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Home My WebLink About2001 Peridot Ct; ; CBR2019-0204; Permit, Print Date: 08/22/2019 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2001 Peridot Ct BLDG-Residential 2132911500 $ 0.00 Residential Permit Work Class: P/M/E Lot#: Reference#: Construction Type Bathrooms: Orig. Plan Check#: Plan Check#: {'city of Carlsbad Permit No: CBR2019-0204 Status: Applied: Issued: Permit Fina led: Inspector: Final Inspection: Closed -Expired 01/29/2019 01/29/2019 Description: SAKAOFSKY: REPLACE EXISTING WATER HEATER. SAME SIZE AND LOCATION. FEE WATER HEATER PERMIT Total Fees: $ 98.00 Owner: Contractor: TRUST KNIAHYNYCKY CHRISTINE REVOCABLE ALL STAR WATER HEATERS INC TRUST 01-25-06 Total Payments To Date: $ 98.00 30300 Puerto Vallarta Way Menifee, CA 92584-9256 800-727-0977 Balance Due: AMOUNT $98.00 $0.00 Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." 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 fees /exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Building Division 1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov .• ., Plan Check Est. Value (cicyof Carlsbad RESIDENTIAL BUILDING PERMIT APPLICATION B-1 PC Deposit --------- Date ...:.(_-_Vi_,_·_-_lq.,__ __ Job Address [2001 Peridot Ct lsuite: ____ APN: _________ _ CT/Project #: __________ Lot#: ____ Fire Sprinklers: yes/ no Air Conditioning: yes/ no BRIEF DESCRIPTION OF WORK: 1ReplaceexistTng water heater:-Same size and-location. □ Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __ D Remodel: ____ SF of affected area Is the area a conversion or change of use? Yes/ No □ Pool/Spa: ____ SF Additional Gas or Electrical Features? ____________ _ D Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No Panel Upgrade: Yes/ No D Reroof: _________________________________ _ 0 Plumbing/Mechanical/Electrical Only: ______________________ _ D Other: ------------------------------- APPLICANT (PRIMARY) PROPERTY OWNER Name:ISierra Sprague ---------,I Name: 'Dennis Sakofsky Address:(IofoQPµeifg Vallarta-V\/av __ = I Address: 12001 Peridot Ct Citv:(Men'ifee !State:{CA 1Zip:i92584 J City:!rillsbad ..... .,I StatefCA ·7 Zip:192009 Phone: 19-5-1-30-1--0067" ·· Phone: l619-313-1051 Email: fiillstar.sierra@grnail.com l Email:------------------- DESIGN PROFESSIONAL Name: ________________ _ Address: _______________ _ City: _______ State: ___ ,Zip: ___ _ Phone: ________________ _ Email: _______________ _ Architect State License: __________ _ CONTRACTOR BUSINESS Name: fAITStarW~at_e_r~H~e-at~e-rs-·-······ .. ······•·· .... . ...... Address: l3030QPµerto ValliirtaWay City: fMenifee I S~!.!'1~~.-~ I Zin: rn SS4_ Phone: 1951-301-0067 Email:lallstar.sierra@qrnail.com I State Llcense:fS 12894 ::]Bus. License:ffiw.SIZZ-1 ?flt} ] (Sec. 7031.S 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/she Is llcensed pursuant to the provisions of the Contractor's License Law {Chapter 9, commendlng with Section 7000 of Division 3 of the Business and Professions Code} or that he/she 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 {$500}). 1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov B-1 Page 1 of2 Rev. 06/18 ( OPTION A): WORKERS'COMPENSATION DECLARATION: I hearby affirm under penalty of perjury 9JH:. of the following declarations: □ I have and will maintain a certificate of consent to self-Insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the work which this permit Is Issued. C I have and wlll ma. lntaln worke~s compensation, as required by Section 3700 of the Laber Code, •:!~mZC:llf/' nf '"--" for wbtcb l1u RtDDtt II J1111ed My wor~....,~ 1•u""•r cardet •:d oollr numl>et .,., ~!