HomeMy WebLinkAbout1394 SAPPHIRE DR; MP; CB980523; Permit•· ,J
PE,(tMIT APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK No.1S!_;')l3
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Pal mas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL ------::::,,.,.-,--"'7"7""""'
Plan Ck. Deposit ...J------_;_"-'"""''--
Validated By.__.-'---~--+-....,.--:----
Date, ______ _...::f-.~f4-'"+-..J----
1. PROjECT INFORMATION
Business Name (It this Iddreul
Subdivision N1m1/Number Unit No. Phese No. Total I of units
PropoHd Use
Description of Work SO. FT. lof Storits I of Bedrooms I of Bathrooms
Name Address City State/Zip Telephone I Fax I
i:J. Ill) Agent ior Contractor . □ Owner'" F-.
: . ••··:r-.r· •r• • -• ~· ~'· :·:-•. .,. ' _ ••·· -.,-':'" :,, .• ~
Name State/Zip Telephone I
4. PROPERTY 0Wti1ER
G, e.. rl"O n e. tt o me..s ;n-~.6~·~·-··y·&··ado ; i.&i ·q 1ao
Name City State/Zip Telephone I
ti. CONTRACTOR • COMPANY NAME
(Sec. 7031.5 Business end Professions Code: Any City or County which requires• 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 pur1uant 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, end the basis for the alleged
Ion. Anv violation of Section 7031.5 by any applicant for• permit subjects the 1ppllc1nt to I cl penalty of not more than five hundred dollars ($5 0)1. r-,/ , J o if f' S I b · a, 'o b ··.:J1Cf't
Address City
License Cl111 __ ..,l"'a'--'-l ____ _
Name
State License I _5,<,...;:;;;l.__.,?,,..5..._C\.....t...'4.-..._ City Business Ucenae I _______ _
Designer Name Address City State/Zip Telephone
State License I _________ _
6. WORKERS' COMPENSATION ·-· ·.-,._.,~,. .. -· 7· ·-··r-:-·7:-··•• .~,· ·· . ,' · ••·• ~1.. . I •,-~ , •· · ·
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 worker1' compena■tion II provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit Is Issued.
r,(} 1 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
~ued. My worker's)ifmpensatio::i,.in=ce e:■rri~r ind policy number ■re: c.o s I I -q q
Insurance Company \.....CL_( e. ~ Y \ C.O..... Policy No. 0 0 I I I C) I Expiration D1t11__,;._.-.....,_ ___ .__._,___
!THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESS)
O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit Is Issued, I shall not employ eny person In any manner so H
to become subject to the Workers' Compensation Lewi of Cellfornia.
WARNING: Failure to ■ecure worker,· compen11tlon coverege 11 unlawful, end 1hll1 aubject an employer to crtmlnll pen■ltlea and clvU fu,ea up to -hundred
thousand doll11r1 ($100,0001, In addition to the colt of compena1tlon, damege■ u provided for In Section 3708 of the Labor code. Interest and attorney'■ fN■,
SIGNATURE._____________________________ DATE ________ _
7. OWNER-BUILDER DECLARATION . ~-~ '"•· .... . . .. · .i: ·1' :~.-::-~rtr·:,-~~!-"\~;i r ~-:~-:~iiF-~:1-r--tt;"··H.r ., .. ,~,t/J -r,n· -~~.:_,;;-: 1·~
I hereby affirm that I am eumpt from the Contractor's License L■w for the following re■son:
O I, ■s owner of the property or my employees with wages II their sole compen11tion, will do the work ind the ltructure 11 not Intended or offered for 11111
(Sec. 7044, Business and Professions Code: Th• Contractor's Llcen11 L■w does not apply to In owner of property who build• or Improves ther■on, end who does
1uch work hlmHlf or through his own employees, provldad that such Improvements •r• not Intended or offered for 1111. If, however, the building or Improvement 11
1old within one y11r of compl•tlon, the owner-bulldar will have th• burdan of proving that he did not build or Improve for the purpose of ■elel,
O I, ■s owner of the property, Im excluslvaly contracting with licensed contractort to construct the project !Sec. 7044, Buslne11 ind Profusion• Code: Th•
Contractor's License Law does not apply to In owner of property who builds or Improves thereon, and contrect■ for such projects with contractorlsl llctn1■d
pursuant to the Contractor'• License L■wl.
