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Home My WebLink About2617 REGENT RD; ; CB130877; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 04-03-2013 Permit No: CB130877 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2617 REGENT RD CBAD PME 2081330673 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: FERDINANDO RES-BATHROOM REMODEL GFI/HEATER/FAN/LIGHT RESHEATH FLOORING HOT MOPfTILE WALL AND FLOORS @EXISTING TUB /NEW FIXTURES /ALL SAME LOCATION Applicant: Owner: ISSUED 04/03/2013 LSM 04/03/2013 04/03/2013 LARRY WHARTON FERDINANDO SANDI FAMILY TRUST 05-18-11 619-203-1773 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2617 REGENT RD CARLSBAD CA 92010 $154.00 $31.00 $31.00 $0.00 $216.00 Total Fees: $216.00 Total Payments To Date: $216.00 Balance Due: Inspector: FINAL APPRPVA!,.. DateS:·o·/:) Clearance: $0.00 N OT\CE: 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 right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, gradirg or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any inf hi N iii hi fiiin • ,· THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: 0 PLANNING 0 ENGINEERING □BUILDING □FIRE □HEALTH OHAZMAT/APCD «~~· Building Permit Application Plan Check No. C.6 I 'nD fs7 7 ~ CITY OF CARLSBAD JOB ADDRESS CT/PROJECT# 1635 Faraday Ave .. Garlsbad, CA 92008 Ph: 760·602·2719 Fax: 76().602·8558 email: buldllng@carlsbadca.gov www.carlsbadca.gov SUITE# /SPACE#/UNIT# Est. Value Plan Ck. Deposit Date 'fl ,a I 3 APN # BATHROOMS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) 1\1\A//\/t, EXISTING USE PAT!OS (SF) DECKS (SF) FIREPLACE YES □#_ NO □ APPLICANT NAME (Primary ContL.4~ APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS o 2'3&3 ZIP CITY STATE 2...o'Z-/ PHONE FAX EMAIL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY CITY 4D PHONE PHONE l.o ·-72.c:> -37 2. ARCH/DESIGNER NAME & ADDRESS STATE LIC. # STATE LIC.# CLASS SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES □ NOD YES O NOD ZIP u ZIP (Sec: 7031.5 Business and P_rofess1ons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also re_quires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor'_s License Law JChapter 9. commending with Section 7000 of D1vis1on 3 of the Business and Professions Code} or that he 1s exempt therefrom, and the basis for the alleged exemption. Any v1olat1on of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$5001). Workers' Compensation Declaration: I /lereby affirm under penalty of peljUf'/ one of the following declarations: □ 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 perfonnance of the work for which this pennit is issued [St' 1 have and will maintain workers' compensation, as ~red by Section 3700 of the Labor Code, for the _performance of the work for which this permit is issued, My workers' compensation insurance carrier and policy 1 /' number are: Insurance Co. /O(P\ E Po\1cy No.,.qcc a C ':l 3 <; i.. '1 OQ Expiration Date 0/ 0 / If? This 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 pertlrmance of the work for which this permit is issued, I shall not employ any person in any manner so as lo become subject to the Workers' Compensation Laws of California, WARNING: Fallure to secure worlc:ers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars {&100,000), in a~on t~ the cost of compensation, damages as ed for in Section 3706 of the Labor code, Interest and attomey's fees. ~RACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the folbwing reason: □ 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 wmk himsetf 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) □ 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 lo the Contractor's License Law). □ I am exempt under Section ---········---··. Business and Professions Code for this reason· 1. I personally plan to provide the major labor and materials for constructton of the proposed property improvement. □ Yes □ No 2. I (have I 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 constructi n (include name address I phone/ contractors· license number) 4. I plan to provide portions of the work, but I have hired the following person to 5. I will prov\de some of the work, but I .have contract ~ PROPERTY OWNER SIGNATURE mate, supeNise and provide the major work (include name I address I phone I contractors' license number): provide the work indicated (!nc\ude name / address I phone I type of work): DATE ls the applicant or future building occupant required to submit a businessian, acutely hazardous materials registration form or risk management and prevenUon program under Sections 25505, 25533 or 25534 Of the Presley-Tanner Hazardous Substance Account Acr? □ Yes No Is the applicant or future building occupant required to obtain a permit fro e air pollution control district or air quality management district? □ Yes °bfJo Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes Cit No ,r--· IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED u..r.t::ss 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 theapplicatlon and state that the above lnfonnatlon Is correct and that the infonnatlon on the plans Is accurate. I agree 1D comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Cartsbad to enter upon the al:x>ve mentioned property br inspection purposes, I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUCGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAJNST SAID CnY IN Ca-JSEQUENCE OF THE GRANTING OF THIS PERMIT, OSHA: MOSHA permit is required for excavations O\Jef 5'0' deep and demolitk:m or construction of structures over 3 sbries n he'Jhl. EXPIRATION: Every permit issued by the Building Ofoc;ial under the proW>bns of this Code shall expire by limitation and berome null and void if the buik:ling or 'Mlrk authorized by sud! perm~ is not commenced within 180 days from the date of such permit or if the building or'Mlrk authorized by such permit is suspended or abanooned at any tine afer the oork is commenced for a period of 180 days (Section 100.4.4 Uniform Building Code). ~ APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email www.buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, Calibmia 92008. CONTACT NAME ADDRESS CITY STATE PHONE FAX EMAIL DELIVERY OPTIONS □ PICK UP: □ CONTACT (listed above) □ OCCUPANT (listed above) u CONTRACTOR (On Pg. 1) □ MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) □ MAIL/FAXTOOTHER: A$ APPLICANT'S SIGNATURE ZIP CO#: (Office Use Only) OCCUPANT NAME BUILDING ADDRESS CITY STATE ZIP Carlsbad CA OCCUPANT'S BUS. LIC. No. □ ASSOCIATED CB#------------ □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE 041a212013, 14: 03 10503000014 PAGE 01/01 ' ' STATEMENT OF AUTHORIZATION FOR A BUILDER PERMIT L SIMON COHEN, the owner of Silver Star ~onstruction whose ~~ a,~below hereby authorize J?,o,..coo.>11 \\/bQ.rbn Ltlrru:t• W\4¥f1)1"1 ( ~ e,(to obtain pcnnits on my behalf as a BUILDER or all y projects. I UJ),dcrstand that I, as a BUILDER assume responsibility' for the overall job, which may include such things as state and federal taxes, workers'. compensation and other legal liabilities. I have read and understand the: above statements as they pertain to the issuance: of pcnnits. lru;--\.,llAfz f.l",C( f.FD ""'\!W\11\6€£ Si) ~t-J(»- Name (Print) and Title License Number PERMIT FOR: BATHROOM: 1-GFI 1-HEATER/FAN/LIGHT SUB FLOOR /REPLACING PLYWOOD i L Lil:~ FLOOR ('e,_ .:'>~%,~ HOT MOP /TILE WALL AND FLOORS 8-1£,\S17i)C.,., APPROX 104 SF VANITY SINK NO MOVING OF PLUMBING-REPLACING EXSISTING ANY FURTHER QUESTIONS PLEASE CALL GEORGE 619-534-2675 Liza Marracino Office: 858.300.8236 Fax: 858.609.7136 lmarracino@gmail.com Page 2 of2 4/2/2013