The URL can be used to link to this page

Home My WebLink About1039 SAGEBRUSH RD; ; CB070820; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-27-2007 Miscellaneous Permit Permit No: CB070820 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1039 SAGEBRUSH RD CBAD MISC 2146441600 $0.00 Subtype: OTHER Lot#: 0 ZBAVITEL RES-8FT FIREPLACE, GAS & ELECT TO FIREPLACE & BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/27/2007 LSM 03/27/2007 03/27/2007 TRUE GREEN LANDSCAPE ZBAVITEL CAROLYN I TRUST 07-15-05 760-945-8822 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $136.00 Inspector: FIREPLACE GAS & ELECT 1039 SAGEBRUSH RD CARLSBAD CA 92011 Total Payments To Date: $136.00 FINALtt~~ Date: Balance Due: Clearance: $89.00 $47.00 $0.00 $136.00 $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a}, and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f es/ xac i n f whi h ou have reviousl been iven a N Tl E imi r t hi r s o whi h he s at t of limitations h s revi sl oth rwise ex ired FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {J,B () '7 ~ g'c,10 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit -1-(-<;c.'),.......~------ Validated By_~...;~~=------ Date, ___ _,,3:::,/uo2....___7c...µ/0.L..!7 __ _ Phase No. Total I of units Assessor's Parcel B r-Existing Use Proposed Use .;::, fT (A$ d. Name ..... / 1P'. .. 7t:Pft1F. Address City ~xarr1mrs'tttrtw"• 7 'l ?FT"' '■a~b•~·,,fC'· State/Zip Telephone I Fax# 1r#it ;:.;\i~;--1.#;,,'.,.?~' p:, "N,..•m-.--------------~A"'d"'d,-.. -.---------------,c";'",v-------=s'"••"'•-•l=z'";•-----,T=-e71e-p7h-a-ne--,#,-------- (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 parmit subjects the applicant to a civil penalty of not more than five hu red do rs ($5001). State Ucense ti --<~~(!/L.:7-l-f:,,_..;,_~,.=,...;,_ License Class _ _,C,""''-__ :z..,c.._.,)'-----City Business License ti Designer Name Address City State/Zip State License ti _________ _ 4tnttr . 7 srtttttttretsrt"Mt!D\'$21tHW#if~>tam;:;·~";JJm;i~~~i.+.~~,,,,;;¥,:,,,,~iU,ii'dfh<¾';A~;., Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and witl 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. 0 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No.____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100] OR LESS) 'fil1" 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 -;:\ecome subject to the Workers' Compensation Laws of California. WARNING: Failu'9 to aecure worken' compenntlon coverage II unlawful, and shell aub.l■ct an employer to criminal penaltlu and clvil fines up to one hundred thousand dolars 1_~ .. 1 In addition to the COit of companaadon, damages u provided for In Section 3708 of the Labor code, Interest and attorney's fees. NATURE DATE e 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 ynr of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). O I, aa owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Businesa and Professions Code: The Contractor'• 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). 0 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 apJ>'icatlon for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / 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 number/ contractors licenae 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 number/ type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE ________ _ 1trn ,, ~ n remet:tter11Wr mf 771'X"''ttW1MWiil4NB'JitM:U1iNrtlhlJ5t?t"'tii~;ir~k~~t-: ,&if¥'~;¼£w_;u~ 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 26506, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO ts the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES D 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. it'.iiilltT I' :arr 7'.f!trt&W 7ffll'f'lllfllRwrrr77fllttllllf"ii'.h~~ijijE~•~i'!l;~~-,~,.,d(.i,,,,,,diLi,• ,,:,.•.,,· I hereby affirm that there~ a construction lending agency for the performance of the work for which this permit Is issued {Sec. 3097(i) Civil Code). LENDER'S NAME tt:W t liT LENDER'S ADDRESS ______________________ _ I 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 relating to building construction. I hereby authorize representatives of the Citt of Cartsbad to enter upon the above mentioned property for inapaction purpogaa. 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 5•0• deep and demolition or construction of structure■ over 3 stories in height. EXPIRATION: Every permit lg,.1a&-lav the buildlng Official under the proVislons of this Code shall expire by limitation and become null and void If the building or work authorized by such pennlt '8·ri0t com need within 180 days from the date of such pennlt or if the building or work authorized by such pennit Is suspended or abandoned at any time after the WO:rk Is comme for a period of 180 days (Section 106.4.4 Unlfonn Building Code). V APPLICANT'S. SIGNATURE .. - f'-\_ WHITE: File YELLOW: Applicant PINK: Finance DATE . . . ;f!ll ldd~~ UNSCHEDULED BUILDING INSPECTION DATE C\-;:)5-cr{ PERMIT # <OJ D'.75:J 0 INSPECTOR ._Jj.>..-.=~=----- . PLAN CHECK# ___ _ 10B ADDRESS 103~ ,6aqe.bru~h PL DESCRIPTION _________________ _ CODE DESCRIPTION lJ ACT ~ COMMENTS