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HomeMy WebLinkAbout1055 SAGEBRUSH RD; ; CB062683; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-19-2006 Plumbing Permit Permit No: CB062683 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1055 SAGEBRUSH RD CBAD PLUM Status: Parcel No: 2146442000 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: RICH RES-GAS TO BBQ,FRPIT ELECTRIC TO BBQ PRO EARTH LANDSCAPE INC STER 2210 ENCINITAS BLVD ENCINITAS CA 92024 760 633-3120 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: RICH FAMILY TRUST 05-16-06 1055 SAGEBRUSH RD CARLSBAD CA 92011 ISSUED 09/19/2006 LSM 09/19/2006 09/19/2006 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: Inspector: FINAL APPROVAL Date: 2 '2 & -07 Clearance: $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 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 Car1sbad 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 Ix f hihohv rviul I hi r whihh Iii i h rvi I hrwi PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. 4/?p(o ;)G,'63 EST. VAL. _________ _ Plan Ck. Deposit----<""------- ~:~:._•_te_d_B_y=====;:~~~=::~:~..,""~"";.;.-_ --= 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 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 thet he is exempt therefrom, and the basis for the alleged e~mption. Any vi ation of Sectlonj031.5 by any epp!l5iant for a .B,!Wlli ubjects the applic nt to a civil p lty of not more th8(l five hundred dollars ($500ll. -7\ '"""\ 1-'r, 4. cl\ t, -u-, V\ L , v, , \· .., '33 / '-V Name State License # --''.1'.i'-'f....__.'x...__,,'3._,(..._\(=-- Designer Name Address City State/Zip Telephone State License # _________ _ ~~®M~~f&il31'.illi:~:t~}©WlL'~klllik't~illJ.t:t~filliifr~~:z~r./J'ft?: , ""r -~ /~" ;;;~ ft,)f,~~"\t~tE:t ~UtJf~,!:I t:li:;i~:i:)f~£1:'.fil~W~:+;~j~,;y:_;£~~~if1!:1~:Si~!:~};$,kj/.~~ 10;t~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. 1'f' 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 ~d. My worker's com ensation i urance arrier and policy number are: 11 l..) J_ }~ Insurance Company _.t:;U.,..J<'l.,.4,<'-'-'CL::ILL________ Policy No. tJOJ ...,, 1: 13A m Expiration Oate._.,_,.f_/._..,_ ... r~~-,__ !THIS SECTION NEED NOT BE COM ETEO IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LfSSI I 0 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' Compensatio Laws of California. WARNING: Fallure to aacura w '9"'"'~• unlawful, and ahall aUbjact an amployar to crlmlnal penaltiu and clvU flnaa up to one hundred thousand dollara ($100,0 ·:.:,:-,,·-r-,,-• damage, u provided for In Section 3706 of the Labor , te,,.t and attorney'• feu. SIGNATURE DATE {J (> rt" , . . -·"'··· . . ___ . . .· ;-~~~1'~?\l~ifiiir.•~-~, .. ,,, .. ,,_ .. I hei-eby affirm that I em exempt from the Contractor's License Law for the following reason: 0 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). D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Coda: 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(&) 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 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 I address I phone number / contractors license number): 4. I plan to provide portion• of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number I contractors license number):, ________________________________________________ _ 6. 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 ________ _ 1mfiiRilTlllfflil!Hlili'l~lllil'QiNlimMMfimi>¼0c;.,'[,~;~1L~\1~~~:!li\1/i!ilA-iliiit!!:'1:I&~ 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 25634 of the Presley-Tanner Hazardous Substance Account Act? D YES D 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? 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. ll!li11lb'~il~lllll1tt!i:iNl~~l!Jl[q/A<!!iNiji:,iil':I\:,\: , ...• , , 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, ______________________ _ llili~BIMl~lfili§~:tf~i~'N~n]:t~¥JtJ{ijj{:\{:ft{~)~!))0!'.~t1!J,:l'..-:,:r;ti'.: ,)',p}~:, ,'J:[,};:t~;~m;,}[it~t~iJt-\0~Ji~©:t{i~ffe.gh\~::~}i~mi'.i@t~tk404311~~~;~f~lr,,~iMit.~\j I certify that I have read the application end 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 representativ8s 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 AU LIABILITIES, JUDGMENTS, COSTS ANO 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 demolif nstruction of structures over 3 stories in height. EXPIRATION: Every permit issued e shall expire by Umitation and become null and void If the building or work authorized by such permit is not co ·t the building or work authorized by sue nded or abandoned at any time after the work is com ding Code). PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/22/2007 Permit# CB062683 Title: RICH RES-GAS TO BBQ,FRPIT Description: ELECTRIC TO BBQ Type: PLUM Sub Type: Job Address: 1055 SAGEBRUSH RD Suite: Lot 0 Location: APPLICANT PRO EARTH LANDSCAPE INC Owner: RICH FAMILY TRUST 05-16-06 Remarks: Total Time: Inspector Assignment: PD --- Phone: 7606333120 lnspectd_ ;t Requested By: JULIE Entered By: CHRISTINE CD Description Act Comment 11_ ~i~al P_lu_m_b_in_s _____ ~ _ 6 J Yh_c: __ _ Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act tnsp Comments 09/21/2006 23 Gas/TesVRepairs AP PD 09/21/2006 31 Underground/Conduit-Wiring AP PD