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HomeMy WebLinkAbout1512 SAPPHIRE DR; MP; CB151042; Permit04-13-2015 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB151042 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1512 SAPPHIRE DR CBAD St: MP PME Status: VOID 04/08/2015 RMA 04/08/2015 04/08/2015 Parcel No: 2122000700 Lot#: 0 Applied: Entered By: Reference #: Plan Approved: PC#: Issued: Inspect Area: Project Title: MARBRISSA HOA-REPLACE METERED PEDESTAL FOR IRRIGATION -100 AMP Applicant: SERVICE RITE ELECTRIC STE 106 750 DESIGN COURT 91911 619 934-7113 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: Inspector: Owner: ROWE THOMAS&SULLIVAN SUSAN 1512 SAPPHIRE DR CARLSBAD CA 92011 $0.00 Total Payments To Date: $0.00 Balance Due: FINAL APPROVAL Date: Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 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 pemiit 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 nght to protest the specified fees/exactions DOES NOT APPLY to water and sewer connecion 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 i h Tl hi limi i i I ~ THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING Ccityof Carlsbad JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Ca~sbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov DESCRIPTI~;-:,:•lude~~s•~J s~~ 4,/l,, □BUILDING □FIRE Plan Check No. Est. Value SWPPP CONSTR. TYPE OCC. GROlJP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE YES[), AIR CONDITIONING No[] vesONoO FIRE SPRINKLERS YESONoO APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL PHONE EMAIL FAX ER STATE ZIP FAX CONTRACTOR BUS. N STATE LIC. # (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 iss. , also requires the applicant for such per_m1t to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Sec . n 000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permits bJects the applicant to a civil penalty of not more than five hundred dollars ($5001). · 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 pertonnance of the work for which this perm~ is issued. I have and will maintain workers'.,jompensatia,. as reauired by Spon 3700 of the LaOOr Code, for the pertormance of the work for which this permit is issued. My workers' compensatkln in,rancefatrier and policy nomberare: lesuraoceCo &_(),e C;,-t.h~ Itel Policy No. $-1;-V' (_ > 8 S ~ 8 I &piratoo Dale S i I ('2 0 I~ ~sectkm need not be completed if the permit. is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the pertormance of the work for which this pennit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of addition to the cost of compensation, am as vided for In Section 3706 of the Labor code, Interest and attorney's fees. California. WARNING: Failure to s~workens' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In ,#!S CONTRACTOR SIGNATURE J;;;.:::,,.~--□AGENT DATE 'f-B,-/ S' I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ □ □ 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 dkl not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with lk:ensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does r\01 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. QYes ONo 2. I (have I have not) signed an application for a building permit for the proposed work. 3. \ have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ 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/ 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 I type of work)· _65 PROPERTY OWNER SIGNATURE DATE