HomeMy WebLinkAbout2687 REGENT RD; ; CB111236; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
06-07-2011 Plumbing Permit Permit No: CB111236
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2687 REGENT RD CBAD
PLUM Status:
Parcel No: 2081330420 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
PC#: Issued:
Project Title: EBEL: REPLACE WTR HEATER Inspect Area:
Applicant:
EBEL DAVID FAMILY TRUST 09-22-07
2687 REGENT RD
CARLSBAD CA 92010
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
1
0
0
Owner:
EBEL DAVID FAMILY TRUST 09-22-07
2687 REGENT RD
CARLSBAD CA 92010
ISSUED
06/07/2011
JMA
06/07/2011
06/07/2011
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: Clearance:
$0.00
at approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." 'iou have 90 days from the date this pennit 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
f x in I . h Tl ii r fli in h h i
'
<<~~ Building Permit Application Plan Check No. (1~ \ \ \ 2 3 l-,
1635 Faraday Ave., Garlsbad, CA 92008 Est. Value ~ CITY OF 760-602-2717 / 2718 / 2719
CARLSBAD Fax: 760-602-8558 Plan Ck. Deposit
www.carlsbadca.gov Dateb'1 / ll lswPP
JOBADDR~
~cA"
SUITE#/SPACE#/UNIT # APN
?-1. ~-t t~ e-'->T ---
CT/PROJt:CT # !LOT# PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE l ace GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Atea(s)
1cf, 4.r~ w..._ ) ..1.-> ., .~v I-+, ATcv
EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) I FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS
YES □#_ NO □ YES □ NO □ YES □ NOD
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS ADDRESS
CITY STATE ZIP CITY STATE ZIP
PHONE FAX PHONE I FAX
EMAIL EMAIL
P~EA OWNER NAME CONTRACFOR BUS. NAME \/ n"> p-:z. .rr
AD~"ltt-12£&e-NT t_.:,
ADDRESS
CITY STATE ZIP CITY STATE ZIP
r A.~ I "< t, .4. .0 r, A-9"2-l!S\ f>(
PHONE
1-:i r--.-~2.(/-LI p, l"I
FAX NIA PHONE IFAX
E AIL EMAIL
<""' ,n-, \cl . e \,. r l (ii'\ Vo., ~00 L °""' ARCH/DESIGNER NAME & ADDRESS • l STATE UC.# STATE UC.# ICLASS I CITY BUS. UC.#
(Sec, 7031.5 Business and P_rofessIons Code: Any City or Coun_ty which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such perm~ 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 B_usmess and Professions Code) or Oiat he Is exemRt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
lll!Olfl(EIU' C()Ml'lliNSAtlOl'il
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the fol/OWing 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 tne work for which this pem1it is issued.
□ I have and wlll maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this pem1\t is issued. My workers' compensation insurance carrier and policy
number are: Insurance Co. ______________________ Policy No. ______________ Expiration Date _________ _
This section need not be completed if the permit is for one hundred dollars ($100) or less, □ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
,A$ CONTRACTOR SIGNATURE □AGENT DATE
OWNElt•l!IUtDElf IJECLARA:tlQN
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□ 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 offered for sale {Sec. 7044, Business afld Professions Code: The Contractor'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, 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 ttiat 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: Ttie 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 personally plan to provide the major labor and materials for construction of the proposed property improvement. □ Yes □ No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. \ have contracted wilt1 the following person (firm) to provide the proposed construction (include name address/ phone/ contiactors' license number):
4. I plafl to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address I phone/ type of work):
,A$ PROPERTY OWNER SIGNATURE □AGENT DATE
--C:!Hitl"l.l''l'!i nus Sl!C'tl!:)lil FOR l'H>lil•Rl'SIPlilll'l'IAI. BI.IIU!IIUS PliRMl'H ONLY'.
ls 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•T anner 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 O No
\s the facility to be constructed within 1,000 feet of the miter boundary of a school site? □ Yes □ No
1F 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 read the application and s1ate that the atic,.,e Information Is col1'8Ctand that the infonnatlon on the plans Is accurate. I agree to comply with all City ordinances and State laVtS ielatlng to buildlng construction.
I hereby authorize representative of the City of cartsbad to enter u!X)n the above mentKmed property for ins~n p.ill))Ses. I M..8O AGREE TO SAVE, INDEMNIFY .AND KEEP HARMLESS THE CITY Cf CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Cl' THE GRANTING OF THIS PERMIT.
OSHA: M OSHA pemilt is required br excavations over S'0' deep and demolition orco11structio11 of structures over 3 stories in height.
EXPIRATION: Every J):lnTiil issued by the Buik:ling Offcial undef lhepr0VISbns of !Hs C.ode shall expire by limitation and become null and void tthe bulk:ling or'Mlrl< authorized by such pennlt is notoommenced v.ilhin
1 BO days from the date of sudl permit or if the brng. ~rk aulhorired r such permit is suspended or abandoned at any time after the 'Mlrk ls oommenced for a perbd of 180 days (Section 100.4.4 Unifonn Buik:ling Code).
~APPLICANT'S SIGNATURE ? ' l __ ) >..--{ DATE '-/1" I l l
City of Carlsbad Bldg Inspection Request
For: 06/10/2011
Permit# CB111236
Title: EBEL: REPLACE WTR HEATER
Description:
Type:PLUM Sub Type:
Job Address:
Suite:
Location:
2687 REGENT RD
Lot: 0
APPLICANT EBEL DAVID FAMILY TRUST 09-22-07
Owner: EBEL DAVID FAMILY TRUST 09-22-07
Remarks:
Total Time:
Inspector Assignment:
Phone: 7607204819
Inspector: ----
Requested By: JAMES
Entered By: CHRISTINE
CD Description
25 Water HeaterNents q--___c_o_m_m_e_n_ts ________________ _
Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments