HomeMy WebLinkAbout1423 SAPPHIRE DR; ; CBR2018-1702; Permit(city of
Carlsbad
Print Date: 08/22/2018
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1423 Sapphire Dr
BLDG-Residential
2121903300
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: EVANS: REPLACE AC AND FURANCE
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $170.00
Owner:
TRUST EVANS FAMILY TRUST
1423 Sapphire Dr
CALRSBAD, CA 92011
Total Payments To Date: $170.00
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municlpal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Permit No: CBR2018-1702
Closed -Finaled
07/12/2018
07/12/2018
8/22/2018 12:39:l0PM
$170.00
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH 0 HAZMATIAPCD
: ~<~ Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
Plan Check No. ('piR::r)J,J?'-/10 2
~ CITY OF
CARLSBAD
Est. Value
Plan Ck. Deposit
Date 7 //.) /I Q--ISWPPP
JOB ADDRESS 1423 SAPPHIRE DR, CARLSBAD 92011 SUITEf/SPACEt/UNITI .
CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
CHANGEOUT AC AND FURNACE
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE
YESO I
AIR CONDITIONING IFIRE SPRINKLERS
NCO YES0No0 YESONoD
APPLICANT NAME
Prtna"" cont•ct
ADDRESS
JERMAINE MAEWEATHER PROPERTY OWNER NAME MARLA EVANS
ADDRESS 4540 KEARNY VILLA RD #213 1423 SAPPHIRE DR, CARLSBAD 92011
CITY STATE ZIP CITY STATE ZIP San DieQo CA 92123 CARLSBAD CA
PHONE
888-991-4377 IFAX PHONE
7608035442 I FAX
EMAIL EMAIL JERMAINE@WEGREENINC.COM
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ASI HASTINGS
ADDRESS ADDRESS
4870 VIEWRIDGE AVE
CITY STATE ZIP CITY STATE ZIP
SAN DIEGO CA 92123
PHONE IFAX PHONE I FAX 6195909300
EMAIL EMAIL
I STATE UC.# STATE UC.# l'c20/C36 ICl1YBUS "'1200804 513115
(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 per_mIt to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JCha'/'ter 9, commending with Section 7000 of □IvIsIon 3 of the Business and Professions Code) or that he is exemP.t therefrom, and the basis for the alleged exemption. Any vI0IatIon of Section 03 .5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations· D I have and will maintain a certificate of consent to self-insure for mrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
[Z] I have and will maintain workers' compensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. CYPRESSINSURANCE Policy No. ASWC817703 Expiration Date 9/1/2018
~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 perfonnance 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: Fallure to secure workers' c ensatlon coverage 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, damages as p ded for In Section 3706 of the Labor code, Interest and attorney's fees. --J
,15 CONTRACTOR SIGNATURE ,--~_ { p t L
I hereby affirm that I am exempt from Contractor's License Law frJf the following reason:
□
□
D
l, as owner of the property or my employees with wages as their sole compensation, will 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 not apply lo 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 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 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0Yes 0No
2. I {have/ have not) signed an application for a building permit for the proposed work
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 I address/ phone I 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):
,I$ PROPERTY OWNER SIGNATURE □AGENT DATE l
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
Is thP applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Prrl,i':ey-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ 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.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there 1s a construction lend mg agency for the performance of the work this permit 1s issued (Sec 3097 (1) C1v1I Code)
Lender's Name Lender's Address
APPLICANT CERTIFICATION
I certify that I have read the applk:atlon and state that the above infonnatlon Is oorrectand that the lnfonnatlon on the plans Is accurate. I agree to comply\\tth all Chy oldinances and Slatll laws mlatlng to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property br insP3Ction purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST All. LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AG/IJNST &\ID CITY IN CONSEQUENCE DF THE GRANTING OF THIS PERMIT.
OSHA: .AJl OSHA permit is required for excavations over 5'0' deep and derrdltion or oonstrucoon of structures over 3 stories in height.
EXPIRATION: Every P3rmit issued by the Buik!ing Official under the provisions of this Cooe shall expire by limitation and t:ecome nu! and void if the buik!ing or 'MJfk authorized by sudl permit ls not commenoad Yttthin
180days tom the date of sudl P3miltorif the building orv.ork authorized by such 1)3m7lt is suspended or abandoned at any time after the 'MXk ls commenca:I bra pericd of 100days (Sectk:ln 100.4.4 Unibmi Buildi"tg Cooe).
~ APPLICANT'S SIGNATURE DATE -[2-
PERMIT INSPECTION HISTORY REPORT (CBR2018-1702) -' '
Permit Type: BLDG-Residential Application Date: 0711212018 Owner: TRUST EVANS FAMILY TRUST
Work Class: PIMIE Issue Date: 0711212018 Subdivision: CARLSBAD TCT#84-32A UNIT#01
COBBLESTONE SEA VILLAGE
Status: Closed -Finaled Expiration Date: 02/18/2019 Address: 1423 Sapphire Dr
Carlsbad, CA 92011-1228
IVR Number: 12502
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection Complete
08/22/2018 08/22/2018 BLDG-43Alr 067740-2018 Passed Andy Krogh Complete
Cond./Furnace Set
BLDG-Flnal 067741-2018 Passed Andy Krogh Complete
Inspection
Checklist Item COMMENTS Passed
BLDG-Mechanical Final Yes
August 22, 2018 Page 1 of 1