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Home My WebLink About1510 SAPPHIRE DR; MP; CB982401; Permit,.. 95,14 07/'}j/98 0001 01 02 C-PRHT 35-00 N / t APP1~0 VAL IN v':j(J _c, """' ___ .._ __ D~E_O __ • __ I_ CLEARANCE_$.....,->~--~$ ...... c.re"------- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONY} /) 0 PLAN CHECK NO. <4f_cf-~o j CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit ------~-r:- Validated<.,;B~,.....,{--,-,,...-f-==--~P- Date __ ...L-l--G'"--=1-/-~,.fc------ 1. PROJECT INFORMATION Address {include Bl~/Suite #I 1510 6ft HJP.f. Business Name (at this address) t,,.p._ r; Y SI] 1(/;. HQm£.5. Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms I= L.f l,.f P./ 1-AL . tvi £feJJ, . PE fJ E ~r11-t.,-FO A. ;z. CONTACT"Pl,IISON (lt.dff-,Uroro--cantl . . .. Name Address 3. "Al'PUCANT-, 0 Con,:ractor '~gent:1or·co~ctor Name Address 4. PROP£RTY OWNER··. Name Address "6. . CON111ACTOR iCOMPANY WAMf<•• ..... , "OC'c; . City □·owner O Agent for Owner City City Pr/Mf.!, ,f T!Mf:-12-100 h!Wf' State/Zip Telephone# Fax ti State/Zip Telephone# State/Zip Telephone# (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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). l-AE V>[Otd. HQt!lff, 5 ~73 AV/;A(ID1t /;Al'-fr1h '-MC...8Al2 , l,t 'f2.oo~ ?03 · OC£6 Name . Address Citv 1 State/Zip Telephone # State License# '31,... tL/3 License Class A/8 City Business License# _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8, 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. (1 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) D 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 to become subject to the Workers' Compensation Laws of California. WARNING: Falk.Ire to secure workers' compensation coverage Is unlawful, and ahaU subject an employer to criminal penalttes and civil fines up to one hundred thousand dollars 1$100,000), In addition to the cost of compenutlon, damages as provided for In Section 3708 of the Labor code, Interest and attorney's fNs. SIGNATURE________________________________ DATE _________ _ 7. OWNER.SUILDER1>ECUUIATION 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 contracts for such projects with contractor(s) licensed pursuant to tha Contractor's License Law). D t 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 I 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'RESIDEIV11AJ:BUltOINQ PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials ,egistration form or risk management and prevention program under Sections 25505, 25533 or 26534 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? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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. :e. .:CONSTIIUCTION"I.ENDJNGAGENCYC ·' I hereby affirm that there 1s a c nstruct1on lending agency for the performance of the work for which this permit 1s issued (Sec. 3097(1) C1v1l Code). LENDER'S NAME It/, LENDER'S ADDRESS. __ ~/V,-'--,,1.'~_,_ _________________ _ 9. APPLICANT1)1;RTI ' · l 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 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 365 days 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 commenced for a period of 18 days (Sectio .4.4 Uniform Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance PERMIT# CB982401 DESCRIPTION: IRRIGATION COBBLES TON TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 08/05/98 METERED PEDISTAL INSPECTOR AREA PD PLANCK# CB982401 OCC GRP CONSTR. TYPE NEW STE: LOT: JOB ADDRESS: 1510 SAPPHIRE DR APPLICANT: GREYSTONE HOMES CONTRACTOR: OWNER: REMARKS: C/TREY SPECIAL INSTRUCT: PHONE: PHONE: 760 603-0056 ~ PHONE: a INSPECTO 1A TOTAL TIME: --RELATED PERMITS--PERMIT# TYPE WM970065 WMETER STATUS ISSUED CD LVL DESCRIPTION ACT COMMENTS 32 EL Const. Service/Agricultural t1_ t~s-~1t 32 EL Const. Service/Agricultural tr= ---¥_ / -;;:tf-j' 0-7 f 1 ;J /1:'f../ ***** INSPECTION HISTORY***** DATE 080398 073098 DESCRIPTION Const. Service/Agricultural Final Electrical ACT INSP CO PD CO PD COMMENTS NO ADDRESS -NOT GROUNDED