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Home My WebLink About2657 REGENT RD; ; CB102473; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 12-16-2010 Plumbing Permit Permit No: CB102473 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Building Inspection Request Line (760) 602-2725 2657 REGENT RD CBAD PLUM 2081330405 Lot#: 0 Construction Type: NEW HOLMES RES-REPLACE GAS PIPE FROM METER TO GARAGE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/16/2010 RMA 12/16/2010 12/16/2010 Applicant: PIPES PLUMBING HOLMES PATRICIA REVOCABLE TRUST 12-12-91 1145 LAW ST 92069 434-3067 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 Total Fees: Inspector: $27.00 0 0 0 0 0 1 0 2657 REGENT RD CARLSBAD CA 92010 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Payments To Date: $27.00 Balance Due: FINAL APPROVAL Date: /;;2. -;Lor /CJ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposrtion" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/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 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 tees/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 fe x in fwhih hv r i I n ivn Tl E imilr wih flimi i h J fi·~ «i. ~'> ~ CITY OF CARLSBAD , .. Building Permit Application 163fi Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov UITE#/SP Plan Check No. Est. Value Plan Ck. Deposit SWPPP CT/ # BATHROOMS CONSTR. TYPE OCC. GROUP DESCRL LION OF WORK: Include Square Feet of Affected .Area(s) EX E PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) CONTACT ,_-,ME (If Different Fom Appllcant) APPLICANT NAME ADDRESS ADDRESS CITY STATE ZIP PHONE FAA PROPERTY OWNER NAME ' CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STAT~ CITY FAA PHONE EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE UC.# AIR CONDITIONING YESONoO ZIP FIRE SPRINKLERS YES0N00 (Sec. 7031.5 Business and Professions Code: My City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires 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 1s exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any appllcanffor a permit subjects the apphcant to a civil penalty of not more than five hundred dollars {i500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury ona of the fol/ONing declarations: I have and will maintain a certificate of consent to self-Insure for 'MJl"kers' compensation as provided by Section 3700 of the Labar Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compe;.s~atlon:, ! a5s.._~ reQUU~i~redr y ~ Section 3700 of the Labar Code, for the performance of the work for Yltlich this permit is issued. My workers' compensalion insurance cafrier and policy number ara, Insurance Co J, n ~ Pol;cy No. J? I 'IA.I Cl) I ?:'5' 7 ? E~ration Date 14 3'. lf( tJ lbi§.seclion need not be completed if the permit ,s for one hundred dollars ($100) or less. LJ Certificate of ExampUon: 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 workers' compensatkln coverage ls unlawful, and shall subject an employer to criminal penattles and clvll fines up to one hundred thousand dollars {&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. Jl5 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's License Law for the following reason: D I, 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 offef'ed 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 008s such work 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 wittin 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 cwmer of the property, am exclusively contracting with licensed conlractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property -.mo builds or improves thereon, and contracts for such pro;ects with contractor(s) licensed pursuant to the Contractor's Ucens& Law). I am exempt under Section _____ Business and Professions Code for this reason: 1. l person alt,/ plan to provide the major labor and materials for construction of the proposed property improvement. Qves Oo 2. I (have/ have not) signed an application for a building permit for lhe proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (in<ilde name addr.ess / phone I contractors' license number): 4. I plan to provide portions of Iha work, butt have hired the following person to coordinate, supervise and provide the major won<. (include name/ address I phone/ contractors' license number): 5. I will provide some of the WOfk, but I have contracted (hired) the following persons to provide the work indicated (include name/ address I phone I type of work): ,IS PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business..,Q!!r,!, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardoos Substance Actounl Ad? D Yes L.JNo Is the applicant or future building occupant required lo obtain a permit from the air pollution control district or a~lity management district? []ves D No Is the facility lo be construded within 1,000 feet of the outer boundary of a school site? Oves LJNo IF f,Jff Of THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE lSSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POlLUTION CONTROL DISTRICT. CONSTRUCTION LENDING AGENCY I hereby affirm that there 1s a construction lendmg agency for the performance of the work this permit is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above Information Is conect and that the lnfonnatlon on the plans Is acnirata. I agree to comply with all Cify oldlnances and s.ate laws relating to building construction. I "'8by authofize "'llfllSlllUSlve of lhe City of Carlsboo to enier'-"""lhe above ,rentioned property for lnsp,dion pu,poses. I ALSO AGREE TO SAVE, INDE~IFY AND KEEP HARMLESS TI<E CITY OF CARLSBAO AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF ll<E GRANTING OF TI<IS PERMIT. OSHA: AA OSHA pemit is required for excavaticm over S'O' deep and demdilion or constructioo of structures ~ 3 stones in hei{llt. EXPIRATION: Every pemlit issued by lhe 81.ilding Official under the provisklns of Ins Code shall ~re by limitation and become ruH ard \(ljd W the building or 'MJl'k a!Jhorized by sud! permit is not oommencecl wittW1 180 days from lhe date of su:::h penm or if the blilding ocworkauthorized by such permit is suspended or abandoned at any time after lhework is o:mnencedfor a penod of 180 days (Sedion 100.4.4 Uniform &ti1g Code). ,,6$ APPLICANT'S SlGNATURE DATE 12.. ) ~ (0 • I J_-~ City of Carlsbad Bldg Inspection Request . For: 12/17/2010 . Permit# CB102473 Title: HOLMES RES-REPLACE GAS PIPE Description: FROM METER TO GARAGE Type: PLUM Sub Type: Job Address: 2657 REGENT RD Suite: Lot: 0 Location: APPLICANT PIPES PLUMBING Inspector Assignment: P Phone: 7604343067 Inspector: __&-5 Owner: HOLMES PATRICIA REVOCABLE TRUST 12-12-91 Remarks: p m please Total Time: CD Description ~ct p Comments Requested By: RUTH BENTLY Entered By: CHRISTINE 23 Gas/Test/Repairs lLj_. ti ________ -/-_{L ;1k; 7a.s ~~ ...e-~v - Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments