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HomeMy WebLinkAbout1015 SAGEBRUSH RD; ; CB061749; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-26-2006 Retaining Wall Permit Permit No: CB061749 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1015 SAGEBRUSH RD CBAD RETAIN Status: Parcel No: 2146441000 $8,303.00 Lot#: 0 Applied: Valuation: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: SIMMONS RES-263 SF RET WALL PER CITY & 8 FT FIREPLACE PRO EARTH LANDSCAPE INC STER 2210 ENCINITAS BLVD· ENCINITAS CA 92024 760 633-3120 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Strong Motion Fee Renewal Fee Add'I Renewal Fee Other Building Fee Additional Fees TOTAL PERMIT FEES Plan Approved: Issued: Plan Check#: Inspect Area: Owner: STANDARD PACIFIC CORP 5750 FLEET ST #200 CARLSBAD CA 92008 Total Fees: $152.78 Total Payments To Date: $152.78 Balance Due: Inspector: Clearance: ISSUED 06/16/2006 LSM 06/21/2006 06/21/2006 PD $91.99 $0.00 $59.79 $0.00 $1.00 $0.00 $0.00 $0.00 $0.00 $152.78 $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 ff APPLY to any x ions fwhi h I ii r hi r whi h i i i n h I f'Vr'.rc- PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address ,l!ililJi:i\JiJl,i,'f~i:,~i•o .. "'" PLAN CHECK NO. 0000 /, l/5 EST. VAL. __ 8.c..,. __ ~_(}_:.___,,==-=--r- Plan Ck. Deposit -~~---S'j.=..:.-·_"'2_'j,__ Validated Bv·---=~'---"------- Date. ___ 4'=-,./..,_/-"'(&,,+/-=0c..(..~--- Business Name (at this address) me/Number Unit No. Phase No. Total # of units m'n'n...- Proposed Use #of Stories # of Bedrooms # of Bathrooms City State/Zip Telephone# Fax# ' ... , .. _ . -.. , ,<. Telephone# (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 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 ~m tion. n violation of Section 7031.5 by any a_pplican:¥. a ermit subjects th applicant to a civil pe~alty of not more thCifive hi::,ed dollarr;,$50~,. / ZJ Name City tate/Zip Telephone State License# 3'-'x. 3~2 License Class C 29: City Business License# tz..v-=,-.,67 Designer Name Address City State/Zip Telephone State License # _________ _ J::,,i:Wi!!il001111iill:IMi1iNl/l!ti<f8!!;; 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 ~he work for which this permit Is issued. ~ I have and wlll maintain workers' compe satIon, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. My worker's co nsa o ranee c mer and pohcy number are· } / Insurance Company _ __::.u.i,µ .... ..LY!'--'l'-2 ________ Pohcy No 0nOl.-1&;:t?Rl 'ZCPlExp .. at,on Date 4/' I 01, (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) I D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is iss',Jed, I shall not employ any person in any manner so as to become subject to the Workers' ompensation Laws of lit nia. WARNING: Failure to secure la unlawful, and shall subject en employer to criminal penaltie thousand dollars ($100, atlon, damages aa provided for in Section 3706 of the r cod SIGNATURERiiiiiii•~~~~~~~t~t~~~~t~~;;;;-----;-;;---;;-----;---;---;---DATE ~,,;::i;;p;wNi!ll!!S;t;I I hereby affirm that I am exempt from the Contractor's License Law for the following reason: civil fines up to one hundred est and attorney's fees. D 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). 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 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. 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 I 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 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO ls 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 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. :ll~Ji!!!'9!i!fii!l:!lll~!lit~~i!\~ll'lli,V:t*!1:,;1:'10 ;':'' 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 ADDRESS I certify that l 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 is Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commence wit O days from the da mit or if the building or work authorized by such pe it is suspended or abandoned at any time after the work is commenced f e · d of 180 day S ifor Building Code). APPLICANT'S SIGNATURE ----b~;L,l;--,1£JiLjS,..-J<'._V-,--,L~L~_J,_,~~----DATE YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For 09/26/2006 Permit# CB061749 Title: SIMMONS RES-263 SF RET WALL Description: PER CITY & 8 FT FIREPLACE Type: RETAIN Sub Type: Job Address: Suite: Location: 1015 SAGEBRUSH RD Lot 0 APPLICANT PRO EARTH LANDSCAPE INC Owner: SIMMONS CHARLES L&KAY H R Remarks: Total Time: Act Comment Inspector Assignment: PD --- Phone: 7606333120 Inspector: Requested By: JULIE Entered By: CW CD Description 69 Final Masonry !!Sf_ _____ _ Comments/Notices/Hold Associated PCRs/CVs Original PC# lns11ection Histo[Y Date Description Act lnsp Comments 07/25/2006 68 Fireplace/Tie Straps AP PD GROUT 07/17/2006 69 Final Masonry AP PD 07/10/2006 66 Grout AP PD 06/29/2006 61 Footing AP PD RET-WALL FTG. 06/29/2006 68 Fireplace/Tie Straps AP PD FIREPLACE FTG PLANNING/ENGINEERING APPROVALS PERMIT NUMBER CB tX, /71/'t DATE ~/4,/4-t, ADDRESS /D(S ~ bn&>L ef RESIDENTIAL RESIDENTIAL ADDITION MINOR (<$10,000.00) TENANT IMPROVEMENT PLAZA CAMINO REAL CARLSBAD COMPANY STORES VILLAGE FAIRE COMPLETE OFFICE BUILDING OTHER,_-4--~--''---='=-"",---~-~3----11---l.fu_._,__,'"'-lf~(...i,e,G-:¥=.... __ _ PLANNER ______ _ DATE _______ _ ENGIN~-? DATE_~6z.,,...../4-,,~/2~~--=b __ _ Docs/Mislorms/Planntng Engineering Approvals . . PLANNING/ENGINEERING APPROVALS PERIIIITNUMa&CB O(a l 74'-:)-DATI b/ ( 1 IP7,a L ADDRESS lo1 s Sw=: fu~- RISIDBfflAL ADDfflON MINOR ( < $10,000.00) . . PLANNER 6 ~ <' ENCINEER. ______ _ TENANT IMPROVEMENT PIAZ4 CIIMNO BAL CARLSBAD COMPANY STORES VILLAG■ FAIRI CCHIIPLaT■ OFFIC. BUILDING DATE ------