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Home My WebLink About1576 SAPPHIRE DR; ; CB122015; Permit10-04-2012 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: CB122015 Building Inspection Request Line (760) 602-2725 1576 SAPPHIRE DR CBAD PME 2122011400 Lot#: CHIANG RES -REPLACE WATER HEATER, SAME SIZE, SAME LOCATION. 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/04/2012 SKS 10/04/2012 10/04/2012 ALL STAR WATER HEATERS & PLUMBING CHIANG JASON&TIFFANY Y 30300 PUERTO VALLARTA WY MENIFEE CA 92584 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1576 SAPPHIRE DR CARLSBAD CA 92011 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: /2·/0-tL 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 pemiit 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 infonnation with the Crty 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 f i h h v r vi N Tl 'I hi r i h h l"mi i n i I «~•'· Plan Check No. ~(7,-W(s-' -~-01, ffr:,,> Building Permit Application ~ )'' Est. Value ~ CITY 1635 Faraday Ave .. Carlsbad, CA 92008 OF 760-602-271712718 I 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Duoslt www.carlsbadca.gov ~ Date / d (/ / t,Z,,, lswPPP JOB ADDRESS 1 <>u1,c#1.:,,.-ACE#/U1~,,,. 1~ 1576 Sapphire Dr. --- CT/PROJECT# rOT# lPHASE# l # OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I\..VN::.,rr. ,r.-E I uu;,bRuUP DESCRIPTION OF WORK: Include Square Feet of Attemd Area(s) Replace existing water heater. Same size and location. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES[)I N,0 YES0No0 YESONoO CONTACT NAME (ff D'"erent Fom Appl/cant) APPLICANT NAME Robert Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE I FAX PHONE IFAX 951-345-4083 EMAIL EMAIL PROPERTY OWNER NAME Jason Chiang CONTRACTOR BUS. NAME All C>••• W•••• " ADDRESS ADDRESS ~ame as iob 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlcbad CA 92011 Menifee CA 92584 PHONE IFAX PHONE IFAX 760-889-6050 951-345-4083 EMAIL EMAIL ARCH/DESIGNER NAME&, ADDRESS I STATE UC.# STATE UC.# T'IASSc 36 IC"' ·ri;,., It{, x 812894 (Sec_. 7031.5 Business and Professions Code: Ally City or County which requires a permit to construct, alter, improve, demolish or repair any structure, pnorto Its Issuance, also requires the applicant for such per_mit to file a signed s~tement that he is licensed pursu?int to the provisions oft~e Contractor'!, License ~aw {Chapter "9, comme_nding with Sectl~m 7(!00 of Division 3 of the Business end Professions Code) or {hat he 1s exempt therefrom, and the basis for the alteged exemption. Any violation of Section 7031.5 by any applicant for a permit subJects the applicant to a ciV!I penalty of not more than five hundred dollars {$5001). Work.en' Compensation Dacia ration: I hereby affirm under penalty of petjwyone of the following declarations: 0 I have and will maintain a certificate of consent to self-Insure for workers' oompensatron as provided by Section 3700 of the labor C.ode, for the perfom,ance of the work for which this pem,it is issued. [Z] I have and will maintain work.en' 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 Oak River Ins. Co. Policy No. 22Cl0062086121 Expiration Date 01111J13 Jll.ii.section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: l ceftify 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: Fallure to secure workers' compenution coverage 11 unlawful, and ah all subject an employer to crlmlnal penalties and civil flnH up to one hundred thouaand dollars (&100,000), in addition to the cost of compensation, damag in Section 3706 of the labor code, interest and attorney"s fees. 85 CONTRACTOR SIGNATURE Ill - I hereby affirm that I am exempt from Contractor's IJcense Law for the following reason: □ □ □ I, as owner of the property or my employees with wages as their sole oompensation, will do the work and the structure is not inteoded or offered for sale {Sec. 7044, Business and Professions Code: The Contractors 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, lhe 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 pu1p0se of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business tJJd Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and oontracts for such projects with contractor(s) licensed pursuant to the Contractors license Law). I am exempt under Section ____ B,usiness and Professions Code for this reason: 1. l personally plan to provide the major labor and materia!s for construction of the proposed property improvement. □Yes 0No 2. I (have I have not) s'ijned an applbttion for a building pemiit for the proposed work. 3. I have contracted with the following person (fim,) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the 'Mlli(, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone/ contractors' license number): 5. I witl provide some of the work, but I have contracted {hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): ,i6 PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future building occupant required to submit a business., acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account A.en D Yes LJNo Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a![.m!ality management district? [Jves D No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Oves LJNo 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 h8Ye lead the application and state that the above lnfonnatlon is correct and that the lnfoonatlon on the plans Is ao::urate. I IIJ'88to comply with all City ordinances and Stale laws relallngto bUklrc construcllon. I hereby authorize representatiw of the City of Ca1sba:l to enter upon the above mentior.ed property tr inspection purJX)SElS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL Lll\BILITIES, 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 5'0' deep a'ld demolition or oonstructkln of structures 0"8t 3 stories in height. EXPIRATION: Every permit issued by the Building Ofooal under the pm'visions of this Code shall expire by limitaticwl and become nuij ard ',tid if the buildir¥J or v.ork authorized by such permrt is oot canmenced 'within 180 days from the date of such permit or if the building or work autoorized by such permit is suspende:l or OCl!rldoned at any time alter the work is oommenced bra period of 180 days (Section 106.4.4 Uniform Buildir¥J Code). ,I$ APPLICANT'S SIGNATURE ,.._-~~==-----~~ DATE I Inspection List Permit#: CB122015 Type: PME Date lnspection_ltem 12/07/2012 25 Water HeaterNents 12/07/2012 25 Water HeaterNents 12/07/2012 29 Final Plumbing 12/07/2012 29 Final Plumbing Monday, December 10, 2012 Inspector PB PB Act RI AP RI AP CHIANG RES -REPLACE WATER HEATER, SAME SIZE, SAME LOCATION. Comments GC #8484 10-12 PLEASE Page 1 of 1