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Home My WebLink About1432 SAPPHIRE DR; ; CB984217; PermitB U I L D I N G P E R M I T 12/04/98 1.J:27 f'age 1 of 1 Job Address': 1432 SAPPHIRE DR Suite: Permit Type: PLUMBING Parcel No: 212-190-09-00 Lot#: Valuation: o Occupancy Group: Reference#: Description: GAS LINE TO BBQ Permit No: CB984217 Project Nu: A9805469 Developm""nt No: Construction Type: NEW 4066 12/04/At~Qf~ ~~~:1/.;;!,{3 Apr/~~; 12/0~/~~ Entered By: RMA Appl/Ownr : T LANGSTON CONSTRUCTION 2o18 JEFFERSON ST CARLSBAD CA 92008 619 855-958~ "* * Fees Required Fees: Adjustments: Total Fees : Fee description Enter "Y" for Plu Gas Pip1.nq System *"'I< Collected & Credits .00 .00 27.00 * * ~ Ext fee Data I if',c lu)f\f.lnir I \ 11.-' ' I .!:='II \\ ll v' u H 0 20.00 Y 7. 0 0 ----~ PERi'· ff HAS EXPIRED lN ACCORDANCE WITH U.B.C. SECTION 106.4.4 DA~----SIGNATURE---- Fl CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 .PERMIT APPLICATION FOR OFFICE USE oMq 2 t Z PLAN CHECK NO._~.-i,...J-----4-- CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit -----J'4-➔-- 1. PROjECT INFORMATION I '::l::'iL Sc:..,,~1.-(,,rc.. Address Onclude Bldg/Sui) Businua Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Existing Use Proposed Use SQ. FT. lot Stories I of Bedrooms I of Bathrooms 2. CONTACT PERSON iii c1t1.,.;, tioin .......,.,; Name Address City State/Zip Telephone I Fax I 0 A'lt tor conirado~ \ 0 owner Name Address City State/Zip 4. PROPERTY OWNER 1.--.'-tt._ ~'I", q <.'i-<) c.,..,r-~ Name Chy Telephone, S. CONTRACTOR -COMPANY NAME . (Sec. 7031.5 Business and Professions Code: Any Chy or County which require,■ permit to construct, ■her, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statemant thIt he is licen111d pursuant to the provisions of the Contractor's License Law (Ch1pter 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. Anv violation of Section 7031.5 by any appllc!,t for a permit subjects the applicant to a civil penalty of not more then five hundred dollars ($500)). 1 Le..-..~~;:-., 6= Cs:r-&4ucc.: \ CS'- Name Address City State/Zip 1 ,,_ l'e!-;h~e I State Licenso I ( 77 ") (__ <'... Ucense Closs \:) j City SuslnHa Ucense I f "'-V J_;f L(-b O~signer Name Address City State/Z6p Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penatty of perjury one of the following declarations: D I have and will maintain a cenificate of consent to self-Insure for wo,kers' compenHtion H 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' compensetion, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit Is issued. My worker's compensation insurance carrier and policy number ere: Insurance Company____________________ Policy No .. ___________ _ Expiration Date, _______ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESSI fD CERTIFICATE OF EXEMPTION: I cenify that in the performance of the work for which this permtt is issued, I shall not employ eny person in any manner so as ~come subject to the Workers' Compensation Laws of California. and shall subject an emplovw to crtminal penalties and dvU fines up to one hundred gnu provtded for in S.~ 3708 of the Labor code, lnt.,..t end attorney's fffs. ~ DATE /7 -4'.-'i ~ I hereb am exempt from the Contractor's License Law for the following reason: D I, as owner of the propeny or my employNs with wagu as their sole compensation, will do the work and the structure la not intended or offered for sate (Sec. 7044, Businesa and Profassions Code: The Contr1ctor'I License Law does not apply to In own■, of property who builds o, improves thereon, and who does such work himself or through his own employns, provld•d that such Improvements are not Intended or offered for ul1. If, howev·•• the bulldlng or lmprovemInt Is sold within one year of completion, the ownar-bullder will have the burden of proving that he did not build or Improve for the purpa.e of Hie). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project IS1c, 7044, Buslnna and Professions Code: The Contractor's License Law does not apply to an owner of propeny who builds o, improv1s thereon, and contracts for such projectt; wtth contractorla) llcena•d pursuant to the Contractor's License L1w). 0 I am exempt under Section ______ Bualness and Professions Code for this reason: 1 . I personally plan to provide the major labor and materiels for construction of the proposed property Improvement. D YES ONO 2. I (have / have not) signed an application for I building permit for the proposed work. 3. I have contracted with the following person ffirml to provide the proposed construction (Include name / addrus I phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervile and provtde the major work !include name/ addrus / phone number I contractors license number):. ____________________________________________ _ 5. I will provide aome of the work, but I have contracted lhiredl the following persona to provide the work Indicated Clnclude name/ addreu / phone number/ type of work):, ______________________________________________________ _ PROPERTY OWNER SIGNATURE _____________________ _ DATE ________ _ . '•'!"~"'",'.~ ••. Is the applicant or future building occupant requirad to submit a business plan, acutety hazardous materials registration form or risk management end prevention program under Sections 25505, 25533 Of 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control dlstri_ct or air quality management district? D YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte1 0 YES O NO IF ANY DF THE ANSWERS ARE YES, A FINAL CERTIFICATE DF 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. is. .. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permtt Is issued (Sec. 309710 Civil Code}. LENDER'S NAME _____________ _ LENDER'S ADDRESS, ________________________ _ i!i. APPLICANT CERTIFICATION."' . I certify that I have read the application and state that the above Information 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 representativu of the Cltt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMWS 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: An OSHA permit is required for excavations over s•o· 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 end become null and void if the building or work authorized by such permit is not commenced within 385 ays from the date of permit or if the building or work authorized y such permit is suspended or abandoned at any time after th ork i commenced for rlod of 180 days tion 108.4.4 Untform Building Code). WHITE: File YELLOW: Applicam PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB984217 FOR 12/07/98 DESCRIPTION: GAS LINE TO BBQ TYPE: PLUM JOB ADDRESS: 1432 SAPPHIRE DR APPLICANT: T LANGSTON CONSTRUCTION CONTRACTOR: OWNER: PHONE: PHONE: PHONE: INSPECTOR AREA PLANCK# CB984217 OCC GRP CONSTR. TYPE NEW STE: LOT: 619 855-9583 REMARKS: C/619/855-9583 SPECIAL INSTRUCT: (.dz: INSPECTOR -r--,F,<'----------- TOTAL TIME: CD 21 23 LVL DESCRIPTION PL Underground/Under Floor PL Gas/Test/Repairs ------------------------------------------------------ ACT COMMENTS ~----- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS