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HomeMy WebLinkAbout2173 DICKINSON DR; ; CB062710; Permit09-28-2006 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB062710 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 2173 DICKINSON DR CBAD PLUM 2081820400 Lot# 0 Construction Type NEW ALESIANI RES GAS TO 10 FT EXTERIOR FIREPLACE Applicant AZALEAWOOD LANDSCAPE 1753HANNALEI VISTACA 92083 760-643-2314 Status Applied Entered By Plan Approved Issued Inspect Area Owner ALESIANI RENATO&CHRISTINE 2173 DICKINSON DR CARLSBAD CA 92008 ISSUED 09/21/2006 KG 09/21/2006 09/21/2006 TP Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $8900 $000 $000 $000 TOTAL PERMIT FEES $11600 Total Fees $116 00 Total Payments To Date $11600 Balance Due $000 Inspector FINAL APPROVAL Date 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 PROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK EST VAL Plan Ck Deposit Validated Bv Date Address (include Bldg/Suite tt)Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel tt Existing Use Proposed Use Description of Work J-rtSTW-^ I" 2 CONTACT PERSON (if different from applicant) SQ FT #of Stones tt of Bedrooms tt of Bathrooms Name - Address /"7^"^ /jflAI/iJft£-£ I CltV 3 APPLICANT Qcbntractor :. Q Agent for Contractor [J] Owner d Agent for Owner State/Zip (ft Telephone # Fax Address City State/Zip Telephone tt Address City State/Zip Telephone ttName 5. CONTRACTOR - COMPANY NAME ., « - (Sec 7031 5 Business and Professions 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 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 that he is exempt therefrom and the basis for the alleged exejnption 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]) Name State License # Address License Class -2-"7 City State/Zip C"V Business License tt elep "Designer Name Address City State/Zip Telephone State License # 6 WORKERS'COMPENSATION * Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations f~l 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 performance of the work for which this permit is issued O^'l have and will maintain workers' compensation, as 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 earner and policy number are Insurance Company X/'/fT/Q>Cfrfl£— {^jfrfc/.C-jT^f £ ftjLQ Policy No ftfGftO/~l(*e 7^TOta / Expiration Date (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 7' l~l 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 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 ($10<£o001/in a^Hitiont£the cost of compensation, damages as provided for in Section 3706 of the Labor/lode, interest and attorney s fees SIGNATURE A-^./// AJ, U) DATE '^ ^* 7 ,iJ50WNER-BUlLDERi DECLARATION ." ,; ,: : / I hereby affirm that I am exempt from the Contractor's License Law for the following reason d I, as owner of the property or my employees with wages as their sole compensation, will do 1he 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) Q 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) n 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 l~1 YES [~lNO 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 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 / phone 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 number / type of work) PROPERTY OWNER SIGNATURE DATE COMPLETEiTHIS SECTION FOR NON-RESIDENTIAL BU\LQ\HG PERMITS ONLY „,„.. : 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? Q YES fj NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? fj YES d NO Is the facility to be constructed within 1 ,000 feet of the outer boundary of a school site? Q YES Q 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 8 CONSTRUCTION LENDING AGENCY j : 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 NAME __ ___^_ LENDER'S ADDRESS __ 9 APPLICANT CERTIFICATION J; • 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 comply with all City ordinances and State laws relating to building construction I hereby authorize representatives of the CltV of Carlsbad to enter upon the above mentioned property for 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 construction of structures over 3 stories in height EXPIRATION Every permit issued by