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
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