HomeMy WebLinkAbout2892 CAMINO SERBAL; ; CB153479; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
10-15-2015
Permit No: CB153479
Building Inspection Request Line (760) 602-2725
Job Address:
2892 CAMINO SERBAL CBAD
Permit Type:
PME Status: ISSUED
Parcel No:
2552830300 Lot #: 0 Applied: 10/15/2015
Entered By: RMA
Reference #:
Plan Approved: 10/15/2015
PC #:
Issued: 10/15/2015
Inspect Area:
Project Title:
BURZO RES- FIREPLACE-7 FT HIGH
MASINRY, GAS TO BBQ & FIREPLACE, ELECT TO ABOVE GROUND SPA
& BBQ
Applicant:
PRO EARTH LANDSCAPE INC
STE R
2210 ENCINITAS BLVD
ENCINITAS CA 92024
760 633-3120
Owner:
BURZO FAMILY TRUST 05-08-02
2892 CAMINO SERBAL
CARLSBAD CA 92009
Plumbing Fees $163.00
Electrical Fees $38.00
Mechanical Fees $0.00
Other PME Fees $121.00
TOTAL PERMIT FEES $322.00
Total Fees: $322.00 Total Payments To Date: $322.00 Balance Due: $0.00
FINAL APP OVAL
Inspector: M Date: :2 Clearance:
NOTICE Please take NOTICE that approval of your project includes the "Imposition' of fees, dedications, resevaticns, or other exactions hereafter odlectivdy
referred to as "fees/exactions." You have 90 days from the date this perrrit vuas issued to protest imposition of these fees/exactions. If you protest themt you m st
fdlowthe protest procedures set forth in Gmerrrrent Code Section 66020(a), and file the protest and any other reluired infomttation with the Qty Manager for
processing in accadanoe with Carlsbad MAcipal Code Section 3.32.030. Failure to timely fdloNthat procedure will bar any subseWent legal action to attack,
review, sot aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that ycu- right to protest the specified fees/exacticns DOES NOT APPLY to water and sewer cornection fees and capacity
changes, nor planning, zoning, grading or other sirrilar application processing or service fees in correction with this project. NOR DOES IT APPLY to any
feestexactions of which have DL-vioLisly been civen a NOTICE similar to this or as to which the statute of Iimitatio s. has previoLisly otherwise wDred.
THE
4ING APPROVAL$ REQUIRED PRIOR TO PERMIT ISSUANCE: E]PLANNING [-]ENGINEERING [-]BUILDING DFIRE EJHEALTH r,_,_jHAZMATIAPCD
Guile ina Permit Onnlieatien Plan Check No.
City Of 1635 Faraday Ave., Carlsbad, CA 92008
Est. Value
Ph: 760-602-2719 Fax: 760-602-8558
pion Ck. Repolit
email: building@carlsbadca.gov
�11����
/ . _
www.carisbadca.gov f
Date !
SWPPP
JOB ADD ESS
2 2• Sc-e-4
SUITE*/SPACE#/UNIT APN
- - -
CT/PROJECT # LOT # PHASE # I#OFUNITS J#BEDROOMS
#BATHROOMS I TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet ofAffected Area(s)
kja,kArOJ qas run owf-dvar Q d v -�ir{Plume,
7' O uc_� dzGY mas on Y-� f'i /ate/ f
4ec
l / d' e 4e-ai�CaQ I''" -% 6 �C�GU-o- 66 P a Z2o e- 7 l Ci
�5
EXISTING USE
PROPOSED USE
GARAGE (SF)
PATIOS (SF)
DECKS (SF)
FIREPLACE
YES❑# NO[::]
AIR CONDITIONING
YES [:]NO
FIRE SPRINKLERS
YES[:]NO[—]
APPLICANT NAME
PROPERpr.VWNER j(__ I -
✓ Y1G tC �u r2'o
Primary Contact
a
ADDRESS
2210 Encinitas S e. X-1
ADDRESS /.�
Zg92„ C'Qrric�lo S.✓
{{B��lvd.,
CITY Encinita�j U 92024 ZIP
CITY /s STATE 2
A 06
& 33 :;ISO
FAXPI&L,9
I (p0 & 33 3 2-7
PHON�s-5-1&.9 ,
FAX �-
EMAIL
4t i•�� 1
EMAI1 bU V J
?�a� lv �,l�/ t.�'s Yvianq
rU v ah c
DESIGN PROFESSIONAL
CONTRACTOR BUS. NAME
ADDRESS
ADDRESS PRGEARTH LANDSCAPE, INC.
