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Home My WebLink About2641 REGENT RD; ; CB950088; Permit01/09/95 15 :05 Page 1 of 1 B U I L D I N G Job Address: 2641 REGENT Permit Type: PLUMBING Parcel No: 208-133-06-93 Valuation : o RD P E R M I T Suite: Lot#: Permit No: CB950088 Project No: A9500097 Development No: Con struction Type: NEW Occupancy Grou p: Description: GAS REPAIR Reference-#: 0225 01/09/95 0001 01 02 Stftefflf! I~SUEff•OO Appl/Ownr : MERIT PLUMBING 436 N QUINCE ESCONDIDO CA 92025 Applied: Apr/Issue : Entered By: 619-741-7747 01/09/9, 01/09/95 TP *** Fees Required lected & Credits *** ----------------------------------------------Fees : Adjur:tments: s: .00 Total Fees: s: . 00 e : 27 .o o Fee description ------------------ Enter "Y" for Plumni na e F Ext f ee Data Gas Piping System * PLUMBING TOTAL 20.00 Y 7.00 2 7 . l 0 PPROVAL !jl'-P. ~-=--DATE 1-I?- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION City of Carls bad Building Department EST. VAL. ______________ _ 2075 Las Pal mas Or., Carlsbad, CA 92009 (619) 438-1161 Pl.All Cl( DEPOSIT ___________ _ VALID. BY ______________ _ 1. ; PERMIT TYPE DATE ______________ _ A • COMMERCIAL NEIi TENANT IMPROVEMENT 0 INDUSTRIAL ONEIi □TENANT IMPROVEMENT □RESIDENTIAL □APARTMENT ~ONDO □SINGLE FAMILY DI/ELLING □ADDITION/ALTERATION □DUPLEX □DEMOLITION A'~LOCATION OH081LE HOME □ELECTRICAL □PLUMBING □MECHANICAL □POOL OSPA □RETAINING IIALL □SOLAR □OTHER _____ _ 2 . PROJECT F Address 7-I, Bu, ld1n9 or su, te No. ';~MA+--~ Lot No. Subd1vsionliame/Nunber Unit No. Phase No. CHEO: BELOII IF SUBMITTED: 0 2 Energy Cales 02 Structural Cales D 2 Soils Report ASSESSOR'S PARCEL BLDG. SO. FTG. # OF STORIES 3. D 1 Addressed Envelope EXISTING USE DAY TELEPHONE PROPOSED USE 4. APPLICANT NAME ~~j" 0 AGENT FOR CONTRACTOR ADDRESS STATE ¼ ZIP CODE D AGENT FOR OIINER Q Vl I tJC-;:_ CITY (._ DAY TELEPHONE 5. PROPEfiTY OWNER r J(' J-. NAME C,~L--t""--~Olrl VJ ADDRESS ZIP CODE □LESSEE □TENANT Cl TY STATE DAY TELEPHONE 6. CONTRACTOR NAME YYH~' ,. p '-'½ ~) if G 7. 8. CITY vSc-- SIGNATURE DESIGNER NAHE CITY WORKERS' COMPENSATION STATE ADDRESS Cl)-;z1P CODE LICENSE CLASS TITLE ADDRESS ZIP CODE DAY TELEPHONE CITY BUSINESS DATE DAY TELEPHONE workers' COfl1)ensat1on 0e-clarat1on: hereby aff1rm that I have a cert1f1cate of consent to self-insure issued by the 01rector of or a certificate of Workers• Coq>ensat ion Insurance by an adnitted insurer, or an exact copy or duplicate t hereof insurer ther f filed wit}\ the Building Inspect ion Department (Sect ion 3800, Lab. C). INSURANCE COMPANY ✓ ~-POLICY NO. w s-e 01 I 1 x1m1l~ ( in the performance o the work for which this permit is issued, I shall not eq,loy s I CC>ff1)ensat ion Laws of al i forn · SIGNATURE DATE J hereby a f 1 rm that I am exerrpt ram the Contractor I s L 1cense Law for the fol tow1 ng reason: STATE LIC. # D I as owner of the property or my employees with wages as their sole c°"""'nsation, 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 i"l)roves thereon,. and who does such work himself or through his own employees, provided that such i"l'rovements are not intended or offered for sale. If, however, the building or i"l'rovement is sold within one year of c~letion, the owner-builder will have the burden of proving that he did not build or i"l'rove for the purpose of sale.). 0 I, as owner of the property, am exclusively cont racting 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 b.Ji lds or irrproves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor• s License Law). D 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, i"l'rove, 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, comnenclng with Section 7000 of Division 3 of the Business and Professions Code) or that he i s exempt therefrom, and the basis for the alleged exemption. Any violati on of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occl.4)ant 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 AccO\Xlt Act? Ores □No 1s the applicant or future building occupant required to obtain a permit from the air pollut1on control district or air quality management district? Ores □No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF A.NY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OClll'AIICY IIAY NOT BE ISSUED AFTER JUlY 1, 1989 IMLESS THE APPLICAIIT HAS NET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EllERGENCY SERVICES AIID THE AIR POI.LUTIOII CONTROi. DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 10. APPLICANT'S SIGNATURE 1 certify that I have read the application and state that the above 1 nformat ion 1 s correct. 1 agree to COO'pl y with all C 1 ty ord1 nances and State laws rel at 1ng to building construction. I hereby authorue representatives of the City of Carlsbad to enter upon the above mcnt1oncd property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUJCMENTS. COSTS ANO EXPENSES llltlCH IIAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. Expiration. Every permit issued by the Building Off1cial under the provisions of this Code shall expire by limitation and become null and void if the building or work authori zed by such permit is not comnenced within 180 days from the date of such permit or 1f the building or work authorized by such permit is suspended or abandoned at y time after th work is COITl1le for a period of 180 days (Section 3D3(d) Un1form Building Code>. D BY PHONE APPROVED BY; -------- DATE: YELLOW: Applicant PINK: Finance ... DATE com: ENFORCEMEN I Ol'l'fCER -------------- CASE NUMBER _____ _ lJ2Q 101 Animals l 02 Buildings l 03 Business License l 04 Engineering I 05 Garbage & J nk I 06 Housing/ th Safety 107 Miscell 108 Noise l 09 Pedd rs/Public Prop l 10 Si s 111 V, hicle Abatement 1 l 2 ehicle Zoning 11 Zoning ACTION CODES AP Approved CA Cancellation CI Code Violation Inspection CO Corrections To Be Made CP Compliance Made DN Denied NR Not Ready For Inspection PC Partial Compliance TA To City Attorney ~ ::> f ADDRESS ..--;:,. c?-f q{ f2ea-eJ ---- CODE ACT COMMENTS d5 a G,,.=, ari~ A}() t n:1~ ' ,~· NOTES