HomeMy WebLinkAbout1368 SAPPHIRE DR; ; CBR2018-3182; Permit' (city of
Carlsbad
Residential Permit
Print Date: 11/15/2018 Permit No: CBR2018-3182
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1368 Sapphire Dr
BLDG-Residential
2122501100
$0.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
11/15/2018
Plan Check#:
Final
Inspection: 11/15/2018 11:19:27AM
Project Title:
Description: TSA1: INTERIOR GAS LINE REPAIR (NO WORK IN ROW)
Owner:
TRU5TT5AI FAMILY 2003 TRU5T07-18-03
1368 Sapphire Dr
Contractor:
JOHN STEVENSON PLUMBING
CARLSBAD, CA 92011 6355 Corte Del Abeta, Ste C103
Carlsbad, CA 92011-1443
760-918-0456
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $175.00 Total Payments To Date: $175.00 Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of !imitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$175.00
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH □ HAZMAT/APCD I . Building Permit Application Plan Check No. (l f;,i) :::)(ll K -111(1
(City of 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date ll /1 r-::-/1<;1 lswPPP I
JOB ADDRESS ~pP~(,{e,. 3)2. CCflkbL C"""
SUITE#/SPACE#/UNIT# (PN
. I
/36 'i< ---
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I C0'5TR. TYPE I OCC. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
/4pML 11-1) Ji ('/1 I ~,ml cJ [r5 flt°€ . {JcJ,,l /A,fycL :l,a('c;.turn ,.Lj/\ 4,_ !)"~'!,
i)~ <':SVL ofhm § ;/a tf c.JolA.
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) 1DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS v,so No[] YES □No □ YES□No□
APPLICANT NAME Jeff Heyveld PROPERTY OWNER NAME ---r::;1t 1k, Prlna.., C -~-J,')(Jle,S
ADDRESS ADDRESS
I 3''6 :z, I! ff h i'Re--7),e. 6355 Corte Del Abete C-103
CITY STATE ZIP CITY f7'. STATE ZIP
Carlsbbad Ca 92011 Afl.5Ylh c....-a J'.:J r"l I I
PHONE ~ 760-918-0456 I FAX PHONE~() f;S i?I FAX 760-918-0352 :}.. 7 I.{---Cj
EMAIL ' EMAIL :J"l'i -r /IO '5/,0 (<;) 11 ill..· COM Jeff@jsphvac.com
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME John Stevenson Plumbing & Mechanical Inc
ADDRESS ADDRESS 6355 Corte Del Abete C-103
CITY STATE ZIP CITY STATE ZIP
Carlsbad Ca 92011
PHONE I FAX
PHONE IFAX 760-918-0456 760-918-0352 ---~
EMAIL EMAIL
lnfo@jsphvac.com I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. UC.#
588895 C-20,36 BLNR1208637
{Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to.construct, alter, improve, demolish or repair any_structure. p_nor to 1ts issuance, also requires the applicant for such per_m1t to file a signed statement ttiat he is licensed pursuant to the prov1s1ons of the Contractor's License Law [Chapter 9, commending with Section 7000 of 01v1s1on 3 of the B_usiness and Professions Code) or that he 1s exemP.t 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 ($500)).
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' compensa~on as provided by Section 3700 of the Labor Code, for the perlormance of the work for which this permit is issued. 0 I have and will maintain workers' comDensatlon, as required bv 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. ICW Group Policy No. WSO 5038685 00 Expiraijon Date 01-01-19
Jl)§.section need not be comp~ted if the permit is for one hundred dollara ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which it is issued, I shall not employ any peraon in any manner so as to become subject to the Workera' Compensation Laws of
California. WARNING: Failure to secure wo g 1s unlawful, and s bject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
· n 3706 of the Labor coda, in
I hereby affinn that I am exempt from Contractor's
□
□
□
I, as owner of the property or my emplOYeE! ilh wages as their sole compensaUon, will do the work and the structure is not intended or offered for sale (Sec. 7044, BusJness and Professions Code: The Contractor's
License Law does not apply to an owne I 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. 11, 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).
I, as owner of the property, am exclusJvely contracUng with IICensed contractora to construct the project (Sec. 7044, Business and Professions Code: The Contractor's Lk:ense Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contrac:tor(s) licensed pursuant to the Contractor's License Law)
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. □Yes 0No
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted with the follOwlng person (firm) to provide the proposed construction (include name address I phone I contractora' 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 I address/ phone/ contractora' license number)·
5. I wHI provide some of the work, but I have contracted (hired) the following persons to provide the work indicated {include name I address I phone I type of mrk):
6$ PROPERTY OWNER SIGNATURE QAGENT DATE
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management ano' prevention program under Sec~ons 25505, 25533 or 25534 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 distliet or air quality management district? 0 Yes O No
Is the facility to be constructed within 1.000 feet of the outer boundary of a school site? □ 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 AND THE AIR POLLUTION CONTROL DISTRICT.
I ceit!fythatl have read the appNcation and strtethatthe above lnfonnatlon is correct and that the lnfonnation on the plans iS aa:urate, I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Cartsba::I to enter up.:,n the above menfuned property for inspecoon purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSeAD
AGAINST ALL LIABILITIES, JUOOMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0' deep and demotitioo or ronstruction of structures over 3 stofBS in height
EXPIRATION: Every permit issued by the BuildingjlffidaluA80""<~•rovisio IS expire by !mitati:ln and become null and voKl ~ the building or work authorized by such pennit is not commenca:l within
180 dar3 from the date of such permit or if uilding or work autho such permit is suspen r aba:idone::I at any time after the work is oommenced for a perioo of 180 days (Section 106.4.4 L\1iform Building Code).
65 APPLICANT'S SIGNATURE DATE
"
' PERMIT INSPECTION HISTORY REPORT (CBR2018-3182)
Permit Type: BLDG-Residential Application Date: 11/15/2018
Work Class: P/M/E Issue Date:
Status: Closed -Finaled Expiration Date: 05/14/2019
Scheduled
Date
Actual
Start Date
11/1512018 11/15/2018
November 15, 2018
IYR Number: 15446
Inspection Type Inspection No.
BLDG-23
Gas/Test/Repairs
076290-2018
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
076289-2018
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
BLDG-Mechanical Final
BLDG-Structural Final
BLDG-Electrical Final
Inspection Status
Paaaed
COMMENTS
PaHed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Chris Renfro
Chris Renfro
TRUST TSAI FAMILY 2003 TRUST
07-18-03
1368 Sapphire Dr
Carlsbad, CA 92011-4215
Reinspection
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Yes
Complete
Complete
Complete
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