HomeMy WebLinkAbout1019 SAGEBRUSH RD; ; CB062213; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
09-28-2007 Plumbing Permit Permit No: CB062213
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type
Parcel No:
1019 SAGEBRUSH RD CBAD
PLUM
2146441100 Lot#:
Construction Type:
0
NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Title: ZHU: GAS TO FRPLC,FIRPIT,BBQ,
ELECT TO BBQ,2FOUNT,WATFALL,SINK@ BBQ
Applicant:
DRAIN RUNNER PLUMBING
STE 108-A-170
300 CARLSBAD VILLAGE DR
CARLSBAD CA 92008
760 212-6231
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
1
1
0
1
0
1
0
Owner:
ZHU JEFFREY CHEN
1019 SAGEBRUSH RD
CARLSBAD CA 92011
Issued:
Inspect Area:
ISSUED
08/04/2006
JMA
08/04/2006
08/04/2006
MC
$20.00
$7.00
$15.00
$0.00
$7.00
$0.00
$7.00
$0.00
$33.50
$0.00
$0.00
$0.00
$89.50
Total Fees: $89.50 Total Payments To Date: $89.50 Balance Due:
Inspector:
FINAL APPR VAL
Date: Dl / ;2,4--o 5 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. lf 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 lnfom1ation 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
I es/exacti ns f whi h ou have r viou I b n iv n Tl E imil r to hi r a to which th tatute f limitati ns h I h i
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.CIXJ'77--21,,,3 . .
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit,---,------
~:~:•ted~l{~?
Business Name (at this address)
Subdivision Name/Number Phase No. Total # of units
(j"
Name Address City State/Zip Telephone# Fax#
to
Nam Address City S.tate/Zip
(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 that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). D t.AINRwAJ~ PL.u1?1.8JN<., ~ Ct\nlS6:W W:? bit• st1otot;l\•t](>• ~r!,"1). c_l\ 71,,Q za.w J
Name Address City State/Zip Telephone #
State Licansa # !3'5'2.83 f:, Licansa Clas, C..--3,(.. City Bu,;ness Licansa # /.). 2 2 J,3 )
Designer Name Address City State/Zip Telephone
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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.
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 1$100) OR LESS)
~FICATE 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' Compensation Laws of California.
WARNING: Failure to Hcura worken' compenaation coverage Is tmlawful, and shall subject an employer to criminal penaltlu and clvll fines up to one hundred
thousand dollars I$100,000), In addition to the cost of compensation. damages ea provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE DATE
nllillwN§iiiii&liilil!ILIM F I llllillllllli U 7 1771 llllllllil;l!IJ!il!llllilll io I lilllllll! JIii lll!lliiiim,_il!liiil!~l! I hei'eby affirm that I am 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 sola compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Buslne&S 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 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 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 / 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 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 number/ type of work):, ______________________________________________________ _
PROPERTY OWNER SIGNATURE
lmi!mm~~ll!W~~i!Jl~~lf
DATE
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 26505, 25533 or 26534 of the Presley-Tanner HazardoUs Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A ANAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued !Sec. 30971i) Civil Code).
LENDER'S NAME______________ LENDER'S ADDRESS
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I ~enify ~hat I have read the application and state that the above information is correct and that the information on the plans is accurate. J agree to comply with all
City ordmances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
propeny 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 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authori~ed by such permit is not comme within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned
at any time after the work Is commen or a period of ays (S ion 106.4.4 Uniform Building Code). 1112. ~;//4.
6 APPLICANT'S SIGNATURE,.,..,~~~f{-~~~~~~~===:;;::::a=s;:=====-DATE e,, __L,-!!:
WHITE: File YE~ tcant PINK: Finance -=-:7-r---',f--.=;_ ______ _
City of Carlsbad Bldg Inspection Request
For O 1/23/2008
Permit# CB062213 Inspector Assignment: MC ---
Title: ZHU: GAS TO FRPLC,FIRPIT,BBQ,
Description: ELECT TO BBQ,2FOUNT,WATFALL,SINK@ BBQ
Type:PLUM Sub Type:
Phone: 7609309260
Job Address:
Suite:
Location:
1019 SAGEBRUSH RD
Lot:
OWNER ZHU JEFFREY CHEN
Owner: ZHU JEFFREY CHEN
Remarks: 41 PLEASE
Total Time:
CD Description
0
Inspector: _ _.tvf_l-__
Requested By: NA
Entered By: CHRISTINE
Act Comments
29 Final Plumbing fl_ p1ZA1.,\ /4C 6~Jt?-Gui;-' it: ~t-a:>
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Comments/Notices/Holds ~lC&ii=--ptAC.::: L-11'\P~ 6 1 lN. 1-U~H,it-tr
Associated PCRs/CVs Original PC#
lns!2ection Histo[Y
Date Description Act lnsp Comments
01/15/2008 24 Rough/Topout co MC NOTICE ATTACHED
01/15/2008 29 Final Plumbing co MC
10/30/2007 24 Rough/Topout co MC NOTICE ATTACHED
03/16/2007 29 Final Plumbing co MC SEE NOTICE
08/10/2006 21 Underground/Under Floor AP MC GAS LINE ONLY, TO GAS METER·
08/10/2006 23 GasfTest/Repairs AP MC
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