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Home My WebLink About1391 SAPPHIRE DR; ; CB121764; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 09-12-2012 Permit No: CB121764 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 1391 SAPPHIRE DR CBAD PME 2122500200 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Project Title: BENTON RES-INSTALL GAS LINE Inspect Area: TO FIREPIT AND STUBS FOR PORTABLE EQUIP. RUN Applicant: AAA LANDSCAPE SPECIALISTS 1260 WHITE SAND DR SAN MARCOS 92069 760 295 1980 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: BENTON MARK G SR/FRY KAREN N 1391 SAPPHIRE DR CARLSBAD CA 92011 ISSUED 09/07/2012 LSM 09/12/2012 09/12/2012 $154.00 $31.00 $0.00 $0.00 $185.00 Total Fees: $185.00 Total Payments To Date: $185.00 Balance Due: Inspector: FINAL APPR VAL Date: ("2.. "2-7 I-Z.. 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 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 f , n f whi h h n N Tl 'mil hi r . h f , i h • THE FOLLOWING APPR!)VALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □ARE □HEALTH 0HAZMAT/APCO <<1~ Building Permit Application Plan Check No/1P.. I '"I I 7 (,, t...J, 1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: buldllng@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date q,., / 1 -z.._, ISWPP JOB ADDRESS '/,.. . 4,. { { ,l)'J SUITE#/SPACE#/UNIT# APN I "3 "t I .s,.,, . 'e --- CT/PROJECT# . Lv, # I PH,-c,E # I# vF UNIT;:, I# BEDROOMS # BATHROOMS rENANT Bu-:,INES;:, NAME I '-ONSTR. TYPE I vCv. 1>RvUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Ge. J /i',-t, 4 Ii. /ee,f c,a,,)IJ, f 01'-~ .l F,r-ep, + ..... t>'tV dS, -f&-r po r ~ I ~ ecr._ v.p EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NOD YES □ NO □ YES □ NO □ APPLICA~NAME (Primary Contae,J D Ul JfLVe_lA -/4-;f.4-t.-,1-114J/t#li J'h!C/,tti ,APPLICANT NAME (Secondary Contact) ADDRESS wk ~ f.e {;;.,.; r1, 7:, -ADDRESS /1-( 0 CITY \qA AArl QI STATE r.f5o,-P CITY STATE ZIP CA PHONE I?£, PHONE I FAX Ti b, fO"!.-'(Vi'--4,2...tc,-: { qU d i<MAdovlcl ~ 1(-'1.J J'c., tie r;l',./i /111· u,A., EMAIL P~RlY KNER NAME / / I,., ~ l/ M' 6fA'T'fl ~f'I/ ~ .... -,-n.J CONTRACTOR BUS. NAME .t...c..A.. t.Atv I /'c~ vu f'/t<C. ADDRESS .t,,u ,,,e ADDRESS I Lb' wtl,k k--J, I), 17 tf I CITY ea...,,,. {r 'ei/ STATE ZIP CITY C STATE ZIP CA --~ A -.M11✓u1 t-.lJ t?), "1-D PHONE IFAX 9zo, r PHONE IFAX TfO, /f9_,YY(L EMAIL EMAIL: ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATEL'P(EJ.:J y lca.-'1---l0'TY,~~i3s3 {Sec. 7031.5 Business and Professions Code: Any City or County which requires a perm rt to. construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such perm rt to file a signed statement Uiat he is licensed pursuant to the provIs,ons of the Contractor's License Law {Chapter 9, commending with Section 7000 of OivIsIon 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 {$500)). WQRKl!RS' CQMPliNSATIQN : , W~,., Compensation Oeclaratlon: I hereby affirm under penalty of perjury one of the following declarations: ~ have and wlll 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 perm·t is i ~ave and wltl maintain work~ensatl0f(re1ired by Section 3700 of the Labor Code, for the _performrceof~ ~rlj,QtN~h..!iiW'E'l.i~&ued. My wor~e~· compensa ' ·n ura number are: Insurance Co. ----f---ll W f\ Pohcy No. ~VtlU <, TI Exptral1on Date _ _,---t+H~~--- This secUon need not be completed if the per one hundred doll a 100) or less, □ Certificate of Exemption: I certify th n the ormance of the for wtiich 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: Failure to sec worke coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand doll ans (&100,000), in addition to the cost of compensation damages n Section 3706 of the Labor code, Interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Conttactor's Ucense Law for the following reason: □ I, as o"Mier 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). □ I, as o"Mier 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 contraclor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section ----~'Business and Professions Code for this reason: 1. ! personally plan to provide the major labor and materials fo_r 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) to provide the proposed construction (include name address I phone I 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 I 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 I address I phone/ type of work): ,6$ PROPERTY OWNER SIGNATURE l:JAGENT DATE 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? O 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? O Yes O 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 ANO THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and state that the above lnfonnation Is correct and that the information on the plans Is accurate. I agree to complymth all Clzy oldlnances and State laws relating to bulldlng construction. I hereby authorize representative oflhe City of C enter u!XJn the alxlve mentioned IXC)perty br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, C SAN EXPENSES MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN C~SEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for ·ons ove 5'0' deep and ition or oonstructDn of structures over 3 stories in heght. EXPIRATION: Every permit issued by the ik:ling I under the pro · · ns of this Oxle shall expire by limitation and become null and void t the buildi1g or 'Mlrk authorized by such permit is not commenced 'Mthin 180 days from the date of such permit or· lhe buikli roork auth such permit is suspended or abancbned at any time after the v.ork is rommenred bra J)El · of 1 days (Secoon 106.4.4 Uniform Buik::IOQ Code). ,..S APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.bui!ding@carlsbadca.qgy or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS □ PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) □MAIL/FAX TO OTHER: _______________ _ A$ APPLICANT'S SIGNATURE o ASSOCIATED CB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB121764 Type: PME BENTON RES-INSTALL GAS LINE TO FIREPIT AND STUBS FOR PORTABLE Date Inspection Item Inspector Act Comments 12/26/2012 29 Final Plumbing RI 12/26/2012 29 Final Plumbing MC Fl 12/26/2012 39 Final Electrical RI 12/26/2012 39 Final Electrical MC Fl 12/19/2012 29 Final Plumbing RI CARD BEHIND SLIDER DObR 12/19/2012 29 Final Plumbing MC co 12/19/2012 39 Final Electrical RI 12/19/2012 39 Final Electrical MC co 12/18/2012 29 Final Plumbing RI 12/18/2012 29 Final Plumbing MC co 12/18/2012 39 Final Electrical RI 12/18/2012 39 Final Electrical MC co 09/13/2012 23 Gas/T esVRepairs MC AP FIREPIT 09/13/2012 31 Underground/Conduit-Wirin MC AP CONDUIT ONLY Thursday, December 27, 2012 Page 1 of 1