HomeMy WebLinkAbout2854 RANCHO PANCHO; ; CB072377; PermitCity of Carlsbad
• 1635 Faraday Av Carlsbad, CA 92008
09-14-2007 Miscellaneous Permit Permit No: CB072377
Building Inspection Request Line (760) 602-2725
Job Address: 2854 RANCHO PANCHO CBAD
Permit Type: MISC Subtype: OTHER Status:
Parcel No: 2225912600 Lot #: 0 Applied:
Valuation: $0.00
Reference #:
PC#:
Project Title: BEANE RES-8FT FRPLACE,GAS &
ELECT TO BBQ & FRPLACE &LIGHTS
Applicant:
BEANE GLEN M&AGNES M
2854 RANCHO PANCHO
CARLSBAD CA 92009
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
FIREPLACE
GAS & ELECT
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BEANE GLEN M&AGNES M
2854 RANCHO PANCHO
CARLSBAD CA 92009
ISSUED
09/14/2007
LSM
09/14/2007
09/14/2007
$89.00
$47.00
$0.00
$136.00
Total Fees: $136.00 Total Payments To Date: $136.00 Balance Due:
/
Inspect
FINAL 'PPROVAL
Date /~. 2 7, o7 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
feeslexatin fwhih o have rviul n ivn N Tl E 'milr hi r whichth t flimi ·n h rvi I hrwi
City of Carlsbad
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
• Fax: 760-602-8558
Building Permit Application
JOB ADDRESS
EXISTING USE PROPOSED USE
CONTACT NAME (If Different Fom Appl/cant)
ADDRESS
CITY STATE
PHONE FAX
EMAIL
CITY
GARAGE (SF)
ZIP
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
AIR CONDITIONING
YES D N~
ZIP
(:()1',-1 ere:.
ZIP
FIRE SPRINKLERS
YES O N~
Cf!J.JJ<'
PHONE ut>
EMAIL
-STATE LIC(o.!2~ 33 CLASS e.-8 CITY BUS. UC.#
I;). l
/Soc. 7031.S Busint11 and Profenion, Code: Any City or County which requires a permit to construe~ alteri improve, demol~h or r!P.air any 1tructure1 prior to its i11uance, alto require! the applicant for 1uch pennit to file a 1igned 1tatement that he i1 ricensed Junuanr to rhe provisions of rhe ConIrac1or'1 licen,e law {Chapler 9. commending with Section 000 of Division J of tht Bu1inm and Prosmion1 Code) or that he i1 mmpt therefrom, and the ball! for the allegfd mmption. Any violation of Swion 7031.S by any applkanr for a permit 1ubjecu rhe applicant to a civil penalty of not mon than five hundred dollan (S500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 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 performance of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier 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. ,0-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, damages as provided for I ectlon 3706 of he Labor code, Interest and attorney's fees.
~ CONTRACTOR SIGNATURE e.:
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 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 conlractor(s) licensed pursuant to the Contractor's License Law).
O 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. □ Yes □ No
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 /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 persons to provide the work indicated (include name f address / phone I type of work):
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? 0 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 read the application and state that the above information Is correct and that the information on the plans Is accurate. I agree to comply with all City ordinances and State laws relating to building construction.
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 CllY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: /lrl OSHA permrt is required for excavations rNer s·o· deep and demolition or construction of struc11Jres CNer 3 stories in height.
EXPIRATION: Every perrnrt issued by the Building Official under the provisions of this Code shall expire by limitation and become nun and void W the building or wor1t authorized by such permit is not commenced within
180 days from the date of such perrnrt or~ the building or wor1t authorized by such perrnrt is suspended or abandoned at any time after the wor1t is commenced for a period of 180 days (Section 106.4.4 Un~orm Building Code).
DATE 9 -tL/--0
City of Carlsbad Bldg Inspection Request
For: 11/27/2007
Permit# CB072377
Title: BEANE RES-SFT FRPLACE,GAS &
Description: ELECT TO BBQ & FRPLACE &LIGHTS
Type:MISC Sub Type: OTHER
Job Address: 2854 RANCHO PANCHO
Suite: Lot 0
Location:
OWNER BEANE GLEN M&AGNES M
Owner: BEANE GLEN M&AGNES M
Remarks: CELL 619-929-2251
Total Time:
CD Description Act Comment
Inspector Assignment: PD ---
Phone:~~
lnspec~~ ----
Requested By: GLEN
Entered By: JANEAN
19 Final Structural .fsf(/._ ~---------~± ===f'.::d:1:::f~d~rG-::_€==========
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
lns12ection History
Date Description Act lnsp Comments
10/30/2007 66 Grout PA PD OK TO CONTINUE
10/30/2007 69 Final Masonry WC PD
09/18/2007 23 Gas/TesVRepairs AP PD PER PLAN
09/18/2007 31 Underground/Conduit-Wiring AP PD
09/18/2007 68 Fireplace/Tie Straps AP PD FOOTING
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