HomeMy WebLinkAbout1468 SAPPHIRE DR; ; CB161825; Permit' City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
05-10-2016 Permit No: CB161825
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1468 SAPPHIRE DR CBAD
PME Status:
Parcel No: 2121910200 Lot#: 0 Applied:
ISSUED
05110/2016
SLE
0511012016
05110/2016
Reference #:
PC#:
Project Title: PEPIO: REPLACE FAU & ADD NC
Applicant:
OAK ISLAND HEATING AND AIR
STE 103
1250 PACIFIC OAKS PL
ESCONDIDO CA 92029
760 839-8383
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
PEPIO ANTHONY M&MOTALLI-PEPIO RITA N
1468 SAPPHIRE DR
CARLSBAD CA 92011
$0.00
$0.00
$163.00
$0.00
$163.00
Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due:
Inspector: ~ FINAL
Date: Clearance:
$0.00
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THE FqLLOWINfl APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH D HAZMAT/APCD
<_(~~
Building Permit Application Plan Check No. (\ .P-il ( o I ~ 2 5
1635 Faraday Ave., Ca~sbad, CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit CARLSBAD email: building@ca~sbadca.gov
www.carlsbadca.gov Date ':")-10-11 n lsWPPP
JOB ADDRESS su .... f/»-ACH/UNIT• l''PN 1468 SAPPHIRE DR. ---
CT/PRQjECT # ILOT# I PHASE# I# OF UNITS I# BEDROOMS #BATHROOMS I T&:NANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Squa,e Feet of Affected Area(s)
REMOVE AND REPLACE 1 FAU AND
ADD 1 NEW A/C UNIT TO AN A/C PREPPED HOME,
NO ELECTRICAL
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF} FIREPLACE 1 I AIR CONDITIONING I FIRE SPRINKLERS
YESO •<0 YES0No0 YESO•oO
APPLICANT NAME TOM WOOD PROPERTY OWNER NAME TONY PEPIO P..._•-"'-blct
ADDRESS ADDRESS 1250 PACIFIC OAKS PL. #103 1468 SAPPHIRE DR.
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029 CARLSBAD CA 92011
PHONE IFAX PHONE IFAX 760 839-8383 760 839-8380 760-613-1587
EMAJL EMAIL
INFO@OAKISLANDAC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME OAK ISLAND HEATING AND AIR
ADDRESS ADDRESS
1250 PACIFIC OAKS PL #103
CITY STATE ZIP CITY STATE ZIP
ESCONDIDO CA 92029
PHONE PHONE IFAX 760 839-8383 IFAX 760 839-8380
EMAIL EMAIL
INFO@OAKISLANDAC.COM l STATE UC. # STATE UC.# IC""' I crrv eus. uc.1212710 745400 C-20
(Sec, 7031.5 Business and Professions Code: Any City or Counl;y which requires a permit to construct, alter, improve. demolish or repair any: structure, pnor to its issuance, also requires the applicant for such perm rt: 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 1031.5 by any applicant for a permit subJects the applicant to a
civil penally of not more than five hundred dollars {$500}),
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby afflrm under penalty of pe,ju(y one of the following decfaratiOns: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pemm is issued.
[Z] I have and will maintain workers' C001)ensation, as rooulred bv Section 3700 of the Labor Code, for the performance of the work for 'MIich this permit Is issued. My workers' compensation insurance carrier and policy
number are: lnsuraACe C,o. EVEREST NATIONAL INSURANCE Polley No. 7600000635141 Expiration Date 01/0112017
~ section need not be completed if the permit is for one hundred dollars ($ 100) or less. LJ Certificate of Exemption: I certify that in the performMCe of the work for which this permit Is issued, I shaM not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Fallure to secure workers' compensation coverage is unlawful, and shal subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
addition to the cost of compensation, dam provided for In Section 3 of the Labor code, Interest and attorney's fees.
Ji$ CONTRACTOR SIGNATIJRE
I hereby affirm that I am exempt from C-ontractcw's Ucense Law for the following reason: O r, as owner of the property or my employees with wages as their sole oompensation, wUI 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 oat apply to an CMner of property who buikls 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 'MIilin one year of completion, the owner-builder wil have the bl.lfden of proving that he did not buikl or improve for the purpose of sale).
□
D
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 personaly plan to provide the major labor and materials for construction of the proposed property Improvement Oves ~
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contractOO with lhe following person {firm) to provide the proposed constlUction (include name address/ phone I contractors' license number):
4. I plan to provide portions of the 'M'.ll'k, but I have hired the folcMing person to coordinate, supervise and provide the major work (include name/ address/ phone I contractm' license number):
5. I will provide some of the work, but I have contracted {hired) the fakMiing persons to provide the work indicated (include name I address/ phone/ type of work):
,#!S PROPERTY OWNER SIGNATURE □AGENT DATE
------· ~-··---------·'
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is the applicant or future building occupant required to submit a business plan, ceutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account A.ctJ □ Yes □ No
Is the <!Wicant or future building occupant required to obtain a permit from the air poftution control district or air quaJity management dislrict? □ Yes LI 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 ANAL CERTIACATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS 'THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND TI-IE AIR POLLU110N CONTROL DISTRICT.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work ttus permit is issued (Sec. 3097 (1) Civil Code).
lender's Name lender's Address
APPLICANT CERTIFICATION
I certlfylhatl have read the applicatioo and state that the above Information Is cort9Ctand that the lnfonnatlon on the plans Is accurate. I agmeto comply with an City oldinances and Stale laws ff:llatlng fD bulklngconstruction.
I hereby au~oriZ!l represenlaliw of Ille Cityof Carlsbad l'.J enter upon lhe at,o,,e menooned propeny l'.Jr ospeclioll purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TliE CrTY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF TliE GRANTING OF TlilS PERMIT.
OSHA: An OSHA permk is required br excavations over 5'0' deep cm dem:>ioon or cxinstrudion of structures over 3 stories in hefJht
EXPIRATION: Every permit issued by the Ei.lit:ling Official under the provisbns of lhis Cooe shal expie by linilaoon <lld becane nul ald void if the txJik:lrJQ or 'ltOl1I: aulhoozed by such permit is not oommenred wlhi'I
100 days from the date of such permit or if the buikling or vak au~ by such permv susim:too or abandoned at any dme after the vak is oommenced bra of 100days (Secfun 100.4.4 Unibm &aiklilg Code).
_.15 APPLICANT'S SIGNAl\JRE IA~""' ~ DATE ~
•
Inspection List
Permit#: CB161825 Type: PME
Date lnspectlonl~"'
0512612016 43 AirCond/Furnace Set
0512612016 43 AirCond/Furnace Set
0512612016 49 Final Mechanical
05/2612016 49 Final Mechanical
Inspector
AEK
AEK
PEPIO: REPLACE FAU & ADD A/C
Act Comments -----~------
RI GATE CODE #8484
AP
RI
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