HomeMy WebLinkAbout2607 REGENT RD; ; CB960656; PermitB U I L D I N G P E R M I T Permit No: CB960656
Project No: A9600919
Development No: Page 1 of 1
1 Job Address: 2607 REGENT RD
Permit Type: PLUMBING
Parcel No : 208-133-06-64
Valuation: o
Occupancy Group :
Description: GAS LINE REPAIR
Appl/Ownr : DEPENDABLE PLUMBING
Suite:
Lot#:
Reference#:
619
7848 SILVERTON AVE SUITE I
SAN DIEGO, CA . 92126
* * /(. Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Enter "Y" for Plumbi
Gas Piping System
* PLUMBING TOTAL
CITY OF CARLSBAD
27-00
6973 04/10/96 0001 01 02
Construcb on Typ~f'R!V"N
Status: ISSUED
Applied: 04/10/96
Apr/Issue: 04/10/96
Entered By: MDP
266-2121
.00
.00
27.00
***
Ext fee Data
20.00 Y
7.00
27.00
APPROVAL //
,_____ DATE tlJW4 ,,
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
Pl!RMn' APPLICATION PLAN OIECK NO. Cf C, r (e CS°' 0
City of cartsbed aulldi,. D-•tant
2075 LN P■I-Dr., carlsbed, CA 92009 (619) 4311-1161 l!ST.VAL,__ ___ =-------
I. PF.RM) I J IPi
PLAN CK DEPOSIT _______ _
VAUD. BY _________ _
DA11! From List I (see back) give code or Pmnit-Type: __________ _
For Resldendal Projec:is Only: From List 2 (see back) give
Code of Structure-Type: __________________ _
Not Loss/Gain of Dwelling UnllS
2. PRClll!CT INFORMATION FOR OFFICE USE ONLY
Bu1id1ng or Suite No.
Nearest Cross Street
LEGAL DES{;H.UTI IUN l.Ot No. Su6d1v1S1on Name/Number Unit No. Phase No.
TAMAilA<-"-\'c;;;,\c,)1 10l.&H\AoM"'CS CHECK BEWW IF SOBMI 11 Eb:
C 2 Energy COies C 2 Structural COies C 2 Soils Report C I Addressed Envelope
ASSESSOR'S PARCEi, EXIS:VNG USE PROPQSEQ USE
DESCRIPTION OF WORK
SQ. FT. II OF STORlt;S II OF BEDROOMS II OF BAIBROOMS
3. wN lACI PFllSON cu amerent trom appncano :"\ ~ ( ,
NAME(lastnamefintlG-A'.L Tt-lo-"'f'".,.> ADDRESS r.O. t:,O')/. L oD C-rt-10,.,.rrc,-> :f AfSo<.. -/?rvre.({1~
9t; r --Y J <t ,.,,_.,..,,y. .. CITY V l.f 1 "' STATE CA ZIP CODE "i't. O f:J-DAY TELEPHONE
NAME (last name finl) l:><'.('-<N.,._ .. !>/, I•..,~,.:, ADDRESS ') 6 '/ f:, .A0:. :nc :r
CITY M"' f),"(;(,:-i) STATE CfJ ZIP CODE "i't '2..& DAY TELEPHONE
5. PRU.., i OWNFJi ~ 'v
NAME (lastnamefinl) W,l\1! 1 C7AI\, ADDRESS
U,(,. 1,..2.,
s,.[i'Lr t>J-STATE C{:i ZIPCODE 7lc, 'i DAYTELEPHONE '7).,"'1 • ')fl/
. NAME(lastnamefint) l)c~,-,.,\ .,.,,\c. {--,,.1,j,-) ADDRESS '?e~'C> '>1{.,M.).Tv,N /lc,1<..
CITY )/0,J () 16(.:v STATE C.,0 ZIP CODE 91-1 )j, DAY TELEPHONE 2.({, -U l I
STATEUc.,'7/C, ,/)~ UCENSECLASS C-?6· c-l.o CITYBUSINESSUC.11
DESIGNER NAME (last name tint} ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. II
7. WOkkERs' WWWWSA I ION
Worken1 Compensauon Deciarauon: I hereby atlmn that I have a cerul1cate oi consent tosell-msure issued by the Director of industnal
Relations, or a cenificate or 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 (5ec:don 3800, Lab. C).
INSURANCE COMPANY S-A.(~ c o POLICY No. fL '11 ° 1 r· ~ U1RATION DATE 2-. / t -5 ?
□
a
□
Ceruhcate of Exemp~on: I cerufy that m the performance of the work for which lfos penmt 11 1SSued, I shall not employ any penon many manner
so as to beco ubject to the Workers' Compensation Laws of califomia.
DATE • 1/ · / tJ · '7 6
n. ere y a nn a m exemp rom e n o s ce or e o owmg reason:
I, as own of the property or my employees with wages as their sole compensadon, will do the work and the sttucture is not Intended or
offered for sale (Sec:. 7044, Business and Professions Code: The Contractor's Ucense 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 chat such Improvements are not intended
or offered for sale. Ir, however, the building or improvement is sold within one year of compledon, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.). 1
I, as owner or the propeny~ am exclusively contracting with licensed contractors to conscruct the project (Sec. 70441 Business and Professions
Code: The Contractor's Ucense Law does not apply to an owner of property who builds or Improves thereon, and contraclS for such projec:IS
with contractor(s) licensed pursuant to the Contractor's Ucense 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 construe~ alter, Improve, demolish, or repair
any scrucrure, prior to hs issuance, also requires the applicant for such permit to file a signed statement that he is licensed punuant to the
provisions of the Contractor's Ucense Law (Chapter 9, commencing with sec:don 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 Secdon 7031.5 by any applicant for a permit
subjeclS the applicant to a civil penalty of not more than five hundred dollan (5500)).
SIGNATURE DA11!
CDMPll!'JE JHJS Sl!CIION FOR NON-RESIQEN l(AL B0IIDiNG PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, ■cutely hazardous materials registradon form or risk management and
prevention program under Sections 25505, 25533 or 25534 or the Presley-Tanner Hazardous Substance Account Act?
C YES C NO
11 the applicant or future building occ~nt required to obtain a permit from the air polludon conttol district or air quality management district?
C YES □ NO
Is the radllty 10 be constructed within 1,000 feet of the outer boundary ofa school site?
C YES □ NO
IF ANY OF mEANSWEIIS AIU! YES, AFINALCERTIFICATI!OF ocx:uPANCY MAY Nar Bl!ISSUED AFIEtJULY 1, 1989 IJNJJ!SSmEAl'PLICANT
HAS Mirr OR IS MEETING mE REQUIREMENTS OF mE omCE OF EMERGENCY SERVICES AND mE AIR POU.ll11ON CON11\0L DISfRICf.
9. WNSI RU Cl ION U.NUING AtENci
I hereby aihnn ihai there II a construction lendmg agency ior the periormance oi the work ior which in11 pennll is tsSued (Sec 36§7(1) Civli Code].
LENDER'S NAME LENDER'S ADDRESS
JO: XPP1lCXN l CEltllFICAIION
I certify that I have read the apphcallon and state that the above miormahon as correct. I agree to comply wllri all dty ordinances and Staie laws
relating to building conscrucdon. I hereby authorize representatives of the Clcy or carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGRF.E TO SAVE INDEMNIFY AND KEEP HARMLESS mE CllY OF CA111SBAD AGAINST AIL UABIUTIES, JUDGMENTS, CXlSTS
AND EXPENSES WIIICli MAY IN ANY WAY Aa:11.UE AGAINST SAID CllY IN CONSEQUENCE OF mE GRANTING OF TIDS 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 pennit issued by the Building Official under the provisions or 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 or such pennlt or if the building or work authorized by
such permit is suspended or abandon time af r the work Is commenced for a period of 180 days (5ec:lion 303(d) Uniform Building Code).
APPLICANTS SIGNATURE DATE:
F e YELLOW: App ,cant PINK: Fmance
1
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB960656 FOR 04/12/96
DESCRIPTION: GAS LINE REPAIR
TYPE: PLUM
INSPECTOR AREA
PLANCK# CB960656
OCC GRP
CONSTR. TYPE VN
JOB ADDRESS: 2607 REGENT RD
APPLICANT: DEPENDABLE PLUMBING
CONTRACTOR:
STE: LOT:
OWNER:
REMARKS: BJN/CRAIG/
SPECIAL INSTRUCT:
TOTAL TIME:
CD
23
LVL DESCRIPTION
PL Gas/Test/Repairs
------------------------------------------------------
PHONE: 619 266-2121
PHONE:
PHONE:
INSPECTORf"J
ACT COMMENTS
~----
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS