HomeMy WebLinkAbout1007 SAGEBRUSH RD; ; CBR2019-0785; Permit(city of
Carlsbad
Residential Permit
Print Date: 04/18/2019 Permit No: CBR2019-0785
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
1007 Sagebrush Rd
BLDG-Residential
2146440800
$0,00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
P/M/E Status:
Applied:
Issued:
Permit
Fina led:
Inspector:
Closed -Finaled
04/05/2019
04/05/2019
MColl
Plan Check#:
Final
Inspection: 4/18/2019 9:04:37AM
Project Title:
Description: BERNARD: REPLACING EXISTING WATER HEATER. SAME SIZE AND LOCATION.
Owner: Contractor:
COOWNER BERNHARD WILLIAM AND HOLLY
1 Alexander
ALL STAR WATER HEATERS INC
BAYPORT 11705
WATER HEATER PERMIT
Total Fees: $98.00 Total Payments To Date: $98.00
30300 Puerto Vallarta Way
Menifee, CA 92584-9256
800-727-0977
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$98.00
('city of
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check
Est. Value
PC Deposit ---------
Date __,'\--1-/:::;St...lfL1!----
Job Address I fddiSagebrusFi Rd. !Suite: APN: --------------
CT/Project #: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no
BRIEF DESCRIPTION OF WORK: /Replace existing water·f,eafer Siirne size and locafTon:·
0 Addition/New: _____ Living SF, ____ Deck SF, ____ Patio SF, ____ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
0 Remodel: _____ SF of affected area Is the area a conversion or change of use ? Yes / No
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _
D Solar: ___ KW, __ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, .RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: _________________________________ _
D Plumblng/Mechanlcal/Electrlcal Only: _______________________ _
D Other: ________________________________ _
APPLICANT (PRIMARY) PROPERTY OWNER
Name:ISTerraSprague .. --i Name: i,;[W,;.,1;;.;fl.;;ia~m;.;.··,;;B~e;.;rn.;;f.;ia;:;r..,d;.;·,... __________ 7.;•,
Address: 3PiPP EJJel'J:u\lalJarfa \Nay·=· ...... ..1 Address:;,,i 1""0"'0_1_s_a;;,ge_b~r,,_u,.,,sh-"'R~d_. -~==------'
City:IMenffee···· ·-!State:ICA -1Zip:l925llT City:K:arlsbact .. ············ J StatesCA 7 Zip: [92on·· ·1
Phone: 195 7.301-006 7 Phone: ..,.7.,.6a,0·.,,.8:..1.:,;4·..,8c,,Q.i..Z0:e.··---'----------
Emai1: la1Tsfar.sierra@qniaTl.coin· Email: ___________________ _
DESIGN PROFESSIONAL
Name: _________________ _
Address: ________________ _
City: ________ State: ___ Zip: -----
Phone: ________________ _
Email: _________________ _
Architect State License: ___________ _
CONTRACTOR BUSINESS
Name: fATfstarWater He.aters
Address: [36300 PuerfoVallaita·waY
City:IM~~~.-. ..Lsta_t_e:~A~JZip: .,;(9,.·2.,s.,ii'"4"'····=.,·.,·,.···.;.1
Phone: .951-301-0067 ]
Email:[allstar.sierra@cirnaiLcorn ·---ccc= ······-·· -,
State Ucense:~1~2~ .. ·-· _i Bus. License:~.--=···::_::_::;::;::;=•
(Sec. 7031-5 Business and Professions Code: Any City or County which reqLiires 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/she 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 tliat he/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.S by an',' applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of2 Rev. 06/18
•
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty of perjury.!!!!£ of the following declarations:
□ I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor code, for the performance of the
work which this permit ls iS5ued.
□ I have and will 'llaintain worker's compensation, as required by Section 3700 of the Labor Code, fo¥oananco at the work '.otwblrhthls.oermlt IS Issued
My workers' coroneosauan ioCJ1raoce catdeu.ruLo.aUcy number are: Insurance Company Name: _!_ ~t _ = ..;,_ . !
