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Home My WebLink About1392 SAPPHIRE DR; MP; CB980522; PermitFOR OFFICE USE ONLY PERMIT· APPLICATION PLAN CHECK NO. 1ifl S:.!l..'l CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit----,,.....------ 1. PROjECT INFORMATION Business Name lat this address) Subdivision N1m1/Number Unit No. Phase No. Total # of units Existing U1■ Propo1■d U1■ Description of Work sa. FT. lot Stories I of Bedrooms I of Bathrooms Nam• City St1te/Zlp Telephone ti Fax ti 13 •. · □owner·-· o A;eni iiif awii"' : :--, •·: · -~"'"~ .-"" • ·.,-·· · . . o-\ D Stete/Zlp Telephone I Telephone I s. CONTRACTOR • COMPANY NAME (Sec. 7031. 5 Business and Professions Code: Any City or County which requires • permit to conatruC1, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file ■ signed statement that he Is licensed pur1u1nt to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business ■nd Professions Code) or that he la exempt therefrom, end the basis for the alleged exam · · ion 7031.5 by any a plicant fore permit 1 J __J~.L!::::...).____:i_....L.Jd,,,,_z___~,-,-!-' ~......!l~()...::;:;.:::::W ~.....L.....:--~~~=-:.~~-=---....L~~-::---.L....L.:...--=-...&. q, Name A dress City State/Zip Telephone I State License # -=5::..' _a_?, __ 5::_q..,__(c__ License Cl■ss _ _:(o~( ____ _ City Business Uc■nn I ______ _ Designer Name Address City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure for workers' compensation II provided by Section 3700 of the Labor Code, for the p1rform1nce of the work for which this permit is Issued. "fJ1 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 ifsued. My worker's?:ens■tion Insurance carrier and policy number ■re: I'\ 0 Insurance Company L.Q-rf.-. emu \ (,A,_. Policy No. L-0 0 C2 5 I ' I O l Expiration Date I -I -_,q (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt1001 OR LESS) O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I 1h1II not employ any person In any manner so es to become subject to the Workers' Compensetion laws of California. WARNING: Failure to workers' compena■tl coverage la unlawful, and shall 1ubjae11n employer to criminal paneltlaa end clvll fines up to one hundred thousend doll•r• ($ Of, addition t~ co of comp1Matlon, damages aa prowldld for In Section 3708 of the Labor code, _!'t.Jle~ 1nomey'a fHa. SIGNATURE,_---c.._.,:::~:LJi=,.;__ _ _./_r/-.......;.~~,., _ .... _..., _L.-_-____________ DATE c/,-/ 9' 7' r 7. OWNER-BUILDER DECLARATION . .. --•--i -"., ... • -' _ • -.~. · ·/ ·;.:,r~~:·-·~~~,:-~:~~ :i ;'"-~-':-~~~,-"r::i.rf_~·t!lt; .. •:ii.r .,•••'"1··-t fin ·r~"'." .:_-;-:· .-~ · 1 I hereby affirm that I am exempt from the Contractor's license law for th■ following reason: O I, as owner of the property or my employees with wages as their sole compensation, will do the work and the atruC1ur■ Is not Intended or offered for sale (Sec. 7044, BuslnHs and Professions Code: The Contractor'• LicanH law does not apply to an owner of property who builds or Improves thereon, end who does auch work himself or through his own employees, provided that such Improvements 111 not Intended or offered for Hie. If, however, the bulldlng or Improvement la sold within one year of compl■tion, th• owner-bulld■r will have the burden of proving that ha did not build or Improve for the purpose of ■■1■1. O I, 11 owner of the property, am exclusively contracting with llc■naad contractors to conatrue1 the project (Sac. 7044, Bueln1H and Professions Code: The Contractor's license law does not apply to an owner of property who builds or lmprov1& thereon, ind contrae11 for such projlC1a with contractort■I llcen11d pursuant to the Contractor's llcensa lawl. O I ■m exempt under SeC11on ______ Business and Professions