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Home My WebLink About2615 REGENT RD; ; CB044324; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-02-2004 Plumbing Permit Permit No: CB044324 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2615 REGENT RD CBAD PLUM 2081330672 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Tille: CRAYTON RES REPLACE GAS LINE PO B~"l'Ai>l>-------- VISTA CA 92085 760 735-4900 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 0 0 0 0 0 1 0 Owner: CRAYTON BARBARAJ 2615 REGENT RD CARLSBAD CA 92008 Issued: Inspect Area: ISSUED 12/02/2004 SB 12/02/2004 12/02/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 6639 12/02/04 0002 01 CGP Inspector: Clearance: NOTICE: Please take NOTICE t t approval of your project includes the 'Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'foes/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 f es/e i n f whi h h v r viou n iven N Tl i ilar whi h h tut f lim· i ns h r i I 02 27 .oo PERMIT APP~ICATION FOR OFFICE USE ~ J L{) ·z_ \. ( PLAN CHECK NO .. l.-,..=-'f977 ___ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _ _,,==-------- Validated By ~ Date t--Z,, b'L¥\-- Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units / ~xisting Use '~ Proposed Use Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms ;t. COJlffACT PERSON.Of different from,appllcant) Name 3: APPLICANT ~tractor Address .Q Agent for·contractor Name Address Name Address ;6. CO~TRAC,TOR-,COMPANY., NAM!: 0 Owner City 0 Agent for Owner City City State/Zip Telephone# Fax# State/Zip Telephone# S.tate/Zip Telephone# (Sec. °?031,5 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 t~e 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 e e P.ti~ Anv__ violation of Section 7031 .5 }>Y any applicant J8.r a permit subjects the ,PJ?licant to a civil penalty of jl,Ot more than five undre dollars I$ 5q?ll iO L./J. 1-n ( .!> ~ /1 ).:, V L f f,Q c.ll.. ~I'.) 7? ;-_ t , ..a o ame ~S''i I S-7 Address (:_. J '-' City State/Zip Telephone # City Business License # l 2. 0 Cf G, 7...(p State License # ________ _ Designer Name State License # ---------- 6. WORKE.JtS' C.OMPEN.S~TtON license Class _________ _ 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. [3----T 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~P)j'}6ation/4)is1JU1nce carp13r and policy number are: 7) / /, _ Insurance Company ~ct,(9-'-""{' (r\. .f t D Policy No. 'lp .f / Io" 7 e O I Expiration Date / / / 0.) !THIS SECTION NEED NOT BE COMPLETED IF ntE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) r 1 0 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. thousand dolla sation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE._,,_c::i;,--_:::._ __ ..::;::_==---~---------------DATE __________ _ 7, OWNER-.~UILDE .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). 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 constructiO') of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application tor a building permit tor 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 I 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 / phone number / type of work):. ____________________________________________________________ ....., PROPERTY OWNER SIGNATURE· ______________________ _ DATE __________ _ CQMPl,ETE .THIS SECTION FDR NON-RESIDENT/AL 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, CONSfRUCTION'LENDING AGENCY I 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 _____________ _ LENDER'S ADDRESS _________________________ _ 9. A!'~LICAN:iT 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 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 LIASILITIES, IUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. SHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height .. l>IRATION: Every permit issued by the buildin Otticial under the provisions of this Code shall expire by limitation and become null and_ void if the building or work orized by such permit is not com n d · in O d om the date of such per_mit or ii the building or work authorized by such p rmit ,s su pended or abandoned , lirr i after the work is comm need f r pe,io of 80 d ys (Section 106.4.4 Uniform Bu1ld1ng Code). A T'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 12/03/2004 Permit# CB044324 Title: CRAYTON RES REPLACE GAS LINE Description: Type: PLUM Sub Type: Job Address: 2615 REGENT RD Suite: Lot 0 Location: APPLICANT NORTH COUNTY PLUMBING Owner: CRAYTON BARBARA J Remarks: Total Time: Inspector Assignment: Phone: Inspector: ---- Requested By: NA Entered By: CHRISTINE CD Description 23 GasfTest/Repairs ~-C-o_m_m_e_n_t ________________ _ ----------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments