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Home My WebLink About2649 REGENT RD; ; CB112280; Permit10-24-2011 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: PIPES PLUMBING 1145 LAW ST 92069 434-3067 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB112280 Building Inspection Request Line (760) 602-2725 2649 REGENT RD CBAD PME 2081330401 TAMARACK POINT-GAS LINE REPLACE MENT Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 10/24/2011 KG 10/24/2011 10/24/2011 JUWVIPART ALEX&RUENRUDEE FAMILY TRUST 07-07-05 474 JOLINA WAY ENCINITAS CA 92024 $150.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: $0.00 Inspector: Clearance: , o s> I" ... ,, NOTICE: Please take NOTICE that approval of your project includes the ulmposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions." Ycu have 90 days from the date this permit was issued to protest imposition of these tees/exactions. 11 you protest them, you must follow the protest procedures set fcirth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager tor 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, revlew, set aside, void, or annul their imposition. You are hereby FURTHER NOT\F!F.D 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 !T APPLY to any I whi N Tl 'mil r h. r f i v· I LOT# - Building Permit Application 1635 Faraday Ave., carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 www.cartsbadca.gov \ PijA.S # II OF UNITS DESCRIPTION OF°wORK: Include Square Feet of Affected Area(s) I. 6J EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT NAME (If Different Fom App/leant) ADORES CITY PHONE EMAIL CONTRACTOR BUS. NAME ADDRESS CITY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # Plan Check NC Est. Value Plan Ck. Deposit Date FAX SWPP CONSTR. TYPE OCC. GROUP AIR CONDITIONING YES O NOD ZIP FIRE SPRINKLERS YES D NOD {Sec. 7031.5 Business and Professions Code: Any City or County wtiich 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, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom, and the basis for ttie 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)). "'!'"'"""'~,•*"""~~~ *" I"***""' * ~,' q =*''£"** * '°*~s~i* *'' ,~"' Y~~,,~~0,,, ~*•r1 ~lllrOIIK_f:R.S',,C:OMPf!NllATl_0,111 ,_,,, ,IL•• , '., __ , _ , .. h,,,, Workers' Compensation Declaration: I hereby affirm under penall'f of perjury one of the fol/owing declarations: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, Im the performance of the work for which this permit is issued. CY' I have and will maintain worker ' ompe s ·on, as required by Sectio 3700 of the Labor Code, for the perlOITT1ance of \he work for which this permit is issued. My workers' compensation insurance carrier and policy T number are: Insurance Co. ' •. Policy No. / 2 \J.f ::f.<j N 6, :2f\ lj Expiration Date \ ")... / '3 } / / J I I This section need not be completed if the permit is for one hundred dollars ($100) or less. D Certificate of Exemption: I certify that in the perlormance of \he work for which this permit is issued, 1 shall not employ any person in any manner so as lo become subject 10 the Workers· Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in addition to the cost of Compensation s as provided for in Section 3706 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am ax empt from Conlractor's License Law for the following reason: □ I, as owner of !tie 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 tt'lough his own emp~ees, 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 tt,e property, am exclusively contrac~ng with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not app~ to an owner of property who builds or improves thereon, and contracts fer 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: 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an applicatlon for a building permit for the proposed wort 3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the wof\\, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone I contractors' license number): 5. I will provide some of the work, but I have cootracted (hired) the following persons to provide the work indicated (include name/ address/ phone I type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE Is the applicant or future buildi.ng occupant requi1ed to submit a business plan, ac. utely h.azardous materials registrati.on form or risk ma.nag. ement and prev~rogram under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes □ No ~ Is the applicant or future building occupant required to obtain a permit from !he air pollution control district or air quality management d1stncl? · .:J Yes O No Is \hi:; facility to be constructed within 1,000 feet of the ou1er boundary of as site? □ Yes D No IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF PANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONT ISTRICT. der's Name I certify that I have read tile application and state th at the above Information is oonectand that tile infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ,6.J\ID KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: Ar, OSHApennrt 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 voKI if the building or work authorized by such perm1l is not commenced 'Minn 180 days from the date of such permit or if the buiding or won( authorized by such permit is suspended or abandoned al any time after the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code) ~ APPLICANT'S SIGNATURE DATE City of Carlsbad Bldg Inspection Request For: 10/25/2011 Permit# CB112280 Title: TAMARACK POINT-GAS LINE Description: REPLACE MENT Type:PME Sub Type: Job Address: Suite: Location: 2649 REGENT RD Lot: APPLICANT PIPES PLUMBING 0 Inspector Assignment: ~ Phone: 7604971149 CELL Inspector: ---- Owner: JUWVIPART ALEX&RUENRUDEE FAMILY TRUST 07-07-05 Remarks: Total Time: CD Description Act Comments Requested By: RUTH BENTLY Entered By: CHRISTINE 23 Gas/Test/Repairs £l_ ______ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments