HomeMy WebLinkAbout1481 SAPPHIRE DR; ; CBR2016-0316; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date: 05/19/2017
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group;
# Dwelling Units:
Bedrooms:
Project Title:
Description:
1481 Sapphire Dr
BLDG-Residential
2121911100
$0.00
LAMAR: NEW GAS LINE FOR BBQ
Owner:
Residential Permit
www.carlsbadca.gov
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Permit No: CBR2016-0316
Closed -Finaled
12/08/2016
12/08/2016
TRUST LAMAR FAMILY 2004 TRUST 03-3H4
1481 Sapphire Dr
MISSION COAST PLUMBING INC
CARLSBAD, CA 92011
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00
1820 Peacock Blvd
Oceanside, CA 92056-3588
760-685-5475
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$166.00
$0.00
,
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD
(city of
Carlsbad
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.c:J;D.,'Zodc -'0'31 (.,
JOB ADDRESS /l/ I Y-·
CT/PROJECT# # OF UNITS # BEDROOMS
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
Afw
EXISTING USE PROPOSED USE
APPLICANT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
STATE UC.#
Est. Value
Plan Ck. Deposit
Date \ l.-'G I (,,
SUITE#/SPACE#/lJNIT# APN
# BATHROOMS TENANT BUSINESS NAME
ho
PATIOS (SF) DECKS (SF)
PROPERTY OWNER l
ADDRESS
SWPPP
CONSTR. TYPE DCC. GROUP
ou.+
FIRE SPRINKLERS
YES□No□
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to c_onstruct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_mit to file a signed statement that he 1s licensed pursuant to the provisions of the Contractor's License law JChapter 9, commending with Section 7000 of Div1s1on 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I 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
Ud""f have and will maintain workers' compensation, as required by S~lion 3700 of the Labor Code, for the performan~e oJ the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance col .l.)e5(l) J;"'r-;;i...,tatnc...e....... \:.DM.fa /'lv Policy No. swc. \ \ L (p J4'f Exp1rat1on Date
This section need not be completed 1f the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify that in the performance of the work 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 secure workers' compensation coverage ls unlawful, and sha!I subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation ovided f Sectlo 706 of the labor code, interest and attorney's fees .
.85 CONTRACTOR SIGNATURE <'l'f11"17:. ~NT
/ hereby affirm that I am exempt from Contractor's License 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. 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 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 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. I personally plan to provide the major labor and maten"als for construction of the proposed property improvement. OYes 0No
2. I (have I have not) signed an application for a building permit for the proposed work
3.1 have contracted with the following person (!inn) 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 I address 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 work indicated (include name/ address I phone/ type of work):
.Jt5 PROPERTY OWNER SIGNATURE i.JfiENT DATE/
v_
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and preven~on 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? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR \S MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans Is accurate. 1 agree to comply with all City ordinances and State lam relating to building construcb'on.
I hereby aulhorize representative of the City of Ca~sbad to enter upon the above mentioned property for inspectbn purpJSes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: M OSHA permit is required for excavations over 5'0' deep and demolition or construction ofstrucllJres over 3 stories in height
EXPIF¼TION: Every pemiit ~sued by the Building Official under the provisions of this Cooe shall expire by limitation and b€oome null and void tf the building or 'Mlrk authorized by such permit is not oommenced within
180 days frcm !he daE of such pemi' 1 e buildin 'Mlrk au by cl1 perm~ is suspended or abandoned at any time after the 'MJrk is oommenced for a period of 180 days (Sectk>n 100.4.4 Uniform Building Cooe)
-@'.S'APPLICANT'SSIGNATURE DATE l 2--l 8 Ulo
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 buildinq@carlsbadca.gov 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: □ CONTACT (Listed above) C1 OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER: _______________ _
A$ APPLICANT'S SIGNATURE
o ASSOCIATED CB#·-------------
0 NO CHANGE IN USE / NO CONSTRUCTION
o CHANGE OF USE/ NO CONSTRUCTION
DATE
ZIP
. -PERMIT INSPECTION HISTORY REPORT (CBR2016-0316)
0
Penr:it Type: BLDG-Residential Application Date: 1210812016 Owner: TRUST LAMAR FAMILY 2004
TRUST 03-31-04
Work Class: PIM/E Issue Date: 12108/2016 Subdivision:
Status: Closed -Finaled Expiration Date: 06/06/2017 Address: 1481 Sapphire Dr
Carlsbad, CA 92011-1229
IVR Number: 708
-~···-~---
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
05/15/2017 BLDG-Final 023985-2017 Passed Paul Burnette Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Building Deficiency No
BLDG-Plumbing Final No
BLDG-Mechanical Final No
BLDG-Structural Final No
BLDG-Electrical Final No
12/0912016 12/09/2016 BLDG-23 004901-2016 Passed Paul Burnette Complete
Gas/Test/Repairs
Checklist Item COMMENTS Passed
BLDG-Building Deficiency Yes
May 19, 2017 Page 1 of 1