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HomeMy WebLinkAbout1564 SAPPHIRE DR; ; CB001805; PermitCity of Carlsbad 05/08/2000 Electrical Permit Permit No:CB001805 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1564 SAPPHIRE DR CBAD ELEC Status: Parcel No: 2122011100 Lot#: 0 Applied: ISSUED 05/08/2000 MOP 05/08/2000 05/08/2000 Reference #: Project Title: Applicant: METZGER RESIDENCE INSTALL ELECTRICAL CIRCUIT T LANGSTON CONSTRUCTION 2618 JEFFERSON ST CARLSBAD CA 92008 760 855-9583 Entered By: Plan Approved: Issued: Inspect Area: Owner: METZGER ROBERT B&MARILEE 1564 SAPPHIRE DR CARLSBAD CA 92009 6575 05/08/00 0001 01 02 C-PRMT 20 • 00 Total Fees: $20.00 Total Payments To Date: $0.00 Balance Due: $20.00 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees TOTAL PERMIT FEES Inspector: ( 0 0 0 0 Clearance: $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $0.00 $20.00 NOTICE: Please take NOTICE that approval of your project includes the "Im ition" 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 pro est 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 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 ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. PERMIT APPLICATION CITY OF CAR.LSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY PLAN cHEcK No. Us~ :s=: EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ ,~c.; sMeth(LE:. Address (include Bldg/Suite If) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel I Existing Use Proposed Use e:z£C(©U\1...-C!ONI>W f Descnpt1on of Work SO. FT. #of Stories If of Bedrooms # of Bathrooms Name 3. APPLICANT ,,es:.contractor -L.61 · ~1Y) 2.C:.,\ Name City State/Zip Telephone # 4. PROPERTY OWNER r-1\eT:z.,&i e¥?--.. Name \Slpl.t ':>&et3:b ,:2£ Address C,A:(45?>1'0 CA City State/Zip 'C<)~--7 3?.> l/ 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.~ by any 111 icant for a per~t subjects~ applicant to a civil ~enalty of t more t an five hundred dollars 1$~_001!·, _. ,,.-.,-··!Tl) ~~l3 .___b . -. , L;,J<->-.Jrv·~-CA-.LL>.<...,--, 1x:D -C 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 3 700 of the Labor Code, for the performance of the work for which this permit is issued. A_, 1 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 1s issued. My worker's compy~sation insurance carrier and pol)::~~~,a~e: {:£::{:) C /\ \ /2<XYCJ Insurance Cor.,,any _..a_t)__lV:$:<.X?....f\CCL ~ V t.e.5 Policv NoWC 1910 / _ Expiration Date_::--' (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 •to become subject to the Workers' C sation Laws of California. ompenaatlon coverage la unlawful, and ahall aubjact an employer to crlmlnal penaltiea and civil fines up to one hundred ~~~,_,1..,~~n~to~th~e~cost of compenaation, damagaa aa provided for In Section 3706 of the Labor code, Interest and attorney's fees. DATE 5-6,DV 7. 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 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 1s 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, em 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(sl 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 tha 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 contracted with the following person lfirml to provide the proposed construction (include name / address / phone number / contractors license numberl: 4. I plan to provide pomons 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-RESIDENT1AL 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 Act7 0 YES O NO Is the applicant or future bu1ld1n9 occupant required to obtain a permit from the air pollution control district or air qualny management district? 0 YES O NO Is the facility to be constructed within 1.000 feet of the outer boundary of a school site7 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 ANO 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(il 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 Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 ovar 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 authonzed by such permit is suspended or abandoned at any time after the work is c d of 180 days (Section 106.4.~ Uniform Building Code). APPLICANT'S SIGNATURE DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 5/9/2000 Permit# CB001805 Title: METZGER RESIDENCE Description: INSTALL ELECTRICAL CIRCUIT Type:ELEC Sub Type: Job Address: 1564 SAPPHIRE DR Suite: Lot 0 Location: APPLICANT T LANGSTON CONSTRUCTION Owner: METZGER ROBERT B&MARILEE Remarks: Total Time: CD Description Act Comments Inspector Assignment:~ Phone: 7609417446 Inspector: iv' Requested By: KURT· T LANGSTON Entered By: CHRISTINE 31 Underground/Conduit-Wiring Ji?... L~;X ©-J,,t (2.) ..Por4,M Associated PCRs Inspection History Date Description Act lnsp Comments