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Home My WebLink About1040 SAGEBRUSH RD; ; CB102441; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-20-2010 Patio/Deck Permit Permit No: CB102441 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: 1040 SAGEBRUSH RD CBAD PATIO Lot#: 0 2146442700 $900.00 Construction Type: NEW Status: Applied: Entered By: Plan Approved: Issued: Project Title: DARGIE RES-BUILD 100 SF SOLID Inspect Area: ROOFED PATIO COVER/CABANA OVER BBQ, SINK W/ ELECT Plan Check#: Applicant: DARGIE RODERICK&KIMBERL Y 1040 SAGEBRUSH RD CARLSBAD CA 92011 760 931 8131 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Green Bldg Standards (SB1473) Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Owner: DARGIE RODERICK&KIMBERL Y 1040 SAGEBRUSH RD CARLSBAD CA 92011 ISSUED 12/15/2010 LSM 12/20/2010 12/20/2010 $23.20 $0.00 $15.08 $0.00 $1.00 $1.00 $0.00 $0.00 $20.00 $0.00 $60.28 Total Fees: $60.28 Total Payments To Date: $60.28 Balance Due: Inspector: FINAL APPROVA,L Date: ;l -Z, · f ( 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 •~ees/exactions.tt 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 I e exactions of which have fevio sl been iven N Tl E similar o this or which the stat le of limi ti ns h s revi usl therwise ex ir d. «~» , ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov C/Jorl :;Ul1E#/SPACE#/UNIT# Plan Check No. Ci:, f O c). 1./ lf I Est. Value Plan Ck. Deposit Date l z,,/ ,s/ ,o lswPPP lAPN IOBADDRESS j 04-0 ~ACtt5f3R. USH CT/PROJECT# I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP EXISTING USE I PROPOSED USE CONTACT NAME (# Dltferent Fom App/leant) ADDRESS CITY STATE ZIP PHONE lFAX EMAIL PROPERTY OWNER NAME '[ J ('\( I-er I ck EMAIL r-ct. Qro, ;'a,{ 2,;) a t+. nvt I GARAGE (SF) PATIOS (SF) I DECKS (Sf) APPLICANT NAME ADDRESS CITY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL STATE LIC.# FIREPLACE YES[), IAIR CONDITIONING I FIRE SPRINKLERS Nc0 YES □No D I YEsD No0 STATE ZIP I FAX STATE ZIP I CITY BUS. LIC.# (Sec. 7031.5 Busmess and Professions Code: Any City or County which requires a permit to_construct, alter, improve, demolish or repair any structure. pnor 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 fChaDter 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 VIOiation of Section 7031.5 by any applicant for a permit subjects the applicant to a cMI penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Wotkers' Compensation Declaration: I hereby affinn under penalty of perjury 0116 of the following declarations: B I have and wlll maintain a certificate of consent to self-Insure for wci_rkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is issued. I have and wlll maintain worken' compensatloo, as required by Section 3700 of the Labor Code, for the performance of the work for which this pennil IS issued. My workers' compensation insurance carrier and policy number are: Insurance Co ____________________ Policy No. _____________ Expiration Dale ________ _ Jm.section naed not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance of lhe work for which this p81'mlt is issued, I shall not employ any person in any manner so as to become 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 one hundred thousand dollars (&100,000), In addition to the cost of compensatloo, damages as provided for In Sec:Uon 3706 of tht Labor code, intertSt and attorney's fees. NS CONTRACTOR SIGNATURE □AGENT DATE OWNER-BUILDER DECLARATION I hereby affinn that I am exempt from Contractor's License Law for the following reason: li'J □ □ 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, hcmever, 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 cootractor(s) licensed pursuant to !he Con~or'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. OYes Do 2. I (have/ have not) signed plication for a building permit for the proposed work. 3. I have contracted with person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions rk, but I have hired the following person to coordinate, supervise and provide the major work (indude name I address I phone I contractors' license number): 5. I will provide some of the have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work): ,6$ PROPERTY OWNER SIGNATURE □AGENT DATE /0 COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business.Rl!!J, acotely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the • Presley-T8nner Hazardous Substance Account Act.? D Yes L.JNo Is the applicant or future building occupant required to obtain a permit from the air pollution control.9l!!rld or a~lity management district? []ves 0No rs the facility to be constructed within 1,000 feel of the outer bounda,y of a school site? LJYes LJNo 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 POUUTION CONTROL DISTRICT. I certify that I have read the appllcatlon and state ttlatthe above infonnation isoonect and that the Information on the plans Is accurate. l agn,eto comply dh all Clly onlinances and State laws relating to building construction. I hereby authorize ,eprasentaliw oflhe City ofGarlsbad to enter upon lhe above mentioold property for inspedion pu!p)SeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TliE CrTY OF CARLSBAD AGAJNST ALL LIABILITIES, JUDGMENTS, CCSTS D EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CrTY IN CONSEQUENCE OF TliE GRANTING OF TlilS PERMIT. OSHA: An OSHA penm is required fa'--::··-:-.~_-.-: 'O' deep and demolition or oonsbu::ticr, of structures over 3 stories in heqlt. EXPIRA TJON: Every permit issued by the Buldi nder the provisions of this Code shall expire by limitation and become ooll and void if the blilding or work autrorized by suet, permit is not corrmenc:ed within 180 days from the date of such pennitor iflhe authorized by such pemit is suspended or abanckined at any fme after the work is oommenced fora pericxl of 180 days(Section 106.4.4 Unibm Building Code). ,If APPUCANrS SIGNATURE DATE (/..-t(·/o City of Carlsbad Bldg Inspection Request For: 02/01/2011 Permit# CB102441 Inspector Assignment: PD --- Title: DARGIE RES· BUILD 100 SF SOLID Description: ROOFED PATIO COVER/CABANA OVER BBQ, SINK W/ ELECT FOR OVERHEAD FAN/LIGHT Type:PATIO Sub Type: Job Address: Suite: Location: OWNER 1040 SAGEBRUSH RD Lot: 0 DARGIE RODERICK&KIMBERL Y Owner: DARGIE RODERICK&KIMBERL Y Remarks: cell 760 420-0696 Total Time: CD 19 7 Description Final Structural Act Comments ~ 1 Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# lns11ection Histo[i' Date Description Act lnsp Comments 01/12/2011 14 Frame/Steel/Bolting/Welding AP PD 01/12/2011 19 Final Structural WC PD 01/04/2011 11 Ftg/Foundation/Piers AP PD DRYPACK 12/29/2010 11 Ftg/Foundation/Piers AP PD Phone: 7609318131 lnspectoOX Requested By: RODRICK Entered By: CHRISTINE PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB102441 DATE 12/16/10 ADDRESS 1040 SAGEBRUSH RESIDENTIAL ADDITION- MINOR (<17,000.00) RETAINING WALL VILLAGE FAIRE POOL/SPA TENANT IMPROVEMENT COMPLETE OFFICE BUILDING OTHER PATIO COVER -100 SQ. FT., 13.5' SEPARATION OF STRUCTURES, 6' FROM SY AND 7' FROM RY. PLANNER GINA RUIZ ENGINEE&Q~~~~~~~~ Hc\ADMIN\ rnuNTER/PLANNING /ENGINEERING APPROVAi.i DATE 12/16/10 DATE 1'2(t ? / u l