HomeMy WebLinkAbout1379 SAPPHIRE DR; ; CB100603; Permit05-05-2010
Job Address:
Permit Type:
Parcel No:
Valuation:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Patio/Deck Permit Permit No: CB100603
Building Inspection Request Line (760) 602-2725 __ _
1379 SAPPHIRE DR CBAD
PATIO
Lot#: 0
St ~ WITHDRAW A~~~: 04/07/2010
Enterecl-lly_· ~J~M""A'------
Reference #:
2122500500
$2,730.00 Construction Type: NEW
Plan Approved: 04/07/2010 ---
Project Title:
Applicant:
HAN: DECK A=78SF/DECK B=104SF
NEW DOOR & LIGHT FOR EACH DECK
Owner:
Issued: 04/07/2010
Inspect Area:
Plan Check#:
HAN SHAN&CHU-HAN JULIA HAN SHAN&CHU-HAN JULIA
1379 SAPPHIRE DR
CARLSBAD CA 92011
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Strong Motion Fee
Green Bldg Standards (SB1473) Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Additional Fees
TOTAL PERMIT FEES
1379 SAPPHIRE DR
CARLSBAD CA 92011
$54.11
$0.00
$35.17
$0.00
$1.00
$1.00
$0.00
$0.00
$20.00
$0.00
$111.28
Total Fees: $111.28 Total Payments To Date: $111.28 Balance Due:
Inspector:
FINAL APPROVAL
Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition· of fees, dedications, reservations, or other exactions hereafter oollectlvely
referred to as "fees/exactions.· You have 90 days from the date this permit was issued to protest Imposition of these fees/exactions. lf you protest them, you must
follow the protest prooedures set forth in Government Code Section 66020(a), and file the protest and any other required infonmation with the City Manager for
prooessing In aoooroance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that prooedure 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 oonnectlon fees and capacity
changes, nor planning, zoning, grading or other similar application prooessing or service fees in oonnectlon with this project. NOR DOES IT APPLY to any
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'4-Plan Check No. Cr-z..1 l'V> '=,Q '.:s «~~' Building Permit Application
1635 Faraday Ave .. carlsbad, CA 92008 Est. Value /f .;2-1. ?;0. ~ CITY OF 760-602-2717 / 2718 / 2719
Plan Ck. Deposit CARLSBAD Fax: 760-602-8558
www.carlsbadca.gov
Date 41"711 0 I vv .• ~,
JOB ADDRESS \'31'\ c::.. c,_ 1' \.._ \ f l(_ SUITE#/SPACE#/UNIT# I"" ---
CT/PRC'lJECT # ILOT # \ PHASE# I# OF UNITS I # BEDROOMS #SATHM\NMS I TENANT BUSINESS NAME IOOrt::,11(. "r~ I ,.,.......GROUI'
DESCRIPTION OF WORK: Include Square Feet o, Atrectecf ~
~ \ c-o· · ts. 1Cl. .,_ \. ~ \ou. <' -~-
J \ ' T .
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NO □ YES O NOD YES O NOD
CONTACT NAME (II Dlffetent Fom Appllcant) APPLICANT NAME
ADDRESS ADDRESS
CllY STATE ZIP CllY STATE ZIP
PHONE lFAX PHONE IFAX
EMAIL EMAJL
PROl',i'T' OWNER N'\"f.. CONTRACTOR BUS. NAME . -.. ,.... 'n.
ADD\E~~ So..~~p ~-t ~~.l
ADDRESS
CllY r>~ /1 .. b_l \ ('... ,r~TE ZIP CllY STATE ZIP
PHONE \ IFAX PHONE I FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & AOOREs.S I STATE UC.# STATE UC.# I CLASS I CITY BUS. UC.#
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct:, alter, Improve, demohsh or repair any structure, pnor to Its Issuance, also requires the applicant f0< such permit to file a signed statement that he is licensed pursuant to the provlslOns of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applleant for a permit subjects the applicant to a civil penalty of not more than five hundred dollers {$5001).
WORKERS' COMPENSATION
Worbrl' Compenlltion Declal'ltlon: / hereby alRtm under penalty of perjury me of the folowing declantions:
□ I h■vt and wil maintain I ctttiftcatt of conNnl to Hff-ln■urt for worbn' compensation as provided by Section 3700 of the Labor Code, for the pe,formance of the work for which lhis pennll ls Issued.
□ I have and wll maintain 'IWlmrl' comptnaatlon, as required by Secliorl 3700 of the Lab« Code, fOf the perlonnance of the work for which this permil is issuad. My workers' compensation insurance earner and policy
number are: lnSYrance Co., ____________________ Polley No. _____________ Expiration Date ________ _
This section need oot be completed If the permit Is for one hundred dollars {$100) or less. □ Certifkale of Exllfflptlon: I certify that in the performance of the work for which this permit is Issued, I sllaU not employ any penion in any manner so as to become subject to the WOOUlffl' Compensation Laws of
Califomla. WARNING: Failure to 11c:ure workers' compen..Uon coverage ts unlawful, and ahaal subjact an employer to crlmlnll ptnalUn and clvil fines up to one hunchd thou11nd dol1r1 (&108,000). NI
addition ta tht cost of compensation, damagft II provtdtd to, In SICllon 3706 of lhl labor code, iltertlt and attomty'1 fetL
A5 CONTRACTOR SKlNATURE □AGENT DATE
OWNER~BUJLDER DECLARATION
I hereby 8/firm that I am exempt ffl Conlr&ctor's Ucsnse Law for the following reason:
~ I, as CMn8I' of lhe property or my employees 'Mlh wages as their sole compensatk>n, will do lhe wm. and lhe slrucl1n is not lnlended or offered for sale (Sec. 7044, Bosiness and Professions Code: The Contrac:tor's
Licenle Law does not apply to an owner d property -.tlo builds or improves thefeon, and who does such WOO( himself or ttvough his own employees, provided !hat such Improvements are not Intended or offered ror
sale. If, however, Iha building or improvement is sold within one ye,r of ampletion, the O'ltTler-builder wil have lhe burden cl proving lhat he did not buikl or improve for lhe purpose of sale).
)( I, as owner of Iha~. am exdusively conlracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license law does not apply lo an owner d
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Conlraclor's License law).
~ I am axempt under Section ____ ..ousioess and Professions Code for lhis reason:
1. I penionally plan lo provide lhe major labor and materials for conslruction of lhe proposed property improvement. \a Yes □ No
2. I (have/ have not) signed an application for a building permit for lhe proposed WOfk. ""-
3. I have contracted wilh the following person (firm) to provide lhe proposed construction (indude name address/ phone/ 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 (inchJde name/ address/ phone/ contraclors' Hcense number):
5. , ,., """"' ,ome d ~• WOik, bul I hav, con-(hired) lhe ""'.'""~""""' ""WOik oocated (lndude ,..,.. , address/ phone I fype of WOik)
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
1s the applicant or Mure building occupant required to submH a business pla',, acutely hazlWdous materials registration rorm or risk management and prevention Pl'(9'am under Sections 25505, 25533 or 25534 of h
Presley-Taooer Hazardous Substance Account Ad? □ Yes □ No
Is the applicant or future buikling occupant required lo obtain a permit from lhe air pollubl conlrOI district or air quality management district? □ Yes □ No
Is the facility to be construeled within 1,000 feet of lhe outer boundary of a sclml site? □ Yes □ No
F 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 cettf(ttaat I ha'lt lead the applcallon and st1111 dlatdle atKMt Information Is 00fl8Ctl00 that the idonnation on the plans Is acante. I ag191 to mnptywlth aN Cltrordlnancel and StllB IIMs IIIIIIHIICtD buildlnCCOllllftlCIIDn.
I hon!by aul1orize r,p1998111atiYe oft,e Cilyol~ t,-upon Ile abcM! ""'1lllned propellybrilspediln pupooes. I ALSO AGREE TO SA~ NJEMNFY NO KEEP HARM.£SS Tl£ CIIYOF CARSIWl
AGANST ALL LIABLITIES, JUOGMENTS, COSTS NO EXPENSES WHICH MAY IN /W'I WAY ACCRUE AGAINST SAil CITY IN CONSEOUENCE OF Tl£ GRANTNG OF THIS PERMIT.
OSHA:AA OSHA pemil ls l9qlftd br"""'81on8°'"'5U' dee!> and-o,conslrudionol--3-i1 hliitl-
EXPIRATION: E'81)' pemil isud by Ile Buiklng Olli:ial lllderlle provw,sof llis Code shal e,cpio by lmlallon and beaime ... and void Jt,, buidng o,--bysudl pemilil r.Awiii&ud-
100 days Iran t,, dale ol sudl pemil o, it,,~--by sudl pemil is~ o,-al any line allert,,-is commanced bra petlJd ol 100 days (Sedm 1116.U -a.ti,g Codei
AS'APPUCANT'SSIGNATVRE {1/t,~/,A_ DAlE _?.-2-'}-/J
/'\,,_ t /J,b.me, I j 5/,an /1,,u,. ~ !Jl,v'1 ~
I 7;? 71 >?<fth· 'v-e-T>r. (a)std, v4f ?.-01 (
.I rl-eR_J +o f'-eJ2-#1,'n.tAfe +Ae_ ~J-fe rm ,,f { C/5/ ovto'3)
dc1~ +o fee (eutcJ!),__frw i-H(p c~Jra.ci L,J ;7J/ SrCftf~
! ~ 1 Jtu pr wf2, hc.e-ef,