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Home My WebLink About2677 REGENT RD; ; CB060857; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 03-29-2006 Plumbing Permit Permit No: CB060857 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2677 REGENT RD CBAD PLUM 2081330415 Lot#: 0 Construction Type: NEW BERGMAN RES-REPLACE WATER HTR Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 03/28/2006 LSM 03/28/2006 03/28/2006 A&J FOSTER, INC. STE B BERGMAN CARL W JR&ENNIS-BERGMAN JOY 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Total Fees: $27.00 0 0 0 0 1 0 0 2677 REGENT RD CARLSBAD CA 92010 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27.00 Balance Due: FINAL APLTOVAL Date· S:::--{) h . , Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reseivations, or other exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any I T . ' ' FOR OFFICE USE ONL V l?IERM IT APPLICATION PLAN CHECK No.ce>o,ob-7 CITY OE CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit -r--=------ Validated By L$M Date :ef2--8"/o-b Address (include Bldg/Suite 11) Business N~me (at this address) legal Description lot No. Subdivision Name/Number d oy -lY$ -oY -IS- Assessor's Parcel II Existing Use L-< Jq B--::: bl e-,..J.e,,, 'v&Pl "Ci "l'Y1 C Unit No. Phase No. Proposed Use Total II of units Description of Work SQ. FT. #of Stories # of Bedrooms # of Bathrooms (il .. ,.. ~. "' -~-. lftfiiim,tr.9 It! v~. Name Name Address l~@,li'.¢:ijN[lB'i~tr~ij-~f!ijijifJlE.18~• " I !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 e signed statement th~t t:,e Is licensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he Is exempt .therefrom, and the basis for the alleged exe ptlon. fi,{IY violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hyndred dollars [$5001). c J r-vS +e, J;-?(' · 3 o e, ,, t., ....s fl /le,, · a 1..,.l <Pie;-!.? o LI Name Address L -"! le, City · · State/Zil! • Telephone# State License # __ ,_3_0~1~1.._..:>_____ license Class __________ City Business License # J '2( 0 ] 'J b Designer Name State License # Address qty . State/Zip Telephone ~~~IR~E.&Wsl~.Niffi9:~~\II~ 'l'!""": · "' .. 1'll.·· .. ,~ w.J.\·, ; · -·~~ ~-~.M Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to seif-insure for workers' compensation as provided by Section 3700 of the labor Code, for the performance of the wori< ·for which this permit is issued. · $-I have and will maintain workers' compensation, as-required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My worker's co?:ation insurance cprrier end policy number are: Insurance Company 2Tt} \-e KY'~ Polley.No. ():)( S-2..~ g~~ Expiration Date .._.f -W .)b (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) Olt'LESS) ,, _ CERTIFICATE OF E>CEMPTION: I certify-that in the performance of the work for wl)lch 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: Failure to se l...ill"'lliillilllb is unlawful, and shall aubjact an employer to criminal penalties and civil fines up to one hundred thousand dollars ·($100 · ages as provided for In Section 37011 of the !:Jl>or code, Interest and attorney's fees. SIGNATURE ....cl~~-DATE ~ ·t'7-0L Mil'~wN'~]JJ]pJ. · ci14~1l'wtJW'.'~.. · · ·· . •:.. • ".i :r.,;!.~~:l~~\~ii.!A~t~tWtlltiJli!IS1il!IHI/SlhPB!JR:~~ I hereby affirm that I em exempt from the Contra r's License Law for the following reason: . . . 0 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 (Soc. 7044, Business and Professions Code: The Contractpr'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). 0 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 Lew). O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work: 3, I have contracted _with the following person (firm) to provide the proposed construction (include name/ address/ phone number/ contractors license number): 4. J plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work [include ·name /address/ phone number/ contractors license number): ______________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated [include name / address·/ phone number / type of work): ________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk managem·ent and prevention program under Sections 26505, 25533 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES [J NO · ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of tho outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT. . !§~~ff~¾Jr~~liti;M.i~iffi~, · 8"~~• . -· \.,,· I S).. a,,,,, I hereby affirm that ther~ is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(1) Ci~il Code). LENDER'S NAME_______________ LENDER'S ADDRESS ________________________ _ ,!).-A'.iiJn.1Ji~'ilimmarn1F"JimilffR:fill~~~~B!r~~~~~ I certify that·I have read the applicatlon1and state that the above Information Is correct and that the Information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon tha above mentioned property for Inspection purposes. I ~LSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES )'VHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for 1excavatlons over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPIRATfON: Every permll 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 w in 180 days from the date of such permit or If the building or work authorized by such permit is suspended or abandoned at any lime after the work Is commence ape of 180 d (Saeli 1 .. 4 Unilorm Building Code). APPLICANT'S SIGNATURE DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/03/2006 Permit# CB060857 Title: BERGMAN RES-REPLACE WATER HTR Description: Type: PLUM Sub Type: Job Address: Suite: Location: 2677 REGENT RD Lot 0 Inspector Assignment: Phone: 760t346j~o Inspect&._ OWNER BERGMAN CARL W JR&ENNIS-BERGMAN JOY Owner: BERGMAN CARL W JR&ENNIS-BERGMAN JOY Remarks: Total Time: CD Description Act Comment 25 Water HeaterNents !J:t}_ Requested By: KARL Entered By: CHRISTINE ---------------4---------··------------ ___ ----------------- Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description Act lnsp Comments