0 I am exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor ind materials for construction of the proposed property Improvement. 0 YES ONO
2. I lhave / have notl signed an application for I building permit for the proposed work.
3. I have contracted with the following person (firml to provide the proposed construction llnclude name / address / phone number / -contractors license numbarl:
4. I plan to provide portions of the work, but I heve hired the following per1on to coordinate, supervi■e and provide the major work (Include name / 1ddr11I / phone
number / contractor, lice~H number!: -------------------------------------------6. I will provide aome of the work, but I have contracted (hiredl the following perIon1 to provide the work lndiceted (Include name / 1ddrns / phone number / t'fl)I of work):. __________ .._ ____________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE ________ _
'COMPLETE THIS SECTION FOR NON../inlDENTIAi. iautlbiNd PERMitif ONi:t:lrim~:r'''-r'. ''"' ~"'"T"i'f~~~ """?~~:,t·~t•,~. ~ ' -·"" .. , . ,, ,---:,,·• .... , .....•
Is the applicant or future building occupant required to submit e business plan, ■cutely hezerdous m1teri1il registrati0'1 form or risk m■negement ind prevention
progrem under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Actl O YES O NO
Is the epplicant or future building occupant required to obtain I permit from the elr poliutlon control diltr~ct or air quality management district? O YES O NO
ls the facility to be constructed within 1,000 feet of the outer boundary of I school sltel O Yes' 0 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 POUUTION CONTROL DISTRICT.
le.· CONSTRUCTION lENi:iiNO AGENCY .. ,, ... ·•~••,-,;"·:·,,"·· n-,~, n ::'-:"'.'"l:-7''7'~~--.... -.... r-••· :r ;•·-,, ... , •. , •• ,., ....... ~--,·,-· ·r.: ,.,..,. ~ ,._... , ·
I hereby affirm that there Is I construction lending agency for the performance of the work for which this permit Is l11ued !Sec. 3097111 Civil Code).
LENDER'S NAME_____________ LENDER'S ADDRESS _______________________ _ r;. APPLICANT CERTIFICA TiON ' .. ,~. .. -' . . . .. -.. -.. _--...... -,-·,-· r ,,.•---~-,.,,~•-,,,."!1"7"•---·c-r,-;r,...-,~-n•·""'\•"r!-'."m:•,r.!""'..,.. J·tr,.""_";".,..,.-,.., •. .,.f' \\. ' . ,,_, -· ·•.•· •· .. .,.., .
I certify that I hive read the application ind state thet the above Information Is correct and thet the Information on the plane Is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of C1rlsb1d to enter upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 ls required for excavations over 5'0" deep end demolition or construction of structures over 3 stories In height.
EXPIRATION: Every permit Issued by the Building Offlclel under the provisions of this Code shell expire by llmlt■tlon and become null and void if the building or
work authorized by such permit Is not commenced within 385 days from the datt of such permit or If the building or work authorized by such permit Is suspended
or abandoned at eny time after the work Is commenced for I period of 180 days !Section 108.4.4 Uniform Building Codel.
APPLICANT'S SIGNATURE _________________________ _ DATE ____________ _
WHITE: File YELLOW: Applicant PINK: Finance
•• J
PERMIT# CB980523
DESCRIPTION: IRRIG METER PED
GREYSTONE HOMES
TYPE: ELEC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 02/26/98
100 AMP
COBBLESTONE
INSPECTOR AREA
PLANCK# CB980523
OCC GRP
CONSTR. TYPE NEW
JOB ADDRESS: 1394 SAPPHIRE DR
APPLICANT: POWER PLUS
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: C/MICHELE/471-5494
SPECIAL INSTRUCT:
TOTAL TIME:
CD
32
LVL DESCRIPTION
EL Const. Service/Agricultural
------------------
------------------
------------------
ACT
/Jr
PHONE: 760 471-5494
PHONE:
PHONE:
INSPECTOR -.'--"~1-•----------
COMMENTS µ
'
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
, PAO.IECT~
r-==a=.....1.,,.J..4-~_...._.,,u......t...+4-..f-:~,Pl.___-4,..C.::~-~ ..... ~---' UOftAT0f!IUM
t---------,---~--:,,..--::-=,r-_,...,.....,:-::-'-~~...,.."-t'"-¥':--~ D&TECflfllC.AL
1-==.;.:.;;;;;...u,,~~a;::,..,i.,._~,i.:::::a.t.J.ll~~~~~ MOMT}ol _______ _
1--------t,-==~.::.=.::==:=.::..::..:!:.:::==L-----..... f'Olft __ _
MIIIIM'-QM-e'O-m.n.-•·~-,l'OMIWUrtO"'"toCICl\te,l!!lcci'l'lelef"-ST1:lf'Tf!iHQI
.._._......., .. ~ .. •6alllll;-.-aa2.411ows.Dell.., ........ "'uatbe
tc,,:,,,lad lll•sata--. ot.,, c,Mena.lly .___.,.,.eer-GOfllMlvn.
