HomeMy WebLinkAbout2891 RANCHO PANCHO; ; CB012491; Permit•
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-31-2001 Plumbing Permit Permit No:CB012491
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2891 RANCHO PANCHO CBAD
PLUM Status: ISSUED
07/24/2001
RMA
07/24/2001
07/24/2001
Parcel No: 2225901300 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: GALANTE RES-GAS TO FIREPLACE Inspect Area:
Applicant:
BOLES SCOTT H&GALANTE GINA
2891 RANCHO PANCHO
CARLSBAD CA 92009
Total Fees: $116.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Inspector:
Owner:
BOLES SCOTT H&GALANTE GINA
2891 RANCHO PANCHO
CARLSBAD CA 92009
Total Payments To Date: $27.00
0
0
0
0
0
1
0
6134 07 /31/01 0002 01
CGP
Balance Due:
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$89.00
$0.00
$0.00
$0.00
$116.00
$89.00
FINAL APPROVAL
Date: ,;u';(/42-Clearance: _____ _
NOTICE: Please take NOTICE that approval of your project includes the almposition" 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 folk>w 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 capactiy
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 nreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
---+--··-.
02
89-00
• ,,.
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
AddrllH (lnelude Bldg/Suite #)
Legal Description Unit No.
z
# of Stories
PLAN CHECK NO .
EST. VAL.
Phate No.
Proposed Uae ...i?
# of Bedrooms
Total# of units
# of Bathrooms
119,•1,i,~~l~fl~'i ' x, t.tr'
Name Address Cit~ State/Zip Telephone# fl)(#
ffll~IIHllliillBlllllllDlffllllill1lillalUi~llh!!IH:1:t11li!mDlll!ll!lllll,Hllll,Wlil6i~
Name Addren City Stallt/Zlp Telephone#
Name Address City State/Zip Telephone#
~ •• ;:~1lllii1Diil~iiii'.iiliiNDIHDIIRl!!ijHi!,i:'1< .;;:, Uli',:;s;Dlffllllllllll~!llH!:,; •~:.nm111111111111111111111111111mHU ,1.@';di'!llilllHDlfflDlfflDlffl
(Set:. 7031.5 Business and Profenlons Coda: Any Ctty or County which requires a pannlt to construct. ettar, Improve, demolish or repair any structure, prior to 111
!nuance, also requires the applicant for such permit to file a signed statement ttull ha Is licensed pursuant to the provisions of Iha Contractor', License L■w [Ch1pt1r 9,
comm■nding with Section 7000 or Division 3 of the Businen anti Professions Code] or that he Is exempt therefrom, and the basis for the allege ti exemption. Ally violation
ot S8ction 7031.5 by ■ny applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
Name Address City Slate/Zip Telephone#
State License# License Class City Business License#
Designer Name Address City State/Zip Telephone#
State License#
:mm~mmt:hJt1Pt§iflijDIIUllWIIIIIJall!Hllffllflflrr~t"?7J(l:!:!1m1;imn1rJmD111llA1m:;[-J!tj,f{J;;(l~-:Jtllffl!IIIIHHfffRlllllfflt!mlt1r1;;,ic ,im
Workers' Compensation Declaratlon: I hereby ■fflrm under penalty of perjury one of the following declarations:
O I have and wHI maintain a certificate of consant to sell-Insure for worbrs' compensation as provided by Section 3700 of the Labor Code, for the perform■nce ol the
work for which this permit is inued.
□ I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit Is luued. My
wort.er's compensation Insurance carrlar and policy number are:
lnsur■nce Company _______________ Pol~ No. Expir■llon 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 ol the work for which this permit is issued, I shall not employ any person In any manner so as to
become subject to the Workera' Compensation Laws of CaHfomla.
WARNING: Failure to "cure workars' compansatlon covaraga la unlawful, and shall subject ■n emplo~r to crlmlnal panaltlea ■nd clvll flnH up to ona
hundred thousand doll■ni($100,000), In addttlon to th• coat of compan11tlon, dam1111a are provldad for In S1ctlon :no& of th• Labor Codi, lnt1reat and
attomay's fHs.
