HomeMy WebLinkAbout1480 REGATTA RD; ; CB040188; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing Permit Permit No: CB040188
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
1480 REGATTA RD CBAD
PLUM Status:
Parcel No: 2150740400 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #:
Project Title: HEALY RES-GASFOR BBQ/FIRE PIT
ELEC FOR LIGHTING
Applicant:
SUNCO PLUMBING
611 AUGUSTA DR 92069
760 7 45-8227
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
TOTAL PERMIT FEES
0
0
0
0
0
1
0
Plan Approved:
Issued:
Inspect Area:
Owner:
HEALY JOHN&MICHELE
1480 REGATTA RD
CARLSBAD CA 92009
ISSUED
01/15/2004
MEL
01/15/2004
01/15/2004
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$27.00
$0.00
$0.00
$0.00
$54.00
Total Fees: $54.00 Total Payments To Date: $0.00 Balance Due: $54.00
FINAL APPROVAL
DATE f/t.5/P( CLEARANCE __ _
SIGNATUR~ f ~-
FOR OFFICE USE ONLY
PERMIT APPLICATION PLAN CHECK No.c&:;Jf c' M
CITY OF' CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit j/v
Validated By-r-""'==--L.~...:.....,~-----
Date ///fl It.{
Business Name (at this address)
Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use
#of Stories # of Bedrooms # of Bathrooms
(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 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any v· lation of action 7031.5 by a applicant for a permit subjects e applicant to a civil penalty of not more tha five hundred dollars [$500)).
J ~ u:, ,p ~ -%zz7
City State/Z1~ Telephone #
City Business License # _;) Mf J
Designer Name
State License #
Address City State/Zip Telephone
.Kfil!S' Of,'IP~jATION ___ _ •
orkers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate 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. ibt7 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
~ued. My worker's compensation insurance carrier a~licy num re: c./L:,', ~~~ /. , /. , -.:, L.
Insurance Company ..,e_ ~ Policy No. O ,z_ ~.2/ZL::J Expiration Date /~L_P.c,~LJ
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) /
0 CERTIFICATE OF EXEMPTION: I certify that 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 workara' com enaation covera e la unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dolla a provided for in Section 3706 of the d attorney's fees.
S~-=-c= DATE _ __,."-:-;;;-;;=:z;=;;;;;;:~;;;;;:;:-::; ir --,._....,.,,.-,.--•-
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees wit 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 Co actor's License Law does not apply to an owner of property who builds or improves thereon, and who does
such work himself or through his own employees, p vided 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-buil er will have the burden of proving that he did not build or improve for the purpose of sale).
0 I, as owner of the property, am exclusiv contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to n owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section __ -.__ __ Business and Professions Code for this reason:
1. I personally plan to provide the ajor labor and materials for construction of the proposed property improvement. 0 YES ONO
2. plication for a building permit for the proposed work.
3. I have contracted with th following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number):
4. I plan to provide porti s of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone
number/ contractors lice e number):. ______________________________________________ _
5. I will provide som of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
[CQMIMJ~ THl~"SECTION FOR NOfi.:RESIDENTIAL B!Jl~PlfiQ,PERMtTS ONLY . • . .. . ..
s the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES O NO .
s the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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.
(8, _ comRu~ON !.,_ENDING AGENCY ----._ ~-
<I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _______________ LENDER'S ADDRESS ________________________ _
9 AUi.iC.AN CEl!TIF!QTION -----.
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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: An OSHA permit 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 void if the building or work
aulhorized by such permit is not commenced · · ch permit or if th building or work authorized by such permit is suspended or abandoned
at any time after the work is com rm uilding Code). DATE /:; ,-. /4 L ~
APPLICANT'S sIGNA r LL~ ./ o -L_ _,,,,.-. I , / '---WHITE: File YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 04/13/2004
Permit# CB040188
Title: HEALY RES-GASFOR BBQ/FIRE PIT
Description: ELEC FOR LIGHTING
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
1480 REGATTA RD
Lot
APPLICANT SUNCO PLUMBING
Owner: HEALY JOHN&MICHELE
Remarks:
Total Time:
0
CD Description Act Comment
% a,u:1gl 1ffopcot Ai!!:_
34 Rough Electric )l/J
3-'I--At°
_1li__ .4Jt}
Associated PCRs/CVs
lnsgection Histo['L
Date Description Act lnsp Comments
Inspector Assignment: TP ---
Phone: 7606020464
l~pocioc/4
Requested By: MICHELLE
Entered By: ROBIN
04/09/2004 29 Final Plumbing NR TP NO RESPONSE
03/01/2004 23 Gas/T esVRepairs
03/01/2004 31 Underground/Conduit-Wiring
01/22/2004 23 Gas/TesVRepairs
01/16/2004 23 Gas/TesVRepairs
01/16/2004 31 Underground/Conduit-Wiring
01/16/2004 34 Rough Electric
NR
NR
AP
co
AP
WC
TP
TP
TP
TP
TP
TP
NEED 30 PSI TEST
U/G CONDUIT ONLY