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Home My WebLink About1689 ROBIN PL; ; CB070821; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-27-2007 Plumbing Permit Permit No: CB070821 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 1689 ROBIN PL CBAD PLUM 2157400808 Lot#: Construction Type: HUNGERFORD: REPLACE WATER HTR 0 NEW Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/27/2007 JMA 03/27/2007 03/27/2007 ARS STE 100 HUNGERFORD FAMILY TRUST 01-20-00 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 Total Fees: Inspector: $27.00 1689 ROBIN PL CARLSBAD CA 92011 0 0 0 0 1 0 0 Total Payments To Date: FINAL AP.P~OVAL Date 5 1 3 1J 7 $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 $27. 00 Balance Due: Clearance: $0.00 NOTICE: Please take NOTICE th 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 pem,it 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 seivice fees in connection with this project. NOR DOES IT APPLY to any le /ex cti n of which ou h ve revio sl b n iv n a N Tl E imilar lo this r t which th s I f limi ti ns h s reviousl otherwise ex ir d. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. Cb<)] 08 2 / CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ,_j W\tC Date 3 lz1 07 Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No?~ivislon Name/Number Unit No. Phase No. Total # of units (.0 DBxisting Use Proposed Use Q, FT. #of Stories # of Bedrooms # of Bathrooms Telephone# Fax# Name Address City State/Zip Telephone # ls:~'c'ONTMcfciRl'lii'obMPAtN:iflAME ,,~ ).'!ll!,fi\l\l~~~'.rl'~~; ... ~~~;];~~i~·r~,~~'.~'I'~~'"' w·' ',, ~'71"<" 1' '.'°; ''"""".' I!,"['• '"J (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 y violation of foection 7031.5 by any ap11 · n fo ape/ 't bje t h~ applica a civil penalty o hen jve hun dollars ($500)L t:J' J l .- Designer Name State License # Addr s 1 License Class C,2o C,..3<o Address City State/Zip Telephone ,;:;;~mi~~~iRi:;;;;;;:;;;;;;;,!!!,.r·,_,'."';'l,""'~e-:rm~P~,ffl~~.~~~"'"1t.!~~-,. ~'"""•~r,r"l.,'!N" Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 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. ~ I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for whi~h this permit is 'issued. My worker's compensation 'nsurance carrier and policy number are: ' , ·i c.. fl I. -;i. IO/ .6 . . . q h.a /o 7 Insurance Company_,= ....... ==--'-"'---------------Policy No.lb::; l;::,,DD ~::.,, _ Exp1rat1on Date_~/_tcr-__ 1 _~-~- (THIS SECTION NEED NOT BE COMPL TED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that In the performance of tha 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. nsatlon coverage Is unlawful, and shall subject en employer to crlmlnal penalties and clvll fines up to one hundred t compensation, damages H provided for In Section 3706 of the L e, Interest and attorney's lees. DATE -t:;;;;"']~c....L.+>-'--J'----- 0 I, as owner of the property or my employees with wages as their sole compensation, w ill 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). 0 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. 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 per~ons to provide the work lndicaled (include name / address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE-------------,----------DATE _________ _ 'coMPLEte tl-i1s,sl:<'.:Tld'N'Fofi·WoiUiisibEN'rµl-iioiLQiNo~fle1iMffs~ij1if'.m,~~!'1,\"1,~,'t't';:>".~;rt~v.~""Y'-~~-~""'f'',W'' :~"" 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 26534 of the Presley-Tanner Hazardous Substance Account Act7 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? O YES O NO Is tha facility to be constructed within 1,000 feet of the outer boundary of a school site 7 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. ·a; _;:coNsrilticr1bN'LEN01tJo,At'ENcv,:•:i~•;~~,;1~~,c'ii' ·:~~~ .. "' ,,W~",'L''H:(:·t';. ·,,,.:- 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30970) Civil Code). LENDER'S NAME I LENDER'S ADDRESS ------------------------------9 ;, e, ·A~PLICAN'f..CERTiFICA:i'1!5N'Plft.••-'•~;,•"~f,',tl'.l'!!l,l/1~1f:'~~-:~::!IJ~lt~~~t!Jf.~;'s:!lt/ 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 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 issue by lh building Official under lhe provisions of this Code shall expire by limitation and become null and void If the building or work authorized lly such permit is not mence within 180 days from the date of such permit or if Iha building or work aulhorized b¥,zih permit is suspended or abandoned al any lim· ·•er the work is co enced for a perio\of 180 s Sec ,on 106.4 4 Uniform Building Code). ::)f ')..,, ,0;-) APPLICAJ SIGNATURE -+fi~l+-,jf--l+-+-+---+-<t-+--H-,-~-----------DA TE '# I I I 'L . pplicant PINK: Finance . m City of Carlsbad Bldg Inspection Request . For: 05/02/2007 . Permit# CB070821 Title: HUNGERFORD: REPLACE WATER HTR Description: Type:PLUM Sub Type: Job Address: 1689 ROBIN PL Suite: Lot: 0 Inspector Assignment: --f-r.,. Phone: 2145345676 Location: In specter: ---- OWNER HUNGERFORD FAMILY TRUST 01-20-00 Owner: HUNGERFORD FAMILY TRUST 01-20-00 Remarks: OR 918-9595 Total Time: CD Description Act Comments Requested By: JEAN HUNGERFORD Entered By: CHRISTINE 25 Water HeaterNents ~.---- Comments/Notices/Holds Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments