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
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--+-----l--14" DN. ·
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FOYER
SHELVES
REFRIGERATOR
DIAGONAL BASE
AND WALL CABINETS
STOVE---
._ __ EXIST. DOOE
CHANGED01
\ 1\. ~:: \, ~ ~'--1-----l-,,....1-I
KITCHEN
~ -,1
f e-\.oCA-k c,..., .\-\
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WOOD COLUMN (1' DIAM.) rr----., --I MO
/
--+-L MATCH KITCHEN CEILING
W/ EXISTING LIVING ROOM CEILING
~oo\. u (bC.. '
DINING ROOM
•
II +29
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