HomeMy WebLinkAbout1380 SAPPHIRE DR; ; CB111480; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-05-2011 Plumbing Permit Permit No: CB111480
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
1380 SAPPHIRE DR CBAD
PLUM
2122501400 Lot#: 0
Construction Type: NEW
RODE RES-GAS TO PORTABLE
BBQ/FIRE PIT ELECT TO BBQ/FIREPIT/FO,UNTAIN
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
07/01/2011
LSM
07/05/2011
07/05/2011
SAN DIEGO LANDSCAPE SYSTEMS
#16
LAND ACQUISITION MANAGEMENT L L C
MALLORY&NATSIS LLP
12642 POWAY RD
POWAY CA 92065
760 788-8140
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
Total Fees: $47.00
1900 MAIN ST
IRVINE CA 92614
0
0
0
0
0
1
0
Total Payments To Date:
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
$47.00 Balance Due:
Inspector: VIA' ~', Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "lmpositionn 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 me 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 JT APPLY to any
I fwhi h h v n iv n N Tl E imil whi h I' i in h
«~ ~ CITY OF
CARLSBAD
JOB ADDRESS
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 i 271812719
Fax 760-602-8558
www.carlsbadca.gov
UITE#/ PA E#/UNIT#
Plan Check No. Cb
Est. Value
Plan Ck. Deposit
APN
CT/PROJECT# LOT# PHASE# # OF UNITS # BEDROOMS t BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
l>ESCRIPT!ON'oF WORK: include Squa~ Feet of Affected Area(s)
,A.P,0 ~~~1t::-j 6.#s ,&z;,,,e. ?~-M& G/5t? -f h~ ?M'r;:tt?4,,v;,;,-1#'
PROPOSED USE GARAGE (SF)
ADDRESS 1/S&'~ ,l?JV~~~r 4#~ ,eP
CITY,£,-i~r? . -· --STATE <;)".
EMAIL
PATIOS (SF) DECKS (SF} FIREPLACE
YES[),
APPLICANT NAME (Secondary Contact) -ADDRESS
AIR CONDITIONING
N<O v,s □NoD
CITY STATE ZIP
PHONE FAX
EMAIL
FIRE SPRINKLERS
YES□No□
PROPERTY OWNE
ADDR?s/4Li{::;C--,"J'.J_,,,,_,r.__.L"=...,,_,......_ __
CONTRACTOR BUS. NAME / .A ,.,et J'A
-----+--~ £».I¾ P ~&'4?~ .,,&7ff?J.=P _ ____j ADDRESS /36c, 6,; ~-,,PIP ,t5t:?)( / ~? ~
PHONE FAX 7bt' 71??/jf/
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE UC.If CLASS
63()?35 ?-J7 CITY~
(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 sii;!ned statement that he is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9, commend1ng with Section 7000 of Division 3 of the
B_usmess 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)).
Workers' Compensation Declaration: / hereby affirm under penalty of perjuf'/ 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 perfonnance of the work for which this pennit is issued.
8 J have and will maintain workers' compensation, as required by Secuon 3700 of the Labor Code, for the pertonnance of the work for which this permit is issued. My workers' compensa~on insurance carrier and policy
ocmbecare,lnsoranceCo S LIA IA~ co, POllcyNo. t,\JS ri4rr,G,?-'$4"1;25'.,/;,IH,oate f I-·(-)All
~section need not be completed ii the pennit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the won<. for which this permit~ issued, I shall not employ any person in any manner so as to become subject to the Wor1<.ers' Compensaton Laws of
California WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up lo one hundred thousand dollars (&100,000), in
addition to the cost of compensation rovi ction 3706 of the Labor code, interest and attorney's fees.
! 2f CONTRACTOR SIGNATURE
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
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. \f, 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 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 owi1er of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractors 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. Oves 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 (finn) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the won<., but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' /icense number):
5. I will provide some of the work, but I have contracted (hired) the followlng persons to provide the 'Mlrk indicated (include name/ address/ phone/ type of work):
1
1 /j$ PROPERTY OWNER SIGNATURE □AGENT DATE
Is the applicant or future building occupant required to submit a busir.ess..£!!1, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of t11e
Presley-Tanner Hazardous Substance Account Act? D Yes LJ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management distriet? 0Yes 0No
Is the facilijy to be constructed within 1,000 feet of the outer boundary of a school site? 0Yes LJNo
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 certify that I !lave read the appUcation and state that the above infonnatlon is conectand that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relatlngto building construction.
I hereby authonze representative of the City of Carlsbad to enter Up:lll lhe atxM:! mentioned property for Insi:-ect1011 purposes I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD I
AGAINST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT I
OSHA An OSHA IX!flTllt Is requIroo for excava!iOns over 5 O deep and demohIKll1 or construction of structures over 3 stones In height
EXPIRATION Every perrrnt issued by the Bu1ld1ng Offiaal under ons oftnis Code shall expire by limitation and become null and 'vl'.lld if the building or work aulhonzed by such perrrnt is rot commenced wtth1n
180 days from tne date cf such permit or if r work onzed by 1X!f1Tllt Is suspende::l or abandoned at any time after the work Is oommenced for a penod of 180 days (Se:oon 106 4 4 Uniform Bu1ld1ng Code)
.K!S APPLICANT'SS1GNATUR l,_......-...-.. -----------o,_r• __ b __ -_.3_1_._/_I __________ _
Inspection List
Permit#: CB111480 Type: PLUM
Date Inspection Item
12/28/2011 29 Final Plumbing
12/28/2011 39 Final Electrical
12/07/2011 29 Final Plumbing
12/07/2011 39 Final Electrical
07/11/2011 23 Gas/TesVRepairs
07/07/2011 23 Gas/TesVRepairs
07/07/2011 31 Underground/Conduit-Wirin
Wednesday, April 25, 2012
Inspector Act
MC Fl
MC Fl
MC co
MC co
MC AP
MC PA
MC AP
RODE RES-GAS TO PORTABLE
BBQ/FIRE PIT ELECT TO BBQ/FIREPIT/F
Comments
COVERS & GFI PROTECTION OK
NOTICE
HOUSE STUB TO BBQ & FIREPIT ONLY
SEE CARD, LOW TEST PRESSURE
CONDUIT ONLY, HOUSE TO BBQ,
FIREPIT & FOUNTAIN
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