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Home My WebLink About1003 SAGEBRUSH RD; ; CB061668; Permit( City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-12-2006, Plumbing Permit Permit No: CB061668 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1003 SAGEBRUSH RD CBAD PLUM Status: Parcel No: 2146433700 Lot #: 0 Applied: Reference #: Project Title: GAS TO FIREPIT Applicant: TERRA FIRMA LANDSCAPE 9550WAPLES SAN DIEGO CA 92121 RMA 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 Construction Type: NEW Entered By: 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: STANDARD PACIFIC CORP 5750 FLEET ST #200 CARLSBAD CA 92008 ISSUED 06/12/2006 JMA 06/12/2006 06/12/2006 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: lnspecto. FINAL APPROVAL Date: J-J -Db 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 penr1it 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 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NoC60& I ~ fe J" CITY OF CARLSBAD BUILDING DEPARTMENT 1635_Faraday Ave., Carlsbad, CA 92008 EST. VAL _________ _ Plan Ck. Deposit ________ _ Validated By :-1~ Date C;:, { /2.{./J.b_ QO Adclrass (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units \+: Assessor's Parcel # Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# Name Address City ~~~~iv,?2,"ti,~c~ 9\-- Name Address M~tf~~~N)WD[~,)?,:;7_t,~~!>;~:< ;:::: •ii:¾i:>,, (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 tor 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 elillDUllion. Any violation of Section 7031,5 by any ap licant for a permit subjects the applicant to a civil penalt of not more than five hundred dollars ($6 01). 3 ,H, "\~ --.--no-. C..~. 0 ~D OA ?., 7. tfJ/ 7vv Name Address City State/Zip St,te License # f 1S37 {p License Clm kO:: V { L C, 21: City Busine" License # / 70 7 J-Z. / Designer Name Address City State/Zip Telephone State License # _________ _ i:~~UMil.~~~rJ1f~~ii'. i,.:::,,~, 1u" ,., ,-~ .,:,\' ·.:_,>;::: -:: k:::; '.; <;,:_'.J);l!::t.;;;Jr-,; 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. ,G( I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the perform~nce of the work for which this permit is ~d. My worker's compensation insurance carrier and policy number are: _ J J Insurance Company 7, 1 rv, C,,,rl Policy No. lA}C,7,J ):h 8::o:::'3:o: ~ Expiration Date { tJ _ I/ (r"'/(:? ITHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) / 1 D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation LBW$ of California. WARNING: Failure to ••cure workers' comp808atlon coverage I• unlawful, and •hall 9ubject en employer to criminal peneltlq e thousand dollar• I 100 n addition to the mpen•atlon, damegu as provided for in Section 3706 of the Labor de, SIGNAT:;~:;;~~~~~=;;~~~s:::=::::::::::::====-====-=~== DATE \~~lill1illlllllfml!llllll'8illf1.il'l~~,2'.,tt ,;;,,. /{;',:,!(?{j,"''~i, j;•)):,j :; · • 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 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 ere 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). 0 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). 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. 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. l 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): _____________________ ~-------------------------------------- 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, 25533 or 26634 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 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 site7 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. ll!l1iii1lili1.N.~-~m~fl!fllf,ll:it,j:''2ii ,~: ,, (,,: ,. ·.· .. · .. ,., •.;· ·,.:.· · :.•i :·· ,. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME 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 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 provisi s of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 180 days from the date s ch permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is co en f 180 days (Sectio 1 .4.4 Uniform Building Code). r:: f 1 ,.., r/tl,., APPLICANT'S SIGNA E ilrrrn1<1<."""I DATE ~ t _ L-~~ licant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB061668 Title: GAS TO FIREPIT Description: Type: PLUM For: 06/29/2006 Sub Type: Job Address: 1003 SAGEBRUSH RD Suite: Lot 0 Location: OWNER STANDARD PACIFIC CORP Owner: STANDARD PACIFIC CORP Remarks: Total Time: Act Comment Inspector Assignment: Phone/~10j lnspefis7_}C Requested By: JESUS Entered By: CHRISTINE CD Description 23 Gas/Test/Repairs f £r~-/Jr.l----~-- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments