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Home My WebLink About1027 SAGEBRUSH RD; ; CB070025; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-04-2007 Plumbing Permit Permit No: CB070025 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1027 SAGEBRUSH RD CBAD PLUM 2146441300 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: NGUYEN: GAS & ELEC TO BBQ & FIREPLACE (5.5 FT) TRUE GREEN LANDSCAPE 760-945-8822 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 0 0 0 0 0 1 0 Owner: NGUYEN VU 1027 SAGEBRUSH RD CARLSBAD CA 92011 Issued: Inspect Area: ISSUED 01/04/2007 JMA 01/04/2007 01/04/2007 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $20.00 $0.00 $0.00 $0.00 $47.00 Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due: Inspector: LJ j FINAL APPROVAL Date: b" /lf"v CY 7 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. 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 seivice fees in connection with this project. NOR DOES IT APPLY to any f - PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use FOR OFFICE USE ONLY PLAN CHECK No.c.0C>7002.C"" EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By -..J W'ft:: Date I ( <J-:10'1 Unit No. Phase No. Total # of units Proposed Use ( Name (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 ls exempt therefrom, and the basis for the alleged exemption. Any violation of Se ion 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001). ' ' Name State License # <g':G C,¼ .:::> Ucense Cless --'C---~7'"<"-7,<---- C1tv State/Zip Telephone # City Business License #' /20 J'1?: 72 ·---::::. _______________ ,_,------------------,,,,.---------=-,--c=,----:--,-,---------- Designer Name Address City State/Zip Telephone State License # ~orkers' Compensation Declaration.:· I hereby affirm u!~~~~~~~~:;~?~!:!~jJt~:t~f~!~l=~~~gl~1il$1mhlU~~$TR?,\#illG(;<t~¥E:!ffJ~;~f¾l:f} O 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. D 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) "ta_ · 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 lo'become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workera' compenutlon coverage 11 unlawful, and ahall subject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damages•• provided for In Section 3708 of the Labor coda, Interest and attorney's fees. SIGNATURE "' DATE _________ _ lllll!lll!iliiiihliiJ,ii!iid[!fjli llRl!llllllli-!111!1811111l111K~liir-~il!ffill!f!i!m!lll:aii!iliir'lillhi!ll-~1!:!l~i!i!IILliitR~~,im"1i",f"} I hei"eby affirm that I am exempt from the Contractor's License Law for the following reason: D l, 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. lf, 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(s) 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. D 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 I 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 DATE ________ _ IIMl!-!Wlffldhlr~llill:11Jl-0WR~i[fiil±!1mllil!fi!i~Jil~fm 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 25505, 25633 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the eir 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? D YES O 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. ;-~•11.,r.;~ws~;~1:t"'~~¥•~~t~~~l~it~,;ti~~t't:!1<:~g•1t8tiii)~t~i,,::,•:::1:~p:,;::;iJ' ~~1:?:;f ,~,, ·· I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME LENDER"S ADDRESS, ______________________ _ ■-!ll!....U---■ll--l:-.m.t.liiill!!ill.:l- 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 relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the 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 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 authorized by such permit ls not commenced within 180 days from the date of such permit or If the building or work authorized by such permit is suspe ed or abandoned \ at any time after the work is comma or a perlo 180 days (Section 106.4.4 Uniform Building Code). A APPLICANT;S SIGNATURE -f----------cl--:7"'--=--~----------DATE ----L-1--'=Jr::..,r-y'-,,L-- m . . . City of Carlsbad Bldg Inspection Request For: 06/13/2007 . Permit# CB070025 Title: NGUYEN: GAS & ELEC TO BBQ & Description: FIREPLACE (5.5 FT) Type:PLUM Sub Type: Job Address: 1027 SAGEBRUSH RD Suite: Lot: 0 Location: APPLICANT TRUE GREEN LANDSCAPE Owner: NGUYEN VU Remarl £ 7 · Total Time: CD Description flfComments Inspector Assignment: RB --- Phone: 7608228823 Inspector: ----- Requested By: JAY Entered By: JANEAN 29 Final Plumbing 39 Final Electrical --!------- ---~·------ Comments/Notices/Holds Associated PCRs/CVs Original PC# lnst1ection Histo01 Date Description Act lnsp Comments 04/10/2007 29 Final Plumbing co RB 0411012007 39 Final Electrical co RB SEE NOTICE ATTACHED 01/1012007 23 GasITest/Repairs AP RB FOR UNDGR GAS LINE 0111012007 31 Underground/Conduit-Wiring AP RB 0111012007 52 Underground Plumbing WC RB