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HomeMy WebLinkAbout2649 REGENT RD; ; CB112570; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 12-07-2011 Permit No: CB112570 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2649 REGENT RD CBAD PME 2081330401 Lot#: 0 JUWVIPART RES-REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/07/2011 LSM 12/07/2011 12/07/2011 ECONOMY PLUMBING & AIR JUWVIPART ALEX&RUENRUDEE FAMILY TRUST 07-07-05 45077 CORTE BELLA DONNA TEMECULA CA 92592 760-480-1765 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 474 JOLINA WAY ENCINITAS CA 92024 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "lees/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 Secition 66020{a), and me 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 arry subsequent legal action to attack, review, set aside, void, or annul their impositior-1. 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 processirg or service fees in connection with this project. NOR DOES 1T APPLY to any f Tl i1 Umi h i «~"> Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 /2718/2719 Plan Check Nt:}6 11 GT"~ ~ CITY OF CARLSBAD JOB DDRESS "2. l.1-Cj Fax 760-602-8558 www.carlsbadca.gov UITE#/SPA E#/UNIT# Est. Value Plan Ck. Deposit Date 7 \ \ CT/PROJECT# LOT# PHASE# # OF UNITS TENANT BUSINESS NAME DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ~e.ll"'o~ t £ )(1 ~\ "''') f'; A. U a.,,,J \"''>\-<..I\ FA,J, EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) STATE UC.# SWPPP CONSTR. TYPE OCC. GROUP ZIP oo FIRE SPRINKLER YES□No□ z,,, oUJ.-- CITY BUS. UC.# 70 Ml' (Sec, 7031.5 Business and Professions Code: Any City or Coun_tywhich requires a permit to construct, alter, improve, demolish or repair any structure, p_rior to its issuance, also requires the applicant for such permit to file a si~ned statement tnat he 1s licensed pursuant to the provisions of the Contractor's License Law JChapter 9, commending with Section 7000 of Division 3 of the B_usiness and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a c1v1I penalty of not more than five hundred dollars {$500}). Workers' Compensation Declaration: I hereby afflmi under penalfy of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure formrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the worll forwhlch this permit is issued. ~ I have and will maintain workers' compensation, as reauired by SectiOn 3700 of Ille Labor Code, for the performance of the worll for which this permit is issued. Myworllers' compensatiOn insurance carrier and policy nomberara Insurance Co C=\ ~ ~ fO I ,J >. W1 l-oJ f PoloyNo,E:;:@(_ 2-lb-2-4-j E,p;ration Date (:, -13', -I 2 µ.Jli.sectH)n need not be completed if !tie permit Is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that In the performance of the worll for which this permit is issued, I shall not employ any person in any manner so as to tiecome subject to tile Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), addition to the cost of compensation, damage provided for In Section 3706 of the Labor code, interest and attorney"s fees. ,If$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ \, 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 (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 worll 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). 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). I am exempt under Section _____ Business and Professions Code for this reason: 1. I personalty plan to provide the majOr labor and materials for construction of Ille proposed property improvement. Oves ONo 2. I {have/ have not) signed an application for a building permit for the proposed worll. 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 worll, but I have hired the folHJwing person to coordinate, super,,ise and provide the major worll (Include name I address I phone/ contractors' license number): 5. I will provide some of the worll, but I have contracted (hired) the following persons to provide the w::irll Indicated {!nclude name/ address/ phone I type ofworll): JfS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON•RESIDENTIAL llUILDJNG PERMITS ONLY Is the applicant or future buildlng occupant required to submit a business ...e@!l, acutely hazardous materials registratk:ln form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substarice Account Act? D Yes LJ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or a~ality management district? 0Yes D No Is the facility to be constructed wil11In 1,000 feet of the outer boundary of a school site? 0Yes LJNo 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 AND THE AIR POLLUTION CONTROL DISTRICT. I certify that I have iead the applicatlon and state that the above information is oorrectancl that the irifonnation on the plans is accurate. 1 agree to comply with al1 City oltlinances and State laws relatlngto building construction. I hereby authorize representative of the City of Ca~sbad to enter u~ the 000\IEl mentioned propertyfcr inspecljon pul"JX)ses. I ALSO AGREE TO SI..VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN Af,N WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GAANTING OF THIS PERMIT. OSHA: M OSHA permit is requira:l fcr excavatoos over 5'0' deep and demolition or ocostruction of structures CM:13 stories in height EXPIRATION: Every permit issued by the ~~g Official urder the provisions of this Ccxle shall expire by \imitation and bocome null ard void Wlhe building or work authonred by sucti permit is rot commenced within 180 days from the date of such pemit or if i/ilding or work auttiorized by such permit is suspended or abandoned at any time after tha wo1< is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). ~APPLICANT'S SIGNATURE I DATE I: . IS -I I City of Carlsbad Bldg Inspection Request For: 12/14/2011 I Permit# CB112570 Inspector Assignment: Title: JUWVIPART RES-REPLACE FAU Description: Type:PME Sub Type: Phone: 7604706273 Job Address: 2649 REGENT RD Suite: Lot: 0 Location: Inspector: OWNER JUWVIPART ALEX&RUENRUDEE FAMILY TRUST 07-07-05 Owner: JUWVIPART ALEX&RUENRUDEE FAMILY TRUST 07-07-05 Remarks: ---- Total Time: Requested By: NA Entered By: JANEAN CD Description Act Comments 44 49 Date Rough/Ducts/Dampers Final Mechanical Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Description Act lnsp Com men ts