The URL can be used to link to this page

Home My WebLink About2621 REGENT RD; ; CB920173; PermitB U I L D I N G P E R M I T 2/18/92 10 :.39 Paqe l of 1 Job Address: 2621 REGENT kD Permit Type: PLUMBING Parcel No : 2UB-133-06-7~ Valuation : O onstruction Type: NEW uccupancy Group : Description: REPAIR GAS LINE Appl/Own1 DEPENDABLE PLBG 7929 SILVERTON AV SAN DIEGO, CA *R* Fees Required ---------------------- Fees : Adjustments: Total Fees : Fee description Enter ~y• for Plum GAS Piping System * PLUMBING TOTAL Str : Clctss Coclt=>: 2662121 CITY OF CARLSBAD Permit No : CB920173 ProJect No: A920 49~ Development No: : ~t : 6392 02/18/92 0001 01 02 C-PRHT 10-00 cJ.. /Cf 5o Al .1 ~ : Applied : Apl/ls:.:;u.e: Validated By: ~-D 02/1 /9 02/18/9 CD .00 .oo 1 O. 00 *It* Ext fee Data 7 .50 Y 2.50 10.00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of Carlsbad Building Departaent 2075 Las Pal-s Dr., carlsbad, CA 92009 (619) 438-1161 EST.VAL. __________ _ PLAN CK DEPOSIT. _______ _ VAUD. BY __________ _ 1. PERMI I iYP£ DATE A -0 Commercial O New Building LI Tenant Improvement B -□ Industrial LI New Building □ Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical iill Plumbing □ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _ 2. PRQJECf OOURMATION FOR OFFICE USE ONLY Address :z.61.\ el:C;rc!A.n" ~. Building or Suue No. Nearest Cross Street '"\IA MA /\.AC.~ Unit No. Phase No. LEGAL DESCHIP I ION Lot No. SubchV1s1on Name/Number CHECK fi£IDW IF sUBMII IED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK . fJql> j r,.. SQ. FT. ~ ~r I~~ -# OF STORIES 3. WN IACl cltSON (1f dlfleren from apphcanO NAME ADDRESS CllY STATE ZIP CODE DAY TELEPHONE 4. APPUCANI JZICONll¼t;'IOR DAGEN! FORCONIRAcIOR DOWNER DAGEN I FOR OWNER ..-.u./ I NAME 1'c.fC~, ... ,nu ... b1.:.6 ADDRESS ~5'?.f .rd~-ra,,v 1/11,1._ rr, -rroO CI1Y Jji N I' Jf &I> STATE CJ>· ZIP CODE 7U :i£ DAY TELEPHONE 2';.t · Z I Z.., I s. PIIDP£RIY OWNER NAME to.uAI O OICA ADDRESS U'L\ Rt:'b{:.vr /IJ,~ Cl1Y o:wsh~ STATE CA. ZIP CODE DAY TELEPHONE '1 ? O C/ re,-,o#»lc.. '.Pt"w.b\NC;-co. ADDRESS i'i'1.1 ri(v~,oiv Av<.• .rtci:160\ Cl1Y J"'f:JN J>(((;O STATE (A. ZIP CODE Cj'"l)'l..b DAY TELEPHONE 1.£6-L\1.\ STATE UC. #6:ft7 04 LICENSE CLASS C -f ' CI1Y BUSINESS UC. # // ?8 0~ {3 DESIGNER NAME ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE LJC. # 1. Wuilkfilts' UJMP£NSXnON □ □ □ Workers' Compensation Oeclarauon: I hereby athrm that I have a cemhcate of consent to sell-insure issued by the Director of lndustnal 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 Department (Section 3800, Lab. C). POLICY NO. $1 ? ,ol\.,< EXPIRATION DATE 2 -\ -C, 3 ere ya ,rm t at am exempt rom e w or t e o owmg 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 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.). 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. 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, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE ;2-/8-', ~ upant required to submit a business plan, acutely ha:zardous materials registration form or risk management and s 25505, 25533 or 25534 of the Presley-Tanner Ha:zardous 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 □ NO IF ANY OF TIIEANSWERS ARE YES, A FINAi.CERTIFiCATE OFcxx:uPANCY MAYNOf BE ISSUED AFI'ERJULY 1, 1989 UNLFSS TI-IEAPPUCANT HAS MET OR IS MEETING TIIE REQUIREMENTS OF TI-IE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILU11ON WNTROL DISllUCT. 9. OONS'!R0CnON Il!NDlNG AGENCY I hereby alhrm that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCANT c£1tl111drnoN I cerufy that I have read ihe apphcauon and state that the above mlormauon 1s correct. I agree to comply w1ih 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 INDEMNIFY AND KEEP HARMLESS nm crJY OF CARLSBAD AGAINST ALL UABII.nlES, JUDGMENTS, CDSTS AND EXPENSF.S WI-DOI MAY IN ANY WAY Aa:RUE AGAINST SAID crJY IN WNSF.QUENCE OF nm GRANTING OF nns 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 this 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 date 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: "°G-10 -11.. • DATE d. { (. 1:Y UNSCHEPYLEP INSPtc;Wff7/7 ~ \ /J/J INSPECT~/)~ __ __.._ ....... ;.=:;._..:.._=. __ PERMIT# _____ _ J'OB ADDRESS ~ 0,;;,-1 !<t &:&Jr PLANCK# _____ _ TIME ARRIVE: _____ TIME LEAVE: ____ _ CD LVL PDIIITS. 6/15/lt DESCRIPTION b{to lt,,D/t:t~ I I ACT COMMENTS &/ __ _