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Home My WebLink About2332 TERRAZA RIBERA; ; CB051106; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-29-2005 Plumbing Permit Permit No: CB051106 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2332 TERRAZA RIBERA CBAD PLUM Status: Parcel No: 2155821500 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: CHEIKINE RES-REPLACE H20 HTR Inspect Area: Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 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: CHEIKINE IOURI M 2658 DEL MAR HEIGHTS RD #411 DEL MAR CA 92014 PENDING 03/29/2005 LSM $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: $0.00 Balance Due: EXPIRED PERMIT $27.00 PERMIT HAS EXPIREIJ !N ,\CCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C:~·CJB.&.030 J. -- DATE -..1-. .. ali2ee s10NATURE W:A,~ ,·::,:,r 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 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. NOA DOES IT APPLY to any fees/"'X:i"tioni::. nf which vou have nrevinusl11 be"~ niven :i NOTICE c:imilar to this or ai:: tn whi"h thn "*atut" "f limit:itinnc: hllS nrevi"' ""Iv nthArwise exr irArl. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (jn{}S-Jfi)(,c CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit --t-~-:fisHw,s,,:---- Validated By ___ -r~-b-c,;--,--,--- Date ______ :3/__,e-'>'J-+-/~O_i,. __ Address (include Bldg/Suite #I Business Name (at this address) Legal Description Lot No'6~division Name/Number Unit No. Phase No. Total# of units Assessor's P Proposed Use Description o #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone# Fax# 3. · ·· ·AP~L'.iCANt · · 0 c6iitra.o·tor:: :, -~g8nfl6r'C0htr~tH:61'{;'.JE)'.l,iiri8W:/GlA98nf.f6VtJW~S,\ •/"'" VM:o \ CC<-CVX<Ae-f: I., I I.,,_ 1,.)1½.,) l 0 £;:u6;, ),12 l u) Name Address V City ~\L2A- State/Zip Telephone# 4. P~OPERn' OWNER Name 6. .-cONTRACTOR :~ COMPANy:·NAMiri (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, e1ter, 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 end Professions Code) or that he is exempt therefrom, and the basis for the alleged exe p · 6Any violation of tctb 2031.5 by any applic t for a permit subjects the\~ant to a civil penalc,;t;o more than five h~z.~ollar5 50DJ). Name Addr City State/Zip Telephone# State License# 7q J 'p' 2-0 License Class Clo C-,3,k:, City Business License # \'t)?:,o/Q) Designer Name Address City State/Zip Telephone State License # _________ _ 6. wORKERSj cbMPENSAl'ldN' 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 es provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ~ I have end 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 worker's compensation insurance carrier and policy n~mber are: , _ / {Ob Insurance Company ~ ~ Policy No. 24'{7~ 0\ Expiration Date __ l~_I ____ _ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 in any manner so as to become subject to Workers' Compensation Laws of California. WARNING: Fallur c er11ge I• unlawful, and sh11II subject an employer to crlmlnal pa thousand dollars { atlon, dllmages as provided for In Section 3706 of the r SIGNA TURE _ _:-,ll..,~]...JL,'1__\,,'',..;~::'..._.:'._JL_,f__~ffe~~l------------- 7. OWNER-BUILDER DECLARATION I hei'eby affirm that I am exempt from the Contractor's License law 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 11re not intended or offered for sate. 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). 0 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). D I am exempt under Section ______ Business and Professions Code for this reason: 1. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2, I (have/ have not) signed an application for a building permit for the proposed work. 3. 1 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 / 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): _______________________________________ ~-------------------- PROPERTY OWNER SIGNATURE ________________________ _ DATE __________ _ , COMPLrte· T~I s SECTldN FOR NdN~iiES1bEN11Jfi/ BliiLOtNO'-PERMiTS'UJNC-V;1 nt) c\tfq:<,::: 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-Tenner Hazardous Substance Account Act? D YES O NO Is 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 site7 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 ANO THE AIR POLLUTION CONTROL DISTRICT. 8i CONSTRUCTION LEIIIDING AGENCY 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 NAME _______________ _ LENDER'S ADDRESS 9; APPLICANT CERTIFICATIOW I certify that I have read the application and state that the above information is correct end that the information· on the plans is accurate. I agree to comply with a!I City ordinances and State laws relating to building construction. I hereby authoriz.e 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 ANO 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 the uilding Official under the provisions of this Code shall expire by llmltatlon and become null and void if the building or work. authorized by such permit is no! ence within 180 days from the of uch permit or if the building or work aulhorlz,s h er Is suspended or abandoned at any time after the work is com or a peri of 180 days (Se n 1 6 4. niform 8uilding Code). APPLICANT'S SIGNATURE -.'-',,b~L..1.Ll._."---'-'""'-'""='----I-J.-L(j..d...C,,l<:::_'------DATE '::_-"'-----"-"-"''-,<------- WHITE: File YELLOW: Applicant PINK: Finance