HomeMy WebLinkAbout2625 Pirineos Way; 128; CBR2017-1867; PermitPrint Date: 07/19/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
2625 Pirineos Way, 128
BLDG-Residential
2162002167
$ 0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: ANKENY: REPLACE AC & AIR HANDLER
FEE
Owner:
COOWNER VRIEZELAAR BLAINE AND ANKENY
ELIZABETH
2625 Pirineos Way, 128
CARLSBAD,CA 92009
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $ 166.00 Total Payments To Date : $ 166.00
(city of
Carlsbad
Permit No: CBR2017-1867
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Contractor:
Closed -Expired
08/15/2017
08/15/2017
MAUZY HEATING AND AIR
9411 Bond Ave
EL CAJON, CA 92021-2874
619-583-9545
AMOUNT
$166.00
Balance Due: $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
,
.
~()~LOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
· C City of Building Permit Application Plan Check No. (' fl n ;vjJ 1 _j l:Ho "
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit_ .
email: building@carlsbadca.gov K'//~//7 www.carlsbadca.gov Date
JOB ADDRESS 11@2--13 'r:'r;.,..e«!> w a..;,, SUITEI/SPACE#/UNIT# IAPN 11.~ ---
CT/PROJECT# I LOT# I PHASE# I"' OF UNITS l, BEDROOMS # BATHROOMS I TENANT BUSINESS NAME 1CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
'P-ef\o..~'l "' le. """' & {S.,.,. '"'"'"''He.<
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YESO
1 I AIR CONDITIONING l FIRE SPRINKLERS
No[] YES □No □ YES□No□
APPLICANT NAME ~;-\-r\.. ~lt.tM~ PROPERTY OWNER f I; 1 o.' '. Primary Contact .II.,,~.,., ..
ADDRESS '3 I '2-"2.,5 ADDRESS
.. I)
L..o.. \3A.l\,o.. 'D<. ,((-:Z.l'3 2.(,,2-1:, ? ; r; ne.o'S w~
CITY '"\JTATE c:. f', ZIP CITY STATE ZIP
W e S ·H -.Ice. l} l3 ~ 2--~<\ sl.M Cl'-"1200'1'
PHONE 1FAX PHONE I FAX °tl'8'-73,; -7'&7 /,, ? I? -'I '(D" -'-I 2,"' '.I
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAM'Ml1l . t.j €M ,; 17._'¥ '"" Cl--i i,lp,,/
ADDRESS ADDRESS g 1U "tit\( OJ'~ .f\ue u
CITY STATE ZIP CITY E( r ... 10 ,r,..
STATE c.A ZIP~Zoz(
PHONE IFAX PHONE ¼J fr(/
.,,_ (Q --0,; l{t; I FAX
EMAIL EMAIL ..
I STATE LIC. # STATE UC.#
'l'5C/l7I J~;/c.zplt:! lc,TYs;'i'~\?.\O .
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, p_nor to its issuance, also requires the applicant for such per_m1t to file a si,gned statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code} or that 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
c1v1I penalty of not more than five hundred dollars [$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O(i;ave and will maintain a certificate of consent to self-insure for workers' compensation as provided by Sectkln 3700 of the Labor Code, for the performance of the work for which this permit is issued.
[ZI I have and will maintain worken;' compensation, as required by Secijon 3700 of the Labor Code, for the perform:n-~ of the work for which this permit is issued. My workers' compensalio~ insu7nce carrier and policy
numberare:lnsuranceeo.~tre"Sj :;t.'1\.-'S, ------Policy No. ~Nwc1n1>~ Expiration Date 5/ 11.. t(
This section need not be completed Hh~ permit is for one hundred dollars ($100) or less. / } 0 Certificate of Ex.emption: 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' Compensatkln Laws of
California. WARNING: Failure to secure workers' co e ation coverage Is unlawful, and shall subject an employer to criminal pe ties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, dam s pr Id for In Section 3706 of the Labor code, interest and attorney's fees.
2f CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
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 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).
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).
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 properly improvement. 0Yes 0No
2. I (have/ 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/ phone I contractors' license number):
4. I plan to provide portions 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 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):
2f PROPERTY OWNER SIGNATURE □AGENT DATE
..
o;:'O M P L ET E TH I S S E CT I ON FOR N O N • R E S I D E NT I A L B U IL D I N G P ERM ITS ON LY
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? □ 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? D Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes D 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.
CONSTRUCTION LENDING AGENCY
APPLICANT CERTIFICATION
I certify that I have read the application and state that the above information Is correct and that the information on the plans is acnarate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby aulhorize representative of lhe City of Carlsbad to enter upon lhe above mentioned property for inspectiofl 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 CrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMrT.
OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in hej'Jht
EXPIRATION: Every perrnitissued by lhe Building Official under the provisions of this Code shall expire by limltaOOn and become null ood void if lhe building orv«Jrk aulhorized by such pennit is notcorrvnenced wthin
180 days from the date of such permit or if e · g """"",...orized by such pennlt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 106.4.4 Unifonn Building Code).
-@5 APPLICANT'S SIGNATURE DATE 1ii ( 'j
• 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
Carlsbad
STATE
CA
PHONE FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
0 PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
D MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above)
□ CONTRACTOR (On Pg. 1)
D MAIL/ FAX TO OTHER: ________________ _
A$ APPLlCANT'S SIGNATURE
o ASSOCIATED CB#•------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
January 19, 2018
Owner/Tenant
2625 PIRINEOS WAY, Suite 128
Carlsbad CA 92009-7339
(city of
Carlsbad
PERMIT NUMBER: CBR2017-1867
RE: BUILDING PERMIT EXPIRATION
PERMIT TYPE: BLDG-Residential, P/M/E
ISSUE DATE:
ADDRESS:
08/15/2017
2625 PIRINEOS WAY, Suite 128
Our records indicate that your building permit will expire by limitation of time on 02/11/2018.
18.04.030 Section 105.5 amended -Expiration:
Every permit issued by the Building Official under the provisions of this code shall expire by limitation and become
null and void if the building or work authorized by such permit is not commenced within 180 calendar days from the
date of such permit, or if the building or work authorized by such permit is stopped at any time after the work is
commenced for a period of 180 calendar days, or if the building or work authorized by such permit exceeds three
calendar years from the issuance date of the permit. Work shall be presumed to have commenced if the permittee
has obtained a required inspection approval of work authorized by the permit by the Building Official within 180
calendar days of the date of permit issuance. Work shall be presumed to be stopped if the permittee has not
obtained a required inspection approval of work by the Building Official within each 180 day period upon the initial
commencement of work authorized by such permit.
Before such work can be recommenced, a new permit shall be obtained to do so, and the fee therefore shall be one
half the amount required for a new permit for such work, and provided that no changes have been made or will be
made in the original plans and specifications for such work, and provided further that such suspension or
abandonment has not exceeded one year. tn order to renew action on a permit after expiration, the permittee shall
pay a new permit fee.
Any permittee holding an unexpired permit may apply for an extension of time within which work may commence
under that permit when the permittee is unable to commence work within the time period required by this section
for good and satisfactory reasons.
Please check be!ow indicating your intentions and return this letter to us.
D Project abandoned. A new permit will be obtained prior to commencing work.
D Permit 180 day extension request, with written explanation including phone number and email address.
Request will not be considered without explanation
D Renewal permit requested.
If the project has been completed and only a final inspection is needed, please call the inspection request line at
(760) 602-2725.
!f you have any questions, please contact the Building Inspection Division at 760-602-2700.
Community & Economic Development
Building Division I 1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov