HomeMy WebLinkAbout1432 SAPPHIRE DR; ; CB042607; PermitCity of Carlsbad r-\ c:--,-· , . ~ \...-, \ , \,,,('\ 1635 Faraday Av Carlsbad, CA 92008
07-07-2004 '( ,~. Residential Permit Permit No: CB042607
· Building Inspection Request Line (760) 602-2725
Job Address: 1432 SAPPHIRE DR CBAD
Permit Type: RESDNTL Sub Type: RAD Status: ISSUED
Parcel No: 2121900900 Lot#: 0 Applied: 07/01/2004
Valuation: $3,000.00 Construction Type: NEW Entered By: KMT
Occupancy Group: Reference #: Plan Approved: 07/07/2004
# Dwelling Units: 0 Structure Type: Issued: 07/07/2004
Bedrooms: 0 Bathrooms: 0 Inspect Area:
Project Title: HOYT RES-RMDL-ADD 1 NON-LOAD Orig PC#:
BEARING WALL TO MAKE X-TRA BEDRM Plan Check#:
Applicant:
HOYT FAMILY TRUST 07-26-00
1432 SAPPHIRE DR
CARLSBAD CA 92009
760-419-7703
Building Permit
Add'I Building Permit Fee
Plan Check
Add'I Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
STD #2 Fee
STD #3 Fee
Renewal Fee
Add'I Renewal Fee
Other Building Fee
Pot. Water Con. Fee
Meter Size
Add'I Pot. Water Con. Fee
Reel. Water Con. Fee
Total Fees: $116.05
Owner:
HOYT FAMILY TRUST 07-26-00
1432 SAPPHIRE DR
CARLSBAD CA 92009
6081 07 /07 /04 0002 01
$45.79
$0.00
$29.76
$0.00
$0.00
$1.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Meter Size
Add'I Reel. Water Con. Fee
Meter Fee
SDCWAFee
CFO Payoff Fee
PFF
PFF (CFO Fund)
License Tax
License Tax (CFO Fund)
Traffic Impact Fee
Traffic Impact (CFO Fund)
Sidewalk Fee
PLUMBING TOTAL
ELECTRICAL TOTAL
MECHANICAL TOTAL
Housing Impact Fee
Housing lnlieu Fee
Housing Credit Fee
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
Total Payments To Date: $29.76 Balance Due:
FINAL APPROVAL
ro ~-c{
DATE/' .. -~~CE
SIGNATURE __ {J __ "'~-----
CGr-:·
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$20.00
$19.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$116.05
$86.29
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
DeEcii ion o~Work SQ FT # of Stones #
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Telephon••.wlii ii a IA1 11.ij-~meeu;-· _ r:rmaa::: •-· l -
(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 signed statement that 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. 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]).
Name Address City State/Zip Telephone#
State license# _________ _ License Class ___________ _ City Business License# ___________ _
Designer Name Address City State/Zip Telephone#
State License# _______ _
:mr~uaarm1rr111a111!■ r:::rn1rrrrr:::,a Jill Ii Workers' Compensation Declaration: I hereby affim, under penalty of perjury one Of the following declarations:
□ 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 perfom,ance of the WOO(
for which this pem,it ls issued.
□ I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the perfom,ance of the work for which this permit Is Issued. My
worker's compensation insurance carrier and policy number are:
Insurance Company _________________ Polley No. ____________ Expiration Date ___________ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS)
□ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which 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 Is unlawful, and shall subject an employer to criminal penalties and clvll fines up to one hundred thousand
dollars(S100,DDD), In addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's fees.
SIGNATURE === ======== DATE
h,~ . . ··•······· ... ~-IHffllr::: r-. llrl■-wa, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: V I, as owner of the property or my employees with wages as their sole compensation, will d 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 bullds or Improves thereon, and who does such work himself or
through his own employees, provided that such improvements are not intended Of 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 fOf 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 bullds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's
License Law).
D I am exempt under Section _________ Business and Professions Code for this reason:
1. I personally plan to provide the ma}or labor and materlals for construction of the proposed property improvement. D YES D NO
2. I (have/have not) signed an application for a building pem,it for the proposed work..
3. I have contracted with the following person (fim,) to provide the proposed construction (Include name I address/ phone number 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/ phone number I
lontractors license number): --~------------~-------------------------------
5. l will provide some Of the work, but I ave contracted (hired) the following pe
PROPERTY OWNER SIGNATURE DATE \
PINK: Finance
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad CA 92008
Page 2 of 2
-Jf:""7Ml1.,...,ffl"'1'1!!F§illlllilt"'Y' ' L J I Niliffl iliffliliffl III '17 III
Is the app1lcant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under
Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO
Is the applicant or future bu lid Ing occupant required to obtain a permH from the air pollution control district or air quality management district? □ YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 AND THE AIR POLLUTION CONTROL DISTRICT.
bllllJLLLLIILLLLLLmmtiliffliliffl-1 ti ii JELLLIIIiliffliliffllJI IP El d LLiliffl
I hereby afflnn that there is a construction lending agency fOf the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code).
LENDER'S ADDRESS LENDER'S NAME------------;;;;;;;;;,;;,;;,;;;;;,;;---l!l-77 i111'1fllllll!il,midl'llll ll-illllll &,~l,,ll!illll!illlllll llllll 111-Li&E I certify that 1 have read the application and state that the above lnfonnation is correct and that the information on the plans is accurate. I agree to comply with all City
ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations of 5'0-deep and demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or wor1t authorized
by such permit is not commenced within 180 days from the date of such permit or If the building or work authorized by such pem,lt is suspended or abandoned at any time after
the work Is commenced for a i of 180 days (Section 106.4.4 Uniform Bui g Code) .
APPLICANT'S SIGNATURE . ~ ....... rr DATE
WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 09/30/2004
Permit# CB042607
Title: HOYT RES-RMDL-ADD 1 NON-LOAD
Description: BEARING WALL TO MAKE X-TRA BEDRM
Type: RESDNTL Sub Type: RAD
Job Address:
Suite:
Location:
1432 SAPPHIRE DR
Lot 0
OWNER HOYT FAMILY TRUST 07-26-00
Owner: HOYT FAMILY TRUST 07-26-00
Remarks:
Total Time:
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Associated PCRs/CVs
Inspection History
Comment
Date Description Act lnsp Comments
Inspector Assignment: PD ---
Phone:d197703 ,M~rii;_
Requested By: HOWARD
Entered By: CHRISTINE
PLANNING/ENCINEERINC APPROVALS
PERMIT NUMBER CB CJ 4 '2-,.GtJ 7 DATE () 7-(). t O v/
ADDRESS / 43 z, ( s:h p PH /J2_£
RESIDENTIAL ADDITION MINOR
( < $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLACE FAIRE
COMPLETE OFFICE BUILDING
OTHER __________________ _
DATE 0 7-()/,-!Jl(
DATE_].........._(_1.,,-,-(_o_r_
Dots/MISfonnstPtannlng Englneertng Approva!S
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City of CARLSBAD
BUILDING DEPT
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