SIGNATURE _____ ---------------------------------DATE ________ _ 7,illr,~iITTUi!l!H:ll!!IIHllil!!IIUlffllllHl'.W'i,]'l!di!!IIHHHIIIIIIIIIIIHIIIIHIUll!~•l;JlllllillllRHHlllmllil~l;(j~~a
I hereby affirm that I am exempt from tha Contractor'• License Law for the followlng reason:
□ I, at owner of !hi property or my employee• with wages as their sole compensation, will d the work and the structure Is not Intended or offered for sale (Sec. 7044,
Buslnen and Professions Code: The Contractor's Llcenu Law does not apply to 1n owner of property who builds or Improves thereon, and who does such wortr. himself or
throu9h his own employee1, provided that such Improvements are not intended or offered for Hie. If, however, tha building or Improvement la sold within one year of
lellon, the ownar-bullder will have the burden of proving Iha! he did not build or improve for the purpose of sale).
, as owner of the property, am excluslvely contracting with Hcensed contractors to construct !ha projact (Sac. 7044, Business and Professions Code: The
ctor's License Law does not apply to an owner of property who builds or Improves thereon, and caitracts for 1uch projects with contractor(s) licensed pu,.uanl to
the Contractor's License Law).
□
' 2.
3.
,.
,. I will provide some of the work,
work):
PROPERTY O"""'ER SIGNATURE i;'1ie1~iii-OAlE '~1!~1lHiiBlmllllll',l!ll!'.'. 1111 1 • ,, ,. ,, '.il!il 1m1111m11nwm ,,, ,,, 11tl!!m
11 the appllcant or Mure building occupant required to submit a buslnen plan, 111:utaly hazardoua m1\1rlal1 regl1\ratlon for or risk manaoement nd prevention program
under 5ed!on1 25505, 25533 or 25534 oflhe Presley-Tanner Haz■rdous Substance Aecount Act? □ YES □ NO
ls the applicant or future building occupant required to obtain a pennlt 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 MY 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
_,!~fli1111j!l!!m!mlillmlHHlllml,Wil!!blllllllllllil-!ll'~l!mlllllllllHllllll!l!!!!~ll!!i I hereby affim, that there 1, a construction lend Ing agency for the performance of the work for which this permit la inued (Sec. 3097(1) Civil Code).
LENDER'S NAME __________________ _ LENDER'S ADDRESS ___________________ _
• r
.... '"•''""~'°' ~-"''"'""""'""""".,. ,-M,<,._<M,,_«,,,,••~•'"°'""'""''-''-'""""""'~''''"'-'''°'="""""""~ '"""""''"""'™""'""'''"'''-'"™'""""'"'"" '"""'"™"'-'",_.,,,,,,., ,.,,,>¾,_,,=>mM""""'"'""'"'°""'-'" I certify that I have read Iha application and state that the above information la correct and that Iha Information on Iha plans la accurate. I agree to comply with all City
ordinances and state laws relating to building construction. I t111reby authorize repre111ntallves of the City of Carlsbad to enter upon the above mentioned property for
Inspection pUfJ)OHI. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINsr ALL LIABILmES, JUDGEMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID cnv IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit 11 requlred~r excav 1ons of 5 o• deep and demolltlon or construction of structures over 3 ltories In height
EXPIRATION: Every permit issued by the H~ng Offlc~~•I un: r the p 'iVISIon1 of th1a Code shall expire by hmilallon and become null and void If the bulldlng or work
euthorlzed by such permit la not commenc ithin 180 day om tt"e llat■ ~'.Jl~h permit or 11 the buUdlng or work 1uttlorlzed by such permit Is suspended or abandoned
at any time after the work Is commenced erlod of 180 a (SectI n 106T\ Unlrorm Building Code) I,"' /4
APPLICANTSSIGNATURE t.. A A /J l I --._ DATE J,. '-t:J J
I
List 1 -Penni! Tvpe
From the following list, determine the permit-type that best describes the work you propose to do. Please put the code of that permit-type in the
blank at the top of the page on the front of this application. Residential permits (only) also require the identlflcalion of the structure-type to be
associated with the permit. Choose a structure-type from "List 2 -Structure-Types• and put Its code in the appropriate blank on the front of this
annlication.