Code for this reuon: 1 . I personally plen to provide the major labor and materials for construction of th, propoa■d property Improvement. D YES ONO 2. I (have I have not) signed an application for I building permit for the proposed work. 3. I have contrected with the following person lflrml to provide the proposed construe1lon llnclude n1me / address / phone number / .contractor• Ileen-■ number): 4. I plan to provide portions of the work, but I hava hired the following person to coordinate, 1upe,vi9e and provide the mafor work (Include name / 1ddrna / phone number I contractors license number!:. _____________________________________________ _ 5. I will provide eome of the work, but I have contraC11d (hired) the following persona to provide the work lndicltld !Include name / 1ddr■H / phone number / type of work):, _______________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _ !COMPLETE THIS SECTION FOR NON.m/DENTW. iUILbiNd PERMitifotJi.f:tl'~~!f'':'...,"'r·•'"'11"'T"ll~:"'~'~r-~''I.,.,,,.., ' .. ,.., ·,•,-r·-··-:•······ ...••• Is the applicent or future building occupant required to submit a business plan, acutely hezerdous m1tartal1 r■giatretlOf! form or risk m1nagemant end prevention program under SeC1ions 25505, 25533 or 25534 of the Presley-Tanner H11erdoilt Substance Account Act7 D YES D NO Is the applicant or future building occupant requlrad to obtain I permit from the 1lr pollutlon control dlltri_ct or 1ir quallty management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school alte7 D YES D 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. iii.· CONSTRUCTION LENbiNG AoENc:\i .. , .. ·• ... ,. ": .. ··--:,~ • ., .• , •-f !,:s•:·:•--;"l;:i:7:"~:''""'"~'"-"'' :r •-,-,, .. ,,. , .• ,., ,...,, .. :,-·,·,-·Or~·-·-·· ..... ---- 1 hereby affirm that there Is ■ construction lending agency for tha performance of the work for which this permit Is Issued (Sec. 3097111 Clvil Code). LENDER'S ADDRESS _______________________ _ I certify that I have read the application and state that the above Information Is correct ind that the lnform1tlon on the plans Is 1ccurate. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby 1uthorlz1 representatives of the Cltt of C1rtabad to enter upon the above mentlonad 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 5'0" deep and demolition or construe1lon of 1true1ures over 3 stories In height. EXPIRATION: Every permit issued by the Building Olllcl■I under the provisions of this Code shall expire by llmltation and become null and void if the building or work authorized by such permit Is not enc d within 365 days from the date of such permit or If the building or work authorized by such permit Is suspended or ebendoned et eny time after the enced fo~d 160 days !Section 106.4.4 Uniform Building Code). ;2...,.. /f-f ~ APPLICANT'S SIGNATURE __ _;::::_ ___ __,'-----'--.,,"---------------DATE _____________ _ YELLOW: Applicant PINK: Finence CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB980522 FOR 02/26/98 DESCRIPTION: 100 AMP IRRIGATION METERED PEDISTAL-COBBLESTONE-GREYSTONE TYPE: ELEC JOB ADDRESS: 1392 SAPPHIRE DR STE: INSPECTOR AREA PLANCK# CB980522 OCC GRP CONSTR. TYPE NEW LOT: APPLICANT: POWER PLUS CONTRACTOR: PHONE: 760 471-5494 PHONE: OWNER: REMARKS: C/MICHELE/471-5494 SPECIAL INSTRUCT: TOTAL TIME: CD 32 LVL DESCRIPTION EL Const. Service/Agricultural PHONE: / INSPECTOR f'--.,,_J 'c..,~'-----------( /1 ACT ;r COMM&! ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS : l"l:11::"00-llll t'KI 10•'10 \, II ! vr l,l'll\l.llllliil WIiii Ill: tilt\ llV, qvOVooq I • u., ........ ':' .. ;,, ;-; · lo · s:./t. ~1-o 12~ C ~ -8J4(~~·;·M' . J 3 '' Sy}.~i-- . ~·s"W,.,.. J .. , r.:.;·or.:- .. _'=j._5§: - ' .. ;- . ; . ... ..