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HomeMy WebLinkAbout1364 SAPPHIRE DR; ; CB080514; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-20-2008 Plumbing Permit Permit No: CB080514 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1364 SAPPHIRE DR CBAD PLUM Status: Parcel No: 2122501000 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: LU RES-GAS TO BBQ Inspect Area: Applicant: GEORGE LU 1364 SAPPHIRE DR CARLSBAD CA 92011 760 6029848 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Owner: LU REVOCABLE 2004 TRUST 1364 SAPPHIRE DR CARLSBAD CA 92011 ISSUED 03/20/2008 LSM 03/20/2008 03/20/2008 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Baiance Due: Inspector: V"' ~ Clearance: $0.00 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 permit was issued to protest imposition of these fee5/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 infom,ation with the City Manager for processing in accordance with Carlsbad Munlcipal 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 I nivn Tl hihh 'ilhi City of Carlsbad Plan Check No. (!.&08 0 SI 4 · 1635, Faraday Ave., Carlsbad, CA 92008 760-602'2717 / 2718 / 2719 Fax: 760-602-8558 Building Permit Application JOB ADDRESS Est. Value Plan Ck. Deposit Date 0 cf6 APN LOT# PH E# #OFUNI # BEDROO $ #BATHR OMS TENANT BUSINESS NAME CONSTR. TYPE EXISTING USE PRO SEO USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLAC AIR CONDITIONING FIRE SPRINKLE S YES □#_ NO □ YES □ NOD YES D NOD CONTACT NAME (If Different Fom Applicant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL PROPERTY OWNER NAME E::\ p--0 rt.~ e Lu. CONTRACTOR BUS. NAME ADDRESS \ ~ b "\-c;_ A ff"H I (LI::, ?12... ADDRESS CITY C.,..-n..Lc. ~ M7 STATE e..~ ZIP ~ :2-t, I{ CITY STATE ZIP PHONE lbo ~<> l.. ~A·'8 FAX lb---<> b-o l-1o1 PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE UC.# CLASS CITY BUS. UC.# /Ste. 70llJ Bu1intn and Prq~ssions Code: Any City or CountJ: which nquireJ a permil to con1truct, alttr1 imprm, demoli5h or rtP.air any 1trocture1__prior 19 its issuance, also require1 the applicant for such pennit to lile a signed sratement that he is ricensed_P.t!rsuant to the pr'O't1110ns of lht ""blctor's License Law {Chapter 9, commtnding with Section 000 of Dirilion 3 of the Businm and Prom1ions Code} or that ht ii eiempt dtereHm. and the basis for the allegtd eu111puan. An1 Yiolation d Stclion 70315 by' Ill)' applicant for a permit wbjeca the applkant to a err~ penalty af not mort than live hundred daHan {$500}~ WORKERS' COMPENSATION Workers' Compensation Decl1ratlon: / 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 workers' compensation insurance carrier and policy number are: Insurance Co. _____________________ 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, 1 shall not employ any person in any manner so as to become subject to the WOfkers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage 11 unlawful, and shall subject an employer to crlmlnal penaltles and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the labor code, Interest and attorney's feet. ,1/5 CONTRACTOR SIGNATURE DATE OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from Contractor's License Law far the following reason: □ I, as own8f' 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 C.ode: 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 OWfler-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 exclusively contracting with licensed contractors to construct th8 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 the Contractor's License Law). ~ I am exempt under Section ____ ,Business and Professions Code for this reason: ~ , 1. l personally plan to provide the major labor and materials for construction of the proposed property 'improvement. Yes □ No 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) lo provide the proposed construction {include name address I phone/ contractors' license number): 4. I plan lo provide portions of the work, but I have hired the following person to coordinate, supervise and pr0vide the major work {include name/ address I phone/ contractors' license number): 5. I will provide some of the work, b ave contracted (hired) the foll ing persons to provide the work indicated (include name/ cKldress / phone I type of work): Is the applicant or future building occupant required lo 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? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 Yes □ 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have mad the appllcation and state that the a bow Information Is OOfl'ed: and that the lnfonnaUon on the plans Is accurate. I agree to COl'nplywtth all City oittlnances and State law!; relating ID bulldlhg construetlOn. I l\e!eby au\11orize mpiesenlallve of ltle City of Garlsbad lo enler upon lhe above menliooed property for nspeclon puiposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARM.ESS THE CITY OF CARLSBAD AGAINST All LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN AfN WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA perml o ,equffll for excavations a,er 5'0' deep and demolnion or oonslruction of sl'uclures <Her 3 slorles ii height. EXPIRATION: Every permit ISSued by lhe Bui~ing Offlclal under lhe pmvislons of ltlo Code shall expie by lmllallon '"1d become nui and void I lhe bul~ng or-aulhorized by such pennt • not commenced "'1hn 180 dajs from lhe dale of such pennt · buHdilg or-by such permit •suspended or abandooed atanyliTie allerlhe-• commenced for a peliod of 180 days (Seelion 106.4.4 UnifOITn BuHdng Code). ,1/5 APPLICANT'S SIGNATUR DATE Inspection List Permit#: CB080514 Type: PLUM Date Inspection Item 11/18/2008 29 Final Plumbing 11/18/2008 39 Final Electrical 11/17/2008 29 Final Plumbing 11/17/2008 39 Final Electrical 05/13/2008 23 Gas/TesVRepairs 05/13/2008 31 Underground/Conduit-Wirin 05/12/2008 23 Gas/TesVRepairs 05/12/2008 31 Underground/Conduit-Wirin 05/09/2008 23 Gas/TesVRepairs 03/21/2008 29 Final Plumbing Wednesday, May 20, 2009 Inspector Act MC Fl MC Fl MC co MC co MC AP MC AP MC CA MC CA MC co JM co LU RES-GAS TO BBQ/ELEC. TO LIGHTS & OUTLETS Comments GAS SHUT OFF @ BBQ OK SINGLE YARD RECEPTACLE GFI PROTECTION OK NOTICE ATTACHED IN 4" ABS SLEEVE, FROM EXT. GAS STUB TO BBQ ONLY 1" CONDUIT ONLY TO ONE TERMINATION ONLY (FROM METER TO YARD LIGHT/ RECEPTACLE BOX). PER OWNER PER OWNER PROVIDE TEST, ADD ELECTRICAL TO SCOPE OF WORK SEE RECORD CARD Page 1 of 1