HomeMy WebLinkAbout2608 EL RASTRO LN; ; CB152421; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-30-2015 Permit No: CB152421
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
2608 EL RASTRO LN CBAD
PME
2551121000
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Project Title: VANLOAN RES-GAS TO BBQ & FIRE
PIT & ELECT TO BBQ & SPA-ABOVE GROUND
Applicant:
PRO EARTH LANDSCAPE INC
STER
2210 ENCINITAS BLVD
ENCINITAS CA 92024
760 633-3120
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Owner:
VANLOAN ROLAND&MELISSA
2608 EL RASTRO LN
CARLSBAD CA 92009
ISSUED
07/30/2015
RMA
07/30/2015
07/30/2015
$160.00
$35.00
$0.00
$0.00
$195.00
Total Fees: $195.00 Total Payments To Date: $195.00 Balance Due:
Inspector: Clearance:
$0.00
NOTICE: Please take NO t approval of your project includes the "lmposit n" of es, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions." u 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 lT APPLY to any
fees/ex i ns f whi h ou hav revio sl b n iv n Tl E imil r h"s or whic h stat f limita i h s rev· I herwi
THE FOLtOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0PLANNING 0ENGINEERING
{ City of
Carlsbad
EXISTING USE
APPLICANT NAME
Primary Contact
ADDRESS
CITY
PHONE
EMAIL
DESIGN PROFESSIONAL
ADDRESS
CITY
PHONE
EMAIL
STATE
FAX
STATE
FAX
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
# BEDROOMS # BATHROOMS
ZIP
ZIP
STATE UC.#
0BUILD1NG OFIRE
Plan Check No.
(Sec~ 7031.5 Business and P,rofessions Code: Any City or Coun.ty which requires a permit to construct. alter, improve, demolish or repair any_ structure, p_rior to its issuance, also requires the applicant for such permit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commend1ngw1th Section 7000 of D1v1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500)).
fwo'!KERS' COMPENSATION -. -
Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations:
Ofiave and will maintain a certificate of consent to self-insure for wo.rkers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this. permit is issued.
[ia'1 have and will maintain work ' ompensatlon as ui by S on 3700 of the lpfoJcCede, for the performance of ork for which this rmi i Issued y workers' compensation insu nee rrie.[ and policy
number are: Insurance Co. ~ / Policy No Expiration Date /,
~section need not be completed if the permit is tor one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure w rkers' compe ation cove ge s unlawful, and shall subject an employer to criminal penalties and civll fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, dam r In Se n 06 of th.e Labor code, Interest and attorney's fees.
Ji$ CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
D
D
D
\, 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 tk:ensed 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 Sec~on Business and Professions Code for this reason:
1. I personally plan to provide the major labor and matenals for construction of the proposed property improvement. 0Yes
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 f 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 f address I phone I type of work):
Ji$ PROPERTY OWNER SIGNATURE 0AGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preven~on program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Acri 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, AFINAL 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 read the application and state that the above information Is correct and that the lnfonnation on the plans Is accurate. I agree to oomplywlth all Cify ordinances and State laws relating tD building cons1ructlon.
I hereby authorize representative of the City of Carlsbad to enter UJX)n the above mentioned property fi::lr inspecoon purJX)ses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: !vi OSHA pem,it is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every pem1it issued by the Building OffK.:ia1 under tl1e provisions of this Code shall expire by limitation and become null and void ~ the buikling or'M:lrk authorized by such pennit is not commenced 'Mthin
180 days from the date of such permit or if the building or oork authorized by suc:11 permd is suspended or abandoned at any time after the oork is commenced fcr a period of 180 days (Section 106.4.4 Uniform Building Code).
AS APPLICANT'S SIGNATURE DATE
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, Ca~sbad, California 92008.
CO#: (Office Ute Only)
CONTACT NAME OCCUPANT NAM
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
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:5 APPLICANT'S SIGNATURE
ASSOCIATED CB#------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB152421 Type: PME VANLOAN RES-GAS TO BBQ & FIRE
PIT & ELECT TO BBQ & SPA-ABOVE GR
Date lnspe_ction Item Inspector Act Comments
11/03/2015 29 Final Plumbing RI
11/03/2015 29 Final Plumbing PY AP
11/03/2015 39 Final Electrical RI
11/03/2015 39 Final Electrical PY AP
07/31/2015 23 GasfTesVRepairs PY AP
07/31/2015 31 Underground/Conduit-W,rin PY AP
Wednesday, November 04, 2015 Page 1 of 1