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Home My WebLink About1428 SAPPHIRE DR; ; CB983301; PermitB U I L D I N G P E R M I T 09/29/98 16:02 Permit No: CB9833U1 ProJect No: A9804297 Development No: 1 Page 1 of 1 Job Address: 1428 SAPPHIRE DR Suite: Permit Type : PLUMBING Parcel No: 212-190-08-00 Lot#: Valuation: 0 Occupancy Group : Reference#: Construction Type: NEW Status: ISSUED Applied: 09/29/98 Apr/Issue: 09/29/98 Entered By: BT Description: GAS LINE TO FIRE PIT Appl/Ownr : T LANGSTON *** 2618 JEFFERSON ST CARLSBAD CA 92008 *** * * * Fees G-oJ.lectect~9 ~~{ffi:, 0001 01 * -iOi Fees Required __________________________________ C-=PBML----27-00 Fees: Adjustments: Total Fees: Fee description 27 . OJ . 0 2'Z .OO Enter "Y" for Plumbi g IS'sue Fee > Gas Piping System > ot 1 d its: Total Payrtien s,: BaJ:an e Due~ Un 'ls Fe~/f:.hjit ---- .00 .00 27.00 Ext fee Data 20.00 Y 7.00 FINAL APPROVAL INSP. _____ OATE ____ _ CLEARANCE _________ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY . PERrJilT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 PLAN CHECK NO. q' 7~ 3/f EST. VAL. -------"?":H _,-,, Plan Ck. Deposit------,+,..,_._:,---,- Validated Bv·,,..,.-,-----;---+H,"'-f- Date __ _.(_· .1--,µ....._,',-,4'-/-+,/J....lf-'---- 1. PROJECT INFOJl"'IATION ' z..<o -::::,c... Address hnclude Bldg/Suite I Legal Description (' I Lot No. ,A,-<-- Busmus Nam, lat thta 1ddtessJ SubdiviltOn N1m1/N&m1ber Unit No. Phtse No. Total II ot units ·, \-Propoaed Use #of Starin I of Beckooms II of Bathrooms 2. CONTACT PERSON Iii dlff...., tiom ...,ilaniJ '"T-L--.~ N1m1 ,3. APPLICANT ~ Contractor Name Address 5. CONTRACTOR • COMPANY NAME hy · D 0wno, .. D ilvotii ioi i>wner State/Zip Telephone II ISec. 7031.5 Business and Professions Code: Any City or County which requires I permit to conttruct, alter, improve, demolish or repair any structure, prior to Its issuance, also reauirH the applicant for such permit to flte a signed lf■tement that he is licenaed purauant to the provisions of the Contractor's License Law (Chapter 9, commending wit~ Section 7000 of Division 3 of the Bueinus and Proteulons Codi) or thlt he ii exemDt therefrom, and the basis for the alleged exemption. Anv vio ation of ction 031. by any applicant for pe h subject• the 1p ant • vH natty of not mare thin five hundr doll rs t5001). ' q~a City State/Zip Tel hone I License Cla■s --l&!:,l'-11-, ------ChyBuolnonUc.....t.</ cXCJ 7 3</{:, Designer Name Address State/Zip Tetephone State License # _________ _ 6. WORKERS" COMPENSATION Workers' Compensation Declerttion: I hereby affirm und1r penalty of perjury one of the following decl1r1tkms: D I have end will maintain e certificate of consent to self•insure for workens' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D I have end will maintain workers' compensation, 1s required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurence carrier and policy number are: Insurance G,ompeny ____________________ Policy No. Expiration Oete. _______ _ ITHl~CTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1♦1001 OR LESSI ~ CERTIFICATE OF EXEMPTION: I certify that in the performance of the work "for which thia permit ia inued, I 1hlll not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to HCUffl WGnl don C0"'8gll la unlawful, 1111d lhall IUbteCt an employer to crlmlnal panaltlee end clvll finn up to one hundred thousand dollars ($10 compenutktn, damages u provided tor In Section 3706 of the Labor code, lnterHt and attorney's ..... SIGNATURE,-""_-,.,;..ac,._~a<C...------------------,---. DATE ________ _ 7. OWNER•BUIL ·?"P,,•\-.