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Home My WebLink About1019 SAGEBRUSH RD; ; CB091731; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 10-'16-2009 Electrical Permit Permit No: CB091731 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1019 SAGEBRUSH RD CBAD ELEC Status: Parcel No: 2146441100 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: BOLT ELECTRIC P.O. BOX 82445 FRANCISCO RES-ELECT TO SPA ABOVE GROUND SAN DIEGO, CA 92138 858-272-2240 Electric Issue Fee Single Phase per AMP Three Phase per AMP Three Phase 480 Per AMP Remodel/Alteration per AMP Remodel Fee Temporary Service Fee Test Meter Fee Other Electrical Fees Additional Fees TOTAL PERMIT FEES 0 0 0 0 Entered By: Plan Approved: Issued: Inspect Area: Owner: FRANCISCO JOSEPH A 1019 SAGEBRUSH RD CARLSBAD CA 92011 ISSUED 10/16/2009 RMA 10/16/2009 10/16/2009 $10.00 $0.00 $0.00 $0.00 $0.00 $10.00 $0.00 $0.00 $45.00 $0.00 $65.00 Total Fees: $65.00 Total Payments To Date: $65.00 Balance Due: Inspector: Date: Clearance: $0.00 NOTICE: Please take NOTICE that appr val of your project includes the "Imposition" edications, 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 !egal 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 inf inNTlsimilrhir ih f' hrilhi ~ «~f,; ~ CITY OF CARLSBAD JOB ADDRESS 0 CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax, 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck. Deposit Date # Of UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) /' CONSTR. TYPE OCC. GROUP EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS YES □# __ NOD YES □ NOD YES □ NO □ CONTACT NAME (If Different Fom App/leant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL CONTRACTOR BUS. NAME ADDRESS ARCH/DESIGNER NAME & ADDRESS STATE UC.# (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 iss n , also requir s the applicant for such permit to file a s1~ned statement that he is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9, commending with Secti_ n O 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 ($500)). Workers' Compensation Declaration: / hereby affirm under penalty of perjury one of the following declarations· D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wO!'k for which this permit is issued. "1, I have and will maintain wor er$' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. •_J.Jl,:iµ'..o..M,,_ _____________ Policy No. 14 }6;f C'lJ Ji;, l'_\d-b j Expiration Date<>' 'Cl./-//,.121/J_.I _____ _ -t """' .rlJ: 4., This section need not be completed if the permit is f r one hundred dollars ($100) or less. D 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' 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, damag as provided for in Section 3706 of the Labor code, interest and attorney's fees. ,.___ 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 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-builoer will have the burden of proving that he did not build or improve for the pllfpose of sale). □ 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 appjy to an owner of property who builds or improves thereon, and contracts for such projects with 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 lo provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 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 I 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 I address I 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): RS PROf'ERTY OWNER SIGNATURE □AGENT DATE Is the applicant OI' 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 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ 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? □ Yes □ No IF /JiNY OF Tl-fE 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify that I have read the application and state that the above information Is correct and thatthe information on the plans is accurate. I agree to comply >Mth all Cify ordinances and State laws relating to building construction. I hereby authorize representative of the City of Ca~sbad to enter upon tile above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID GrTY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required for excavations over 5'0' deep and demolition occonstructioo of structures over 3 stories in height. EXPIRATION: Every pemilt issued by the Building Official under the provisions of tllis Code shall expire by limitation and become nuH and void W the building or work autllorized by such pem,il is not commenced within 180 days from the date of such permit or if the butjjng work authorized by such permit is suspended or abandoned at any time after the 'NOrk is commenced for a peood of 180 days (Secoon 100.4.4 Uniform Building Code). AS APPLICANT'S SIGNATURE DATE I) City of Carlsbad Bldg Inspection Request For: 10/27/2009 Permit# CB091731 Title: FRANCISCO RES-ELECT TO SPA Description: ABOVE GROUND Type:ELEC Sub Type: Job Address: 1019 SAGEBRUSH RD Suite: Lot 0 Location: APPLICANT BOLT ELECTRIC Owner: FRANCISCO JOSEPH A Remarks: spa electric inspection Total Time: CD Description 34 Rough Electric '3J .. 1-4,¥,.U1by-tu{~- Act Comments Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments Inspector Assignment: Phone: 9257851933 Inspector: ----- Requested By: JOE Entered By: CHRISTINE