HomeMy WebLinkAbout2001 PERIDOT CT; ; CB091797; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10-27-2009 Plumbing Permit Permit No: CB091797
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
2001 PERIDOT CT CBAD
PLUM
2132911500 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
PC#:
Project Title: SAKOFSKY RES-GAS & ELECTRIC
TO FOUNTAIN AND FIREPIT WALL & ELECT FOR FUTURE
Applicant:
SAKOFSKY DENNIS
2001 PERIDOT CT
CARLSBAD CA 92009
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
0
1
0
Owner:
SAKOFSKY DENNIS
2001 PERIDOT CT
CARLSBAD CA 92009
Issued:
Inspect Area:
ISSUED
10/27/2009
RMA
10/27/2009
10/27/2009
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$0.00
$47.00
Total Fees: $47.00 Total Payments To Date: $47.00 Balance Due:
<...-M•\D
$0.00
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Inspector:
FINAL APPROVAL
Date: 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 pemiit 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 !egal 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 f hi I i n N I E imi! r hi r t whi h h f im' i n h I h i
<<~ ~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT#
DESCRIPTION OF WORK: Include Square Feet of
~ Gf>S
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2119
Fax: 760-602-8558
www.carlsbadca.gov
SUITE# /SPACE#/UNIT #
Plan Check No.
Est. Value
# OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME
ffected Area(s)
l)~~
CONSTR. TYPE OCC. GROUP
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE AIR CONDITIONING FIRE SPRINKLERS
YES □# __ NOD YES □ NOD YES O NOD
APPLICANT NAME
ADDRESS
CITY ZIP CITY STATE ZIP u,El
PHONE FAX
EMAIL
CONTRACTOR BUS. NAME
ADORES~ ADDRESS
CITY c.,,, ~ , STATE
<'A. ZIP "'I '?coo
CITY STATE ZIP
or, FAX PHONE FAX
EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS CITY BUS. LIC.#
(Sec. 7031.5 Business and Professions Code: Any City or Coun_ty which requires a permit to.construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such per_m1t 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 Busmess and Professions 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 to a civil penalty of not more than five hundred dollars {$500)).
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 of the work for which this permit is issued
D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. _______________ Expiration Date __________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person 1n 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 compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees .
..1/5 CONTRACTOR SIGNATURE □AGENT DATE
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
O 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
_ ~-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).
/If"' 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
properly 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. 0 Yes O No
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 I phone I 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/ phone I 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 I phone I type of work):
.,6$ PROPERTY OWNER SIGNATURE □AGENT DATE ()