HomeMy WebLinkAbout2605 REGENT RD; ; CB960654; PermitB U I L D I N G P E R M I T Permit No: CB960654
ProJect No: A9600917
Development No:
04/10/9b 12:50
Page 1 of 1
Job Address: 2605 REGENT RD
Permit Type: PLUMBING
Parcel No: 208-133-06-63
Valuation: O
Occupancy Group:
Description: GAS LINE REPAIR
Appl/Ownr : DEPENDABLE PLUMBING
Suite:
Lot#:
Reference#:
619
7848 SILVERTON AVE SUITE I
SAN DIEGO, CA . 92126
*** Fees Required
Fees:
Adjustments:
Tot:al Fees:
Fee description
Enter "Y" for Plumb1
Gas Piping System
* PLUMBING TOTAL
***
CITY OF CARLSBAD
6973 04/10/96 0001 01 02
Construction Type: VN
Sta t4...~ffi.l,.SSUED
Applied: ,.tj4/10/967 ·00
Apr/Issue: 04/10/96
Entered By: MDP
266-2121
.00
.00
27.00
Ext fee Data
20.00 Y
7.00
27.00
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
\
PERMIT APEUCATION PLAN CHECK NO.
City of C.rlst.f Bulldi,-Departaent
2075 la Palas Dr., C.rlst.f, CA 92009 (619) 438-1161 EST.VAL ___________ _
I. PERMI'r iYPE
PLAN CK DEPOSIT _______ _
VALID. BY __________ _
DATE From Ust l (see bade) give code of Permit-Type: __________ _
For Resldendal Projects Only: From Ust 2 (see back) give
Code of Structure-Type: ___________________ _
Net Loss/Gain of Dwelling Units ________________ _
2. PRWECf INFORMATION
Address .)..<,o_r 14-11'.,._+
Nearest Cross Street
Ri
FOR OFFICE USE ONLY
Building or Suite No.
LECAI. b£scRIP'TioN Cot No. Unit No. Phase No.
EAEER BEWW lf s0sMI 11 £0:
□ 2 Energy Cales C 2 Structural Cales a 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE · PBPPQSEQ USE
DESCRIPTION OF WORK GM / ,;;,,. repc.. ,'r c;. + H.e4rr 0..1'\~ 5trv ,: e fo hOUH' •
# OF STORl~ # OF BEDROOMS # OF BAlHROOMS
1 1 eren rom app 1ca f', -
NAME (las~ name lint) 7l.0..,._f>,5oh f Ga;/ ADDRESS r, 0. f:3o>< '-(~ 0 //.01"1/)foi.-_/
4. z;::riJw/c. -aEuN litACIOR STc1Th~~FUR Ji& Y°J2/Jl2ifowNENAY g:~rn?76a ~iii1'5"'
NAME (last name lint) c;l e Do...,.e.., ,-, ~ Ar\-+l.~DRESS 7 8'('r f, I ~rlo"" Ave
5. ~IJcip~~ STATE (A ZIPtoDE 'iJ,1.),,f, DAYTELEPHONE )ll,-J.(.;l..f
NAME (last name lint) Ko L.. kr I fv1 r (. ADDRESS J C, OJ /)~~ e ... -I {!d,.
STATE CA ZIP CODE Cf' J..~ DAY TELEPHONE 7 _ J.l)
NAME (last name lint) D <"p e--ddlf Plv."""bi:..c, ADDRESS 7fl../'( Jr ltHrlov--Av-e ~;k r
c1TY C" lLe;-> STATE CA ZIP CODE C,J...1 ,l.(.. DAY TELEPHONE '2 G<o-'t.. ['1..-\
STATE UC. # / f q I. ]8 LICENSE CLASS C ~ J(.. CITY BUSINESS UC. #
DEslGNER NAME (last name hnt) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WORKEltS' wMP£NSA 110N
□
□
□
Workers' Compensauon Oedarauon: I hereby aihrm that I have a cenihca1e of consent to sell-msure issued by the Director ol lndustnal
Relations, or a certificate of Worken' Compensation Insurance by an admit1ed insurer, or an exact copy or duplicate thereof certified
by the Director or the Insurer thereor filed with the Building Inspection Department (Section 3800, Lab. C).
uwner-Buuaer uec1arauon: I hereby afilrm that I am exempt from the Eonfradofs Dcense Law ior the following reason:
I, as owner or the property or my employees with wages as their sole compensadon, will do the work and the slnlcture 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 work hlmselr 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
or proving that he did nor build or improve for the purpose or sale.). 1
I, as owner of the propeny; am exclusively contracting with licensed contracton to construct the project (Sec. 704-4, Business and Professions
Code: The Contractor's License Law does not apply 10 an owner of property who builds or Improves thereon, and contractJ for such projects
with contractor(s) licensed punuanl 10 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 pennit 10 construct, alter, improve, demolish, or repair
any structure, prior to Its issuance, also requires the applicant for such pennit to file a signed statement that he is licensed punuant 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 10 a civil penalty of not more than five hundred dollan ($500)).
SlGNATIJRE DATE
coMPll:n: mis SECilON FOR NON-RESIDENTIAi. sOltniNG PERMITS ONLY:
ls the applicant or future building occupant required 10 submit a business plan, acutely hazardous materials registration fonn or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Al=t?
C YES □ NO ls the applicant or future building occupant required to obtain a pennlt from the air pollution control district or air quality management district?
C YES □ NO
ls the facility to be conslnlcted within 1,000 feet of the outer boundary of a school site?
C YES □ NO
IF ANY OP lHE ANSWERS ARE YFS, A FINAL CERTIFICATE OF CXDJPANCY MAY Nor BE~ AFTER JULY 1, 1989 UNlESS lHE APPLICANT
HAS MET OR IS MEETING lHE REQUIREMENTS OP lHE OFFICE OF EMERGENCY SERVICES AND lHE AIR POLLU11ON CONlltOL DIS1RICT.
9. tDRSIR0CitON LENDING ACENC't
I hereby ai11nn ihat ihere IS a construcuon lending agency lor ilie peHonnance oi ilie work lor which ih1S penmt IS tssued (Sec 3097(1) CIVIi code).
LENDER'S NAME LENDER'S ADDRESS
I 0. XPPUCAN l CER IU ICA IION
I certify iliat I have read ilie apphcat1on and state that the a&ive mlormauon 1s correct. I agree to comply w1ih ail 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 ~ ACREE ro SAVE INDEMNIFY AND KEEP ~ 1l{E CJ1Y OP CAJUS8AD AGAINST AU. UAB~ JUDGMENTS. CDSTS
AND EXPENSES WIDOI MAY IN ANY WAY Aa:RUE AGAINST SAID Cl1Y IN CDNSF.QlJENCE OP lHE GRANTING OP nus PERMIT.
OSHA: An OSHA pennit is required for excavations over 5'0" deep and demolition or construction or s1n1c1ures over 3 stories In height.
Expiration. Every pennit issued by the Building Official under the provisions or this Code shall expire by limitation and become null and void if the
building or work authorized by such penn' 's not commenced within 365 days from the date of such pennlt or If the building or work authorized by
such pennit is suspended or aba~, a y lime after the work is commenced for a period or 180 days (Section 303(d) Uniform BuildinJ CQde).
APPLICANTS SIGNATURE ~ ;i_:::::;;;;;:~-DATE: <f/J?fft
Wl-DTE: File YELLOW: Applicant PINK: Finance
ft
PERMIT# CB960654
DESCRIPTION: GAS LINE REPAIR
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 04/12/96
STE:
INSPECTOR AREA
PLANCK# CB960654
OCC GRP
CONSTR. TYPE VN
LOT: JOB ADDRESS:. 2605 REGENT RD
APPLICANT: DEPENDABLE PLUMBING
CONTRACTOR:
PHONE: 619 266-2121
OWNER:
REMARKS: BJN/CRAIG/
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT# TYPE
CB900494 ELEC
PHONE: f PHONE:
INSPECTOR ::..___11--,J..-______ _
STATUS
EXPIRED
ACT COMMENTS
23 PL Gas/Test/Repairs fi---------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS