foliaN that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul thelr Imposition. You are here!Joj FURTH ER NOTI Fl ED that your rtg ht to protest the spedfled tees/exactioos DOES NOT APPLY to watff and sewer connection fees and capacity changes, nor piarvllng, zoning, grading or other similar application processlr,;i or servk:e fees In connection with this project NOR DOES IT APPLY to any · TI E . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Subdivision Name/Number Assessor's Parcel I Existing Use FOR OFFICE USE ONLY PLAN CHECK NO. l5j--. l(°1>'{J EST.VAL. __________ _ Plan Ck. Deposit---------- Validated By __________ _ Date _______________ _ Unit No. Phase No. Total I of units Proposed Use I of Bathrooms N Address City State/Zip Telephone I [~,~C_Qfi!J"MPTQl:l:::...c.9i\.W'~tr<fl..M!E.:..:. • .:-: 7: . ..:..._:.;. :, ___ ·;_·_:_._,~'"'·:·: ~""' e ::::-~-==::--~ . '~~·.:..c-·-·~:_.,_. _.._·-~·-;-,---:;; (Sec. 7031.6 Business end Professions Code: Any City or County which requires e permit to construct, alter, Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file e signed statement that he ls licensed pursuant to the provisions of the Contractor's License Law [Ctuipter 9, commending with Section 7000 of DMslon 3 of the Business and Professions Code] or that he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the eppllcent to a clvll penalty of not more then five hundred dollars [$600]). Neme Addr9811 City State/Zlp Telephone I State License I ----------License Class----------City Business License I-------- Designer Name Addr9811 City State/Zip Telephone State License I ~, WORKE@:.~Il9.N,_:_ ~_:..:_:.:.._· -·-~ _.<..:.. ~} '"":.:·. ~:,'.$~:.........:..::.. _ _;;_._ __ ,_.:_ .._ Workers' Compensation Decleratlon: I hereby affirm under penalty of perjury one of the following decleratlona: D I have end will maintain e certificate of consent to self-Insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is Issued. D I have end wiU maintain workers' compensation, 88 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 end policy number ere: Insurance Company Polley No. Explretlon Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION: I certify that In the performance of the work fDf whlch thla permit Is Issued, I shell not employ any person In any manner so es to become subject to the Workera' Compensation Laws of California. WARNING: Failure to sacini workera' compensation coverage la unlawful, end ahlll subject 1111 employer to criminal penllltlea end clvl flnaa up to one hundred thousand dollara ( $1 00 ,000), In addition to the cost of compenaatlon, damagaa u provided for In Section 3 708 of the Lllbor code, Interest 111\d attorney's fees. SIGNATURE DATE _________ _ li.': q_WNfili;eyj(p~~~ _ · -""'?'":".". '.::...:..::.:~. :..::.;_·~. :~ .. -·-::.:::.!.:> ·,c--:-::_::~=-=::-:::..=-,~·~,-~E"'l'.'J I hereby llfflrm that I em exempt from the Contractor's License Law for the following reeeon: D I, 88 owner of the property Of my employees with wages es their sole compensation, will do the work and. the atructure Is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to en owner of property who bullde or Improves thereon, end who does such work himself or through his own employees, provided that such Improvements ere not Intended or offered for sale. If, however, the buildlng or Improvement Is sold within one year of completion, the owner-bullder will have the burden of proving that he did not build or improve for the purpose of sale). ~ I, 88 owner of the property, em excluelvely contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The an.actor's License Law does not apply to en owner of property who bullde or improves thereon, end contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). 0 I em exempt under Section ______ Business and Professions Code for this reeaon: 1. I personally plan to provide th·e major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have I have not) elgned en application for a buildlng 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 WDfk, but I have hired the following person to coordinate, supervise end provide the major work (Include name I address I phone number I contrectora license number): _____________________________________________ _ 6. I will provide eome of the work, but I have contracted (hired) the following persona to provide the work Indicated (Include name I address I phone number I type of work): ___________ ~ _________ _,__,,,_ _______________________________ _ PROPERTY OWNER SIGNATURE l®MPi:m TIM_8.W,I..Qn.N'!:!FO~Ru/Jic.~':!!li~'!!e ls the eppTioant or future building oooupllllt rBQulred to submit II business plan, acutely hazardous materials reglatnrtlon form or risk management and prevention program under Sectlona 26606, 26633 or 26634 of the Presley-Tenner Hazardous Substance Account Act7 D YES D NO ls the applicant or future bulldlng occupant required to obtain e permit from the air pollution control district or air quality management dlstrlct7 0 YES D NO Is the feclllty to be constructed within 1,000 feet of the outer boundary of a school site? D YES D NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTlRCATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFACE OF EMERGENCY SERVICES AND THE AIR POUUTlON CONTROL DISTRICT. LCQNSTRUCTIONLENOING_AGENCY,? ,-. ~··' : .. ·!'·~--~~.;.._,_:,-~._:..... ~--~ ._,_ •. -,-.-·-~:_:i 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) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS I certify that I tuive read the application end state that the above Information Is correct end that the Information on the plans Is accurate. I agree to comply with ell City ordinances end State laws relating to building conatructlon. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned property for Inspection purposae. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL L1ABII..ITIES, 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 le required fDf excavations over 6'0" deep end damolitlon Of conatructlon of structures over 3 stories In height. EXPIRATION: Every permit Issued by the building Official under the provlslons of this Code shall expire by limltatlon and become null and void If the building or work authorized by such pemilt Is not commenced within 180 clays from the date of such pemilt or If the building or work authorized by BUCh permit Is suspended or abandoned at any time after the work Is commenced for a period of 180 days (S on 1 8.4.4 Uniform Building Code). APPLICANT'S SIGNATURE PINK: Finance . ' ~ City of Carlsbad Bldg Inspection Request For: 01/03/2005 Pennit# CB044347 Title: VAKILI RESIDENCE, REMOVE PARTI Description: INST ALL CAN L TS, OUTLETS,REMOVE SINK Type: MISC Sub Type: OTHER Job Address: 2630 PIRINEOS WY / l,_,;Gi,/ Suite: 14 Lot 0 Location: OWNER VAKILI HOMA Owner. Remarks: Total Time: ''- CD Description Act Comment Inspector Assignment: Phone: 7609447475 Inspector: /31U Requested By: HOMA Entered By: CHRISTINE 24 Rough/Topout JA/1-~~~~/~~~~ 34 Rough Electrlc -JW--~~~~~~~~~ l4JI ~ ftwt¥l- Associated PCRs/CVs Inspection History Data Description Act. lnsp Comments I ., . ~-.... ~- ~ •. ..... 0 -.. e-2' ~ ~ z ~ l'- 11 --+-----l--14" DN. · ! FOYER SHELVES REFRIGERATOR DIAGONAL BASE AND WALL CABINETS STOVE--- ._ __ EXIST. DOOE CHANGED01 \ 1\. ~:: \, ~ ~'--1-----l-,,....1-I KITCHEN ~ -,1 f e-\.oCA-k c,..., .\-\ <t~~-~~~ WOOD COLUMN (1' DIAM.) rr----., --I MO / --+-L MATCH KITCHEN CEILING W/ EXISTING LIVING ROOM CEILING ~oo\. u (bC.. ' DINING ROOM • II +29 I II •