Residential Pennits
Code Descrlntion
.APT Anartments -new construction.
CONDO Condominiums -new construction
C\INNR Conversion. Convert all or a oortion of a non-residential buildina to residential use, crealina one or more new residential units.
CVNRN Conversion. Convert one or more residences in a buildina to non-residential usaae.
CVNRR Conversion. Increase or reduce the number of dwelling units In a residential structure through interior modifications (I.e.: a four
bedroom house converted to duo lex, with 2 bedrooms each\.
CEf.«) Demolition oermll. (Also soecl"' rune of structure from List 2).
l:X.P Dunlex -new construction.
MOHO Mobile home, renovation, reoair, or addition of acces"""' structure no "ieldin'"' a new livina unit.
MOI-K)N Mobile home, pre-fabricated house, or trailer installed (plumbed, wired) in a mobile home park (see distinction from single-family
residence, below).
RAD Residential addition/alteration, crealina no new dwellinn unit's'.
RREISSlE Residential oermit re-issue.
RREPAIR Residential buildina reoair. Damaae, fire, etc.
RREPL.ACE Residential bulldina re1 lacement (no additional units).
SFA Single-family, attached-new construction. A one-family house with open area on all four sides. May have an attached or
detached garage, or a business. May b9 a detached "granny nar. May be a mobile home or trailer on an individual lot, but not In
a mobile home park.
Non-Resldential/Accessorv Pennlts
Code Description
COM Commercial structure, new construction
CREISSLE Commercial permit re.issue.
CREPAIR Commercial bulldina -repair. Demane, fire, etc.
CREPLACE Commercial buildina -ret lacemeol.
en Commercial tenant imorovement.
a:M) Demolition nermit.
a.EC Electrical nermlt, for electrical work onlv.
HOTB. Hotel or motel (lncludina Manaaed Llvian Unit hotel) -new construction.
HOTELR Hotel renovation.
INDUST Industrial structure, new construction.
m Industrial tenant lmorovemenl
~ Mechanical oermit, for mechanical work onlv.
MISC Miscellaneous. Use onlv if orooosed work doesn't fit another activitv ._ __ e_
PAOO Patio and/or deck.
PLUM Ptumbin'"' nermil, for olumbina work onlv.
POOL Gunile nools and soas.
RETAIN Retainin" wall oermit.
SIGN Slan construction/installation oermit.
SOLAR Solar enern" svstem Installation riermlt tsoecifv structure h,ne to be served'.
SPA Fact""•-macle or Gunlte.
List 2 -Structure-Tune lUse with Residential Permit Onlu1
From the following list, determine the type of residential structure that best desaibes the structure on which you will be working. Please put
the code of that structure-h"'e In the a""roDriate blank at the too of the ... ....,eon the front of this aoclicatlon.
Code Descriotion
SFA Single-family, attached. A one-family house attached to one or more other houses, with one or more common walls extending
from foundation to roof at, or forming, a lot line. Has own plumbing and healing system (e.g.: townhouse, row house, helf-plex).
•
City of Carlsbad Bldg Inspection Request
For: 01/11/2002
Permit# CB012491
Title: GALANTE RES-GAS TO FIREPLACE
Description:
Type:PLUM Sub Type:
Job Address: 2891 RANCHO PANCHO
Suite: Lot 0
Location:
APPLICANT BOLES SCOTT H&GALANTE GINA
Owner: BOLES SCOTT H&GALANTE GINA
Remarks:
Total Time: -----
CD Description Act Comments
Inspector Assignment: GG ---
Phone: 0000000000
Inspector: ----
Requested By: NA
Entered By: ROBIN
29 Final Plumbing £ ____________________ _
--'ai-~f'--~.,.;.i<L;J'i,r,+1------{--' ----------------
Associated PCRs
lnsgection Histoty
Date Description Act lnsp Comments
08/03/2001 47 Fireplace/Chimney NR GG THERE IS NO FIREPLACE?
08/02/2001 21 Underground/Under Floor AP GG
08/01/2001 24 Rough/Topout NR GG