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Home My WebLink About1015 SAGEBRUSH RD; ; CB140019; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-07-2014 Miscellaneous Permit Permit No: CB140019 Building Inspection Request Line (760) 602-2725 Job Address: 1015 SAGEBRUSH RD CBAD Permit Type: MISC Subtype: OTHER Status: Parcel No: 2146441000 Lot#: 0 Applied: Valuation: $0.00 Entered By: Reference#: Plan Approved: PC#: Project Title: JOHNSON RES-REPLACE WINDOWS IN 2 BEDROOMS-@ 2ND STORY. Applicant: U S WINDOW & DOOR 6188 INNOVATION WY CARLSBAD CA 92009 760 431-5576 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES PERMIT FEE Issued: Inspect Area: Owner: KU BALL RICHARD K&KIMBERL Y L 1015 SAGEBRUSH RD CARLSBAD CA 92011 Total Fees: $130.00 Total Payments To Date: $130.00 Balance Due: Inspector: FINA Date: Clearance: ISSUED 01/07/2014 RMA 01/07/2014 01/07/2014 $130.00 $0.00 $0.00 $130.00 $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 pem1it 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 fhih i I inNTI fi inh THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING ~ <<•!:' ~ C!TY OF CARLSBAD JOB ADDRESS Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITE#/SPACEt/UNIT# 1015 Sagebrush road # BEDROOMS /I BATHROOMS □BUILDING □FIRE Plan Check No. Est. Value SWPPP CONSTR. TYPE occ. GR61JPl CT/PROJE'"cr~,-- 9 - 4 - 0 - 5 --~i-LO~T"#~----r~PHAffE-ii # OF ~NITS DESCRIPTION OF WORK, , •• , ......... FeetofA:•~-.~:-,.-:-:!--d-ro_o_,m_s_J_w_e_a_r_e_in--s.Lta_l_li_n_g_r_e_p_la_cLe_m_e-nt-w-in_d_o_w_s __ -_--µ---~~L_-. _ __JL_ __ -1 EXISTING USE PROPOSED USE GARAGE (SF) APPLICANT NAME (Primary Contact) US Window and Door ADDRESS 6188 Innovation Way CITY Carlsbad PHONE 760-431-5576 EMAIL PROPERTY OWNER NAME A.ffDRESS CITY PHONE EMAIL ARCi-1/DESIGNER NAME & ADDRESS STATE ZIP CA 92009 FAX 760-431-5583 STATE ZIP ~OIFAX STATE UC.# PATIOS (SF) DECKS (SF) FIREPLACE YES0, AIR CONDITIONING N<O vesONoO APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX - STATE UC.# 07 l CLASS ( FIRE SPRINKLERS YEs□No□ s-- (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such per_mit to file a sl~ed statement that he Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, comme_nding with Section 7000 of Division 3 of the Business and Professions Code) or fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section "!031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: I hereby affirm under penalty of peryury one of the following declarations: D 1 have and will maintain a certificate of consent to self-insure for WOO<ers' compensation as provided by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. ~ve and will maintain workers' com1>ensation, as required bv Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workera' compensation insurance carri rand policy !'\umber are: Insurance Co. ~A A:.f..>l;...1= U Policy No. k, \A.J C.. 0 0 O "2..s:5' 'J.o 3, Expiration Date ~ f I ~section need not be completed if the permit is for one hundred dollara ($100) or less. LJ Certificate of Exemption: I certify that ill 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 Wonlers· Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. JES CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's Lice~e Law for the following reason: □ □ □ 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 Cootractor'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 Ylithin one year of completion, the owner-builder will have the burden of proving that he did not build Of improve for the purpose of sale). I, as owner of the property, am exclusively cootracting 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 builds or improves thereon, and contracts for such projects Ylilh contractor(s) licensed pursuant to the Contractor's License Law). 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. 0Yes Do 2. I {have I have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following petSon (f1m,) to provide the proposed construction (include name address/ phone I contractors' license number): 4. I plan to provide portions of the wOlil;, 001 I have hired the following person to coo«linate, supervise and provide the major work (include name/ address I phone I contractora' 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 I address I phone I type of work): Ji5 PROPERTY OWNER SIGNATURE DATE I certify that I have read the application and state that the above lnfonnatlon is correct and that the infonnatlon on the plans is accurate. I agree to complyv.ith all City ordinances and State laws relating to building construction. I hereby authorize represootative of the 'ty of Garlsbad enter upon the above menOOl'led property for inspeclKln purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGME , COSTS AN PENSES V\IHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA permit is required fo ex 'deep and demolition oc construction of structures over 3 stories in height. EXP/RATION: Every pem,it issued by e ilding nder the provi · this Code shall expire by Mmitaton and become null and vcid if the buikling or'Mlrk authorized bysudi permit is not commenced v.iltwl 180 days from the date of sudi permit r if e building or by sud, pem,it is suspended ocabandoned atanytme after the wori( is coovnenced fora peri of 180 d (Section 106.4.4 Unifonn Building Ccxle). ,65 APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB140019 Type: MISC Date Inspection Item ------- 01/29/2014 19 Final Structural 01/29/2014 19 Final Structural 01/17/2014 14 Frame/Steel/Bolting/Weldin 01/17/2014 14 Frame/Steel/Bolting/Weldin Thursday, January 30, 2014 OTHER Inspector Act RI PD AP RI PD AP JOHNSON RES-REPLACE WINDOWS IN 2 BEDROOMS-@ 2ND STORY. Comments PM PLS Page 1 of 1 t015" 5A(::G~ (toAf:J CM.ls BAiJ CA QJ.o \ \ City of Carls_b~d Building Div1s1on APPROVED~~~ ISSUED BY ___ _