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Home My WebLink About1576 SAPPHIRE DR; ; CB011209; Permit' City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03/30/2001 Mechanical Permit Permit No: CB011209 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1576 SAPPHIRE DR CBAD MECH 2122011400 Lot#: 0 $0.00 CHIANG· INSTALL AC W/ELEC Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/30/2001 JM 03/30/2001 03/30/2001 EXCELL AIR COMPANY CHIANG JASON 5446 03/30/01 0002 01 02 2045 CAMINO DRIVE ESCONDIDO CA 92026 760-480-7557 1576 SAPPHIRE DR CARLSBAD CA 92009 Total Fees: $44.00 Total Payments To Date: $0.00 Balance Due: Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other TOTAL PERMIT FEES Inspector: 1 0 0 0 0 0 FINAL A~_F'ROVAL Date: -:5 f3 I Ji I I Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $44.00 CGP !+4-:JO $44.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions.' 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 Municipal 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 specffied fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy 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 vou have nreviouslv been niven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired. PERMIT APPLICATION FOR OFFICE USE ONLh. PLAN CHECK No.@:xJI/J/J1 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Depo-:;s::.:,i,._""'T" ___ -1-----.-- Validated By'-<-+Jr,....:.._..,._....:::;L/;,-...-l-....,....+-- Date. _________ ---=:.,1--""-"~=-..._- 1. PROJECT IN~RMATION / /576 'S/l l'Pn /fl e /4, CA Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use J1tt 0/t;~ -fA 0a,u ol oouo',:;,~T aA. .A/4 !/~°-tes ~ ev~ p:~1-cf'l. ~ ;1 throoms i. CONTACT PERSON (If different from applicant) Name Address 3. APPLICANT ~ Contractor 0 Agent for Contractor O Owner Name Address 4. PROPERTY OWNER Name Address 5. CONTRACTOR • COMPANY NAME City 0 Agent for Owner City City State/Zip State/Zip State/Zip Telephone# Fax# Telephone# Telephone# (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 permit 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 exem~tioncny vi~tion of Section 7~.5 by any applica,nt for a per it subjects t€s~;i.3nalty of C more than fi7~r:d d~~~:S--7 Name Address City State/Zip elel)h e # State License# 7g lzs 9 License Class C -tlo Hf C,. City Business License# ;. Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 permit is issued. O I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company ____________________ _ Policy No. ___________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) IXf1 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ~ become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful. and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars 0,000), in a · ion.,16~ cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. SIGNATURE ~~ DATE 7. OWNER-BUILDER DECLARATION --:=::=:::::==-::=::=:::;::::=;:;_ __ _ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, 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 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). 0 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). 0 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. 0 YES ONO 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 / phone number / 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 number/ 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 / address / phone number / type of work):. ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the 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 Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 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 POLLUTION CONTROL DISTRICT. 8. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS. ________________________ _ 9. 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 representatives of the Citt" of Carlsbad to enter upon the above mentioned property for inspection 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 AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued by the building Official under lhe provisions of this Code shall expire by limitation and become null and void if the building or work aulhorized by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm or a period d action 106.4.4 Uniform Building Code). 1. APPLICANT'S SIGNATURE DATE _____________ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/30/2001 Permit# CB011209 Inspector Assignment: _..:lJt._ Title: CHIANG -INSTALL AC W/ELEC Description: Type:MECH Sub Type: Phone: 6194712663 Job Address: Suite: Location: 1576 SAPPHIRE DR Lot APPLICANT EXCELL AIR COMPANY Owner: YEE TIFFANY C Remarks: Total Time: ----- CD Description 43 AirCond/Furnace Set Associated PCRs 0 Inspector: AR, Requested By: SEARS Entered By: CHRISTINE Ag Ii') Comments ..BI. N ~ -=Tub 6'_,.J, Inspection History Date Description A t lnsp Comments