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Home My WebLink About1007 SAGEBRUSH RD; ; CB061993; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-13-2006 Miscellaneous Permit Permit No: CB061993 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1007 SAGEBRUSH RD CBAD MISC Subtype: OTHER 2146440800 Lot#: 0 $0.00 HOLLOWAY: OUTDOOR FIPLC PER CITY SPECS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07113/2006 JMA 0711312006 07/1312006 Applicant: FREDANGUIANO CONSTRUCTION HOLLOWAY WILLIAM D JR&GWO-RUNG CHIN PO BOX 2435 RANCHO SANTA FE CA 92067 760 510-9315 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: Inspector: $89.00 1007 SAGEBRUSH RD CARLSBAD CA 92011 PERMIT FEE Total Payments To Date: $89.00 Balance Due: $89.00 $0.00 $0.00 $89.00 . . . FINAL Date: Clearance: ·• $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposi ion" 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 lees/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 es/ is x ired. FOR OFFICE USE O!',IL V PERMIT APPLICATION PLAN CHECK NO. Q3o~ l q l'l 3 . CITY bF CARLSBAD BUILDING DEPARTMENT EST. VAL.-----=----- Plan Ck. Deposit ~----g __ . q_._, ___ _ 1635 Faraday Ave., Carlsbad, CA 92008 Validated By J IW'A-' Date 7 (l3 0 b Business Name (at this addr!!!) .a r? LJ 1 n --Mf'!U,fl}IH? --rrMCtc. 14!" -r c L 6 / 7 -o .>-. Lot No. , Subdivision Name/Number Unit No. Phase No. Total I of urnts Legal Description 2-Lc/-v VY-12ll '7~- Existing Use Proposed Use lot Stories I of Bedrooms I of Bathrooms (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demoliah 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 (C · · 00 of Division 3 Business and Professions Code) or that he Is exempt therefrom, 11T•n11..01u alleged Is- Designer Name Address City State/Zip Telephone State License I _________ _ raa; • .w1>R1~m .... ~· ,~. 1 • ,,,.;~-r •~·~--""';.;"""-"""'"""" ..... ""'""""""""""' ..... """- workers• Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. V 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 ..1:'ued. My worker's c p atio in urance carri~r alld PJWCY number are: //12.tl) A .. "2,...-. . / -t:) / Insurance Company __,~'-<---'-.L..-:C-./t.. ......... ...,~,n~;·:_;;'IC,,l_;;_--=v'-______ Polley No. / '7_-:Z...Z L , Expiration Date~/._'/_,,,,... ______ ~~ (THIS SECTION NEED NOT BE COM ED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 ~SJ O CERTIFICATE OF EXEMPTION: I certify that In the performance of the work for which this permit la l11ued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure cove,aga la unlawful, and ahall aubjaGt an employ• to c:rtmkl8I pana1t1aa and dvl tlnaa up to one hundred thou,and doUar, ($ 00, f c:ompenutlon, damagu u provided for In Section 3708 of the Labor ode, Int ut atto~y•, feH. SIGNATURE DATE P .. I hereby affirm that I am exempt from the Contractor'■ Licen■e Law for the following reaaon: 0 I, 11 owner of the property or my employeH with wagH u their sole compen■ation, wiU do the work end the atructura 11 not Intended or offered for s■le (Sec. 7044, Bu1lnH1 and Profe■■lona Code: The Contractor'• Ucen■a Law do• not apply to an owner of property who build■ or Improve■ thereon, and who does such work himself or through his own employees, provided that auch Improvement• are not Intended or offered for sale. It, however, the building or Improvement 11 sold within one year of completion, the owner-builder will have the burden of proving that he did not build or Improve for the purpo■a of sale). 0 I, 11 owner of the property, am axclu■ively contracting with llc:en■ad contractors to con■truct the project (Sec. 7044, Bu■ine■■ and Profa11lona Coda: The ·contractor'■ Llcen■a Law doea not apply to an owner of property who build• or Improve■ thereon, and contract■ for such projects with contractor(a) licanHd pursuant to the Contractor'■ Llcan■a Law). 0 I am exempt under Section ______ Business end Profession■ Code for this reason: 1. I personally plan to provide the major labor and material■ tor construction of the propoHd property Improvement. 0 YES ONO 2. I (have / have not ) signed an application for a building permit for the propoHd work. 3. I have contracted. with the following person (firm) to provide the proposed construction 1includ1 name / addrHa / phone number / contractors license number): 4. I plan to provide portion■ of the work, but I have hired the following person to coordinate, supervi■e and provide the major work (Include name / eddre■s / phone number/ contractor• license number): ______________________________________________ _ 6, I will provide some of the work, but I have contracted (hired) tha following persona to provide the work Indicated (include name / addre■s / phone number / type of work): _________________________________________________________ _ PROPERTY OWNER SIGNATURE DATE fi61r1i>J!ufjj'ij1!fisecr@k~B1B'mfi~ Mo; Is the applicant or future building occupant required to submit a business plan, acutelv hezardou■ material■ registration form or risk management end prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO la the applicant or future building occupant required to obtain e permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 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. ··•••· .9~~1ru&t1oij;~1;1tQJ.MQ.:Ao .N.£r ..... ·-1.ii.~~~_,_:E:.:~:~ .. ~1:v,rt;:;,;1~~;~~~-mut}/a:-f:11re!ailiHlSii:itl!:amr~::~'i~1~1t.~~~ I hereby affirm that there is a construction lending agency for the performance of the work tor which this permit Is issued (Sec. 3097(i) Civil Code). LENDER'S ADDRESS I ~ertity _that I have read tha appliceti~n and st!t~ that the abo.ve Information is correct and that the Information on the plan• i■ 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 ANO 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 !Imitation and become null and void If the building or work authorl~ed by such permit Is not co ed withi~ 180 days from the dat such permit or If the building or work authorized by such permit Is suspended or abandoned at any time after the work Is com ed or nod of 180 days (S11etio .4.4 Uniform Building Code). DATE --2+/L~J..._/...;;..lf'...zV'------ City of Carlsbad Bldg Inspection Request For: 09/22/2006 Permit# CB061993 Title: HOLLOWAY: OUTDOOR FIPLC PER Description: CITY SPECS Type: MISC Sub Type: OTHER Job Address: 1007 SAGEBRUSH RD Suite: Lot 0 Location: APPLICANT FREDANGUIANO CONSTRUCTION Owner: HOLLOWAY WILLIAM D JR&GWO-RUNG CHIN Remarks: FINAL FIREPLACE Total Time: CD Description Act Comment Comments/Notices/Hold Associated PCRs/CVs Original PC# lnsQection Histo[Y Date Description Act lnsp Comments 07/25/2006 68 Fireplace/Tie Straps AP PD GROUT 07/14/2006 68 Fireplace!Tie Straps AP PY Inspector Assignment: TP --- Phone: 7605352275 Inspector: Requested By: FRED Entered By: CHRISTINE