-;,,'li·"'• ,,,· I hereby affirm that I em exempt from the Contractor's License Lew for the following rHson: ' · D I, 11 owner of the p,openy or my 1mplovees with wagu es their so~ compensation, will do the work and the ltfUC'ture Is not Intended or offered for ule (Sec. 7044, Business end Professions Code: The Conttsctor's License Law doa not apply to an owner of property who buHdl or Improves thereon, and who don ■uch work himself or through his own emi,lo'fffl, provided that such lmproV9ment1 a,. not Intended or offered for ute. tf, however, the buHcffng or Improvement• sold within one yHr of completion, the ownerabullder wlN hive the burden of proving that he dtd not build or Improve for the purp01e of Hie). tJ I, es owner of the propeny, em exclusively contracting with licensed contr■ctars to constfuct the project CS.C. 7044, Businus end Profeutons Code: The Contractor's License Lew does not apply to en owner of propeny who builds or improves thereon, end contract, for IUCh pro;acts whh contractorlsl licenHd pursuant to the Contractor's License Law). •D I am exempt under Section ______ Busineas and Professions Code for this r■11on: 1 . I personally plan to provide the major labor and materials for construction of the propoaed propeny Improvement. Q YES ONO 2. I (have/ have not) signed en application to, a building permit tor the proposed work. 3. I have contracted with the following person ffirm) to provide the proposed construction (include name/ eddreu I phone numbar / contractors license number): 4. I plan to provide ponions of the work, but I hive hired the following penson to coordinate, supervile and provide the major worlc lincfude name /address/ phone number/ contractors license number!:, _____________________________________________ _ I will provide some of the work, but I heV9 contracted Chiredl thl following persons to provide the work lndlclt■d llnctuda name / eddr■u / phone number / type of work),,_------------------------------------------------------- PROPERTY OWNER SIGNATURE-----------------,------DATE ________ _ •COMPLETE THIS SECTION FOR NON.rlESIDBITIAi. iUJLDINQ PiriiirTS ONi. y:•,:.;~~..,,..• ., •-:--T•._.., • c•;.fl'"'l" -•"'~••:r"'•"'~i.:';!!":.:=;;1'"'-•►•,-.'":", -'.-:, • • • ,., • N• ... '. • • Is the applicant or future building occupam required to submit • busfflffs plan, acutely hllnrdoua rnateriab ,...r,atton fonn or risk management end prevention program under Sections 25505, 25533 or 25534 of the Pr•slev-T1nner Hu1rdous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution can~ district or air qu11tty management district? 0 YES O NO Is the facility to be eonstruetad within 1 .000 feet of the outer boundtiry of ■ •chool ahe? D YES O 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 POU.UTION CONTROL DISTRICT. ,8. -CONSTRUCTION LEN01NG AGENCY · • .... ,-~·-...... -..... ,.,.,,nm--•· ..,._ ~ ·-~~····•-,-, I herebv affirm that there is • construction lending agency for the performance of the work for which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ :9, APPLICANT CERTIFICATION LENDER'SAOORESS. _______________________ _ -,··~_,-.,.,,., ,-7,..,·,-:,.··""'" ·~.:••···~--.. ,· p·-~ l cenifv that I have read the application and state that the above Information Is correct and that the Information on thl plans is accurate. I agree to comply with ■II City ordinances and State laws relating to building construction. I h8t'eby authorize representativn of the Cltt of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO 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 over s•o• deep end 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 end void it the building or work authorized bv such permit is not commenced within 385 divs from the date of such permit or if the building or work authorized by such permit is suspended or abandoned It any time after the work is commenced tor I period of 180 days !Section 108.4.4 Uniform Building Code). APPLICANT'S SIGNATURE __________________________ _ DATE ____________ _ WHITE: File YELLOW: Applicant PINK: Fin1nce CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB983301 FOR 10/01/98 DESCRIPTION: GAS LINE TO FIRE PIT TYPE: PLUM JOB ADDRESS: 1428 SAPPHIRE DR APPLICANT: T LANGSTON CONTRACTOR: OWNER: PHONE: PHONE: PHONE: STE: INSPECTOR AREA PLANCK# CB983301 OCC GRP CONSTR. TYPE NEW LOT: REMARKS: C/STEVE/212-5653 SPECIAL INSTRUCT: INSPECTOR v~~~\ -~~,...__ _______ _ \ . TOTAL TIME: CD 21 23 LVL DESCRIPTION PL Underground/Under Floor PL Gas/Test/Repairs ------------------------------------------------------ ACT COMMENTS IN~ oc ---------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS ----~---------...... ~---