HomeMy WebLinkAbout1544 SAPPHIRE DR; ; CB150471; Permit02-13-2015
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No: CB150471
Building Inspection Request Line (760) 602-2725
1544 SAPPHIRE DR CBAD
RESDNTL Sub Type: RAD
2122010600 Lot#: 0
$5,000.00 Constuction Type: 5B
Reference #:
0 Structure Type:
0 Bathrooms: 0
Orig PC #:
GERDEIVIAN RESIDEBCE
CONVERT UPSTAIRS LOFT TO 4TH BEDROOIVI, 162 SF
Status: ISSUED
Applied: 02/13/2015
Entered By: IVIDP
Plan Approved: 02/13/2015
Issued: 02/13/2015
Inspect Area:
Plan Checl< #:
Applicant:
WORTHING INC, B. A.
STEG
640 GRAND AV
CARLSBAD CA 92008
760-729-3965
Owner:
VOGEL JUSTIN P&CRYSTAL M
1544 SAPPHIRE DR
CARLSBAD CA 92011
Building Permit $70.09 Meter Size
Add'l Building Permit Fee $0.00 Add'l Red. Water Con. Fee $0.00
Plan Ctiect^ $49.06 Meter Fee $0.00
Add'l Plan Ciieck Fee $0.00 SDCWA Fee $0.00
Plan Check Discount $0.00 CFD Payoff Fee $0.00
Strong Motion Fee $1.00 PFF (3105540) $0.00
Park in Lieu Fee $0.00 PFF (4305540) $0.00
Park Fee $0.00 License Tax (3104193) $0.00
LFM Fee $0.00 License Tax (4304193) $0.00
Bridge Fee $0.00 Traffic Impact Fee (3105541) $0.00
Other Bridge Fee $0.00 Traffic Impact Fee (4305541) $0.00
BTD #2 Fee $0.00 Sidewalk Fee $0.00
BTD #3 Fee $0.00 PLUMBING TOTAL $0.00
Renewal Fee $0.00 ELECTRICAL TOTAL $45.00
Add'l Renewal Fee $0.00 MECHANICAL TOTAL $0.00
Other Building Fee $0.00 Housing Impact Fee $0.00
HMP Fee $0.00 Housing InLieu Fee $0.00
Pot. Water Con. Fee $0.00 Housing Credit Fee $0.00
Meter Size Master Drainage Fee $0.00
Add'l Pot. Water Con. Fee $0.00 Sewer Fee $0.00
Reel. Water Con. Fee $0.00 Additional Fees $0.00
Green BIdg Stands (SB1473) Fee $1.00 Fire Sprinkler Fees $0.00
Green BIdg Stands Plan Chk Fee $0.00 Green BIdg Stands Plan Chk Fee
TOTAL PERMIT FEES $166.15
Total Fees: $166.15 Total Payments to Date-$166.15 Balance Due: $0.00
Inspector: ^^>-g^
FINAL APPROVAL
Date: P^'^g/tS Clearance:
NOTICE: Please take NOTICE that approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
refen-ed 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
fees/exactions of which vou have previouslv been given a NOTICE similar to this, or as to which the statute of limitations has previouslv othero/ise expired.
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: OPLANNING nENGINEERING •BUILDING nPIRE DHEALTH •HAZMAT/APCD
C City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax:760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No
Est. Value Z33
Plan Ck. Deposit
(mt>lM'i lL5 SWPPP
JOB ADDRESS SUITE*/SPACE*/UNIT*
CT/PROJECT # # OF UNITS # BEDROOMS # BATHROOMS TENAnrr BUSINESS NAME CONSTR. TYPE OCC. GROUP
DF WORK: Include Square Feet of Affected Area(s) T j | 7j ^ ~^ DESCRIPTION OF
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESfn* N0| I
AIR CONDITIONING
YES QNO I I
FIRE SPRINKLERS
YES I |NO| I
APPLICANT
Prima
SANTNAME ^ . , ... b.
ry Contact IgTOgM^ Wg)<^< >\i
PROPERTY OWNER
ADDRESS
-fep^ 1(04-1
ADDRESS
CITY STATE CITY ZIP
PHONE
EH/IAIL
FAX , PHONE
DESIGN PROFESsloNAL^^^^VJ^^^^'"'''''^^^^^^^^"
Er^AIL
FAX
CONTRACTOR BUS. NAME
ADDRESS ADDRESS
l&O^ \Q4I
CITY STATE CITY STATE ZIP
PHONE PHONE r-AA ^ J
EMAIL
)irtic: LIU. CLASS CITY BUS. LIC.#
{Sec. 7031.5 Business and Professions Code: Any City or County wtiich 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 of the
Business and Professions Code) or that he is exempt therefrom, and the basis for the 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
Worltets' Compensation Declaration: / herety affimi under penalty of perjury one of the following declarations:
Bl 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 worl( for which this permit is issued.
I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the perfonnance of the worit for which this permit is issued. My workers' compensation insurance earner 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 perfomiance of the wori< for which this pemnit 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 wor1(ers' compensation coverage is unlawful, and shall subject an employer to cilminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, damages as prgykll^r in Sec^pirJ706 of the Labor codejpterest and attomey's fees, /
JS^ CONTRACTOR SIGNATURE • AGENT DATE '1^
OINTNER-BUILDER DECLARATION
/ hereby affirm that I am exempt from Contractors License Law for the following reason: r.l 1
•
•
•
I, as owner of the property or my employees with wages as their sole compensati«l(Will dottjirwork and the stmcture 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 thereorCSntflSIIo 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 bunjen 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 Qves I iNo
2.1 (have / have not) signed an application for a building pennit for the proposed work.
3.1 have contracted with the following person (fimi) 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 coonlinate, supereise and provide the major wori< (include name / address / phone / contractors' license number):
5.1 will provide some of the work, but I have contracted (hired) the following persons to provide the worii indicated (include name / address / phone / type of wort):
^PROPERTY OWNER SIGNATURE •AGENT DATE
COMPtETE THIS SECTION FOR N O N - R E S i O E N T I A L BUItOINQ PERMITS ONLY
Is the applicant or future building occupant required to submit a business plari^cutely hazanlous materials registration form or risk management and prevention program under Sections 25505,25533 or 25534 of the
Presley-Tanner HazanJous Substance Account Act? Yes
Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? Yes
Is the facility to be constnjcted within 1,000 feet of the outer boundary of a school site? Yes
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESSTHE 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 aflimi that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applkatkin and state thatthe atxive intbtmation is correct and that the information on the plans is accurate. I agree to comply with all Cify oidinances and State laws relating to building constiiictk)n.
I hereby authorize representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGf^E TO SAVE, INDEMNIFY AND KEEP HAFiMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILmES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA peimit is required for excavations over 5'0' deep and demolition or constmction 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 wort< authorized by such pemit is not commenced within
180 days fom the dale of such pemiit or if the bujldjpg or wort^ authorized by such ogrmit is suspended or abandoned at any time after the is commenced for a period of 180 days (Section 108.4.4 Uniforin Building Code).
^eTAPPLICANT'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)cai1sbadca.gov or Mall the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Cartsbad, Califomia 92008.
C0#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE 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)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL / FAX TO OTHER:
ASSOCIATED CB#-
NO CHANGE IN USE / NO CONSTRUCTION
CHANGE OF USE / NO CONSTRUCTION
>ef APPLICANT'S SIGNATURE DATE
Inspection List
Permit*: CB150471
Date Inspection Item
04/30/2015 19 Final Structural
04/30/2015 89 Final Combo
Type: RESDNTL RAD
Inspector
MC
04/30/2015 89 Final Combo MC
04/14/2015 14 Frame/Steel/Bolting/Weldin MC
Act
Rl
Fl
CO
AP
GERDEMAN RESIDEBCE
CONVERT UPSTAIRS LOFT TO 4TH BEDR
Comrnents
2ND STOP, CO AND SMOKE
DETECTORS OK.
1ST STOP, NEED CO DETECTORS
ENTRY/CLOSET WALLS.
Thursday, April 30, 2015 Page 1 of 1