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Home My WebLink About160 HEMLOCK AVE; ; CB120314; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-22-2012 Permit No: CB120314 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 160 HEMLOCK AV CBAD PME Status: Parcel No: 2042510800 Lot#: 0 Applied: Entered By: Reference#: Plan Approved: PC#: Issued: Project Title: REPLACE 5' OF SEWER/ ADD Inspect Area: CLEAN OUTS ON SOUTH SIDE OF BLDG. Applicant: VETS 4 YOU PLUMBING STEA 601 S TREMONT ST 92054 760 521 2914 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: · DUTCH NESS INC 2710 THOMES AVE CHEYENNE WY 82001 ISSUED 02/22/2012 JMA 02/22/2012 02/22/2012 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL APPRS)VAL Date: '9--• :>-'f · I 2.--Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, deOcations, reservations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date th's permit was issued to protest imposition of these tees/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, gradirg or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f i iv n N f Ii i i n v' I .. «1 Building Permit Application Plan Check No. CB l 2() 31 lf . 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719 CARLSBAD Fax 760-602-8558 Plan Ck. Deposit www.ca~sbadca.gov Date ;z,/ ,z. z.,[ ,~ jswPPP JOB ADDRESS ::;U,, .. #/..,, ~~._#/uNl11, 1-·. 160 Hemlock Ave, Carlsbad, CA 92008 --- I '-•/PROJECT# LOT# 'PHASE# I# OF ;ITS I# BEDROOMS # BATHROOMS I TENANl BUSINESS riAME rON->•11.lYl'E I DCC.GROUP DESCRIPTION OF WORK: Jncl _, Squa,e Feet or Aff9cted Area(•) Dig up and replace 5' section of 4" sewer line add clean-outs on south side of building. EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS {SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS YESO N<O vES0No0 YESONoO APPLICANT NAME(Prlmary Contact) Vets 4 You, Inc. APPLICANT NAME(Secondary Contact) ADDRESS ADDRESS 601 South Tremont Street, Unit A CITY STATE ZIP CITY STATE ZIP Oceanside CA 92054 PHONE I FAX PHONE IFAX 855-887-4968 EMAIL EMAIL info@vets4youplumbing.com PROPERTY OWNER NAME Dutchness, Inc. CONTRACTOR BUS. NAME Vets 4 You. Inc. ADDRESS ADDRESS 160 Hemlock Ave 601 South Tremont Street, Unit A CITY STATE ZIP CITY , STATE ZIP Carlsbad CA 92008 Oceanside CA 92054 PHONE !FAX PHONE I FAX 760-683-4502 855-887-4968 EMAIL EMAIL info@vets4youplumbing.com ARCH/DESIGNER NAME & ADDRESS ! STATE LIC. # STATE LIC.# I cC20/C36 I cnv B<JS. Lie.• 943193 (Sec. 7031.5 Business and Professions Code: Any City or County which reqwes a permit to construct, alter, improve, demohsh or repair any structure, pnor to tts 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, commendin~ with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem_11t therefrom, and the basis for the alleged exemption. Any Vlolatlon of Section 1031.5 by any applicannor a permit subjects the applicant to a civil penalty of not more than five hundred dollars t~500}). WORKERS' COMPENSATION Workers' Compensation Declaration: / hereby afflrm under penalty of pe,jury one of the following declarations: B I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 at the Labor Code, for the pertonnance of the work for which this permit is Issued. I have and will maintain worters' C0fl'll)80Sltion, as reauired by Section 3700 of the Labor Code, for the pe<tormance of the v«>rk. for which this oermlt is issued, My wor1<.efs' compensation insurance carrier and policy number are: Insurance Co ___________________ Policy No. ____________ Expiration Date ________ _ UJiUktlon need not be completed if the permit is for one hundred dollars ($ 100) or less. esl' Certificate of Exemption: I certify that in the perlormance of the WOO( for which this permit is issued, I shall not emplOy any person in any manner so as to become sub)ect to the Workers' C,ompensallon Laws of Galifomia. WARNING: Fallure to secure workers' compensation coverage Is unlawful, and shall &11bJe<:t: an employer to atmlnal 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 attomey's fees. 85 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the fol/owing 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 Contra:tor's License Law does not apply to an owner of property who builds Of improves thereoo, and who does such work himself or ttYough his own employees, provided that such improvements are not intended Of offered for sale. If, however, the building or improvement is sold witn'n one year of completion, the owner-builder will have the burden of proving that he did not build Of improve for the purpose of sale}. 0 I, as owner of the property, am exclusively contractlrg with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law doeS not apply to an CMTlef of property who builds or improves thereon, and contracts for such projects with contractor(s} l\censed pursuant to the Contrac1or's license Law). D 1 am exempt under Section ____ Business and Professions Code for this reason: 1. ! personally plan to provide the major labor and materials for construction of the proposed property improvement Oves 0No 2. I (have/ have not) signed an appllcatlon for a building penn1l for the prop'.)sed work. 3. I have contracted with the followW\g person (firm) to provide the pro!X)sed construction (include name address I phone I contractors' lk::ense number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, sLJpervise and provide the major work (Include name I address I phone I contractors' license number): 5. I will provide some of the work, but I have contrac"ted (hired) the following persons to provide the work indicated (include name I address I phone I type of work): 85 PROPERTY OWNER SIGNATURE •AGENT DATE 11 -. City of Carlsbad Bldg Inspection Request . - For: 02/23/2012 Permit# CB120314 Title: REPLACE 5' OF SEWER/ ADD Description: CLEAN OUTS ON SOUTH SIDE OF BLOG. Type: PME Sub Type: Job Address: 160 HEMLOCK AV Suite: Lot: O Location: APPLICANT VETS 4 YOU PLUMBING Owner: DUTCH NESS INC Remarks: A M PLEASE Total Time: ·' ·: ( -, CD Description Act Comments Inspector Assignment: Phone: 6197504156 Inspector: tfJ r Requested By: JIM Entered By: CHRISTINE 4 _s_e_w_e_r/W~a-t-er_s_e_rv~ice -~~~~~~~Er ;/ i<t---~~~ -~ ---~~-- -----~--~~~-~---~~ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments