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Home My WebLink About2639 Regent Rd; ; CBR2017-0138; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Print Date: 06/05/2017 Residential Permit Permit No: CBR2017-0138 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2639 Regent Rd BLDG-Residential 2081330692 $0.00 www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: TOBER: CHANGEOUT FURNACE PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: COOWNER TOBER WALTER E&MADELEINE E 2639 Regent Rd CARl5BAD, CA 92010 Tota\ Payments To Date: $166.00 Status: Applied: Issued: Fina\ed: Inspector: Contractor: AS\ HASTINGS INC. 4870 Viewridge Ave, Ste 200 SAN DIEGO, CA 92123-1671 619-590-9300 Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction," 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Closed -Finaled 01/23/2017 01/23/2017 $0.00 $166.00 l1'1<E FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: QPLANNING D ENGINEERING □BUILDING □FIRE □HEALTH D HAZMATIAPCD <<~f Building Permit Application Plan Check No.~l).....'"Zo 11 -(:)\SO 1635 Faraday Ave .• Carlsbad. CA 92008 Est. Value ~ CITY 0 F Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck.,DepQslt CARLSBAD email: building@carlsbadca.gov www.carlsbadca.gov Date I /23/ 17 lswPPP JOB ADDRESS 2639 REGENT RODE, CARLSBAD 92010 SUITE#/SPACEt/UNll# IAPN --- CT/PROJECT# I LOT# I PHASE# I# uf UNITS I# BEDRuOMS # BATHROOMS lTENANT BUSINE5:> NAME I CONSTR TYPE I occ. GROUP DESCRIPrlON OF WORK: Include Square Feet of Affected Atea(s) CHANGEOUTFURNACE EXlSTING USE I PROPOSED USE I GARAGE (SF} PATIOS (SF) I DECKS (SF) FIREPLACE IA\R wNO\TIONING I FIRE SPRINKLERS YESO •<O YESO•o □ v,so•o□ APPLICANT NAME JERMAINE MAEWEATHER PROPERlY OWNER NAME WALTER TOBER p ADDRESS ADDRESS 3645 RUFFIN ROAD # 330-335 2639 REGENT RODE, CARLSBAD 92010 CITY STATE ZIP CITY STATE ZIP san die110 ca 92123 CARLSBAD CA PHONE l"x PHONE l"x 619-590-9337 (760) 434-7654 EMAIL EMAIL JERMAINE~WEGREENINC.COM DESIGN PROFESSIONAL CONTRACTOR BUS. NAME asi hastinas ADDRESS ADDRESS 4870 viewridge ave CITY STATE ZIP CITY STATE ZIP san die110 ca 92131 PHONE I "x PHONE l"x 619-590-9337 EMAIL EMAIL !STATE LIC. # STATE UC.# !°LASS I en, aus. uc.1200804 513115 c20 (Sec. 7031.5 Business and Pr0fessIons Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair an:t_ structure, p_rior to its issuance, also re_quires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License LawJChapter 9, comme_nding with Section 7000 of D1visIon 3 of the Business and Professions Code} or that he is exemP.t therefrom, and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subiects the applicant to a civil penalty of not more than five hundred dollars {$500}). WORl(ERS' COMPENSATION Workers' Compensation Declaration: / hereby sfflrm under penalty of perjury one of the foJ/oWfng dederetlons. 0 I have and wlll maintain a certificate Of consent to self-Insure for workers' compensation as provided by Section 3700 of the Labar Code, for the performance of the work for which lhls permit Is issued. [ZJ I have and will maintain workers' compensation, as required by Section 3700 of lhe Labar Code, for the perfonnance of the work for which \his permit Is issued. My workers' compensaliOn Insurance earner and policy number are: Insurance Co. CYPRESS INSURANCE COMPANY Polk:y No. ASWC711636 Expiration Date 9/1/2017 ~ section need not be completed if the pennil \s for one h.mdred dollars ($100) or less. LJ Certificate of Exemption: I certlfy that in the performance of the work for which this permit is issued, I stiall not employ any person in any manner so as to berome subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penaltles and civil fines up to one hundred thousand dollan1 (&100,000), In addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees. k$ CONTRACTOR SIGNATURE 1 hereby affirm that I am exempt from Contractor's Ucense Law for the fol/owing reason: □ □ □ I, as owner of the property or my employees wllh wages as their sole compensation, will do the work and the strucwre is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Lk:ense Law does not apply to an OWl18r of property who builds or improves thereon, and whO does such work hlmseif or through his own employees, provided that such improvements are not Intended or offered tor sale. If, hOwever, the building or improvement is sold within one year of compleUon, the owner-bu!lder will have the burden of provlng that he dKl not bUikl or iOl)rove for the purpose of sale), !, as owner of the property, am exclusively contracting with lieensed contractors to construct the project (Sec. 7044, Business and Profess'ons 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) \lcenSed pursuant to the Contractor's License Law). I am exempt under Section ____ ~.uslness and Professions Code for this reason: 1. I personally plan to provide \he major labor and materlals for construction of the proposed property Improvement. Oves Oo 2. I (have I have not) s'gned an applicatlon for a building permit for the proposed work. 3. I have contracted wllh the following person (firm) to provide the proposed construction (Include name address/ phone/ 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' lk:ense number): 5. I will provkle some of the work, but I have contracted (hired) the following persons to provide the work indicated (lnc\ude name I address I phone/ type of work): 6:5 PROPERTY OWNER SIGNATURE □AGENT DATE I I I Is the applicant or future building occupant required to submit a business plan, ocutely hazardous materia5 registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley':. Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be conslructed within 1,000 feet of the outer bound.wy of a sctX>OI site? □ Yes □ 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 AND THE AIR POLLUTION CONTROL DISTRICT. t certify that I have read the application and state that the abo¥8 information is co1T8Ctand that the Information on the plans Is accurate. I agree tD comply with all Cit¥ oldinanoes and state lawS relating tD bulldlngcoostructlOn. I harebyauroize re,::resenlative of the Ctty of COOSbad ben'er upon lheaoovEl mentbned propertybr ins~ pul]X)S8$. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGANST SAID CITY IN CONSEQUENCE OF THE GRANTING Of THIS PERMIT. OSHA An OSHA J)efmil is requil'OO for excavatjcris over 5'0' deep and demdiooll or oonstnJcoon of slJUctures over 3 stories in he,;Jht. EXPIR.A. TION: Every permit ssued by the Bulkling Offda1 under lhe provisbns of this Ccxle shall expire by imitalk>n and oocome null and wd tt the building or work au!tnriza:1 by such permit is notCCffl11;!0C:8d wllt1Jl 180 days from the date of such permit or tt the buik:ling or work authorized by sudl J):lnnlt is suspertdEd or aband:looo at any lime after the work isCOlllJJl8JV;:ed for a pefkxj of 180days (Sedbn 106.4.4 Unimn Buik:lilg Ccxle). ..e:( APPLICANT'S SIGNATURE ~ DATE . \ ' ' ' ' ' '. ' PERMIT INSPECTION HISTORY REPORT (CBR2017-0138) Permit Type: Work Class.- Status: Scheduled Date BLDG-Residential P/M/E Closed -Finaled Actual Start Date Inspection Type Application Date: 01/23/2017 Owner: Issue Date: 01/23/2017 Subdivision: Expiration Date: 12/04/2017 Address: IVR Number: 1564 Inspection No. Inspection Status Primary Inspector 06/05/2017 06/06/2017 BLDG-43 Air Cond./Furnace Set 026203-2017 Passed Andy Krogh June 06, 2017 BLDG-Final Inspection 025204-2017 Checklist Item BLDG-Mechanical Final Passed Andy Krogh COMMENTS COOWNER TOBER WALTER E&MADELEINE E 2639 Regent Rd Carlsbad, CA 92010--6412 Re inspection Complete Complete Complete Passed Yes Page1 of1