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HomeMy WebLinkAbout1432 SAPPHIRE DR; ; CB042607; PermitCity of Carlsbad r-\ c:--,-· , . ~ \...-, \ , \,,,('\ 1635 Faraday Av Carlsbad, CA 92008 07-07-2004 '( ,~. Residential Permit Permit No: CB042607 · Building Inspection Request Line (760) 602-2725 Job Address: 1432 SAPPHIRE DR CBAD Permit Type: RESDNTL Sub Type: RAD Status: ISSUED Parcel No: 2121900900 Lot#: 0 Applied: 07/01/2004 Valuation: $3,000.00 Construction Type: NEW Entered By: KMT Occupancy Group: Reference #: Plan Approved: 07/07/2004 # Dwelling Units: 0 Structure Type: Issued: 07/07/2004 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: HOYT RES-RMDL-ADD 1 NON-LOAD Orig PC#: BEARING WALL TO MAKE X-TRA BEDRM Plan Check#: Applicant: HOYT FAMILY TRUST 07-26-00 1432 SAPPHIRE DR CARLSBAD CA 92009 760-419-7703 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee STD #2 Fee STD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Total Fees: $116.05 Owner: HOYT FAMILY TRUST 07-26-00 1432 SAPPHIRE DR CARLSBAD CA 92009 6081 07 /07 /04 0002 01 $45.79 $0.00 $29.76 $0.00 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWAFee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund) Traffic Impact Fee Traffic Impact (CFO Fund) Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Housing Credit Fee Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Payments To Date: $29.76 Balance Due: FINAL APPROVAL ro ~-c{ DATE/' .. -~~CE SIGNATURE __ {J __ "'~----- CGr-:· $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $19.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $116.05 $86.29 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 DeEcii ion o~Work SQ FT # of Stones # a, ' ~~•x1~1~~tr\ ' '2li.~, Im . · • ~B ■&!1111111 J2 Telephon••.wlii ii a IA1 11.ij-~meeu;-· _ r:rmaa::: •-· l - (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 exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). Name Address City State/Zip Telephone# State license# _________ _ License Class ___________ _ City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# _______ _ :mr~uaarm1rr111a111!■ r:::rn1rrrrr:::,a Jill Ii Workers' Compensation Declaration: I hereby affim, under penalty of perjury one Of the following declarations: □ 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 perfom,ance of the WOO( for which this pem,it ls issued. □ I have and will maintain worker's compensation, as required by Section 3700 of the labor Code, for the perfom,ance of the work for which this permit Is Issued. My worker's compensation insurance carrier and policy number are: Insurance Company _________________ Polley No. ____________ Expiration Date ___________ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) □ 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 to 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 clvll fines up to one hundred thousand dollars(S100,DDD), In addition to the cost of compensation, damages are provided for In Section 3706 of the Labor Code, Interest and attorney's fees. SIGNATURE === ======== DATE h,~ . . ··•······· ... ~-IHffllr::: r-. llrl■-wa, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: V I, as owner of the property or my employees with wages as their sole compensation, will d 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 bullds or Improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended Of 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 fOf 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 bullds or Improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section _________ Business and Professions Code for this reason: 1. I personally plan to provide the ma}or labor and materlals for construction of the proposed property improvement. D YES D NO 2. I (have/have not) signed an application for a building pem,it for the proposed work.. 3. I have contracted with the following person (fim,) to provide the proposed construction (Include name I address/ phone number 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 number I lontractors license number): --~------------~------------------------------- 5. l will provide some Of the work, but I ave contracted (hired) the following pe PROPERTY OWNER SIGNATURE DATE \ PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 -Jf:""7Ml1.,...,ffl"'1'1!!F§illlllilt"'Y' ' L J I Niliffl iliffliliffl III '17 III Is the app1lcant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future bu lid Ing occupant required to obtain a permH from the air pollution control district or air quality management district? □ YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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. bllllJLLLLIILLLLLLmmtiliffliliffl-1 ti ii JELLLIIIiliffliliffllJI IP El d LLiliffl I hereby afflnn that there is a construction lending agency fOf the performance of the work for which this permit Is Issued (Sec. 3097(1) Civil Code). LENDER'S ADDRESS LENDER'S NAME------------;;;;;;;;;,;;,;;,;;;;;,;;---l!l-77 i111'1fllllll!il,midl'llll ll-illllll &,~l,,ll!illll!illlllll llllll 111-Li&E I certify that 1 have read the application and state that the above lnfonnation 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 City 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, JUDGEMENTS, 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 of 5'0-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 and become null and void if the building or wor1t authorized by such permit is not commenced within 180 days from the date of such permit or If the building or work authorized by such pem,lt is suspended or abandoned at any time after the work Is commenced for a i of 180 days (Section 106.4.4 Uniform Bui g Code) . APPLICANT'S SIGNATURE . ~ ....... rr DATE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 09/30/2004 Permit# CB042607 Title: HOYT RES-RMDL-ADD 1 NON-LOAD Description: BEARING WALL TO MAKE X-TRA BEDRM Type: RESDNTL Sub Type: RAD Job Address: Suite: Location: 1432 SAPPHIRE DR Lot 0 OWNER HOYT FAMILY TRUST 07-26-00 Owner: HOYT FAMILY TRUST 07-26-00 Remarks: Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs Inspection History Comment Date Description Act lnsp Comments Inspector Assignment: PD --- Phone:d197703 ,M~rii;_ Requested By: HOWARD Entered By: CHRISTINE PLANNING/ENCINEERINC APPROVALS PERMIT NUMBER CB CJ 4 '2-,.GtJ 7 DATE () 7-(). t O v/ ADDRESS / 43 z, ( s:h p PH /J2_£ RESIDENTIAL ADDITION MINOR ( < $10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLACE FAIRE COMPLETE OFFICE BUILDING OTHER __________________ _ DATE 0 7-()/,-!Jl( DATE_].........._(_1.,,-,-(_o_r_ Dots/MISfonnstPtannlng Englneertng Approva!S t:\~e~e. ~C)ft\-€..S l\11 All]l RlSr\ ~o"\t \t\3"l-~r\-\,re. 1),~✓~ ~r-\5~/ C.-f\ °'-Z.OOC\ ~r'p,\!)O..._ 1 J D, C\ PLAN2 <Jiie 'ff lal ibu City of CARLSBAD BUILDING DEPT Sc.o~. ~ \ ("\DI\.-\c,o.d \.xc.J"., l\J ~a-.\\ --l: 1 ~ C:.ol\\ler"t \h. o: eg\s-\'\ "L) 5v,ve-..-fo..m;e') 'RooM\ 1~+0 rr.e~ 5' ~ 'B.ech·oom. 1-e.. ,-Q\' i j i l"\0-\ c..D"-'"tl't:AC!---\-o, V \ Q.(\_s. ,z_ 1-'-{ ® l c,<• o.c... -f\dd, -:Door p\c.. k o...._c:-(. e ,,. ; C I -~ -· .. 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