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Home My WebLink About1423 SAPPHIRE DR; ; CB051385; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04:18-2005 Mechanical Permit Permit No: CB051385 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1423 SAPPHIRE DR CBAD MECH 2121903300 $0.00 RAFKIN RESIDENCE INSTALL A/C WITH ELECTRIC Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Owner: ISSUED 04/18/2005 MDP 04/18/2005 04/18/2005 LEGEND SERVIC RAFKIN SETH&ACKROYD-RAFKIN ABIGAIL ITE--15 · 2588 PROGRESS ST VISTA CA 92083 760-631-8397 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 Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 1423 SAPPHIRE DR CARLSBAD CA 92009 Total Fees: $44.00 Total Payments To Date: $0.00 Balance Due: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $44.00 6275 04/18/05 0002 01 02 CGP 44-00 Inspector: Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the "lmpositionff fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this pem,it 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 Ca~sbad 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 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 f X in fwhi h r vi I Tl E imil r hi whi h . i in h r h rwi FOR OFFICE USE ONLY PERMIT APPLICATION ' s '70 ,-PLAN CHECK NO. 6 -\ ::,~' CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __ '----------- Date. ______________ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units f-ori It C Existing Use Proposed Use SO. FT. #of Stories I of Bedrooms I of Bathrooms Name AddreH Citv State/Zip Telephone I i }..-aiW.Q~ffll\~-itlilf~~~·m~trl:':il;-gikl}tJ~~-:J-"iW•.•;'J•;I:::Y,";(•S.•',;.:;;;;-1·,.t \·' :tiil~•;:;J;;Jir,1J:,~·;,wi.1ff:fi~'l;,;:;111~~·~'ii;j,t~~~~lt~M~:t~,r¥1\iUt"1;:i;t:'J~i~~lJl\i: (Sec. 7031,!i Business and Profession• Code: Any City or County which requires• permit to construct, alter, improve, demollsh or repair any structure, prior to Its iasuance, elao requires the applicant for auch permit to file • signed at■tement that he la licensed purau■nt to the provlalons of the Contractor'• Ucenae Law (Chapter 9, commending with Section 7000 of Division 3 .of the Busineas and ProfeHions Code) or that he is exempt therefrom, end the baala for the alleged ■!'emption. AnYi violation of Section 7~1.!i ~Y any applicant or a pemyt subject~ t,t,e-~pplicanp ,o1e civil penalty of not.lJlora than JJve hundred dollar• 1•50011; 8 ?~. t-.e e ·n Q ~ I" v,· c € ce r1; er I ~ rOK-e n HI tc..h K<1 cc->c,, nSJ <J (:' · c ff-:2asl-?t;o-c.o.J /-.,._;,.,; Nama State License I _7 ........ 0_3~~-lf-+-_/_ Address City State/Zi / Telephone I License Class C d... {) City Business License I 7 ;;}__ 69 l/3 Designer Name Address City State/Zip Telephone State License I -------''-----(f-W.OlD'~lJ.l\tM~....J.l'filJiffl}.'tf£:®ilJ~J;,3;!;~~{[~\;'/f:a(,:,Z<fii-:·~~,;;i'/i:f~~'J!£i1i/I<1Ji;0~:~!,j.~;i~~J;ti~\➔~~/~i•i:f':~~,t~G 1)'~:.,y\.'}ti;Ji=:J.! ::.::;:.-.1!1~~~1 :f:1k.,·1.~S:~;i(t] Workers' Compensation Declaration: I hereby affirm under penalty of perjury ~e of the following declarations: · O I have end will maintain • certificate of consent to self-insure for workers' compensation ea provided by Section 3700 of the Labor Code, for the performance of th_}.w'ork for which this permit is ieaued. (}"' I have and will maintain workers' c;ompeneation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is IHued. My worker'• compenaatlo Insurance carrier end policy number are: A :? , 7 / w-3 "~ Insurance Company E. rs . . <)policy No. _ Dt:: 0-..J D M -Oexpiration Date (THIS SECTION NEED NOT BE OMPL TED IF THE PERMIT S FOR ONE HUNDRED DOLLARS 1•1001 OR LESSI 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which thle permit is IHued, I ehell not employ any person in any manner so ea to become subject to the Workers' Compensation Law, of Callfomia. WARNING: Fallure.to -.ecure worlcera' compensation coverage 11 unlawful, and ahel •ubJect an employer to crtmlnal penaltlu and clvll flnu up to one hundred thoua■nd doftera (t10 ,0001, In hlon to th oat cpmpa , damage, u provided few In Section 3708 of the Labor code erut an ttomey'a feH. SIGNATURE._...i_.a.,.._:;.::..:....:....:.<l..l::::::i.::i____c~.J..::'-',,.....;.~:,:;,..:=. ____________ DATE /;:., fJENtBll!llIBB ll~~lfill'Jl.:m~lm(!;A~iiill:l\,~i;!~{.~~1tii~i/i1.t[i\fil:1l'~~,!~••I~:t'1-J~1t~'f.rl;:'j;.~:;;:":-;:;i:;;: .• t ... t:);r:;;, 1;;;_ .. :;i~i:;I:, ;;.5,'1.1~' :;;;;,;;"~'f~,~~.~~-~i;li:!:".\l!'~l!fz?.\i'fi,iJ!