HomeMy WebLinkAbout1477 SAPPHIRE DR; ; CB142290; Permit09-09-2014
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
I City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB142290
Building Inspection Request Line (760) 602-2725
1477 SAPPHIRE DR CBAD
PME
2121911200 Lot#: 0
VINCENTE RES-REPLACE WTR HTR
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
09/09/2014
LSM
09/09/2014
09/09/2014
AFFORDABLE WATER HEATERS AND PLUMBING INC VICENTE BEATRICE TRUST 07-03-09
28372 CONSTELLATION RD
VALENCIA CA 91355
855-345-9087 I 9048
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
1477 SAPPHIRE DR
CARLSBAD CA 92011
$33.00
$0.00
$0.00
$62.00
$95.00
Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due:
Inspector: "SP Date: Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Im sition" of ees, dedications, reservations, or other exactions hereafter collectively
referred to as 'fees/exactions: You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020{a), and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
fe s/exa i n f whi h h v vio sl n iven a N Tl E similar o thi or as to whi h he ta ut f limitation h revi usl
THE FOLLOWING APPROVALS REQUIREO PRIOR TO PERMIT ISSUANCE: ·PLANNING ENGINEERING ·BUILDING FIRE . HEALTH HAZMAT/APCD
«~t Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. {4~'0
~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT# #BEDROOMS
DESCRIPTION OF WORK: lndude Square Feet of Affected Atu(s). /). . . ./ rP.~··
.···$,111-1G
Est. Value
Plan Ck. Deposit
Date 9 q SWPPP
SUITEf/SPACH/UNIH APN
# BA.THROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESD AIR CONDITIONING
NO□ YESONo □
APPUCANTNAME Jo~ 7). PROPERTY OWNER NAMt
ADDRESS '54mc as ADDRESS
CITY
PHONE FAX
EMAIL
DESIGN PROFESSIONAL
ADDRESS
!CllY STATE ZIP
PHONE FAX
EMAIL
STATE UC.#
(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 siJt:ned statement tnat he Is licensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt, therefrom, and the basis for the alleged exemption. Arly violation of Section 7031.5 by any appllcantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
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;WO IH!. It RS ' CO /Y! P E NS~ TIO N , , ', . , ; , : , ,. . ',. , , . , . , ,,;'
Workm' Compenaatlon Dedantf on: / hemby alfinn •-penally of ,,.,;.,ry one of the following doc/arations:
L W,r have and wlU maintain• certificate of consent to self•in1un forwolkers' compensation es provided by Section 3700 of the Labor Code, for the perlormance of the work for which this permit is issued.
~ave and wll maintain wc:den' compegsationu a_s ~~ :b~JFon 3~~:~-~ Labor:C_o~e'. fOf the perfonn~ ofJIJ_! ~ ~'Milch this,_~it is,issued. My workers' COfT1>en_smjr ~~~i9 c;~.an_d_policy.
numbe1a..:lnsuranceeoP...fiOl'\..X _l\1c>V\ · 1-tJte • •· HJ~. PolicyNo. O{<(J9J'ZZ,,.. ····.> · ·. •· E,qjrationDate _, I, ! ::.,'
This section need not be completed If the pennit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the perionnance of the WOO< for IM'lich lhis permit Is issued, I shal not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING; Failure to sewre wortc:m' c pef'! on coverage 11 unlawfu and shall subject an employer to criminal penalties and cMJ flnec up to one hundred thousand dollan {&1011,000), In
addition to the cost of compcnaatfon, damages as of bor code, Interest and attorney's fees.
RS CONTRACTOR SIGNATU
I hereby aftitm lhat I am exempt from Contractor's Ucense Law for the following mason:
□
□
□
I, as owner of the property or my elllpoyees with wages as thei" sole canpensation, win do the work and the stnJcbxe is not intended Of offered for sale (Sec. 7044, Business and Professions Code: The Contrae1or's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or thrpugh his own employees, provided lhat such improvements are not intended Of offered fDf
sale. If, however, the buUding or improvement is sold wtthln one yea/ of completion, the owner-builder 'MR have the burden of proving that he did not buad or improve fa the purpose of sale).
I, as owner of the p,q>erty, am exdusively contracting with licensed ccntractm to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of
P"OJ)eft)' who builds or ll'npoves lherec,i, and contracts for such projects with contractor(s) Rcensed purauant to the Contractor's 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 mprovemen1. 0Yes 0No
2. I (have/ have not) signed an application fDf a building permit frx the jnpOSed work.
3. I have conlracted with the foNowing person (firm) to provide the proposed construction ~ndude name address/ phooe / contractors' license number):
4. I plan to provide portions of the work. but I have hired the foll owing person to coordinate, supervise and provide the major work Qndude name I add/'855 I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the WOO( indicated Qndude name I address/ phone/ type of work);
RS PROPERTY OWNER SIGNATURE □AGENT DATE
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~MPl.l!TI! THI$ Sl!CTION l"OR,NOllnRl!Sll>,!=l!IJ,'l'IAJ;,,fi!Vll.:OII\IG, Pl!R!Y\lTS or:,t::Y ,, ' '' ' ''/
the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration 1orm or risk management and prevention program under Sections 25505, 25533 or 25534 of the
-esley-T amer Hazardous Substance Account Ad? □ Yes □ No
the applicant or future blilding occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
the facility to be constructed within 1,000 feet of the outer boundiJY of a school site? □ Yes □ No
ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPUCAH'T HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
~ERGeNCY SERVICES AND THE AIR POLLIJTION CONTROL DISTRICT.
e,tlfylhatl have read the appllcadon and -lhatthe abcMO lnfonnatlon Is com,:t and that the lnfonnalfon "'the plans Is -I agn,e to oomply'"111 al Cily ordlnanc.s and State laws relating to bulldlng COIIS1nldloo.
ereby aulhorize reiresenlalive of the City of Garlsbad ID enterupm the above mentioned for i1spedion puiposes. I i'I.SO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
lAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPEN ICH MAY IN WAY EAGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ,HA: An OSHA pennlt is requied for excavations """5'0' derr<Jllion or · n suuctures over 3 stales i1 height
:PIRA TION: Every pennlt issued'by the Eluking Official of 111· sha xpire by imitation and become rtJI and void W lhe ruldilg or -aulhorized by such permil is net coo11., iced v.ilhi1
0 days from the dale of such permit or W 1he bui<fr,g or It is ed or abandooed at any line after lhe -is oommenoed for a period of 180 f"Y5 (Sedim 106.4.4 Urifoon Buikling Code).
~ APPLICANT'S SIGNATURE DATE , · t <+-
. .
Inspection List
Penni!#: CB142290 Type: PME
Date Inspection _Item
10/20/2014 25 Water HeaterNents
10/20/2014 29 Final Plumbing
• 10/17/2014 25 Water HeaterNents
10/17/2014 29 Final Plumbing
Monday, October 20, 2014
Inspector Act
RI
RI
SP AP
SP Fl
VINCENTE RES-REPLACE WTR HTR
Comments
VINCENTE RES
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