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HomeMy WebLinkAbout2691 REGENT RD; ; CB140603; Permit03-17-2014 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB140603 Building Inspection Request Line (760) 602-2725 2691 REGENT RD CBAD PME 2081330422 Lot#: o MOTENKO RES -REPLACE FURNACE SAME LOCATION Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/17/2014 SKS 03/17/2014 03/17/2014 ANDERSON PLUMBING INC,WALTER MOTENKO SUSAN REVOCABLE TRUST 12-13-00 1150 N MARSHALL AVE EL CAJON CA 92020-1831 619-449-7646 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2691 REGENT RD CARLSBAD CA 92010 $0.00 $0.00 $158.00 $0.00 $158.00 Total Fees: $158.00 Total Payments To Date: $158.00 Balance Due: Inspector: EXPIRED PERMll' FINAL APPROVAL Date: Clearance: $0.00 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 nght 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 f whih hv rvi N Tl imilr whih I h i THE FOLLOWING A?PRQV-'1-S REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING 0 ENGINEERING 0BUILOING □FIRE □HEALTH 0 HAZMAT/APCD Building Permit Application Plan Check No.Cf> / L.( u(ru-:'.) 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit . email: building@carlsbadca.gov M www.carlsbadca.gov Date . "'ii {'II /Lf lswPPP SUITE#/SPACE#/UNITf ,.,~~-~,& ?.. n\. Rd. (' r,y\shitl ca <'.1'20\c, IAP\oB -1~3 -Olt?.2. - CT/PROJECT# v ILOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME lwNl:ilR.TYPl:. I ,.,,,.~GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) \\e-~O.C£-[ C\r\OVl<J,-Ol/4 °FLA VT\ 0 ( e '1 EXISTING USE l PROPOSED USE I GARAGE (SF) PATIOS (SF) 1□ECKS (SF) FIREPLACE IAIR CONDITIONING I I FIRE SPRINKLERS YES[JI "'° YES □No□ YES□No□ APPLICANT NAME (Mma,y Coataot) /¥:;.,'(')\'?.,\./ (' \r)e,{\W APPLICANT NAME (Secondary Contact) ADDRESS I ADDRESS 1150 N. Marshall CITY STATE ZIP CITY STATE ZIP El Caion CA 92020 PHONE lFAX PHONE I FAX 619 449 7646 619449 0312 EMAIL A .. EMAIL -""'"'" ndersonpha.com PR0PERlY0WNER NAME C.I ~ Mo+ PI"\\"-, r---CONTRACTOR BUS. NAME $Qv, Anderson PHA ADDRESS '1 CoC\ I ~"'"a(\t R~ ADDRESS 1150 N. Marshall CITY ,nr\ 7 STATE ZIP CITY STATE ZIP r r..v\s'o CTA 90 olD El Caion CA 92020 PHONE PHONE l"i'i ~(.J-L\3(..1-8'.JU'l-I FAX 619 449 7646 I FAX 619449 0312 EMAIL EMAIL As,,h \£,..__ / ~ndersonpha.con ARCH/DESIGNER NAME & ADDRESS ISTATELlC. # STATE UC.# I -1 CtASS I CITY BUS. LIC.107 4400 493163 C36 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construc_t, alter, Improve, demolish or repair an~ structure, pnor to its issuance, also requires the applicant for such permit to file a signed statement triat he is licensed pursuant to the provisions ofme Contractor's License Law fChapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a clvil penalty of not more than five hundred dollars {$500}). -------------------------------------~---------------------.... ·-- . WO l?KERS' COMPENSATION ------------------------. ------------------- Workers' Compensation Declaration:/ hereby affirm under penalty of perju,y one of the following declarations: 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 !he performance of the work for which this permit Is issued. [Z] I have andwlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pemiit is Issued. My workers' compensaUon Insurance carrier and policy number are: Insurance Co. Lumberman Polley No. 425947 Expiration Date 1/1/2014 Thls section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that In the performance of the work for which this permit Is Issued, ! shall not employ any person ln any manner so as to become subject to the Workers' Compensatlon Laws of California, WARNING: Fa:llureto secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, damages as vided r In Secti 3706 of the Labor code, Interest and attorney's fees. Je:S CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the fol/owing reason: □ □ □ I, as owner of the property or my employees with wages as !heir 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 !hereon, 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-bulld!ng or Improvement Is sold within one year of completion, the owner-builder will have the burden of proving that he did not build orlmprove 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 vro bu lids or Improves thereon, and contracts for such projects wnh contractor(s) llcensed pursuant to the Contractor's License Law). I am exempt under Sectlon ____ Business and Professions Code for this reason: 1. I p81SOnally plan to provide the major labor and materials for construction of the proposed property Improvement 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed work. 3. I hcll'e contracted with the following person (firm) lo provide the proposed construction (include name address/ phone/ contractora' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supeNise and provide the major work Onclude name/ address/ phone/ 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/ phone I type of work): Je:S PROPERTY OWNER SIGKATURE □AGENT DATE .... _' COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the appl!cant or future building occupant required to submit a business plan, ceutely hazardous materials reg!stration fonn or risk management and prevenUon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? O Yes O No Is 1he appllcant or future bulldlng occupant requlred to obtain a pennlt from the air polluUon control district or air quallty management district? □ Yes □ No Is Iha fac!Hty to be constructed within 1,000 feet of !he outer boundary of a school site? □ Yes □ 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, I certify that I have read the appllcatlon and state that the above lnfonnatlon ls correct and that the lnfonnation on 1he pla.ns Is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representafive of the City of Carlsbad to enter upon !he above mentioned property for Jnspection puri:oses. 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: AA OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures owx 3 stories in height EXPIRATION: Eveiy permit issued by !he Building Official under the provisk:ms of this Code shall expire by Umitafion and become null and void W the buiding or work authorized by su::h permit is not commenced within 180 days tram !he date of such permit or If the building or work authorized by such permit is suspended or abandoned at anytime after the work is commeo:ed for a peri)d cl 180 days (Section 106.4.4 Uniform Bulk1ing Code). g APPLICANT'S s1GNATURE DATE 3 I r,. 11-1