HomeMy WebLinkAbout1760 VERDIN CT; ; CB0122635; Permit' '\
12-18-2012
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
BOBBY CIACCIO
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB122635
Building Inspection Request Line (760) 602-2725
1760 VERDIN CT CBAD
PME
2158800608 Lot#: 0
CIACCIO: GAS TO BBQ & FIREPIT
Owner:
BOBBIE CIACCIO
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/10/2012
JMA
12/18/2012
12/18/2012
1760 VERDIN CT
CARLSBAD CA 92011
1760 VERDIN CT
CARLSBAD CA 920711
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees: $154.00 Total Payments To Date:
$154.00
$0.00
$0.00
$0.00
$154.00
$154.00 Balance Due:
FINAL APP OVAL
Inspector: Date: rz-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 Cartsbad 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
f I x i n f whi h I N Tl imil r hi r whi h f limi i n h h rwi
.,
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMAT/APCD
«11>'> Building Permit Application Plan Check No. Clb ( 2--2.Jf'J~
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date \'2-f I b f l'Z-ISWPPP
JOB ADDRESS SUITEI/SPACEf/UNIT# IAPN 1760 Verdin Ct., Carlsbad Ca 92011 ---
CT/PROJECT# ILOT # I PHASE# I# OF UNITS I# BEOROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet or Affected Area(s)
Install a gas line from the gas meter on the front side of the property to the backyard to connect to a gas grill and a gas
firepit.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
I
AIR CONDITIONING I FIRE SPRINKLERS
YESC}# NU YES □No D YEs O NOD
APPLICANT NAME (Primary Contact) Bobbie Ciaccio APPLICANT NAME (Secondary Contact) Timothy Ciaccio
ADDRESS ADDRESS
1760 Verdin Ct. 1760 Verdin Ct.
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 Carlsbad CA 92011
PHONE I FAX PHONE I FAX 714-656-6033 714-315-4656
EMAIL EMAIL
bobbieciaccio@gmail.com timothyciaccio@gmail.com
PROPERTY OWNER NAME Bobbie and Timothy Ciaccio CONTRACTOR BUS. NAME C&A Landscapina Inc.
ADDRESS ADDRESS
1760 Verdin Ct. 402 S. Belle
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92011 Corona CA 92882
PHONE IFAX PHONE I FAX 714-656-6033 714-768-3678
EMAIL EMAIL
bobbieciaccio@gmail.com munozadrian83@gmail.com
ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I CITY BUS. UC.# 923161
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair anl structure, prior to its issuance, also requires the applicant for such permit to file a signed 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 Business and Professions Code] or Chat 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 civil penalty of not more than five hundred dollars [$500)).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
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 performanoe of the work for which this permit is issued. D t have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performanoe of the work for which this permit is issued. My workers' compensation insuranoe carrier and policy
number are: lnsuranoeCo. ____________________ Policy No. _____________ Expiration Date ________ _
~section need not be completed if the permit is for one hundred dollars ($100) or less. I.LJ Certificate of Exemption: I oertify that in the performanoe of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
Ji$ CONTRACTOR SIGNATURE c....--..,. □AGENT DATE / ::l-'-f-/?_,
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
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 (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 Lioense 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 property improvement. 0 Yes O No
2. I (have I 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 / 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/ address/ phone/ type of work):
Ji$ PROPERTY OWNER SIGNATURE B ~ □AGENT DATE
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? □ 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.
of the work 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 oorrect and that the information on the plans is accurate. I agree to oomply l'.1th all City ordinances and State laws relating to building oonstruction.
I hereby authorize representative of the City of Garlsbad to enter u~ the above mentioned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, 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 is required for excavations over 5'0' deep and demolition or oonstruction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by imitation and become nun and void if the building or v.ork authorized by sud! permit is not oommenoed 1'.1thin
180days from the date of sud! permit or if the building oroork aulhorized by such permn is suspended or abandoned at any time after the work is oommenoed for a period of 180 days (Section 100.4.4 Uniform Building Code}
_,g APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB122635 Type: PME CIACCIO: GAS TO BBQ & FIREPIT
Date Inspection Item --Inspector Act Comments
12/28/2012 29 Final Plumbing RI GATE CODE: 2633
12/28/2012 29 Final Plumbing MC Fl
12/20/2012 23 Gas/T esURepairs RI
12/20/2012 23 Gas/T esURepairs PY AP
Monday, December 31 , 2012 Page 1 of 1