the building Official uncgr the Divisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenpSStoithin 180 days/from th/date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commence&terf a ffenod of 1,90/lays^gection 1 06 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 06/05/2007 Permit# CB062710 Title ALES I AN I RES GAS TO 10 FT Description EXTERIOR FIREPLACE Inspector Assignment TP 2173 DICKINSON DR Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT AZALEAWOOD LANDSCAPE Owner ALESIANI RENATO&CHRISTINE Remarks FINAL FIREPLACE - TAKE CITY PLANS TO JOB Phone 7605335638 Inspector Total Time CD Description 68 Fireplace/Tie Straps Requested By REUBEN Entered By CHRISTINE Act Comment Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description 11/13/2006 62 Steel/Bond Beam 11/13/2006 66 Grout 11/13/2006 68 Fireplace/Tie Straps 11/08/2006 66 Grout 10/31/2006 61 Footing 10/31/2006 68 Fireplace/Tie Straps 10/27/2006 61 Footing 10/27/2006 68 Fireplace/Tie Straps 09/27/2006 23 Gas/Test/Repairs Act Insp Comments AP MC AP MC WC MC PA MC 1ST LI FT OK AP MC PER PLAN WC MC CO RB SEE NOTICE WC RB AP TP City of Carlsbad Bldg Inspection Request For 10/27/2006 Permit* CB062710 Title ALESIANIRESGAST010FT Description EXTERIOR FIREPLACE Inspector Assignment TP 2173 DICKINSON DR Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT AZALEAWOOD LANDSCAPE Owner ALESIANI RENATO&CHRISTINE Remarks fireplace foundation Phone 7602074297 Inspector r Total Time CD Description 68 Fireplace/Tie Straps b/ Act Comment Comments/Notices/Hold Requested By DAN KING Entered By CHRISTINE Associated PCRs/CVs Original PC# Inspection History Date Description Act Insp Comments 09/27/2006 23 Gas/Test/Repairs AP TP CITY OF CARLSBAD BUILDING DEPARTMENT DATE NOTICE (760) 602-2700 1635 FARADAY AVENUE TIME LOCATION 'ZL/ 7 P FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE' l_ ! YES FOR FURTHER INFORMATION, CONTACT PHONE BUILDING II CODE ENFORCEMENT OFFICER 09/21/2006 13 44 FAX SCF INSURANCE 0001 AC98& CERTIFICATE OF LIABILITY INSURANCE ^SEiH "HCSJIJ PRODUCER SCF insurance servieee, lac. License i 0606662 P.O. Box 3839 La Mesa CA 91944-3839 Phone: 919-589-0303 Fax: 619-589-1342 jSf^' / INSURED 0/Cr^ 1 Azalea wood Landscape Co. / X l\Wrsgrftfr J <P u Vista CA 92083 U_y THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLY AND CONIFERS NO RIGHTS UPON THE CERTIFICATEHOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE INSURER A. national Liability fc Fire INSURER B. INSURER C. INSURER 0- INSURER E NAIC* COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OB CONDITION OF ANY CONTRACT Oft OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OP SUCH fOLlCIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR A NSHE TYPE OF INSURANCE GENERAL LIABILITY QEr COMMERCIAL QENERAL LIABILITY I CLAIMS MADE | ] OCCUR n. AGGREGATE LIMIT APPLIES PER, POLICY | | Hgfr | 1 LOC AUTOMOBILE LIABILITY GAf ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIR6D AUTOS NON OWNED AUTOS «A06 LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY 1 OCCUR [_J CLAIMS MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OTHER POLICY NUMBER I I^MM^YY^ l^ATVcMWDoTrYf1 1 LHMTS 0100017674061 01/02/06 01/02/07 EACH OCCURRENCE UAMAUt IDHfcNItU ""~PREMISES (Eaoceurenee) MED EXP (Any one person) PERSONAL &ADV INJURY GENERAL AGGREGATE PRODUCTS • COMP/OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Pel person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident} AUTO ONLY EA ACCIDENT OTHER THAN 6A.£?C AUTO ONLY 455 EACH OCCURRENCE AGGREGATE TORY LIMITS ER E.L. EACH ACCIDENT E L, DISEASE • EA EMPLOYEE EL DISEASE -POLICY LIMIT $ $ $ S S s $ $ $ $ « s $ $ $ j s $ t 1000000 $ 1000000 s 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONSProof of insurance "Except 10 days for non payment CERTIFICATE HOLDER CANCELLATION JM&UKKD Insured Copy ACORD 26 (2001/08) SHOULD ANT OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL "30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OH LIABILITY OP AMY KIND UPON THE INSURER, ITS AGENTS OR REMBSENrAIWES. © ACORD CORPORATION 1388 ft-' :*•:-. i~ ^ —- -' \s u u I C. JJ" P o "^ ft f>] 1 . I ^ I r \ ^ -'3 i •' / ••• \ 'O • Si