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Home My WebLink About1752 VERDIN CT; ; CB110089; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-12-2011 Plumbing Permit Permit No: CB110089 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1752 VERDIN CT CBAD PLUM Status: Parcel No: 2158800606 Lot #: • 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: PC#: Issued: Project Title: LEVITANSKY RES-REPLACE WTR HT Inspect Area: Applicant: AFFORDABLE WATER HEATER 24707 SAN FRANANDO RD SANTA CLARITA, CA 91321 661 259-7131 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 0 0 0 0 1 0 0 Owner: LEVITANSKY ARKADY&IRENE 1752 VERDIN CT CARLSBAD CA 92011 ISSUED 01/12/2011 LSM 01/12/2011 01/12/2011 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: Inspector: FINAL APPRO Date: 0 6 °8 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 x i n f whi h h v .r vi I iv n N Tl E imil r hi r whi h f limi i n h I ~ «~~.~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No.(!8 f I OQ~ Est. Value ~ C I T Y OF CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov Plan Ck. Deposit JOB ADDRESS ( 1'i.)... V'<.,J. ~A C-t , CT/PROJECT# LOT # PHASE# # OF UNITS # BEDROOMS DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) EXISTING USE PROPOSED USE GARAGE (SF) Date SUITE#/SPACE#/UNIT# APN # BATHROOMS TENANT BUSINESS NAME PATIOS (SF) DECKS(SF) FIREPLACE YES □#_ NO□ CONSTR. TYPE 0CC. GROUP AIR CONDITIONING YES □ NO □ FIRE SPRINKLERS YES □ NOD CONTACT NAME (If Different Fom Appl/cant) APPLICANT NAME St.ot t-L.i -t+ e..FTe. I el ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE FAX PHONE FAX EMAIL EMAIL ADDRESS CITY STATE ZIP CITY C4 'lo/ FAX EMAIL EMAIL ferM1-ts @ AWh4 ARCH/DESIGNER NAME & AOORESS STATE UC.# ClASS CSf, CITY BUS. UC.I I~I7c\71 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve. demolish or repair any structure. pior 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 {Cha'fter 9, commending_with Section 7000 of Division 3 of the Business and Professions Code) or that he is exem.Qt therefrom, and the basis for the alleged exemption. Arif violation of Section 703 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). -,., . ' WORKERS ' COMPENSATION ~ . -, ' -.. ,. . Workers' Compensation Declaration: I hereby afflfm under penalty ol petjury one of the 1o11o..,;ng c/ecJaralions: D I have and will maintain a certificate of consent to self-lnsure for WOlkets' compensation as provided by Section 3700 ol the Labor Code, for the performance of the work for which this permit is issued. ~ have and will maintain worl<ers' compegsatio,n, as required by Section 3700 ol the Labor Code, for the performance of the~ !gr ;tit!> this permit is issued. My -.kels' oompensation insoolnce carrier and policy numberare:lnsuranceCo. "tt.t'\\t h PolicyNo. 'tt>t,1¥9'\lr70 Expiration Dale I -f ~ 1&:: This section need not be oompleted ~ the permit is for one hunaed dollars ($100) or less. D Certificate of Exemption: I cenify that in the perfom,ance of the wor1< for which this pennil is issued, I shall nol employ any person in any manne< so as to beoome Sl.ti;ocl to the Worl<e,s' Compensatioo Laws of California. WARNING: Failure to secure worl<ers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to-hundred thousand doftars (&100,000), in addition to the cost of compensation, damages as pro . ed for 7' Section 3706 of the Labor code, Interest and attorney's fees. ,1$ CONTRACTOR SIGNATURE {!lJttt. , · li!AGENT I hereby affirm that I am exempt from Contractor's License Law for the 1o11o..,;ng reason: D I, as owner ol the property or my employees with wages as their sole compensation, will do the wor1< and the sructure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ol property who builds or improves thereon, and who does such wor1< himself or through his own employees, provided that such iml)roYements are not iotended or offered for sale. If, however, the building or Improvement is sold within one year of oompletion, the owner-builder wiU have the burden d proving that he did not build or improve vile~ of sale). □ I, as owner ol the property, am exdusively contracting with licensed eooiac1ors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply 10 an owner of property who builds or improves thereon, and contracts lo-such projects with contraclor(s) licensed pursuant to the Contractor's License Law). □ I am exempt under Section _____ .Business and Professions Code lor this reason: 1. I personally plan to provide the major labor and materials for oonstruction of the proposed property improyement. □ Yes □ No 2. I (have / have not) signed an application for a building pennit for the proposed wor1<. 3. I have contracted with the following person (firm) to provide the proposed oonstruction (include name ado-ess / phone I contractors' license number): 4.1 plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name / address I phone/ contractors' license number): 5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wOl1< ildicaled (include name I address/ phone/ lype of wor1<): ,1$ PROPERTY OWNER SIGNATURE !ffAGENT DATE Is lhe applicant Of future building OCCllpant required to submit a business plan. acutely hazardous materials registration form or risk management and prevention prngram under Sections 25505, 25533 0< 25534 of lhe Presley• Tanner Hazardous Substance Account kl? O Yes O No Is lhe applicant or future building OCC1Jpant required to obtain a pennit from lhe air pollulion control district or air quality management district? O Yes O No Is lhe facility lo be constructed l>ilhin 1,000 feet of lhe outer boundary ol 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. tis issued (Sec. 3097 (i) Civil Code). I certify that I haYe read the application and state lhatthe al><M! lnfonnation Is coned and that the lnbmation on the plans is aa:urate. I agree to comply with alt City onlinateeSand State laws relating to buildingcoostrudion. I hereby authorize representative d Ile City d Carlsbad ~ enter upon Ile above menlilred property klr nspecoon posposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN /W'fWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA permit is required klr excavations rNet 5'0' deep and demolition or construdion d stlJ:hJes rNet 3 smes n heighl EXP1RA TION: Every permit issued by the Bukli1g Obi under the prtMSOOS of tis Code shat expie by linilaoon and become nul and void l Ile buidng or work autlorized by such permit is nol c:orrmenced llim 180 days rom Ile date of such pemitoriflle or\\OOI aulhorized by such permit is suspended or abandoned at any line afilr Ile \\OOI is commenced a a peood cl HlO days{Secoon 106.4.4 lklibm att,g Code). ,,15 APPLICANrs SIGNAl\JRE OOtl-1 . DATE I -f-I I ~ ~ City of Carlsbad Bldg Inspection Request For: 06/07/2011 Permit# CB110089 Title: LEVIT ANSKY RES-REPLACE WTR HT Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1752 VERDIN CT Lot: 0 APPLICANT AFFORDABLE WATER HEATER Owner: LEVITANSKY ARKADY&IRENE Remarks: AM PLEASE Total Time: CD Description Act Comments Inspector Assignment: Phone: 7604385381 Inspector: ---'M....__c,,_ }1?.:'7 D4 Requested By: ARAADY Entered By: JANEAN 25 29 Water Heater/Vents Final Plumbing Ar e..><1.s rt rJ14 1-a:A 11P,J, seas tvt, e-s.reAe .s ~ c.w B n_ 1N ~- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments