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Home My WebLink About2210 NOB HILL DR; ; CB042531; PermitCity of Carlsbad 1635 FaradayAv Carlsbad, CA 92008 06-24..2004, Residential Permit Permit No: CB042531 Building Inspection Request Line (760) 602-2725 Job Address: 2210 NOB HILL DR CBAD Permit Type: RESDNTL Sub Type: RAD Status: ISSUED Parcel No: 1671122900 Lot #: 0 Applied: 06/24/2004 Valuation: $0.00 Construction Type: VN Entered By: RMA Occupancy Group: Reference #: Plan Approved: 06/24/2004 # Dwelling Units: 0 Structure Type: Issued: 06/24/2004 Bedrooms: 0 Bathrooms: 0 Inspect Area: Project Title: LANGBERG RES-REMODEL KITCHEN, Orig PC#: OPENING IN KIT WALL,RAISE CEILING@LIV RM Plan Check#: Applicant: Owner: GEBCO CONSTRUCTION , LANGBERG FREDERICK&MAUREEN 1395 SUNSET GROVE RD 2210 NOB HILL DR FALLBROOK RD 92028 CARLSBAD CA 92008 760 723-7201 Building Permit $0.00 Meter Size Add'I Building Permit Fee $0.00 Add'I Red. Water Con. Fee $0.00 Plan Check $0.00 Meter Fee $0.00 Add'I Plan Check Fee $0.00 SDCWA Fee $0.00 Plan Check Discount $0.00 CFD Payoff Fee $0.00 Strong Motion Fee $1.00 PFF $0.00 Park in Lieu Fee $0.00 PFF (CFD Fund) $0.00 Park Fee $0.00 License Tax $0.00 LFM Fee $0.00 License Tax (CFD Fund) $0.00 Bridge Fee $0.00 Traffic Impact Fee $0.00 Other Bridge Fee $0.00 Traffic Impact (CFD Fund) $0.00 BTD #2 Fee $0.00 Sidewalk Fee , $0.00 BTD #3 Fee $0.00 PLUMBING TOTAL $34.00 Renewal Fee $0.00 ELECTRICAL TOTAL $20.00 Add'I Renewal Fee $0.00 MECHANICAL TOTAL $24.00 Other Building Fee $180.00 Housing Impact Fee $0.00 Pot. Water Con. Fee $0.00 Housing InLieu Fee $0.00 Meter Size . Housing Credit Fee $0.00 Add'I Pot. Water Con. Fee $0.00 Master Drainage Fee $0.00 Red. Water Con. Fee $0.00 Sewer Fee $0.00 -: Additional Fees $0.00 TOTAL PERMIT FEES $259.00 Total Fees: $259.00 Total Payments To Date: $0.00 Balance Due: $259.00 5145 06/24/04 0002 01 02 COP 259.00 .•ç4I\ FINAL Inspector: 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. 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 limitations has previously otherwise expired. PERMIT APPLICATION s CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE O[jij..Y PLAN CHECK NO .(253 EST. VAL. Plan Ck. Deposit Validated By _______________ Date PROJECT INFORMATION - 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 Work Fl #of Stories # oPedrooms c*.cZV PL1J3 State/Zip Telephone # Sec. 7031.5 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 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 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 ($5001). co1 Name Address City State/Zip T ephone # State License #940 £0 License Class City Business License # I 2. Designer Name Address City State/Zip Telephone tate_License # f(iic 6L WORKERS' COMPENSATION ........... Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. r 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 ssued. My worker's compensation insurance carrier and policy number are: Insurance Company 1mU Il4SUJiP(_1 Policy N0005 OOOI 3a Expiration Date I ii 10-5 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 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 J0.10P,90QIJn addition to the cost of compensation, damages as provided for in Section 3706 of the1Laboj cocl,p, interest and attorney's fees. DATE 7._dWNEFr I heieby affirm that I am exempt from the Contractor's License Law for the following reason: 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 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). 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). I am exempt under Section Business and Professions Code for this reason: I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO I (have / have not) signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 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): 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 I type of work): - - PROPERTY OWNER SIGNATURE DATE [OMPLETE THIS SECTION FOR NON-RES/DEN77AL BUILDING PERMITS ONLY________________________________________________________ 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 0 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 0 NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES 0 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. [8TCONSTRUCTION LENDINGAGENCY_______________________________________________________________________________ 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_______________________________________________________ APPLI CANT CERTIFICATION 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 Citi 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 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 by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work ) uthorized b e y such permit is not commenced )vithin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned any tim after the work is comm ce to a e d of 180 days (Section 106.4.4 Uniform Building Code). YAPPLICANT'S SIGNATURE /4 ,4,/ t4 . DATE WHITE. File YELLOW. Applicant PINK. Finance City of Carlsbad Bldg Inspection Request For: .11/03/2004 Permit# CB042531 Inspector Assignment: JM Title: LANGBERG RES-REMODEL KITCHEN, Description: OPENING IN KIT WALL,RAISE CEILING@LIV RM Type: RESDNTL Sub Type: RAD Job Address: 2210 NOB HILL DR Suite: Lot 0 Location: APPLICANT GEBCO CONSTRUCTION Owner: LANGBERG FREDERICK&MAUREEN Remarks: Total Time: Phone: 7608031395 Inspector: Requested By: MIKE Entered By: CHRISTINE CD Description . Act Comment 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs/CVs CV040376 CLOSED H- CONSTRUCTION W/OUT A PERMIT; InsDection History Date Description Act lnsp Comments 07/06/2004 17 Interior Lath/Drywall AP JM 07/01/2004 16 Insulation AP JM OXTODWALL 07/01/2004 23 Gas/Test/Repairs AP JM KITCHEN 06/29/2004 14 Frame/Steel/Bolting/Welding AP JM OK TO INSULATE 06/29/2004 24 Rough/Topout WC JM 06/29/2004 34 Rough Electric AP JM 06/29/2004 44 Rough/Ducts/Dampers WC JM EXISTING PR J ?.cr pr:Th ZZ10 tJ !3 fuLL 'ro cJ'. 0 J cE L. 1ST(.i-i}- R LjOK iLc(r' 5 ,cc cfQ Dr</L..,L . NOtj LOt) ji.:2 (, 4P op F , JC, T' ieji 'JP jc) fj If 1) t~/TbkfLj" '(K ov- 0 0 1% lei 'Cl FP. :SC)i3 rL . -r- /1'.. P~Mmml LBOW I or T1:I1::::::::::_.: F 11 0 2