~~n. • :Sff.mt-.n-MG1a"91'florlllng-l",ftorlt«mar.wi.. ,_-ill~. ir4i,,_ ,,_,_.._. ,lie~ $0G4.I oltq,
...... ~----~di-11N1CN~belocal.-S«0tl~ef)
lldi-,,ti...---11e.....,u~w1U1..S-.~1,M1.nllff\btrlt-t,.
fflCMOt: MINIMUM~ Cl,PMNQ! (W:
___ Pl.al~DI ~Of~--
~ Ft,_:..,,...ef.,_. _
_ F1,a ...,llml\ or~'" trenio
~ Pl._..._ __________ _
~~IN&TA JIOH
,. ,_, .. , ITlllriw ~ ON'PUCMLE O ,.o,-ASll'\.QM ~
2, P!toneSOQ&I!" ~ e ~ ~ dere ~~I~ to-.ig,, (.} -.ks,~....... t<AN:blat ,,,_
a. HfOtlm-~1....,W,.'t....,..,.T-.oQA~lllllfQIIITOTaEJICM. l'DfYL· .. l"OfllllAT!Qfl: ~ Mior• """'JJMi"U 1$ MC-tlof\.l
lftt ,oa ~TION Of UICOBGIIOUIIO ~
4. £IINHI .. ~. 1rw1wt;jCIIIIIQlll1 aM-Nnkill ~ 111111""""'.,...,
IMIM!t. CAU, MOVII ~ f fOft~. 090'9\ ~ ~II ~~or,.,.,_~ tobedd>II.
~ c.il....,,._,w1'911Nnej)lllbaallt!IIIIIIWOOlll~l'Qr-1,-11r;in.•.-b
en1--..lllffMl"II It~.._ after batW\11, Cloll.. MIOY£ Pl-40'fe I FOil
1'tCl';cn011f 0,, TMI IDJl ... ll!NT .
I. u.nat .. Majrtaftllr ,-C\«IM.....,..,i ~,_,....., lndlodlnu _..._ .wtpma11.-,...,_aoe~~-~~
1;~99 ... ..,0..,. □atlST u~,---MUNW-•--
~OlLa't (j~ !7SCK:II (kyg, ..,._.
OOIIOU!T_., a.w-111 □J~li C:l!:1$ \I ..tJE>,_ ___ .......,.._-1
TN!NCKINI"~•-~~-------~~----. " _, ilflBCS ,o~W,CVS'r.QM."'-' ---+---~-------I : .. · VO\,TAliE .. _ NltTt• ev ..
..L:i:=.JL.:...: ¥i1Ellt,tG-QC'T'$ -..~.eo,,,-•co
I' lTl!IIT 11T ""'" Fl'QC.ITlli. ~liQ'l;I
UTILITWIS MAXIMUM OO!t~tv:IO'I TQ O'"V~ "f ¢t.lttll~••O K)/:Jl(l) A~
n~-NUrWff'l''°'"'_hal_,..._,.,.._talN#
_....,IIOG&f .. 14' .... 1-~J-~-ll-... :,,M'--"J IG-.. 8M/wc4-w .. .....,_.,l-"~Jll'll(to~QOn-g-,~
~ ..... -... .._ ... _.....,._ ..... _""'_., __ _ ,....,.. ............... --... .... «-•""---""""--· --.........--a:if-~Mm;~·--
Ed
· l ;J-11-
\pli!Lt -w C 1i•9.fll"-Wt,._.M.~MA'.W.. Q,Nttoitt._.i,~lcwel.,,O.tc.N ----"""-'"""1, __ .._lh,,loll,., ~--... -1=-~ ~o,t•-11tt,~on""•-N--,lt•I ...__~ .._...,. _ _.t..il6',g_l .