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Home My WebLink About2603 REGENT RD; ; CB920029; Permit01/10/92 14:09 Puge 1 of 1 BlJIL;:)ING P E R M I T Peimlt No: CB92002Y Pr Ject No: A~20009/ .)ev l.( p1 P!1 t l\i1..> vob A,1 lre$s: i(,03 REGENT RD Perm t Type: PLUMBING Parcel N >: 208-133-06 b2 Vciluation: o Construe ion Type: NEW Oclupancy Group : Desciipt1on: GAS LINE REPAIR Appl/Owni : DEPENDABLE PLUMBING Cl,:1.Jf: Cude: 7929 SILVERTON AVE,, . !'E. 1 CONTRACTOR F'ee · SAN DIEGO, CA 9~ DEPENDABLE 7929 SILVE SAN DIEGO -------------------- Fees : A1Justments: Total Fees: Fee description ------------------ Enter 'Y" fo1 Plumb'n Gas Piping &ystem -A PLUMBING TOTAL St1 : b19 CITY OF CARLSBAD f :5994 01/10/~: 0001 01 C-PRHT t.:1 AppliPd: Ap.r/I::;sue: 02 10.00 •, .:>Jc.v Vc1lidated By: 266-2121 01/1 /9 01/10/~ ... SBB 619-693-86 b A A A --------------- . 0 .00 10.00 Ext fee Datct ~, .. 7.50 Y 2.50 10,00 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ~ Vt.I PLAN CHECK NO. ¼7-tit?~ City of carlsbad Building Departaent ~~~&~, I 2075 Las Pal.,. Dr •• carlsbad, CA 92009 (619) 438-1161 I. PFltMI I hPE A-UCOmmerc1al □New Bmldmg U lenanr improvement B -D Industrial D New Building O Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex D Demolition □ Relocation □ Mobile Home □ Electrical II Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other 2. PROJECT INFORMATION FOR OFFICE USE ONLY Butldmg or Suite No. Nearest Cross Street LEGAL DEstRIPI ION o. SUtX:1IV1s1on Name/Number Omt No. Phase No. CHECK BHWW IF SOBMII IEO: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSER USE DESCRIPTION OF WORK SQ. IT. # OF SlORIES 3. WN IACI PFJtSON (If duierenl from apphcant) NAME 2-.<Ui ,_, t: f'-. ;< C.':J<'"'' 1~,0. ADDRESS CI1Y DAY TELEPHONE f;. 3(( • 10 J '- NAME ,1.,1-<:.J)'<~ ...... \, \-<... CI1Y J /lA, c,,1ip·o STATE ZIP CODE S. PROPfllrY trN 'J'i''2.. '{ 91.11 .. 6 DAY TELEPHONE {6 I , ) i<<-5~• 11..o ... ,J... NAME '1_ ~ \,,IIIIC)tr-ADDRESS ,;t6D:> CI1Y C,C11./ f/o,oJ-_ STATE c;, ZIP CODE DAY TELEPHONE l.f ] Y 3 o£ <-6· ~~'kl\C~'° k Plv..,,.,~) ADDREss CI1Y J .,,.-v pit;. (;C, STA~ C,<) · ZIP CODE .r1/~T0r,, 14~ . J7'"£#,t'ol 2/t'-2/1.. I DAY TELEPHONE (;; I °I) G,0'7'>t>'1 STATE !JC. # IJCENSE CIASS DESIGNER NAME ADDRESS a1Y eus1NEss uc. # (If fo S-8 CI1Y STATE ZIP CODE DAY TELEPHONE STATE !JC.# 7. WORkERS.: WM'.PP.NSAIIUN Workers' Compensation Declarat1on: I hereby afurm that I have a cert1hcate of consent to self.insure iMUeci by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POIJCY NO. EXPIRATION DATE □ □ □ Certificate of Exemption: I cerufy that m the performance of the work for which this penmf 1s iMued, I shall not employ any person m any manner so as to becom 1ect to the W kers' mpensation Laws of California. c,, 71.. ere ya mn t at am exempt ram t e ntracto s cease w or t e o owmg reason: I, as owner of the roperty 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 Llcense 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 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 Llcense 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 Llcense Law). I am exempt under Section _______ Business and Professions Code for this reason: (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 Llcense Law (Chapter 9, commencing 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 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 [$5001). SIGNATURE DATE COMPLEIE IBIS SEC I ION FOR NON-RESIDENIIAL B0ILbING PERMll'S ONLY: Is 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 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 ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIEANSWERS ARI! YES, A FINALCERTIFICATEOFoa:IJPANCY MAYNOf Bl! ISSUl!D AFTER JULY I, 1989 UNLESS TIIEAPPUCANT HAS MET OR IS MEIITING THI! RF.QUIIIEMENTS OF TIIE OfFICE OF EMERGENCY SERVICES AND THI! AIR POILIITION WNTil.OL DISI'RICf. 9. WNSIR0CIION O'.NDING AC£NCY I hereby afhrm that there 1s a construcuon lend mg agency for the performance of the work for which this penmt 1s issued (Sec :J697(1J dvU Code). LENDER'S NAME LENDER'S ADDRESS lb. Al'PilCANI CPJllll'ICAliuN I cerufy that I have read the apphcatmn and state that the above mfonnatJon ts correct. I agree to comply wtth ail Ctty ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I AUD AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THI! Cl'IY OF CARISIIAD AGAINST AIL LlAIIIIJTIES, JUDGMENTS, CDSTS AND EXPENSES WIDCH MAY IN ANY WAY ACDUJE AGAINST SAID Cl'IY IN WNSEQUENCE OF THI! GRANTING OP TIIlS 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 authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). APPIJCANTS SIGNATURE .... CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920029 FOR 01/13/92 DESCRIPTION: GAS LINE REPAIR TYPE: PLUM JOB ADDRESS: 2603 REGENT RD APPLICANT: DEPENDABLE PLUMBING CONTRACTOR: DEPENDABLE PLUMBING OWNER: REMARKS: MH/CRAIG/266-2121 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE: PHONE: INSPECTOR AREA PY PLANCK# CB920029 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 266-2121 619-693-8616 CD LVL DESCRIPTION ACT COMMENTS _2_3 __ P_L _G_a_s_J_T_e_s_t_J_R_e_p_a_i_r_s ______ tf ______________ _ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS