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HomeMy WebLinkAbout2639 PIRINEOS WAY; ; CB151833; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-15-2015 Miscellaneous Permit Permit No: CB151833 Job Address: Permit Type: Parcel No: Valuation: Reference #: PC#: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2639 PIRINEOS WY CBAD MISC 2162002140 $0.00 Subtype: REPAIR Lot#: 0 REMOVE EXIST SIDING & REPLACE APPROX 800 SF fl REPLACE 8 WINDOWS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/15/2015 jma 06/15/2015 06/15/2015 pc CARUSO TRUST 01-15-10 WACHLER MARSHA G FAMILY TRUST 09-16-09 4980 SANDSHORE CT SAN DIEGO CA 92130 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $195.00 permit fee 4490 MESA DR #221W OCEANSIDE CA 92056 Total Payments To Date: $195.00 Inspector: J'.11. &-~~ $195.00 $0.00 $0.00 $195.00 Balance Due: 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." 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. THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING 0BUILOING DF1RE DHEALTH 0HAZMAT/APCD Ccityof Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 email: building@ca~sbadca.gov www.carlsbadca.gov P,ll. /I) d!Z. .. s.M ~ SUITEI/SPACEI/UNITI LOT# # OF UNITS # BEDROOMS # BA.THROOMS TENANTB D~RIPl'ION OF WORK: Include Square Feet of Affected Area(s) F(Nv,o,J/j... fi..xl'i>T-~J/11,,<)b + ~i..A,!.£_ ll-, EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL ADDRESS CITY PHONE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS {SF) STATE ZIP Plan Check No. Est. Value Plan Ck. Deposit l' SWPPP INESSNA CONSTR. TYPE OCC. GROUP CITY BUS. L\C.# (Sec_. 7031.5 Business and P_rofessions 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_mlt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law /Cha',"ter 9, commending with Section 7000 of DNision 3 of the Business and Professions Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 103 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORKERS' COMPENSATION Woril;Bfl' Compensation DeclaraUon: I hereby affirm under penalty of perjury one of the fol/owing declarations: 6 I have and will maintain a certificate of consent to self.insure fa workers' co•nsation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation, as rwuired by Section 3700 of the labor Code. for the perfom1ance of the work for which this permit IS issued. My workers' compensation insurance carrier and policy number are: lnsurar.ce Co ______________________ Policy No --------------Expiration Date ________ _ Jlli§.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate ofExempUon: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workeni' compensation coverage is unlawful, and shall subject an employer to crlminal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees . .M$ CONTRACTOR SIGNATURE 0AGENT DATE OWNER•BUILDER DECLARATION I hereby affllTTI that I am exempt from Contractor's Ucense Law for the fol/owing 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 ar.d Professions Code: The Contractor's License Law does not app~ lo an owner of prq,erty who builds or Improves thereon, and who does such work himselt or through his own employees, provided that such improvements are not intended or offered for sale. II, 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 ~perty who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). ~ I am exempt under Section 3 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 pem1it for the proposed work. (!,) have contracted with the following person {firm) to provide the proposed construction (include na-ne address I phone I contractors' license number): S/i£.. /t/Jt>I) fi... 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supelVise 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 I type of work): .85 PROPERTY OWNER SIGNATURE GENT DATE -,~-c I COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the 0J)p1icant or Mure building occupant required to submit a business plan, acutely hazardous materials registration form or risk mancllJement and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? Yes 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 No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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 188d the application and state that the atxNe infonnation Is co11'8Ctand that the information 01t1he plans Is accurate. I agme to comply with all CHyoldlnances and State laws relating to building oonstructlon. I hereby authorize representative of the City of Carlsbad to enter u~m the alxlve mentbned J)'Operty br inspecfun purposes. I ALSO AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY OF CAALSBAD AGAINST fil LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN fW'( WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA M OSHA permit is required for excavations over 5'0' deep and demolltbn or coostruction of structures over 3 stories in height EXPIRATION: Every pennil ~ued by the Buik:ling Qffcial under the pmviskms of this Code shall expire by li'nitaoon and rerome null and YOO if the buik:ling orw::irk authorizoo bysucti permit is notoommenoad within 100 days from the date of slX:h ~nnlt or if ikf authorized by sudl pennil is suspended or a ballooned at any time after the y,ork is oommenoad for a perKld of 180 da~ (Se:::tion 106.4.4 Unifonn Building Code) A5 APPLICANT'S SIGNATURE DATE (o -I • 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, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY 01'110NS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT {Listed above) MAIL/ FAX TO OTHER:---------------- A! APPLICANT'S SIGNATURE ASSOCIATED CB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB151833 Type: MISC Date Inspection Item_ 08/31/2016 19 Final Structural 08/31/2016 19 Final Structural 08/24/2016 19 Final Structural 08/24/2016 19 Final Structural 04/28/2016 18 Exterior Lath/Drywall 07/23/2015 18 Exterior Lath/Drywall Thursday, September 01, 2016 REPAIR Inspector Act RI MC Fl RI MC WC MC AP MC PA REMOVE EXIST SIDING & REPLACE APPROX 800 SF II REPLACE 8 WINDOWS Comments ------ AM PLEASE window INSTALL LOW WALL AT NORTH SIDE, UNITS 122,124,126 WEST SIDE MOCK UP ONLY. Page 1 of 1