~];, I he;eby affirm that I em exempt from the Contractor'• Llcenae Lew for the following reason: · · 0 I, ■a owner of the property or my employees with wages es their sole compensation, will do the work end the structure Is not Intended or offered for sale (Sec. 7044, Buaineaa and Profession■ Code: The Contractor's License Law doe, not apply to an owner of property who builds or Improves thereon, and who doea euch work himaelf or through his own employees, provided that such improvements ere not Intended or offered for sale. If, however. the building or Improvement is aold within one y111r of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpose of aalel. 0 I, ■a owner of the property, em exclusively contracting• with licensed contractors to construct the project '(Sec. 7044, Business end Professions Coda: The Contractor'• License Law doea not ·apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pur1uent to the Contractor•• License Lewi. · 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I peraonally plan to provide the major labor and materlels for construction of the proposed property lmprovemem. 0 YES ONO 2. I (have / have notl signed en application for a bulldi_ng permit for the proposed work. 3. I have contracted _with the following person (flrml to provide the proposed construction (include name / address / phone number / contractors license numberl: 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the rriajor work (include name / address / phone number/ contractors license numberl: __________________ -'------------------------------ 6. I will provide aome of the work, but I have contracted (hiredl the following persons to provide the work Indicated (include name / address / phone number / type of workl: __________ ---;.----------------------------------------------- PROPERTY OWNER SiGNATURE ________________________ DATE-----------,. IJ:ciii mll ~ti.t,lif-~i ijNl1/~ffj';/Q'fl.ii:f.f~lii fi,r,}4()_ai,tjgQ!~Gl~8M1r,:~•;o.~uv)J~.;;;,;·<':1c::;};:;~;i;<;:~~it;;1:·:~r.~t,r,P;u'!f,;~-1.•;::,:;~;,t•.-:tf);:'.1}r,ii:,Xi:\1;}i irf.f::'.'.:S:·,'~?,:,,;·:: ·,i.,N.·,••;'~•---i,t; Is the epplic■nt or future buildlng occupant required to submit a business plan, ■cutely hazardous materials registration form or risk management and prevention program under Sections 26606," 25533 or 26634 of tha Presley-Tanner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain • permit from the air pollution control district or air quality manage~ent district? ·O YES O NO Is the feclllty to be constructed within· 1,000 feet of tha outer boundary of a school sit a 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. m1im:it~J.1ti ~~mii.1Bllltii~w~P1n1ij~~'.ill!tW:•1tMt;;i1.;;JJ22i?::\f;i?~i1J'1~~i1!'jj;;~;:1:.;:p:.::,;.\;,,;;;;t,;;f ~-;12.~;; l{~,:·:;,\it::~.i ,:~i:.:.: /J:•R;:::/;t~;.:r:;,;: ,_i,iiX .. , ::~'r•:· ~, .~ 1: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 309711) Civil Code). LENDER'S NAME_______________ LENDER'S AOORESS:::---:--:---------------------~---- .IIH'#.Ri!!ii.!l,'fiifif:(;ER°ifiJWji((!tfliM~Ji.:t,i'~Jli.111li~¥rlf-i'~:i~:,~M<,;\;·i~,;f,"'.,;1, :~-;,;1~-;;:.:•1+·J;~~·1 •~~lif(t!,}j,:_l;if\;;;r.;;1:f:'1i.~::'4!"i''~!?~li!'.~t.:(~f;;ri;f,:-JJJ~,.~~,~,1 ~f~/1.:ii'.i::!iih/!J'it~\>t.;;; I certify that I have read the eppllcation and itate that the above Information Is correct and that the Information on tha plans Is accurate. I agree to comply with all City ordinances and State lawa relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO 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 !i'O" deep end demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit Issued by the building Olllclal under lhe provisions of this Code shall expire by limitation and become null and void II lhe building or work authorized by such permit Is not commenced within 180 days from the date of such permil or II the building or work authorized by such permit is suspended or abandoned at any time alter the work is co m cad for a per ol 180 days (S ti 106.4.4 nllorm Building Code). ~ WHITE: FIie .YELLOW: Applicant PINK: Finance DATE __,.1'-t---1 ~r~.,.........1a...-....s __ City of Carlsbad Bldg Inspection Request For: 05/31/2005 Permit# CB051385 Title: RAFKIN RESIDENCE Description: INSTALL A/C WITH ELECTRIC Type: MECH Sub Type: Job Address: Suite: Location: 1423 SAPPHIRE DR Lot APPLICANT LEGEND SERVICE 0 Owner: RAFKIN SETH&ACKROYD-RAFKIN ABIGAIL Remarks: PM PLEASE Total Time: CD Description Act Comment Inspector Assignment: Phone: 7606038192 Inspector: ---- Requested By: ABIGAIL RAFKIN Entered By: KAREN 43 AirCond/Furnace Set r:f ______ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments