The URL can be used to link to this page

Home My WebLink About2653 REGENT RD; ; CB112282; 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: CB 112282 · Building Inspection Request Line (760) 602-2725 2653 REGENT RD CBAD PME 2081330403 TAMARACK POINT GAS LINE REPLACEMENT Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: BROACH SUSAN 2653 REGENT RD CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 10/24/2011 KG 10/24/2011 10/24/2011 $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 L Inspector: Clearance: ,o -? s -1 \ NOTICE: Please take NOTICE that approval of your project includes the "Imposition~ of fees, dedications, reservations, or other exactions hereafter collectively referred to as '1ees/exactions.n 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 informatlon 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 processlrg or service fees in connection with this project. NOR DOES IT APPLY to any f fwi hvrvi NTIEii h h /.f~ ~•.,:rv ~ C I TY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov SUITElr/SPACElr/UNIT# # BATHROOMS DESCRIPTION OF WORK: Include Square Feel of Affected Area(s) \.. ~ EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT NAME (If DJlferent Fom Appl/cant) CllY CONTRACTOR BUS. NAME ADDRESS CllY STATE ZIP CA q 'U) CllY PHONE EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # Plan Check N Est. Value Plan Ck. Deposit Date NOD SWPP CONSTR. lYPE OCC. GROUP AIR CONDITIONING YES D NOD FIRE SPRINKLERS YES D NOD (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, commending with Section 7D00 of Division 3 of the Business and Professions Code] or !hat 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)). Workers' Compensation Declaration: I hereby affirm undar penalty of pe,jury one of the following declarations: 0 I have and will maintain a ctrtiflcate of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. 'y I have and will maintain worke • ompe s on, as required by Secf 3700 of the Labor Code, for the performance of the work for which this permit is issued. My wort<ers' compensation insurance carrier and policy number are: Insurance Co. ' . ~ Policy No. -, 2 \J./ :t<:, >-J G, 2f\ l\ Expiration Date ) ').. / 3 I / / I 1 1 This section need not be completed~ the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify thal in the performance of the work for which 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 secure worl<ers' compensation coverage Is unlawful, and shall subject an employer to crfmlnal penalties and clvll fines up to one hundred thousand dollars (&100,000), In addttion 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 afflrm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the slructure 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 himseff or through his own employees, provided that such improvements are not intended or offered for sale. ff, however, the building or improvement is sold within one year of completion, lhe owner-builder will have lhe 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). □ t 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 D No 2. I (have/ have not) signed an application for a building permil for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate. supervise and provide the major work (include name I address I phone I contractors' license number): 5. I wiH provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone/ type of work): ~ PROPERTY OWNER SIGNATURE □AGENT DATE City of Carlsbad Bldg Inspection Request For 10/25/2011 Permit# CB112282 Title: TAMARACK POINT GAS LINE Description: REPLACEMENT Type:PME Sub Type: Job Address: 2653 REGENT RD Suite: Location: APPLICANT PIPES PLUMBING Owner: BROACH SUSAN Remarks: Total Time: CD Description Lot: 0 Act Comments Inspector Assignment: ~ Phone: 7604971149 CELL Inspector: ---- Requested By: RUTH BENTLY Entered By: CHRISTINE 23 Gas/Test/Repairs A_£ ________ _ Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments