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