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Home My WebLink About2617 REGENT RD; ; CB920014; Permit11/07/92 14:S"i Page 1 of 1 B U l L D l N G P ~RM IT Permit No: CB92D014 Project No: A9200UL DPvi:-JlipmPnt "): Job A~dres~: 2b17 REGENT RD Permit Type: P'". /MB ING farcel No : 20~-133-0~-73 Vctluation: constructJon Type: NEW Occur,ancy G1 c,up: Description: GAS LINE REPAIR Appl/Ownr : DEPENDABLE PLUMBING 7929 SILVERTON AVEN SAN DIEGO. CA 921 6 Fees Required Fees: Actjustments: Total Fees: Fee a•.::'scr i pt ion Enter Y f or Plumbin Gas Piplng System A PLUMBING TOTAL Class Cocte: 01 Str: Fl : 5837 01l<17r92 0001 0l 02 C-PRHT 10-00 619 St=ttus: --rJ > Appl1eri: 01/ll7/9 Apr/Issue: 01/07/92 Validated By: DC' 2ob-12121 .OU .00 1.0.00 Ext fee Data 7.50 Y 2 .50 10.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 920()C) (619) 438-ll6I PERMIT APPLICATION ~ V PI.AN CHECK NO. City of Carlsbad Building Department 2075 Las Pal1111s Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL'------------ PLAN CK DEPOSIT ---------V AIJD. BY ------------1. P£RMI I IYP£ DA TE A -D Commercial D New Building D Tenant Improvement B -□ Industrial D New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical l!:lPlumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _ 2. PROJF.Cr INFORMATION FOR OFFICE USE ONLY Address ;J.6 \ r-i en,-~t,J'f fl(). Building or Suite No. Nearest Cross Street ,-''"'"''° tt.AO '-LEGAL DESCRIPTION Loe No. Su!xhVJs1on Name/Number Unit No. Phase No. CHECK BEWW IF SOBMI 11 ED: D 2 Energy calcs D 2 Structural calcs D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRJPTION OF WORI< G,oJ ( I uC n._,, 1 p t PROPOSED USE SQ. IT. # OF STORIES 3. WN IACI PERSON (it dmere.11t from applicant) /')fl. 5" ~ 1 (L>e,-.,O.N 14 V-<-NAME l)e(><~blc.. f-'111.......Jo I"') ADDRESS .,;, cnyS,,./J t:>,1-co STATE Ct:i ZIP CODE C/Ul..6 DAYTELEPHONE rft6(-~11-I 4. :~~~~~7l~~\~;cENI FOll~~k~10~~1.jow;~(~~~Ni F~~~WN 1hc -II tl>I CITI s-;, ,v DI ( (;ro STATE (A ZIP CODE S' L.J 2 t DAY TELEPHONE °U 6-2. 1"1. I s. ~~~~y\~~1t O ~( "\.CA ADDRESS 261 'l f<.-ic,.. (~-t fl/)' CITI C..OAl.fl..111eA STATE C/J ZIPCODE DAYTELEPHONE 9?'1-6Bzl'.t 6 . =~;;~.vJ.ab \e PtL>M"11Nj ADDRESS ?e;Zf f,-/U(,,..T4tv ~v---.r1c# (b/ CITI Jf>N 01~(;0 STATE C,ot,1f ZIP CODE <;).l"'l..6 DAY TELEPHONE ""26i ·<...\L\ DESIGNER NAME STATE uc. # 6o 'i'?o4 ucENsE cI.ASs C -3 6 c1TY Bus1NEss uc. # l \ 'i' 8 oS-8 ADDRESS CITI STATE ZIP CODE DAY TELEPHONE STATE UC.# 7. WOll.R£Rs' WMP£NSAl1ON Workers' Compensauon Dedarauon: I hereby all1rm chat I have a certificate of consent to sell-msure issued by the Director of industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Departmen¥Section 3800, Lab. C). INSURANCE COMPANY ,e;v/ -ff/ Ca · POLICY NO. 17(')rDIU EXPIRATION DATE ~e.lc, I I t 'i'l2. □ □ □ at m t e per ormance o so as to become subject to the Workers' Compensation Laws of California. -J-n ere ya rom e w or L e o owmg reason: I, as owner o 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 chat 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 to the Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (Sec. 703 I .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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or chat he is exempt therefrom, a nd the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects the a · to a civil pena ty of not more than five hundred dollars ($500]). SIGNATIJRE DATE /--'J 2, Is the applican ture b ildi cupant 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? a YES a NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF TI-IE ANSWERS AR£ YES, A FINAL CERTIFICATE OF CXDJPANCY MAY Nm BE ISSUED AFTER JULY 1, 1989 ~ TI-IE APPLICANT HA.5 MET OR IS MEETING TI-IE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TI-IE AIR POLUJTION a>NlROL DISilUCf. 9. wNS'I H0C'i1ON LENDtNC ACf:NCY I hereby allirm ihat there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C.VJI Code). LENDER'S NAME LENDER'S ADDRESS to. A11PUcAN"t CER'11FicA11oM I ceruly that I have read the apphcauon and state chat the above mlormauon 1s correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of carlsbad to enter upon the above mentioned property for inspection purposes. I Al.'iO AGREE ro SAVE INDEMNWY AND KEEP HARMLESS 1l{E CTIY OF CARISBAD AGAINST AIL IJABIUI'IF.S, JUDGMENTS, CDSTS AND EXPENSF.S WlDCH MAY IN ANY WAY Aa:RUE AGAINST SAID crIY IN OONSEQUENCE OF 1llE GRANTING OF 11-DS PERMIT. OSHA: An OSHA permit 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 Building Official under the provisions of chis Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the dace of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPLICANTS SIGNATURE DATE: _____ _ Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920014 FOR 01/09/92 DESCRIPTION: GAS LINE REPAIR TYPE: PLUM JOB ADDRESS: 2617 REGENT RD APPLICANT: DEPENDABLE PLUMBING CONTRACTOR: OWNER: REMARKS: RS/KIM/266-2121 SPECIAL INSTRUCT: A.M. INSPECTION PLEASE TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB920014 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 266-12121 CD LVL DESCRIPTION ACT COMMENTS IW-------------------------' 23 PL Gas/Test/Repairs ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS