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Home My WebLink About130 HEMLOCK AVE; A; CB061400; PermitCity of Carlsbad . , 1635 Faraday Av Carlsbad, CA 92008 05-18-2006 Plumbing Permit Permit No: CB061400 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 130 HEMLOCK AV CBAD PLUM 2042510600 ,, A'' Status: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Project Title: DAVYDOV RES-REPLACE WTR HTR Applicant: JUST WATER HEATERS INC. 3400 INVESTMENT BLVD HAYWARD CA 94545 800-909-9483 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 Plan Approved: Issued: Inspect Area: Owner: MAKHACHEV KHANNA 130 HEMLOCK AVE CARLSBAD CA 92008 ISSUED 05/18/2006 LSM 05/18/2006 05/18/2006 $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: $0.00 EXPIRED PERMIT Inspector: FINAL APPROVAL Date: PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 OATE..S...:1.LA,-&::{SIGNATURF __{ji.._,.,.r,) ___ _ Clearance: 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 pem,it 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 ' "''"'hir.h'""'h""" ' 1,h ...... .,ni"""'lNOTlr.F · · ·tn+h: .. nri:1sln•.,liir.hlhP.-• _.., __ ,,, __ ,._.i ___ L _______ , ____ t · ir~__; . , PERMIT APPLICATION CITY OF CARLSBAD BUILDII\G DEPARTMENT 1635 Faraday Ave., Carlsbad :;A 92008 FOR OFFICE USE ONLY Pl.AN CHECK NO. a.8of;> l 4 0'0 EST. VAL. _________ _ Plan Ck. Deposit-~~--~------ Validated By ___ U=--~....;..,----- Date ____ S--_j_,<:{J __ ~{)b __ _ 1., PAOJEc ... , .. c,..~~r ... \'.jU .t;iffi~,~~~------------Address (include Bldg/Suite #) Business Name (at this address) Legal Description l.ttNo. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SO.FT. # of Stories # of Bedrooms # of Bathrooms 4-~~~~~I_-_____ 1 ___________ _ Name / Address City State/Zip Telephone# s.-., co.tmwmie..lcQ· ···· • :,\I} · , t. -~-¼,f. i (Sec. 7031.5 Business and Professions Code: . \ny City or County which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to ijs Issuance, also requires the applicant for such permit to file I 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 I ·rofessions 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 t > a civil penalty of not more than five hundred dollars ($500]). -Sv:--! \J,)(1:\<.'"'r \-\c-:c~ :1-nc , :;,yoo :I..n':C~YY'Cn~ 5!>\@ Name Address City \::\O.. 4 V.X.A-<d • C.C, 9 ~\\S State/Zip ' Telephone # State license# 5'3\ :O:lA License Class C',:L,-~\-\ 1,,C, City Business License# \ 'J.";).. \I.\C\\ Designer Name A,~jress City State/Zip Telephone# State license # ________ _ 6'.,~ ~ .. !\ ER'S~~~NsA , ; I ' ·-~~.Mf.c~,:.c:::~~' '·': Workers' Compensation Dedaration: I hereby at hm under penalty or perjury one or the following dedarationa: 0 I have and will maintain a certificate cA cor wnt 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. lo' I have and will maintain worker's compe· 133tion, as required by Section 3700 cA the labor Code, for the performance of the work for which this permit is Issued. My worker's compensation insurance carrier and pol1 :y number are: . _ Insurance Company <;:)C:,J:. ~ _____ Polley No.\\o*\o~W ·-05 Expiration Date 0 4 ·D\ · O\o (THIS SECTION NEED NOT BE COMPLETED I: THE PERMIT IS FOR ONE HUNDRED DOI.LARS ($100] OR LESS) D CERTIFICATE OF EXEMPTION: I cert fy that in the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation L 1ws of California. to secure workers' compen1111lon coverage Is unlawful, and ahall subject an employer to crlmlnal penaltlH and civil finea up to one hundred thousand addition to the co I, as owner of the property or my emploi ues with wages as their sole compensation, will d the work and the structure Is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto ·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 sucll 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 burde 1 of proving that he did not build or Improve for the purpose of sale). • I, as owner of the property, am exclusive!) ~ontracting 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 pro Jerty who builds or Improves thereon, and contracts for such prolects with contractor{s) licensed pursuant to the Contracto(s License Law). D I am exempt under Section_____ Business and Professions Code for this reason: 1. I personally plan to provide the major labor md materials for construction of the proposed property improvement. D YES D NO 2. I (have/have not) signed an applica11on for ,. building permit for the proposed work. 3. I have contracted with the following person ~lrm) to provide the proposed construction (include name/ address/ phone number / contractors license number): 4. I plan to provide portions of the work, but I t ave hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / /ontractors licenso number): ------------------------------------------------ 5. I will provide some of the work, but I have c intracted (hired) the following persons to provide the work indicated (include name/ address/ phone number/ type of work): PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _ . ' PERMIT APPLICATION CITY OF CARLSBAD BUILDIJ\ G DEPARTMENT 1635 Faraday Ave., Carlsbad .:;A 92008 Page 2 of 2 co~f£!;r~wi\ls~§~~1m~~-~~~-·~'.~~.,:,~ Is the applicant or future building occupant requi ud to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tinner Hazardous Substance Account Act? • YES • NO Is the applicant or future building occup.int requir, ,.j to obtain a permit from the air pollution control district or air quality management district? • YES • NO Is the facility to be constructed within 1,000 feet o • the outer boundary of a school site? • YES • NO IF ANY OF THE ANSWERS ARE YES, A FINI .L CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERG :NCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. e.ri';~1,<?S?:~~W.YS1J.~lf9.;'f . l~~,~~~idr.t;'·)T•,·-~· I hereby affirm that there is a construclion lendinG agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ___________________ LENDER'S ADDRESS ___________________ _ 9.,~:,~~~ 5f~~ .. ~~~~~~,a,:f~:,,:;ii':','.:i·~ "-' I certify that I have read the application and sti te 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 co11:itruction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDE~INIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 excavatt :ns of s·o· deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issu_ed by the bulldh !I 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 within 180 day l from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work Is commenced for a per' of 180 days ,section 106.4.4 Uniform Building Code). ~..u...=1~1]f&4~~~-· __ DATE~3~IQ&~/o""'-¥-lQ __