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HomeMy WebLinkAbout1592 SAPPHIRE DR; ; CB001806; PermitCity of Carlsbad 05/08/2000 Plumbing Permit Permit No:CB001806 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1592 SAPPHIRE DR CBAD PLUM 2122011800 Lot#: 0 Construction Type: NEW FLANAGAN RESIDENCE GAS LINE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/08/2000 MOP 05/08/2000 05/08/2000 Applicant: Owner: 6575 05/0B/OO 0001 01 C-PRMi T LANGSTON CONSTRUCTION 2618 JEFFERSON ST CARLSBAD CA 92008 760 855-9583 Total Fees: $27.00 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 TOTAL PERMIT FEES Inspector: ~ .: GREYSTONE HOMES INC C/O SD DIV 5780 FLEET ST #300 CARLSBAD CA 92008 Total Payments To Date: $0.00 0 0 0 0 0 1 0 . ' FINALA.1 ,,VAL Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $27.00 Date: C:/(0 Cb Clearance: I $27.00 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 r~ht to protest the specttied 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 oreviouslv otherwise exnired. 02 27-00 • PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO.trY IS~ CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By ___________ _ Date _______________ _ 1. PROJECT INFORMATION ~ 1sq2-s~ee~f=e: Address (include Bldg/Suite #) Business Name (at this address) leg~I DeseFi~on Lot No. Subdivision Name/Number Unit No. Phase No. Total If of un,ts Assessor s Parce:1 # 0~ L1NE' Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms If of Bathrooms 2. 0:eens' Name Address City Telephone # Fax If 3, APPLICANT ,,ti.contractor O Agent for Contra.ctor O Own.er.::.!O .Agent for Owner r"'A -1 I 1..6,9:"zk1Y1 2.G)IB,Jefer;;en .5::\ 0-~d '-....>'<; 9'2a:A Addr ss City '700 /85S-9 5S 3 State/Zip Telephone # 4. PROPERTY OWNER +L-A.-N f\fu f>'I~\ \~Cf 2-.. S fs:Pf tngJ--. CMLS 'QP<Q CA q::;;, \ -S9Lt s: Name Address City State/Zip Telephone# 6. CONTRACTOR -COMPANY NAME (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 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 viol tion of Section 7031.5 by any ap licant f?r a permit subjects~ appli~ant to a civil penalty of t more t an five hundred dollars ($5_001) .. , ~ .a·· 9 ·,":> '.:2~.,l 3 ~ ~ . ~ G,). CA-L...L.V _..,..., rro -9 - City State/Zip Telephone 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: [J 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. ,,& 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 worker's comprnsation insurance carrier and pol~~~~;,a~e: _ ~ _ _ 5/1 t /· ('.:X:XJ Insurance Cor.,;any _]3_-t'.j_l_f@<.Xa:!\CO-~ \J IC.e5 Poilcv No~C 19 IO '7 _ _ Expiration Date_ 2 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) ( CERTIFICATE OF EXEMPTION: Ice 'fy that in the performancr, of the work for which this permit is issued, I shall not employ any person in any manner so as ,co become subject to the Workers' C setion Laws of California. compensation coverage 1, unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred ~~,u...i,•u,e~n~t!!o~th~e'.._ ,cost of compensation, damagei as provided for In Section 3706 of the Labor codeAnterest and attorney's fees. DATE 6 ''.6"0:0 I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 theraon, 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). 0 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). 0 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contractsd with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 number / 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 / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY, 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? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CONSTRUCTION LENDING AGENCY . I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS _________________________ _ 9. APPLICANT CERTIFICATION 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 representatives of the Cltt 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•~• deep and demolition or construction of structure~ over 3 stories in height. EXPIRATION: Every permit issued by the Building Qfficial under t 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 3 a 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 coa:un-~Hl,r'°ii'" d of 180 days (Section 106.4.~ Uniform Building Code). APPLICANT'S SIGNATURE DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB001806 Title: FLANAGAN RESIDENCE Description: GAS LINE For: 5/9/2000 Type:PLUM Sub Type: Job Address: Suite: Location: 1592 SAPPHIRE DR Lot 0 APPLICANT T LANGSTON CONSTRUCTION Owner: GREYSTONE HOMES INC Remarks: Total Time: ----- ,,--- Inspector Assignment: f L, Phone: 7609417446 Inspector: 1..l_ Requested By: KURT· T LANGSTON Entered By: CHRISTINE CD Description 21 Underground/Under Floor Act Comme~ts D f q;t 23 Gas/Test/Repairs Associated PCRs Inspection History Date Description Act lnsp Comments