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Home My WebLink About1048 SAGEBRUSH RD; ; CB063243; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-13-2006 Plumbing Permit Permit No: CB063243 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1048 SAGEBRUSH RD CBAD PLUM 2146442500 Lot#: 0 Construction Type: NEW SHELINE RES-GAS & ELECTRIC TO TO FIREPIT & BBQ Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 11/13/2006 LSM 11/13/2006 11/13/2006 ZUNIGA, ALEX SHELINE FAMILY 1992 TRUST 11-23-92 TRUST PO BOX 1262 SAN MARCOS CA 92069 760-727-0145 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 Total Fees: Inspector. $47.00 0 0 0 0 0 1 0 1048 SAGEBRUSH RD CARLSBAD CA 92011 $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 Payments To Date: $47.00 Balance Due: FINAL APPROVAL Date: Z -z 7 ~ lY7 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 service fees in connection with this project. NOR DOES IT APPLY to any f infhih ril NTI hlr w·h flmil ii FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK No.8-8'0~3.d-~3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ______ _ Plan Ck. Deposit ~ Validated By ___ _,~=-.-.._'--'---- Date I t / I -3 0,,b Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Assessor's Parcel # Existing Use N Description of Work SQ, FT. , #of Stories II of Bedrooms # of Bathrooms If'.-_ G..,jR ,a, eA,<-¥-'c--\ '-~ ~ ~ '.??lil!dl' ... QJ~.. .• . I . ,hlAJiiiZ& LliiiiiiiiiWAM ... 11u l!Nli •.. ,: •. +:,lil&l!TT?W□ F Ul!IIUllll la.n1•-- Name Address Fax# . Name Address City S.tate/Zip Telephone # !MtliWWWiiiiiiiliiliiW&iUIJlt.,,---•nrWITW111mif.li!ii~iii!IHill Iii illlll!!IIII.IIIIIIB -(Sec. 7031.5 Business and Professions Code: Any City or County which requires I permit to construct, alter, improve, demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit to flle 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 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 ($5001). Aw 7 ,;>y---1 "= 12 9, '11 ., • "<l =, .. ,,, s,,,,.,, 1M ,,,.,..6 c,_ 9) .oh"r 7-6a "11 -b:::1 b ~ Name O Address f City State/Zip Telephone # Stats License # 1: b I 'J,7 (:, License Class ( -l "1,. City Business License # / ~ o).. I b 3fa Designer Name State License # Address City State/Zip Telephone ifiili!JWfflll!mllllilRIM!iifil I 7 '!!■¥ t■i!IJI-Bl.IC J!L~ Workers' Compensation Declaration: I 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 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____________________ Polley No. Expiration Date. _______ _ iTHIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner ao as become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workera' compensation coverage I• unlawful, and shall subject an employer to criminal peneldu and civU fhiea up to one hundred ~~:::;~tiara 1$ ,OOOJ, In addlt to the cost of compansatlon, damages as provided for in Saction 3::sT:f the.Labor coda, lnterast and attomay's fHs. m111118 • 1111 L lllllllllllll llllllllil!lll!IKll ___ i~]ll- 1 hei'eby affirm hat I a 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). 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 pu,-uant 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. 0 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 / addre11 / 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 / 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 I type of work):. ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE mi~mr!ffl11~--.-m,1w 1 WIIIIIIW ■lfTJI) MTIIWl!.till HI 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 Act7 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 7 0 YES D 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. I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 309711) Civil Code). LENDER'S NAME LENDER'S ADDRESS ~iill!Dmll'l!lm.w" r r ii !iiil.~"!;+11- 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 Cltt 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 w1thm 180 days from the date of such permit or if the bu1ldmg or work authorized by such penmt is suspended or abandoned ~ ~~~ny time after the work 1s commenced or a period of 180 days (Section 106 4.4 Urnform Bu1ld1ng Code). y ~LICANT'S SIGNATURE _..,!,,,;::w:'.:.,,&-"":_________________ DATE / / -1 J -0 j_ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 02/26/2007 Permit# CB063243 Inspector Assignment: PD Title: SHELINE RES-GAS & ELECTRIC TO Description: TO FIREPIT & BBQ Type: PLUM Sub Type: Job Address: Suite: Location: 1048 SAGEBRUSH RD Lot APPLICANT ZUNIGA, ALEX 0 Owner: SHELINE FAMILY 1992 TRUST 11-23-92 TRUST Remarks: can you final permit? Total Time: CD Description Act Comment --- Phone: lnspec(.P;C Requested By: CHRIS Entered By: CHRISTINE 29 Final Plumbing 39 Final Electrical f--- Comments/Notices/Holds Associated PCRs/CVs Original PC# lnS!2eCtion HistO!Y Date Description Act lnsp Comments 11/14/2006 21 Underground/Under Floor we PD 11/14/2006 23 Gas/Test/Repairs AP PD 11/14/2006 31 Underground/Conduit-Wiring AP PD