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Home My WebLink About2730 BRESSI RANCH WAY; ; CB150464; Permit02-12-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Patio/Deck Permit Permit No: CB150464 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: 2730 BRESSI RANCH WY CBAD PATIO 2131912700 Lot#: 0 $5,000.00 Construction Type: 5B BOYS & GIRLS CLUB: NEW SHADE STRUCTURE Status Applied Entered By: Plan Approved Issued Inspect Area Plan Check# ISSUED 02/12/2015 JMA 02/12/2015 02/12/2015 Applicant: BOYS&GIRLS CLUBS OF CARLSBAD C/O RON SIPIORA POBOX 913 CARLSBAD CA 92018 760-585-9073 Owner: BOYS&GIRLS CLUBS OF CARLSBAD C/0 RON SIPIORA POBOX 913 CARLSBADCA 92018 Building Permit Add'l Building Permit Fee Plan Check Add'l Plan Check Fee Strong Motion Fee Green BIdg Standards (SB1473) Fee Renewal Fee Add'l Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES $70.09 $0.00 $49.06 $0.00 $1.00 $1.00 $0.00 $0.00 $0.00 $0.00 $121.15 Total Fees: $121.15 Total Payments To Date: $121.15 Balance Due: $0.00 Inspector: FINAL Date M M^PROVAL Clearance: NOTICE: Please take NOTICE tfiat approval of your project indudes (fie "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively refen-ed to as "fees/exactions." You have 90 days from the date this pennit 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 attacit, 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 vou have previouslv been oiven a NOTICE similar to this, or as to which the statute of limitations has previously othenwise expired. THE FOLLOWING APPROVALS REQUIRED PRtORTO PERMIT ISSUANCE: OPLANNING nENGINEERING nBUILDING ORRE nHEALTH nHAZMAT/APCD X City Of Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: bulldlng@carlsbadca.gov www.carlsbadca.gov TTTVTS DUAcr it • ^ Plan Check No(^ [ 5"? ^ Est. Value Plan Ck. Deposit Date 2-SWPPP JOB ADDRESS SUITE*/SPACE#/UNJT* CT/PROJECT # # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ry<L EXISTING USE PROPOSED USE GARAGE (SF) APPUCAN^AM^^^^^^^^^^^^Tr^^^^^^^^^^^^ Primary Contact C Ji€}<\} V\M-^fifVS . I PATIOS (SF) DECKS (SF) FIREPLACE YES|~|* N0| I AIR CONDITIONING YES QNO I I FIRE SPRINKLERS YES I |NO| I TCP I pF INUI I TCP I II^UI I TCO| | INU| | | PROPERTY OWN El ADORES iUONE , • /5 - CITY STATE ZIP PHONE FAX EMAIL DESIGN ^RO^ESSIOI XT CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL CITY BUS. LIC.# (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 cf the Business and Professions Code) orfnat he is exempt therefrom, and the basis forthe 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 Workers' Compensation Declaration: / hereby affirm under penalty of peijury one ofthe folbwing declaratbns: I have and will maintain a certificate of consent to selMnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 11 have and will maintain workers' compensation, as reauired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My woriters' compensation insurance canier and policy number are: Insurance Co. Policy No. Expiration Date This section need not be completed if the permit is for one hundred dollars ($100) or less. I I Certificate of Exemption: I certify that in the performanceof the wori( for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of Califomia. 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 Uie Labor code, Interest and attomey's fees. jfiT CONTRACTOR SIGNATURE • AGENT DATE 0w HKn-BUitosn DECIA RATION / 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 worit and the stmcture is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's ticense 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 contrxting with licensed contractors to constmct 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: 1.1 personally plan to provide the major labor and materials for constmction of the proposed property improvement Qves I iNo 2.1 (have / have not) signed an application for a building permit for the proposed work. 3.1 have contracted with the following person (fimi) to provide the proposed construction (include name address / phone / contractore' license number): 4.1 plan to provide portions of the worit, but I have hired the following person to coordinate, supervise and provide the major worit (include name / address / phone / contractors' license number): 5.1 will provide some of the work, but I have pm^cled (hirod) thftfollowina|i«roont4o provide the worit Indicated (include name / address / phone / type of work): 5 PROPERTY OWNER SIGNATURE •AGENT DATE 2 COMPLETE THIS SECTION FOR NON-RE$iOENTIAI. BUILDING PERM 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 bulkjing occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes No Is the facility to be constmcted 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. CONSTRUCTION LENDING AGENCY I hereby affimn that there is a construction lending agency for the performance of the work this pennit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address APPLICANT CERTIFICATION I cetti^that I have read the appllcatkin and state that the above infonnation Is correct and that the infbtmation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building constnictkin. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HAIRLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAYJt^NY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pernnit is required lor excavations o» 5'0' deep and demolition oransmjction of«Juctunes over 3 stories in height EXPIRATION: Every permit issued by the BuiUinaaliciai under ttw^jrewsbB^ of thk Code shalt^ire by limitation and become null and void if the building or vwrk authojEed by suchiienmit is not commenced within 180 days from the date of such pemiit or if the hwing onwotk aiinorizea^ su*^pemin or abandoned at any time after the work is commenced Ibr a perioDpf 180 days/Sectbn 106^ .4 Unifonn Building Code). vfiS"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 buildina(5>carlsbadca.gov or Mall the completed fomi to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Califomia 92008. C0#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE CITY STATE Carlsbad CA PHONE OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCU PANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) IVIAIL / FAX TO OTHER: ASSOCIATED CB#- NO CHANGE IN USE / NO CONSTRUCTION CHANGE OF USE / NO CONSTRUCTION ^ef APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB150464 Type: PATIO BOYS & GIRLS CLUB: NEW SHADE STRUCTURE Date Inspection Item Inspector Act Comments 04/20/2015 89 Final Combo - Rl BOYS & GIRLS CLUB/PM PLEASE 04/17/2015 89 Final Combo MC CA PER CONTRACTOR 04/01/2015 11 Ftg/Foundatlon/Piers PD AP Wednesday, April 22, 2015 Page 1 of 1 CALIFORNIA DEPARTMENT OF FORESTRY and FIRE PROTECTION OFFICE OF THE STATE FIRE MARSHAL REGISTERED FLAME RESISTANT PRODUCT Prociuct: EXTRA BLOCK SHADECLOTH Reqistration No. F-94501 Product Marketed By: ALNET PTY (LTD) MOORSOM AVENUE, EPPING, INDUSTRY II CAPE TOWN, S. AFRICA This product meets the minimum requirements of flame resistance established by the California State Fire Marshal for products identified in Section 13115, California Health and Safety Code. The scope of the approved use of this product is provided in the current edition of the CALIFORNIA APPROVED LIST OF FLAME RETARDANT CHEMICALS AND FABRICS, GENERAL AND LIMITED APPLICATIONS CONCERNS published by the California State Fire Marshal. /' Deputy State Fire Marshal Expire: 6/30/2014 FR-8 DI