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Home My WebLink About1564 SAPPHIRE DR; ; CB002075; PermitCity of Carlsbad 06/01/2000 Mechanical Permit Permit No: CB002075 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1564 SAPPHIRE DR CBAD MECH 21 22011100 Lot#: 0 $0.00 INSTALL NEW AC PREWIRED Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/01 /2000 JM 06/01/2000 06/01 /2000 BARNHART AIR CONDITION METZGER ROBERT B&MARILEE 2254 CALLE TREPADORE SAN DIEGO CA 92139 619-252-5665 1564 SAPPHIRE DR CARLSBAD CA 92009 8825 06/01/00 0001 01 C-PRMT Total Fees: $44.00 Total Payments To Date: Balance Due: $44.00 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other TOTAL PERMIT FEES Inspector a L:; FINAL APPROVAL Date: f · f • tn) $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $44.00 Clearance: _____ _ 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 perm~ 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 Ca~sbad 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 vou have previously been Qiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-11 61 02 44-00 FOR OFFICE USE ONLY PERMIT A_PJ\'_ICATION PLAN CHECK NO. C/?M75 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit --=------~ Validated By __ ~-=LJ.:.....:::::~.L.......L...,t....-l-- Date. _________ ~~~4,.,11.L. 1. PROJECT INFORMATION /.;S~JI' . :5°APPH~ Address (inclGde Bldg/Suite #I Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Sr Assessor's Parcel # Existing Use Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms II of Bathrooms /9.0-o A /c ~ r..r.z::::s~y H~r-:,:;-vy 2. CONTACT PERSON (If different from applicant} Name Address City State/Zip Telephone II Fax II 3. APPLICANT aJ Contractor O Agent for Contractor O Owner O Agent for Owner Name Address City State/Zip Telephone II 4. PROPERTY OWNER MA'. merr~ Name State/Zip Telephone II 5. CONTRACTOR· COMPANY NAME /~ • f'""Y' ? :;'S,/E (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 Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than fiv hundred dollars ($5001). ""~ 2 .,r_,,,,__ ;Q:,~~ Name State License 11 7L, 1s Ste License Class ~ ,2.LJ/3' 1f""' City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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. D 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 compensation insurance carrier and policy number are: Insurance Company ____________________ _ Policy No., ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS} ,Jl! CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as "t! become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compenaetion coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll•~ 1~000), in addition to the cost of compensation, damages as provided for in Section 3706 of the La r c a, interest and attorney's fees. SIGNATURE C,. DA TE ~ / CZ::, 7, OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 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). D 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 contract s for such projects with contractor(sl licensed pursuant to the Contractor's License Law). D 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. D 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 (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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. 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 Cit'1 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 5'0" deep and demolition or construction 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 work authorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by s h pe it is suspended or abandoned at any time after the work is co menced for a period of 180 days (Section 10 .4.4 Uniform Building Code). APPLICANT'S SIGNATURE~~~•~c~~-__.!~:::::::'.==~======t:~~====---------- WHITE: File YELLOW: Applicant PINK: Finance • City of Carlsbad Bldg Inspection Request For: 7/7/2000 Permit# CB002075 Title: INSTALL NEW AC PREWIRED Description: Type:MECH Sub Type: Job Address: Suittt: Location: 1564 SAPPHIRE DR Lot 0 APPLICANT BARNHART AIR CONDITION Owner: METZGER ROBERT B&MARILEE Remarks: WORK 804-7636 EX 105 Total Time: CD Description Act Comments Inspector Assignment: Phone: 7608047334 lnspectot/L Requested By: MARILEE Entered By: CHRISTINE 43 _A_i_rc_o_n_d_/_F_u_rn_a_c_e_s_e_t ___ ~--------------------- Associated PCRs Inspection History Date Description Act lnsp Comments