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HomeMy WebLinkAbout1468 SAPPHIRE DR; ; CB111728; Permit, ' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-30-2011 Plumbing Permit PermitNo:CB111728 Job Address: Permit Type: Parcel No: Reference fl: PC#: Project Title: Applicant Building Inspection Request Line (760) 602-2725 1468 SAPPHIRE DR CBAD PLUM 2121910200 Lot#: Construction Type: PEPIO ELEC TO BBQ//GAS TO BBQ 0 NEW & FIREPLACE, 28 SF RETAIN WALL TO THE 111CHT Of Owner Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 08/09/2011 JMA 08/09/2011 08/09/2011 MC AAA LANDSCAPE SPECIALISTS PEPIO ANTHONY M&MOTALLI-PEPIO RITA N 1260 WHITE SAND DR SAN MARCOS 92069 760 295 1980 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum 8reJker Other Plumbing Fees Master Drainage f-'.ee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: Inspector $81.00 0 0 0 0 0 1 0 1545 Al llERMALE WAY BURLINGAME CA 94010 $20.00 $0.00 $0.00 $0.00 $0,00 $0.00 $7.00 $0.00 $54.00 $0,00 $0,00 $0.00 $81.00 Total Payments To Date: $81.00 Balance Due: FINAL APPROVAL Date ll/t5/IL Clearance: $0.00 NOTICE. Please take NOTICE that approval ol your pro1ect includes the ,'!rnpos1t1on' of ier·~ dedications, reservations, or other exactions hereafter collectively referred to as "Ices/exactions." You have 90 days from the date this permit was issued :·1 p'o\est imposition of these fees/exactions. If you protest them, you must follow the protest procedures set torth m Government Code Section 66020(a). and tile tri,. p'o!est and any other required information with the City Manager for processing 1n accordance with Carlsbad Municipal Code Section 3.32.030 Failure to t1rrdy follow that procedure wiH bar any subsequent legal action to attack, review. set aside. void, or annul their imposition You are hereby .r:-URTHER NOTIFIED that your 11ght to protest the spec1f1ed fees/exad1tns DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grnc!ing or other s1rni1ar application processing or serJice !ecs 1n connection with this project. NOR DOES IT APPLY to any fees/exact1ons ot which vou have nreviouslv been riven a NOTICE similar to this or as tc v,.!11cn thi> stat"'" "f limitation..: has nrevinuslv nthP.twiSP. P.XnirArl. ; «~~ Building Permit Application 1635 Faraday Ave .• Garlsbad, CA 92008 760-602-2717 / 2718/ 2719 Plan Check No. CB { I l 7 2-~ ¥ CITY OF CARLSBAD EXISTING USE APPLICANT NAME (Primary Contact) ADDRESS (;}.,o CITY ("' .J '<'--- PHONE ~o,'J..4.r: C"l8 o DRESS PROPOSED USE Fax: 760-602-8558 www.carlsbadca.gov # OF UNITS # BEDR MS GARAGE (SF) STATE UC.# Est. Value Plan Ck. Deposit SWPP SlJITE#/SPACE#/UNIT# # BATHRO MS TENANT B INESS NAME CONSTR. TYPE OCC. GROUP APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAA TRACfOR BUS. NAME CITY STATE ZIP PHONE FAA EMAIL STATE UC.#~ S' Z-CLASS CITY BUS. UC.# 24 (Sec~ 7031.5 Business and P_rofessions 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 per_mit to file a signed statement that he Is licensed pursuant to the provIsIons of the Contractor'_s License Law jChapter 9, commending with Section 7000 of DIvisIon 3 of the Business and Professions Code) or that he is exem_i;,t 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 do!lars {$50D}). -' WOIU(IIU" liOMPll!UA'tlON ' ' ' ' ' Workers' Compensation Declaratlon: I hereby affirm under penalty of perjury one of the following declarations: D I~ and will maintain a certificate of consent to self-Insure for worl<.ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wori<: for which this permit is issued. ltl-1have and will maintain workers' cornpens'!jon, as required by Section 3700 of the Labor Code, for the performance of the wori<: for which this permit Is issued. My wori(ers' compensationtsu1rice carrier and policy ~ numberare:lnsuranceCo. M.,Ar:J\...Ki\., Policy No. ,}1A'6/( O()~'f\4 101 Expiration Date Ol( 01 a Ult This section need not be completed if the 11 is r one hundred dollars ($100) or less, D Certificate of Exemption: I certify at in the rformance of the wori( for hich this permit is issued, I sha,'I not employ any person in any manner so as to become subject to the Wori(ern' Compensation Laws of California. WARNING: Failure to se ure work 'compensation cover e Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation damage as provided for in S n 3706 of the labor code, Interest end attorney's fees. ~ 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 oot 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 contractorn 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 materials for construction of the proposed property improvement. D Yes D No 2, I (have/ have not) signed an application for a building permit for the proposed worl<. 3, I have contracted with the following person (firm) 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/ address/ phone/ 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 I address I phone/ type of work) _65 PROPERTY OWNER SIGNATURE □AGENT DATE ( Is the applicant or future building occupant required to submit a business plan tely hazardous materials registration form or risk management and prevention 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 JX)llution control district or air quality management distriCI? □ Yes 2!""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 IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have read the application and sta1B that the above lnfomiation is correct and that the lnfonnatlon on the plans is accurate. r agree ID comptywtth all City ordinances and State laws relating tD building construction. I hereby authorize representative of the City of Carlsbad to enter u~ the ab:lve mentk:lned property t:ir inspection purp::lses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGI\INST ALL LIABILITIES, JUDGMENTS, C JS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CCT-JSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: M OSHA permit is required brex over 5'0' deep and dernolioon orconslrucik:ln of structures over 3 stories in height. EXPIRATION: Every permit issued by Offi::ial under the rovisions of this Code shall expre by limitatk:ln and become null and void Wthe buik:ling orw:,rk authorized by such permit is notoommenced 'Mthin 100days from the dale ofsudl permit · by such permit is suspended or abandoned at anytime after the v.ork is oommenced for ape · of 180 days {Secoon 100.4.4 Uniform Buik:ling Code). ~ APPLICANT'S SIGNATURE DATE Of o City of Carlsbad Bldg Inspection Request For: 11/10/2011 Permit# CB111728 Inspector Assignment: MC --- Title: PEPIO: ELEC TO BBQ//GAS TO BBQ Description: & FIREPLACE, 28 SF RETAIN WALL TO THE RIGHT OF FIREPLACE-PE SD REGIONAL STDS-C-2 Type:PLUM Sub Type: Job Address: Suite: Location: 1468 SAPPHIRE DR Lot: 0 APPLICANT AAA LANDSCAPE SPECIALISTS Owner: PEPIO ANTHONY M&MOTALLI-PEPIO RITA N Remarks: Total Time: CD Description Act Comments Phone: 7608094412 Inspector: -~""-~-- Requested By: DAVID Entered By: JANEAN 29 Final Plumbing j:J_ ____________________ _ --±---- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns(lection Histo!Y Date Description Act lnsp Comments 11/08/2011 29 Final Plumbing co MC NOTICE 11/08/2011 39 Final Electrical co MC 10/03/2011 65 Retaining Walls PA PD GROUT 09/28/2011 61 Footing WC MC 09/28/2011 66 Grout co MC NOTICE 09/13/2011 23 GasrresURepairs AP MC METER TO BBQ & FIREPLACE 09/13/2011 31 Underground/Conduit-Wiring AP MC CONDUIT ONLY, METER TO BBQ GATE CODE 4848