PollcyNo.iBNUWC0141227 ___lE•plratlonDate:,.18~/.._1,.9 __ " ___ ...,_
□ 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 be come
suiject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation covera111 Is unlawfut and shall subject an employer to :':en:: ::::::n:~~scf~:
5
~s up to $10DJIDO,OO~ In addition the to the coct of compenntlon, damaaes as p,ovhfetf for In Sectlan J706 afthe Labot.ZCod
'""'""""""'"'"""' . ~ o..,..,. .. ,., ;;{ _
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wases as their sole compensation, wlll do the work and the structure Is not Intended or offered for sale (Sec.
7044, Business an" Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves th@reon, 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 dld not buUd or Improve for the purpose of sale}.
□ I, as owner of the property, am elCclusNely contracting with llcensed 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 builds or Improves thereon, and contracts for such projects with contrac:tor(s) licensed
pursuant to the Contractor's License Law).
□lam 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. □ Yes Cl No
2.1 (have/ have not) signed an application for a building permit for the proposed work.
3. I have contractl!d 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/ address/ phone /type of work):
OWNER SIGNATURE: __________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
l hereby affirm that there is a construction lending aaency for the performance of the work this permit Is tssued (Sec. 3097 (i) Clvll Code).
Lender's Name: ____________________ Lender's Address: ___________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the appllcant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
prosram under sections 25505, 25S33 or 25534 of the Presley-Tanner HHardous Substance AccOunt Act? LI Yes c:'.1 No
Is the appllcant or future building occupant required to obtain a permit from the alr pollution control district or air quality management district? □ Yes □ No
Is the facllltyto be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAVNOT BE ISSUED UNLESS THE APPLICANT HAS MET OR 15 MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
1 certify that I have read the application and 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 relatlng to buUdlns construction.
1 hereby authorize representative of the aty of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE, INDEMNIFY AND KEfP
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 ls required for elCcavatloos over 5'0' deep and demolltlon or construction of structures over 3 stories In height.
EXPIRATION: Everv permit issued by the Building Official under the provisions of this Code shall expire by Umitation and become null and void If the build Ins or work authorized
by such permit ls not commenced within 180 days from the date of such permit or if the build Ing or work authorized by such permit IS suspended or abandoned at anytime
aftenhe w0<k Is commen<ed fo,a pe,iod of 180 days (Section 106 Unlfo,m Bulldlng Code). n~ ! /
APPLICANT SIGNATURE: ..,,,...-~~p,~-,,11,.,,.----------DATE: __,-,,'-'~ ''-"'-'/fLJ_'-'-'--o<----
1635 Faraday Ave Carlsbad, CA 9200
B-1
Ph: 760-602-2719 Fax: 760·602-8558
Page 2 of 2
Email: Building@carlsbadca.gov
Rev. 06/18
,, PERMIT INSPECTION HISTORY REPORT (CBR2019-0785) ,,
Permit Type:
Work Class:
Status:
Scheduled
Date
BLDG-Residential
P/M/E
Closed -Finaled
Actual
Start Date Inspection Type
Application Date: 04/05/2019
Issue Date: 04/05/2019
Expiration Date: 10/15/2019
lVR Number: 18138
Inspection No. Inspection Status
04/18/2019 04/18/2019 BLDG-26 Water
HeaterNents
089242-2019 Passed
April 18, 2019
BLDG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
08~243-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Plumbing Final
COMMENTS
Passed
COMMENTS
Owner:
Subdivision:
Address:
Primary Inspector
Michael Collins
Michael Colllns
COOWNER BERNHARD WILLIAM
AND HOLLY
CARLSBAD TCT#98-14-03
THOMPSON/T ABATA
1007 Sagebrush Rd
Carlsbad, CA 92011-3974
Relnspectlon
Passed
Yes
Passed
Yes
Yes
Complete
Complete
Complete
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