CITY STATE ZIP
CITY 2210 I T •, u'•�• + P
Encinit 202
PHONE
FAX
P NE
%0 33 3
F
(O V ?- 3 3q-27
EMAIL
EMAIL
roblhp to ectii lam -)also ep
STATE LIC. #
STATE LIC.# � �
CL9S9 � �
Cl 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 uiax
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 exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicari a
nip !! nenalry of not mnre than five hundred dollars ($50011.
iyr �u l;i7�rPr �, a.' Ili�i yp �i niri`, &f- 'Pii .�r '"'s"` t�x jI - e .,s i', - r 1 PI
,- �� i�ir" n p t iyly `&iw
,a .a o r f ati f, r- f i; _• �s L
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
❑ I hav 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.
I have and will maintain worke�r(s',c/ym�pennsssaationn,, asrequiredby Se�ctiJgn 3700 of the Labor Code, for the performance of theAwork four which this permit is issued. My workers' compensati n insurance carrier and policy
number are Insurance Co. / —(Tti `-ii' .��" S• Policy No. H W t., 00 4 VO J Expiration Date
This section need not be completed If the permit is for one hundred dollars ($100) or less.
❑ 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 (&100,000), in
addition to the cost of compensation=es vid�inon 3706of the Labor code, interest and attorneys fees.
ei CONTRACTOR SIGNATURE AGENT DATE 10 - 1!• /,!C
NPE-rim�i r6p rw.1!� it au� �I tip'' g rrF4r,
'411
�rF-%�fL''rs s' sFGdh
g�6 ."' `-�
_., .,
I 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 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 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 construction of the proposed property improvement. ❑Yes ❑No
2. 1 (have / have not) signed an application for a building permit for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors' license number):
4. 1 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 / contractors' license number):
5. 1 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):
.ESPROPERTY OWNER SIGNATURE 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
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 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 demolitbn or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced Within
180 days from the 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Only)CERTIFICATE OF OCCUPANCY (Commercial Projects
Fax (760) 602-8560, Email buildin Q CarlSbadca.gOv or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME
OCCUPANT NAME
ADDRESS
BUILDING ADDRESS
CITY _ STATE ZIP
CITY STATE ZIP
Carlsbad CA
PHONE
FAX
EMAIL
OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
ASSOCIATED CB# ------------
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
,!SAPPLICANT'S SIGNATURE
DATE
Inspection List
Permit#: CB153479 Type: PME
Date Inspection Item
12/17/2015 19 Final Structural
12/17/2015 59 Final Pool
BURZO RES- FIREPLACE-7 FT HIGH
MASINRY, GAS TO BBQ & FIREPLACE, E
Inspector Act , Comments
MC FI
- RI REINSPECTION FOR LOCK TO POOL
GATE
12/17/2015 59
Final Pool
MC
FI
12/15/2015 89
Final Combo
RI
12/15/2015 89
Final Combo
MC
CO
SEE PREVIOUS NOTICE.
12/11/2015 89
Final Combo
-
RI
12/11/2015 89
Final Combo
MC
CO
NOTICE
11/06/2015 66
Grout
PY
AP
11/02/201511
Ftg/Foundation/Piers
MC
AP
FIREPLACE
10/27/2015 23
Gas/Test/Repairs
MC
AP
PATIO SLAB(BBQ) TO FIREPLACE
10/27/2015 31
Underground/Conduit-Wirin
MC
AP
CONDUIT ONLY, PATIO SLAB(BBQ) TO
SPA LOCATION
Friday, December 18, 2015 Page 1 of 1
Circuit
�+r City of San Diego
permit Centel
Field Inspection Services Division
4995 Murphy Canyon Road, Suite 200
CA 92123 • (619) 492-5070
Card
San Diego,
Iu�Yble items below. Use remarks as necessary to describe Work.
This card must be filled out and available on the job site for the rough inspection. Fill in applicable
NAME OF EACH ROOM WHERE OUTLETS ARE LOCATED.
LIST OLD AND NEOUTLETS ON SAME CIRCUIT - MARKING OLD
OUTLETS THUS 1
USE CIRCUIT SPACES ABOVE FOR GENERAL LIGHTING AND SMALL
APPLIANCE CIRCUITS ONLY.
T TAIL R = CONVENIENCE RECEP'T. OUTLET
C = CEILING LIGHT S = SWITCH
8 = WALL BRACKET LIGHT
SERVICE
FEEDER #1
FEEDER #2
RANGE
OVEN
A/C
DRYER
WATER HEATER
COMPACTOR
DISHWASHER
LAUNDRY
SPA s46 �Ati
REMARKS:
NAME PLT. CURE SIZE gRKR
AMPS --KW SIZE
AL
/a5
GFCI LOCATION 1X319 Gib
SERVICE GROUND I BOND
(a) Size: No. AL CU
(b) Location of Clamps)
DATE -- -- �`
JOURNEYMAN
ldb