HomeMy WebLinkAbout2314 SHAWN CT; ; CB032917; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-23-2603 Plumbing Permit Permit No: CB032917
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2314 SHAWN CT CBAD
PLUM Status:
Parcel No: 1675311900 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: EYVAZIAN RES-COPPER RE-PIPE Inspect Area:
Applicant:
ARS
STE 100
6162 NANCY RIDGE DR
SAN DIEGO CA 92121
858-677-5455
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
1
0
0
0
Owner:
EYVAZIAN FAMILY TRUST 01-14-99
2314 SHAWN CT
CARLSBAD CA 92008
ISSUED
10/23/2003
RMA
10/23/2003
10/23/2003
$20.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$0.00
$57.00
Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00
7227 10/23/03 0002 01 02
CGP 57.00
Inspector:
FINAL A\PP~OVAL
Date: -l-f ~ O Clearance:
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.
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
x i n f hich h v r vi I ·v n N Tl E im' r hi r whi f limi ti n h vi I
PERMIT APPLICATION
FOR OFFICE USE OJJ)-Y J_
PLAN CHECK NO.a CJ]
I
CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. __________ _
1635 Faraday Ave., Carlsbad, CA 92008 Pl an Ck. Deposit --------,,..,_,r-_
Validated By_-1----=---r--#<-J.,l<Jf---
Date __ _,__-b,...,__,"\:'-d~----6<."-~----
Address (Include Bldg/Suite II) Business Nome (nt this nddress)
Legal Description Lot No'6~division Name/Number Unit No. Phase No. Total # of units
Assessor's Parcel # Existing Use Proposed Use
CQfBeg ~,pe
Description of Work SO. FT. #of Stories II of Bndrooms # of Bathrooms
Name Address City State/Zip Telephone # Fax II
Y~~~~·o ~~~Ag~~~:~:h1=::;wR~~r~:~~~1,~·rn~~~·;,::~'•·~ c::f.J1>-I
Telephone #
4 .. , i>~oi>eftfv·6vv1i11iif' ·;-•<
A b 1?J:,-/:
Name City Telephone #
6' 'CONTRAcfb'Fi ! cbMP'Ai'.iY:NAME ! . ~,· ;,;,n·,·•I{in:·:T'•JYf<',l!i~1•111I?1f''10l~,:1:1:~fn111r~i:~'I~,:'r!'!f~t~•1•,"Jj'i,J/ ,;.r,;r;• ••T',''•iU11 !!' ;·'
(Sec. 7031.5 Business and Professions Code: Any City or County w hich requires• permit to construct, alter, Improve, demolish or repair any structure, n,ior to its
issuance, also requires the applicant for such permit to file a signed statement that he Is licensed pursuant to the provisions al the Contractor's License Law
!Chapter 9, commending with Section 7000 of Division 3 of the Business nnd Professions Code) or that he Is exempt therefrom, and the basis lor the alleged
exe pi' z_Any violation of Section 7031.5 by any applic nt for• permit subjects the applicant to a civil penalty of no more than five hur)(lred dollars 1$50011.
-;;:.,., b b2 .Je \CD ~ · '51l.7 -54
Name Addr City State/Zip Telephone #
State License II 7q J i5' 2.0 License Class_________ City Business License II \ '0-007 C()
Designer Name Address City State/Zip.
State License # __________ _
,6. • ..... WORKERS; COMPENsA f[OrJ' •tl i. ,!l ',')J~,,:'.":·v j".ii"l~': :· ;:~ ·,~; if1if.:t•\i~•:·:;;}~; ?rlft~.;niJ;:;;~~,i; r;•~~i.1'.'~l?11i{ P;~l1~ ~P}i~'f;if;:~:i~;~rr·~?Uffi?lip:~rrff:\/'.'i"!.ii :f;!;;,;/1M~/;:. I .
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
Telephone
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the pedormancP
of the work for which this permit is issued.
~ I have end will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe11nit is
rssued. My worker's compensation insurance carrier and policy number are: I /I { Ob
lnsuronce Company ~ ~ Polley No. 24'{2~ -Q\ Expiration Date _______ _
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS)
0 CERTIFICATE OF EXEMPTION: 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
Workers' Compensation Laws of California.
WARNING: Fnilur re workers' compensatl erege Is unlawful, and shall subject an employer to crlmlnal penalties end civil fines up to one hundred
thousand dollars ( \' 0 ). In addition tt, the co~ o o atlon, damages as provided for In Section 3706 of the Laborfode, Interest and attorney's fees.
SIGNATURE_~l:12:~LA..et-l,.1'.'.=::~:=:......::../-L,_!__-J.-4':~~~--------DATE lt>1 ZD( <.P;7
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reasor:,:
0 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
ISec. 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 r1ncs
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).
0 I, as ownor 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 contractoi Isl lir.cnsrrl
pursuant to the Contractor's License Law).
D I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor end materials for construction of the proposed property Improvement. 0 YES ONO
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 number / contractors licenso 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 / adrfross / r>hono
number/ 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 / address / phone rllrrnbcr I typo of work): ________________________________________ _,_ ___________________ _
PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _
COMPLETE THIS SECTION FOR rioN:RESIDENtiAl'eUlLDIN01i>@Ri1Jlts1ifNlil91'fl'~~,,li]ii~1r1-1,~'1.W/":<:t~'(,Y:'i.1cr•:,,_.,.,,:r;1:,r·•,·,:' '
Is tho applicant or future building occupant required to submit e business plan, acutely hazardous materials registration rorrn or risk management and pr '?V{!ntion
program under Sections 25505, 25533 or 25534 of the Presley-Tenner Hnzardous Substance Account Act7 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is tho facility to be constructed within 1,000 feet of the outer boundary of a school site7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEEl ING TIIE
REOUJnEMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT,
a; . CONSTRUCTION LENDING AGENCY :,:?\/' '!: . _, 1:.rt~ji;;::1\:f'~;,~!~~:~~,¥-~~~ti~~JC.1-~iiWif~~~~~~~\jli1P'Jrk~;1,:r~J,i~~''.~t~}f!:i,Tf}i':i-i;:::: ... ~-.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code).
LENDER'S ADDRESS _________________________ _
I certify that I have read the application and state that the above information is correct and that the Information· on the plans Is accurate. I agree to comnly with all
City on1inances and Stato laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to ent~r upon the auovc menlioncd
1ronorty for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST Al l LI/\BILITlrS.
JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF TIIIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit issued the ullding Official under the provisions of this Code shall expire by lhnllallon and become null and void if lhe buillfing or work
mrlhorized by such permif is nol ence within 180 days from the t of uch permit or If the building or work authorized by such permit Is susrendPd or nlon11rfpr,f'rl
~t ;111y lime after lhe work is com~ ce for a perio of 180 days (Se n 1 6 4. ~nlform Building Code). jO /~/
APPLICANT'S SIGNATURE \ DATE /I / ~
City of Carlsbad Bldg Inspection Request
For: 11 / 1 3/2003
Permit# CB032917
Title: EYVAZIAN RES-COPPER RE-PIPE
Description:
Type: PLUM Sub Type:
Job Address: 2314 SHAWN CT
Suite: Lot 0
Location:
APPLICANT ARS
Owner: EYVAZIAN FAMILY TRUST 01-14-99
Remarks:
Total Time:
CD Description Act Comment
Inspector Assignment: PD ---
Phone: 8586775455 EX 205
lnspectorU:
Requested By: VERONICA
Entered By: CHRISTINE
29 Final Plumbing tJt_ ~~-IJ--~---------------~
Associated PCRs/CVs
Inspection History
Date Description
11/04/2003 24 Rough/Topout
10/31/2003 24 Rough/Topout
Act lnsp Comments
AP PD
NR PD