HomeMy WebLinkAbout2908 RANCHO BRASADO; ; CB131992; Permit10-01-2013
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB131992
Building Inspection Request Line (760) 602-2725
2908 RANCHO BRASADO CBAD
PME
2226500200 Lot#: 0
DINAPOLI RES -GAS LINE TO BBQ
AND FIREPIT IN FIRE SUP. ZONE.
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/16/2013
SKS
10/01/2013
10/01/2013
DINAPOLI NICHOLAS J JR&ANN MT DINAPOLI NICHOLAS J JR&ANN MT
2908 RANCHO BRASADO
CARLSBAD CA 92009
760-603-9213
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2908 RANCHO BRASADO
CARLSBAD CA 92009
$154.00
$0.00
$0.00
$0.00
$154.00
Total Fees $154.00 Total Payments To Date $154.00 Balance Due:
Inspector:
FINAL APPROVAL
Date / 0 · 7: Z · /:3 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 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
fe s/exa i n of which o have reviousl been iv n a N Tl E similar t thi r whi h th t f limi lions has revi I h rwis x ired
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• ITHE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING ,?IS.lE'RE) □HEALTH 0HAZMATIAPCO
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-~ Building Permit Application Plan Check No. G~/J (9'iL <i,~ji +·· ,rt ,<lf-,. 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Dl'posit ' CARLSBAD email: building@carlsbadca.gov
www.carlsbadca.gov Date X / / (q' /'Z... ISWPPP 5~,
,OB ADDRESS 'I ="'9 SUlTEI/SPACEI/UNITI IA'.z--z--z. ~'o -01.__ QC:> •aCfnP, 12-.o.~'C) e:,P.ASA,.., O Cfi>,,..s,.,,._r:,. --
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR. TYPE I CCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ,
6A'!. L;~ rO(>.-. e:-1'!.G. A.f'\.I~ f!-\ 12--E. p ,,-I ,__. f:,AC.,C...."{A~
EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF)
YES[),
IAIR CONDITIONING I FIRE SPRINKLERS
Nc0 YES □No □ YES□No□
APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact)
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE IFAX PHONE I FAX
EMAIL EMAIL
~OPERlY OWNER NAME
NICI' AN,:, ANh.L M.-.O..lC. bi NAPO\...t I '5,"NfflACTOR BUS. NAME
/N">7¥).t..."""" • I-'T' -0~ t2..ex:...-T"""
ADDRESS
;;iqo'i!, j2.p....,c;...jo e,11.A-l>O
ADDRESS 56Sc, LA J'<\L\.."I B'-vo .... ,c;,€,
CITY STATE ZIP CITY STATE ZIP
CA"-<-;~ CV,. 'f~oq l..A .J" <:::, LL-.A,. CA-'i'~o3, 7
PHONE IFAX PHONE IFAX -u .. ,...._,_0 "2....Q:'."lt.,.2. ~,... '.;~ 9;}S 3.oco
EMAIL EMAIL
~,.,,,.,..,._ (2.. ()ti.WE.S:= •·"-10. OOM. ,J'1.:uo11C~ 1 N~l'AL-\... ,·r-01.0..Cc..:r-. es:,A__.
ARCH/DESIGNER NAME & ADDRESS ISTATE':./ttr STATE LIC.# I CLASS I CITY BUS. LIC.# ..... ,,.,.. q lj 7<,,1.-\ ~ I I
(Sec: 7031.5 Business and Professions 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 per_mIt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, comme_ndIng with Section 7000 of DivIsIon 3 of the B_usiness 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 civil penalty of not more than five hundred dollars ($500)).
WORKl!RS' !:OMPl!IIUATIOII
Workers' Compensation Declaration: I hereby affirm under penalty of perfuf'f one of the following declarations: D 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 perfom1ance of the work for which this permit is issued D I have and will maintain workers' compensation. as reauired bv Section 3700 of the Labor Code, for the perfom1ance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co, ______________________ Policy No _______________ Expiration Date _________ _
J.b.§,section rieed not be completed if the permit is tor one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfom1ance of the worl( for which this pem1il is issued, I shall not employ any person in any manner so as to become subject to the Worker.,' 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.
~ CONTRACTOR SIGNATURE □AGENT DATE
OWllllt•IIUILDl!R DECLAR.A'l'ION
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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
L nse Law does not apply to an owner of property who bui.lds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are n.ot intended or offered for
, If, however, the building or improvement is sold within one year of completion, the owner-buikler will have the burden of proving that he did not build or improve for the purpose of sale)
owner of the property, am exclusively contracting with licensed contractors lo 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. OYes ONo
2, I (have/ have not) signed an application for a building permit for the proposed work
3. I have contracted with the following person (fIm1) to provide the proposed construction (include name address/ phone/ 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/ contractors' license number):
5. I will provide some of the work, but I have contracted {hired) the following per.,ons to provide the worl( indicated (include name/ address/ phone/ type of work):
PROPERTY OWNER SIGNATURE DATE ,o~ . IV . I
I
Z**' **'V\~~\2'11 , *,;* , , * * * "'-'* 1 *** **\\fa"~**'*""' "'"'"''I''"'*' ' *'1"n"< ~ ~ '
COMl'l..l!TII THIS Sl!CTION FOR NON•lfl!SIOIINTIAI.. 81.111.0llilG l'li!RMITS ONI..T
* ,;-' ** * * >* J * ' \ *~ '' ~* 'IF * * "" *' -
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
Pres~y-Tanner Hazardous Substance Account Ac(? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districi1 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 certify that I have iead the application and state that the aOOJe infonnation is conect and that the lnfonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State lav.s relating 1D building construction.
I hereby authorize representative of the City of Carlsbad to enter up:m the aOOve mentk:med 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 AG.AJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERM~.
OSHA M OSHA penntt is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height
EXPIRATION: Every ~nnit issued by the BuikJing Offcial under the provisKlns of this Cooe shall expire by ltnlitation and become null and void W the buik:ling orv.ork authorized by such permit is not oommenced 'Mthin
180 days from the date of such permit or if the building orv.ork authori such permit is suspended or abandoned at any time after the v,rnk is oommenced for a perioo of 180 days (Sec!Kln 1(X5.4.4 Unifonn Building Code).
,15 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 buildinq@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
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: _______________ _
.65 APPLICANT'S SIGNATURE
ASSOCIATED CB#-------------
NO CHANGE IN USE/ NO CONSTRUCTION
CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB131992 Type: PME
Date Inspection Item
10/21/2013 21 Underground/Under Floor
10/21/2013 23 GasfTest/Repairs
10/21/2013 23 GasfTest/Repairs
10/21/2013 29 Final Plumbing
Wednesday, October 23, 2013
Inspector Act
PD
PD
RI
RI
AP
AP
DINAPOLI RES -GAS LINE TO BBQ
AND FIREPIT IN FIRE SUP. ZONE.
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