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Home My WebLink About2617 REGENT RD; ; CB044325; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ;,; 12-02-2004 Plumbing Permit Permit No: CB044325 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2617 REGENT RD CBAD PLUM Status: Parcel No: 2081330673 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: FERDINANDO RES REPLC GAS LINE Inspect Area: Applicant: NORTH COUNTY PLUMBING PO BOX 1758 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: FERDINANDO SANDRA L 2617 REGENT RD CARLSBAD CA 92008 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: at 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 f hi h o h v r vi I N Tl "mil r to h" r i h h st f limi i ns h h rwis x ir d. 02 27 • ()0 PERMIT APP~ICA TION FOR OFFICE USE ONL y L PLAN CHECK NO. Qc{_ ~°J 7.J CITY OF CARLSBAD BUILDING DEPARTMENT i635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit -.:..· -=-------- Validated B Date. __ ~__,,.......,=J.->r-,,<!'d.-------- <1J PROJECT> LCol7 -,... ' J _J _ Busiryiss NaTe (at this. address) I t)-,.,,.,.,,_,,..,1c. /.J.o V\,'T ,..,~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units I (:xisting Use ·~ Proposed Use Description of Work SO. FT. #of Stories # of Bedrooms # of Bathrooms 2 . CONT ACT· PERSON ·Uf dlff11rent from .applicant) Name 3: APPLICAN:r ~ractor Address 0 Agent for·Contractor O Owner Name Address 04. PROPERTY 01/NER E--..--.....vl..s:> Name Address 5. CO~TRAC,TOR ·,COMl!ANY !iAME City 0 Agent for Owner City City State/Zip Telephone# Fax# State/Zip Telephone# 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 e e P.ti~ Anv.._ violation of Section 7031 . 5 }Jv any applicant 18.r a permit subjects the ~Pjllicant to a civil penalty of fiOt more than five undre dollars I$ 5~!.>., ,,..., L .f--'. ;.,.,_( ..!) ~ l7S-..::> v tf,t,Q cJl . "',.,, ,tr. r ,.a C-' ame r s'z t > 7 Address c_. 1 " City State/Zip Telephone # City Business License # l 2. 0 q '1 7...(;, State License # _la ________ _ License Class _________ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPEN,SATION 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. [3--'J 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~mP)J')6atiorv,,svumce carjil3r and polky number are: 7) .{ !/f /0 .)_ Insurance Company Ka,_ct'.,(.9-v:-t' (/'\. .f l D Policy No. flp I { o" 7 e O / Expiration Date_.:.....iL_-1-/_ ~--- !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS l$100] OR LESS) r 1 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure t e ure sation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dolla ($ 0,0 0), to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE.~-...:3;;...,_ _ _::::s:._ __ ..:::::~=---~--------------- 7, I hereby affirm that I am exempt from the Contractor's License Law for the following reason: DATE _________ _ 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 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 I address / phone number / type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE __________ _ COMPLETE TtilS,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? D YES D 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. a. pO.NSTRUCTION .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. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9,, APP~ICA.N:T 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 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 p.ermit 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 buildin Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not com n d · in O d om the date of such permit or if the building or work authorized by such p nnit is su pended or abandoned at any tirr 1 after the work is comm need f r perio of 80 d ys (Section 106.4.4 Uniform Building Code). APPLICA T'S SIGNATURE WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 1 2/03/2004 Permit# CB044325 Title: FERDINANDO RES REPLC GAS LINE Description: Type: PLUM Sub Type: Job Address: 2617 REGENT RD Suite: Lot 0 Location: APPLICANT NORTH COUNTY PLUMBING Owner: FERDINANDO SANDRA L Remarks: Total Time: Inspector Assignment: Phone: 7607354900 Inspector: ---- Requested By: NICOLE Entered By: CHRISTINE CD Description Act Comment 23 _G_a_srr_e_s_v_R_e_p_al-rs-----~------------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments