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Home My WebLink About1225 GOLD FLOWER RD; ; CB041193; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-07-2004 Mechanical Permit Permit No: CB041193 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1225 GOLD FLOWER RD CBAD MECH 2145603600 Lot #: 0 $0.00 KATHMAN RES-INSTALL NC UNIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/07/2004 KMT 04/07/2004 04/07/2004 Applicant: MAJOR LEAGUE HEATING & AIR CONDITIONING KATHMAN ROGER T&AUDREY 9456 04/07/04 OOO'..' 0.1. 1356 BOBOLINK DRIVE VISTA 92083 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 1225 GOLD FLOWER RD CGP CARLSBAD CA 92009 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: $24.00 02 24., 00 FINAL APPROVAL DATE~CLEARANCE ___ _ SIGNATURE ~ PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. (U3o ~ f I q 3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ..,....,.--,=------- Validate1'\ By~ Qjvpf Date :t]J\Dl.\ 1 1 Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use #of Stories # of Bedrooms # of Bathrooms Name State/Zip Telephone# Fax# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, elter, 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 and Professions Code) or that he is exempt therefrom, and the basis for the alleged exe 1>tion. Any ;lation of Section 7~y any a pvant for a periit subjects th pplicant to a civil pen t of O 'mo'f than fiv hundr wi.i.g,oO'J]~D Cf\75 City State/Zip State License # <tC) J ~9 I License Class C -:--2 0 City Business License # -1.l ~'2.~JL-~-"-.&.- Designer Name State License # Address City State/Zip f§. QRlWl~Mmt&A@K.-----------------~--............ -... .......... --.....: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: Telephone 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. l c!t, 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 "ued. My worker's mpensation insurance carrier and p icy number are: .ll n _., , / Insurance Company ..L~~~..:.....-'-~=-.i-:~l.d..-!! ..... ~~----Policy No. tr DY-~ 3025'1 <---~ration Date 1 -2... <-{ -O '--1--- (THIS SECTION NEED NOT BE COMPLE ED IF THE PERMIT I F R ONE HUNDRED DOLLARS [$1001 OR LESS) .. rh 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 ~ecome subject to the Workers' Compensation Laws of C · . WARNIINC~-ftllm-1.o HC: re workera' c:ompen1etlon e la d dollar• ($100, TURE rt: ·0.1 I hereby affirm that I D I, as owner of t 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 sale. 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). D 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D YES ONO 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 / 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 (hiredl the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ -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-Tanner Hazardous Substance Account Act? 0 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? D YES D NO Is the facility to be constructed within 1,000 feet of tho outer boundary of a school site? D YES D 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8 ~URUC OJHENDIN<LAJ3ENCY.;_ m · · "g,-,.;,;r"'.;V~~ 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 Godel. I 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 building construction. I hereby authorize 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 AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST D ITV IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT 5 SIGN City of Carlsbad Bldg Inspection Request For: 04/28/2004 Permit# CB041193 Title: KATHMAN RES-INSTALL A/C UNIT Description: Type: MECH Sub Type: Job Address: Suite: Location: 1225 GOLD FLOWER RD Lot 0 Inspector Assignment: JM --- Phone: 7609298784 Inspector: J\AI', APPLICANT MAJOR LEAGUE HEATING & AIR CONDITIONING Owner: KATHMAN ROGER T&AUDREY F Remarks: Total Time: CD Description 43 AirCond/Furnace Set Act Comment Requested By: HOMEOWNER Entered By: CHRISTINE _a _____ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/26/2004 43 AirCond/Furnace Set CA JM BY HOMEOWNER