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Home My WebLink About1685 ROBIN PL; ; CB022025; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Mechanical Permit Permit No: cso2202s Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1685 ROBIN PL CBAD MECH 2157400809 $0.00 KUHTAREV RESIDENCE INSTALL A/CW/DISCONNECT Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/09/2002 MDP 07/09/2002 07/09/2002 EXCEL AIR CO 2045 CAMINO DR ESCONDIDO CA 92026 760 480-7557 NOE ROGERJ 1685 ROBIN PL CARLSBAD CA 92009 0907 ,)7 /09/02 J002 )1 CGP Total Fees: $44.00 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 Inspector: Total Payments To Date: 1 0 0 0 0 0 $0.00 Balance Due: Clearance: $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $20.00 $0.00 $44.00 $44.00 NOTICE: Please take NOT E that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest il'fl)OSition 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 fwhi vi I N Tl E imil r hi h flimi i vi I I I FOR OFFICE USE ONLY PERMIT-APPllCA TION PLAN CHECK NO.Q 2.,-LO~~ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date ______________ _ -l-1. PROJECT INF0"1ATION , /bv 85 K Q°P) / '}J Address (include Bldg/Suite #) }?L 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 -!--____________ ---,,--___________________ _ Description of Work SO. FT. #of Stories # o)edrooms # of Bathrooms :fns<ffJ...t/ ~TQJ:!_J)_/c S"Y-5~. JJV.J.' discon~ T3oxf~;f!.au/ efiv...k.e-t° 2. CONTACT PERSON ,(,~dlffeiQ"rit from applicant) / . Name Address City '''tl Owner ~ D Agent for Owner City State/Zip State/Zip Telephone# Fax# 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). I) t <?,r Jcutt,Y-/1 R eA/ g O lf 5 C{xffi t' VO pg_ £s·w1Va.,,~_.,0 a,._ 97 026 <;t'cfo-7SS7 Name _ 8-,--~ Address City State/Zip . T~ephone # State License # / /r:J< b -, License Class C ·-.;?,. 0 "">'--city Business License # /;J,. l / 7:J .;l__ Designer Name State License # OR.KERS:;:'.:;C::;:O;;:;M::;:PE;:;N::;:S;::A:;T::;:IO:-::N-:--;:=;;;:;;; Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 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. 0 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 worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) 'F;;t') CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as ~ecome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($ 00,0001, In addition to the oat of compensation, damages as provided for In Section 3706 of the Labor cod~nterest end attorney's fees. SIGNATURE ~ / U.,/-<,_.; 1 -f!.,,{/ DATE 7-L -Q? 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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). 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). O I am exempt under Section ______ Busirtess 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 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 {hired) the following persons to provide the work indicated (include name / address I phone number / type of work):, ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ (cOMPLEl'.E THIS SECTION FOR NON-RESiDENTIAL 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 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 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 AND THE AIR POLLUTION CONTROL DISTRICT. [8. · CONSTFIUCTIO~ L~NDING 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 19. APPLICANT.::C::;;;E:::RT;::;:l:::Fl::::C:-:A::::Tl::::O::::N;--:=-==--::;;;---=:-==;;;.;;- LENDER'S ADDRESS ________________________ _ 1 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 Cit\! 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 limilation and become null and void if the building or work authorized by such permit is not commenced wilhin 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comme?': for a pe~iod of 180 dayr tion 10~4 Uniform Building Code). -r--APPucANT's s1GNATURE fl ---e ;<r--t:A:::: ~~d~ DATE 2 -? , 0 2 WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/18/2002 Permit# CB022025 Title: KUHTAREV RESIDENCE Description: INSTALL A/CW/DISCONNECT Type:MECH Sub Type: Job Address: 1685 ROBIN PL Suite: Location: APPLICANT EXCEL AIR CO Owner: NOE ROGER J Remarks: Total Time: Lot 0 Phone: 7606039602 Inspector: ---- Requested By: ROGER NOE Entered By: CHRISTINE CD Description Act Comments/' _ () 43 _A_i_rc_o_n_d_,F_u_rn_a_c_e_s_e_i ___ tt __ --'l~L--•'4_c/l._v ____________ _ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments