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HomeMy WebLinkAbout2643 REGENT RD; ; CB151138; Permit04-15-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: PIPES PLUMBING 1145 LAW ST 92069 434-3067 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB 151138 Building Inspection Request Line (760) 602-2725 2643 REGENT RD CBAD PME 2081330694 Lot#: TAMARACK POINT HOA-REPLACE GAS 0 LINE FROM METER BANK TO FRONT OF UNIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: WEBER FAMILY TRUST 10-26-12 2643 REGENT RD CARLSBAD CA 92010 ISSUED 04/15/2015 RMA 04/15/2015 04/15/2015 $160.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $160.00 Total Fees: Inspector: $160.00 Total Payments To Date: $160.00 Balance Due: FINAL APPROVAL Date: £.f~Z/r I~ 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 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 fees/exac ions of which have reviousl been iven a N TICE imilar this or as to which th statu of limitation has reviousl therwi ex ir THE FOL: ·uro A'PPROVAl:S REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE -£ «~~ ~ CITY OF Plan Check No. Est. Value CARLSBAD Building Permit Appllcatlon 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SWPPP JOB ADDRESS EXISTING USE GARAGE (SF) APPLICANT NAME (Primary Contact) p ADDRESS CITY PROPERTY OWNER NAME ADDRESS CITY PHONE . ~(::)- EMAIL PATIOS (SF) DECKS (SF) FIREPLACE YESO APPLICANT NAME (Second•ry Contact) ADDRESS CITY PHONE EMAIL AIR CONDITIONING No[] YES □No □ CJlY BUS. UC.# FIRE SPRINKLERS YESO N0O ARCH/DESIGNER NAME & ADDRESS STATELIC.# 'l"\g'J.\~3 (Sec. 7031.5 Business and Professions Code: Any Clly 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 or the Contractor's License Law [Chapter g, commending with Sectlon 7000 or Division 3 or the Business and Professions Code) or that he Is exemP.t therefrom, and the basis ror the alleged exemptlon. Any violation or Sectlon 7031.5 by any applicant for a permit subjects the applicant to a civil penally or not more than five hundred dollars ($500)). ~WORl<ERS '°COMPENSATION '. . . . . _-: ·, ' '.·. ~ , ... , •.1!• ... _, '' " .... ' • ' < • ~ I .. ~ ... .. ' • > -• ,._ • • • --• • • .. ' ,. ' • • ' ....... .i... •• • ' . .: '' :.. V -d: • , , "-.... Woritn' Compensation Oectll'ltlon: / hereby affirm under penalty of pe,jury one of the fo/lu,r;/ng dec/8181ions: Q1 have and wlH mllinllin a certificate of consent to 11lf•in1ure forv.oo<ers' compensatiOn as provided by Section 3700 of the Labor Code, for the performance of the WOii( for which this permit is Issued. J:2ftt'tve and will maintain worken' comoenn tlon. ~ 19Quired bv Section 3700 of the Labor Code, for the performance of ~e WOii( for which ~pennit is issued. My workers' compensation insurance earner and policy numberare:lnsuranceCo. ~ ~ ~~ PollcyNo. '1J2-) ~t) Expiration Date 12..} ~l/h- ]ll§,section need not be completed H the permit is for one hundred dollars ($100) or less. LJ Certificate or Exemption: I certHy lhat in lhe 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: Fallure to 1ecure worittrs' compen11tlon coverage 11 unlawful, and 1hall 1ubject an employer to criminal pena~IH and civil finH up to ont hundred thousand dollars (&100,000), In addltlon to tht cost of compenutlon, damages II provided for In Section 3706 of tht Labor code, lntelftt and attorney's fees, NS CONTRACTOR SIGNATURE I het8by sfflnn that I am exempt from Confr!lclo('s license Law for the fol/owing reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structura Is not intended or offered for sale (Sec. 704-4, 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 WOii( hlmsaff or through his own employees, provided th 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 prove 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 P s Code: The Contracto(s License l.a\V does not apply to an -of property who builds or improves thereon, and contracts for such projects with contraclor(s) licensed pursuant to the Con nse I.aw). I am exempt under Section ____ B.uslness and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for 0011struction of the proposed nroo8!11'finom, 2. I (have/ have not) signed an application for a building permit for the proposed 3, I have contracted with the following person (firm) to provide the propos ction (Include name address / phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the fol · person kl coordinate, supervise and provide the major work (Include name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have/ d) the following persons to provide the work Indicated (Include name/ address/ phone/ type of work): ,65 PROPERTY OWNER SIGNATURE □AGENT DATE ~• .,.,,._,. • .,.~,""' ...._"l.:,-• ..,.t •·~'-"" (,"".._ • ...,. .:,,,i;-.4"':l'c,...,.,,..,,t~ -~ ,.,.,..,:-,c-,'\,~,,.,_ . .,.,. .. ,.~'"~ ,.,. t-c,<t~• .. " ~, ·., • ., • .:.• .~ .. ,, •'1'-'•'• ,. r...,,,...,_~...,-.. .,,,.•~ 'fllll',,.~ 1,,; 1 .,,.,.. P le E<Yr E TH IS SECTION FOR NON · RES IDE N •T I AL BU IL DING PERMITS ONLY ' A>.$~-•-• .,.._.,....,... 1M.~" ...... ~ •.4~l,l{.,_',cvt,,, ... ,.,,,~ ... ~ ,....,...,._. >4•'1.1'/I01.,,f>,. , .... 'Ill ,,.. ... •• ,._~., ..... ,..I•; ..... •~'\~• ;.I• J,;,VJlol"""f..dt,.,, ' ............. t,1oo;,r". ..--~ • ~~~ , applicant or futin building occupant requll8jl to submit a business l)IM, acutely hazattlous materials ..sley-Tamer Hazardoos Substance Account Act7 Yes No tratlon form or risk managemen1 iW1d prevention progrMl under Sections 25505, 25533 or 25534 of the .s the applicant or future building occupant required to obtain a pemit from the ai" l)O('All!PR-<:liitrol dis1rict or air quality management llstrict? Yes No Is the facility to be constructed within 1,000feet of the outer boundary of i!.SC Yes No IF AAY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OC CY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTR RICT. I C811ify1hatl haYe 1811d the appllcatlon and llatB 1hatthe alxwe lnfonnation Is correct and 1hat the lnbmation on the plans Is accurata. I ae,1111 ID conplyYlflh all <:111 odnancas and StalB i-llllatlng ti b!Mdng construction. I heleby autotze ~tat.<e of lhe City of Cartsba:l ti rii!r u~ lhe .t,ove menlilned JXOPB1Y tlr ilspecbl MX)SeS. I ALSO AGREE TO SAVE, NOEMNIFY ANO KEEP HARM.ES$ THE CITY OF CAIUIWl A~ST ALL UABIL/TIES, JUOOMENTS, COSTS ANO EXPENSES WHICH MAY IN l#f WAY ACCRUE AGIIINST SAlO CITY IN COOSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: AA OSHA pem,l is reQUted b' excavations 11-.'fJ( 5'0' deep and demolifun or oonstrudion of sruciJres 11-.'fJ( 3 stllies il height. EXPIRATION: EYe!y permi1 issued ll'f lhe Buil:ling Otrdal ooder lhe J)l"O'lisilns of 111s c.ode shall e)CJ)ie I)'/ linitaoon and beoome rd and -.oo l the txJiklilg or WOik autlorized ll'f such pemit Is nol axnmenced v.itlil 100 days flan tie dae of such permit or ff tie tltilg °' WOik au1horized ll'f sudl permit Is suspended or abandoned at any 1ine afa" lhe WOik is amnenced b" a period c:A 100 days (Sedm 100.4.4 lklib"m Eklking c.ode) . .NS APPLICAllT'S SIGNATURE }:?::rm =----0---DATE 4 ;, }--, ..,-. STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. . • I, ' ) , : -, Fax (760) 602-.'!560, Email building@car1sbadca.gov or Mall the completed form to City of Cartsbad, Building Division 1635 Faraday Avenue, Carlsbad, Calilomia 92008. I COi: (Office u .. Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANrS BUS. UC. No. DEllVERY OPl10NS PICK UP: CONTACT (Listed abova) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) OCCUPANT (LISted above) ASSOCIATED CB# CONTRACTOR (On PC-1) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OllfER: CHANGE OF USE / NO CONSTRUCTION ,#5 APPLICANT'S SIGNATURE DATE • Inspection List Permit#: CB151138 Type: PME Date lnspe_ction Item 04/17/2015 23 Gas/Test/Repairs 04/17/2015 23 Gas/Test/Repairs 04/17/2015 29 Final Plumbing 04/17/2015 29 Final Plumbing Monday, April 20, 2015 Inspector Act PB PB RI AP RI AP TAMARACK POINT HOA-REPLACE GAS LINE FROM METER BANK TO FRONT OF Comments PM PLEASE PM PLEASE Page 1 of 1