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Home My WebLink About1019 SAGEBRUSH RD; ; CBR2020-1237; PermitPrint Date: 05/13/2021 Permit No: CBR2020-1237 Building Permit Finaled Residential Permit Job Address: Permit Type: Parcel #: Valuation: Occupancy Group: 1019 SAGEBRUSH RD, CARLSBAD, CA 92011-3974 BLDG-Residential 2146441100 $0.00 Work Class: Lot #: Project #: Cogen Status: Applied: Issued: 06/06/2020 06/06/2020 Finaled Close Out: #of Dwelling Units: Track #: Plan #: Closed - Finaled Plan Check #: Inspector:Orig. Plan Check #:Bathrooms: Final Inspection:05/13/2021 Bedrooms:Construction Type: Occupant Load: Code Edition: Sprinkled: INSTALL EV CHARGER IN GARAGE (E-REVIEW)Description: Project Title: Property Owner: FRANCISCO LIVING SURVIVORS TRUST 1019 SAGEBRUSH RD CARLSBAD, CA 92011 Contractor: TESLA ENERGY OPERATIONS INC 901 PAGE AVE FREMONT, CA 94538-7341(844) 837-5201 AMOUNTFEE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT $175.00 SB1473 GREEN BUILDING STATE STANDARDS FEE $1.00 Total Fees:$351.00 Total Payments To Date:$176.00 Balance Due:$175.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. 1635 Faraday Avenue, Carlsbad CA 92008-7314 ï 760-602-2700 ï 760-602-8560 f ï www.carlsbadca.gov Building Division Page 1 of 1 {"Cityof Carlsbad Plan Check Est. Value PC Deposit Date B-1 Page 1 of 2 Rev. 06/18 RESIDENTIAL BUILDING PERMIT APPLICATION B-1 Job Address __________________________________________Suite: __________ APN: _________________________ CT/Project #:_________________________________________ Lot #:_________ Fire Sprinklers: yes / no Air Conditioning: yes / no Electrical Panel Upgrade: yes / no BRIEF DESCRIPTION OF WORK: ________________________________________________________________________ __________________________________________________________________________________________________ APPLICANT (PRIMARY CONTACT) PROPERTY OWNER Name: ________________________________________ Name: _____________________________________________ Address: ______________________________________ Address: ____________________________________________ City: _________________ State:______Zip: _________ City: ______________________State:______Zip: ___________ Phone: _______________________________________ Phone: _____________________________________________ Email: ________________________________________ Email: ______________________________________________ DESIGN PROFESSIONAL CONTRACTOR BUSINESS Name: ________________________________________ Name: _____________________________________________ Address: ______________________________________ Address: ___________________________________________ City: _________________ State:______Zip: __________ City: _________________ State:______Zip: _______________ Phone: _______________________________________ Phone: ____________________________________________ Email: ________________________________________ Email: _____________________________________________ Architect State License: __________________________ State License:_____________ Bus. License:_______________ (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/she 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/she 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}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov Addition/New: ____________Living SF, ________ Deck SF, ________ Patio SF, ________Garage SF Is this to create an Accessory Dwelling Unit? Yes / No New Fireplace? Yes / No, if yes how many? _____ Remodel: __________ SF of affected area Is the area a conversion or change of use ? Yes / No Pool/Spa: __________ SF Additional Gas or Electrical Features? _____________________________ Solar: _______ KW, ______ Modules, Mounted: Roof / Ground , Tilt: Yes / No, RMA: Yes / No, Battery: Yes / No Panel Upgrade: Yes / No Reroof: ____________________________________________________________________________________ Plumbing/Mechanical/Electrical Only: ___________________________________________________________ Other: ______________________________________________________________________________________ _______________________________________________________________________________________________ CBR2020-1237 6/6/20 X EV CHARGER IN GARAGE □ □ □ □ □ □ □ ( City of Carlsbad B-1 Page 2 of 2 Rev. 06/18 ( OPTION A ): WORKERS’COMPENSATION DECLARATION: I hearby affirm under penalty of perjury one of the following declarations:  I have and will maintain a certificate of consent to self-insure for workers’ compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit is issued.  I have and will maintain worker’s 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 Company Name: _______________________________________________ Policy No. _______________________________ Expiration Date: _______________________  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 be come 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 $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney’s fees. CONTRACTOR SIGNATURE: _____________________________________________ AGENT DATE: _______________ ( OPTION B ): OWNER-BUILDER DECLARATION: 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-builder will have the burden of proving that he did not build or improve for the purpose 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 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).  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.  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 / 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 / address / 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): OWNER SIGNATURE: ______________________________________________ AGENT DATE: _______________ CONSTRUCTION LENDING AGENCY, IF ANY: 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 Name: ___________________________________________________ Lender’s Address: ___________________________________________________ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: 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 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?  Yes  No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?  Yes  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. APPLICANT CERTIFICATION: 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 representative of the City 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 is not commenced 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 commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT SIGNATURE: __________________________________________________ DATE: ____________________ 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov □ □ Building Permit Inspection History Finaled PERMIT INSPECTION HISTORY for (CBR2020-1237) BLDG-Residential 06/06/2020Application Date:Permit Type:Owner:TRUST FRANCISCO LIVING SURVIVORS TRUST Cogen 06/06/2020Work Class:Issue Date:Subdivision:CARLSBAD TCT#98-14-03 THOMPSON/TABATA 11/09/2021Expiration Date:Status: IVR Number: 26781 Closed - Finaled 1019 SAGEBRUSH RD CARLSBAD, CA 92011-3974 Address: Scheduled Date Inspection Type Inspection No. Inspection Status Primary Inspector Reinspection InspectionActual Start Date 05/13/2021 05/13/2021 BLDG-34 Rough Electrical 157258-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Final Inspection 157259-2021 Passed Tim Kersch Complete COMMENTS PassedChecklist Item BLDG-Building Deficiency Yes BLDG-Electrical Final Yes Thursday, May 13, 2021 Page 1 of 1 {cityof Carlsbad