&::'""' Name: I Palley Na. I O 412 7 Expiration Date: w:1£.L.I..._ _____ .. . □ Certificate of Exemption; I certify that ln the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to be co~e: subject to the workers' compensat!On Laws of tallfornla. WARNING: Fallure to secure workera compensation coverage-ls urilawful, and shall subject an emptoyertq crlmlnal penalties and dvd fines up to $100,000,00, In addition th1 to the COit of compensation, damages u provkle_d for In Section 3706 of the Labar Cade, 1 Interest and attorney's fees. I! 0 J'I CONTRACTOR SIGNATURE: ....:!IIC!:-.1!1J~~:-'-='-----------□AGENT DATE: ___,~/g_..,_.._.,_,~'-'-'--- ( OPTION B ): I hereby affirm that I am exempt from Contractor's License Law/or the/al/owing reason: □ I, as owner of the property or my emJ:)loyees with ~ages as their sole compensation, wlll do the work and the structure Is not lntend~d or offered for sale {sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who bullds or Improves thereon, and who does such wor,C:i himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the bulldlng or Improvement ls sold wlthlni one year of completion, the owner•bullder wlll 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 llcensed contractors to construct the project (Sec. 7044, Business and Professions Code: Tile 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) llcensed pursuant to the Contractor's License Law). □ I am exempt under Section ______ _,Business and Professions Code for tills reason: 1. I personally pjan to provide the major labor and materlals for construction of the pr0posed property Improvement. □ Ves □ No i: 2. I (have/ have not) signed an appUcatlon for a bulldlng permit for the proposed work. 3. I have contracted wltll the following person (firm) to provide the proposed construction (Include name address/ phone/ contractors' license number): , 4. I plan to provide portions of the work, but I have hired the followlng person to coordinate, supervise and provide the major work Un dude name/ address/ phone J, contractors' license number): s. I wlll provide some of the work, but I have contracted (hired) the foll owing persons to provide the work Indicated (Include name/ address/ phone/ type of work): i ; OWNER SIGNATURE: __________________ □AGENT DATE: _____ _ CONgRUCTION LENDING AGENCY, IF ANY: I hereby affirm that there Is a construction lending agency for the performance of the work this permit Is Issued (Sec. 3097 (I) Civil Code). Lender's Name: ___________________ Lender's Address:--------------'------ ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS. ONLY: Is the a pp/leant or future bu!ldlng occupant required to submit a bu~;lness plan, acutely hazerdous materials registration form or risk management and prevention program under Sections 25505, 25S33 or 25534 of the Pre.sley-Tanner Hazardous Substance Account Act? Cl Ves O No Is the applicant or future buildln1 occupant required to obtain a.permit from the air pollution control district or air quality mana,ement district? ti Vats □ No Is the faclllty to be constructed within 1,000 feet of the outer boundary of a school site? Cl Yes Cl No IF ANY OF THE ANSWERS ARE VES1 A FINAL CERTIACATE OF OCCUPANCY MAY NOT IE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR P01LUTION CONTROL DISTRICT, APPLICANT CERTIFICATION: 1 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 bulldln1 construction. I her.eby authorize representative of the City of Carlsbad to enter upon the above mentlonl!td property for Inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP , HARMLESS THE □TY OF CARl5BAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES W,HICH MAY IN ANY WAY ACCRUE AGAINST SAID CITYIN CONSEQUENCE OF , THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit 1s required for excavations ~r 5'0' deep a~d demolltlon or construction of structures over 3 ~ In height EXPIRATION: Every permit Issued by the Building Official under the provisions of thlS Code shall explr,e by llmltatlon and become null and void If the building or work authorized by such permit Is not commenced within 180 days from the date of such permit or If the bulldfn& or V'Ork authorized by such pennlt.ls suspended or a band~ at anyttme after the work IS commenced for a period of 180 days 1~,4,4 Uniform BuncllncCadtJ. /_! ~.! 0 . APPLICANT SIGNATURE: _.,:.~4i:l!&:14<Q_..::::;__ __________ DATE: -J.._./-'g_l2i..l!,o.µ.llJ_-,.1_"'--__ 1635 Faraday Ave Carlsbad, CA 92 B-1 Ph: 760-602-2719 Fax: 760-602-8558 Email: Bulldlng@carlsbadca.gov Rev.06/18