HomeMy WebLinkAbout2611 REGENT RD; MP; 86-623; Permit.,, z 0 ;::: C II'. C ..., u ... 0
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hereby affirm that t am licensed under
provisions of Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and Profeulons Code. and 't,:~ in full force and effect.-~
Lie No/ 755{) V
I hereby af!lrm that I am exempt from the Contrac-
lor's Lanse Law tor the foUowmg reasoo (Sec 7031.5
Busmess and Professions Gode Any city or county which re-quires a permit 10 construct, alter. 1mpr~e. demolish, or
repair any structure. prlOf 10 11s issuance also requires !heap-pHeant for such permit 10 hie a s19ned statement that he 1s
licensed pursuant to the prov1s1ons of lhe Contractor s
license Law (Chapter 9 commen~ wtth Secllon 7000 of Ofvtsion 3 ol the Business and Protesst0ns Code} or that 1s e;ir;-empt therefrom and the basis for the allegea eii;emphon _ Any
v1ola11on of Section 7031 .5 by an applttanl tor a perrru, sub-
Iects the applicant lo a c1vtl penalty o1 not more than fwe hun•
dre<! dollars ($500)
fJ I. as owner of lhe property, or my employees w11h wages
as lhetr sole compensation. will do the work. and lhe st rue· ture Is nol intended or olfered tor salt! (Sec 7044 Business
and Professt00!) Code lhe Contractor's License law does
not apply 10 an owner of property who buitds or improves !hereon and who does such work himself or 1hrough his own
employees, prO\llded Iha! such improvements are not mtend·
ed or offered for sale 11. however, lhe buIldtng or improve-
ment is sold w11hm one year of compJe11on. Ille owner-builder
will have lhe burden of proving that he dKI not build or 1m· p<ove 10< the purpose ol sale)
D 1 •. as owner 01 lhe property. am exclus1vel:," contracting with lteensed contractors to construct the prOJect (Sec 7044,
Business and Proless10ns COde· The Contractor's License law does not apply 10 an owner of property who bu1kls or 1m• proves thereon. and who coniracts for each prOjects with a
contractor(s) hcense pursuant to the Contrac1or·s license Law).
D As a homeowner I am improving my home, and lhe follow
ing condIhons ex.1st 1 The work Is bemg pertormed pnor to sale
2 I have llved m my home for twelve months pnor to completion of this work
I have not claimed this exemption during the last lhree years
0 I am e,empt under Sec ______ , B & PC
f04" this reason ____________ _
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
{This section need not be completed 1t 1he perm11
1s IOf one hundred dollars (S100) or less)
0 I certtly lhat in the performance of the work tor wtnch
this pefmll 1s ,ssued. I shall not employ any person In any
manner so as to become subject to the Workers· Compen-
sation Laws of Cahforma.
NOTICE TO APPLICANT: If, after making this CertilicaIe
of Exemption. you shOuld become subIec1 to the WOfkers·
Compensation p,ovisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby affirm that there is a construclton lending
agency for the performance of the work fOf which this per-
mit 1s issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address-------·-----
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USE BALL POINT PEN ONLY & PRESS HARD ----·--. -····. -·--·--· . ··---... ···-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ~
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT F' Carlsbad, California 92008-198~ 438-5525 :,. ,(
JOB A~// /J; 4/~
AV. ST. RO, nSTCRO$SS"f rt=;;,J;;?o] is???!? .; VALUATION PERMIT NUMBER
~>..f> J Ssla -
LOT BLOCK . I SUB-~ISION
1
ASSESSOR PARCEL e __-/ ~~:&kLb: CONTRACTORS PHONE • ZONE (p).3 277-"6~-
O~ER'~-N~~~ I OWNER'S PHONE 7L~ ~.,;,-~ &:" c~iJ~R~;jAu;~ & LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
/;)IY]<:,
s;mlz:E:S .'~A/JA;_ ¾,, J?~± /4, ~~~ /1 J~7'/ II-~
DESIGNER t::/ DESIGNER"S PHONE
DESCR1PTION OF WOR:/ -~ ·r
I DESIGNER'S ADDRESS LICENSE NO.
.ICCJA ·~-ckji~~d~ F/P FLRELEV. NO OCC GP EDU 6/fB7B6l873 Sfl~O STORIES
vO "'O --
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
y D ND vO NO vO NO Nor Valid Unless Machine Cerrilied
QTY. PL UMBING PERMIT · ISSUE QTY. MECHANICA L PERMIT· ISSUE SUMMARY/ACCOUN T N U MBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 001·810·00·00·8220
EACH BUILDING SEWER OVER 100,000 STU SIGN PERMIT 001 ·810·00·00·8221
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222
EACH GAS SYSTEM ~ OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223 ::JU
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224 --
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I INSIDE! SOLAR 001 ·810·00·00·8226
TOTt;L MECHANICAL STRONG MOTION 880·519·92·33
TOTAL PLUMBING I FIRE SPRINKLERS 001-810·00·00·8227
Q T Y. E L ECTRICAL PERMIT · ISSUE 5-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332-810·00·00·8930
--t' ~-... -, T,' 1 '\.
I NEW CONST EA AMP SWT BK R -"'~--COLLECTORS L>,..-1J,;:J C~ ... ,.J,,J~ SCHOOL FEE -DISTRICT
1 PH 3 PH -STORAGE TANKS 1 ~; Carlsbad
EXIST BLOG EA AMP'SWT SKA ROCK STORAGE !) ...,,J ~ 4 \ti\31:1 Encinitas
1 PH 3 PH PUMP ;
' San D1egu110
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE ettv of CA RLSBAU San Marcos
TEMP POLE 200 AMPS DEVElGPM~11T ~~r CESSlNG ·$1=R1 ~
OVER 200 AMPS LICENSE TAX 001 ·810·00·00·8162
TEMP OCCUPANCY 130 OAYSI MFF 880-519·92·57
CREDIT DEPOSIT
TOTAL ElEl,TRICAL I -?6J ... -TOTAL SOLAR TOTAL FEES PAYAB LE I .$.
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY Expiration Every permit issued t>y tne Bu1ld1ng Ofhciel unc,e, the provisions of this * AN OSHA PERM:T IS REOUIRJD FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 11m1tat1on and become null and void If the bu,fd,ng or wo,k 5' o·· DEEP AND DEMOLITION OR CONSTRUCTION Of authorized by such permit 1s not commenced w1th,n 180 days from the date ot such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS :~~;:;,;~ '!t t=~Y ~~:;~~ei.J1h:'?;6,:~:hii~~e~cie~~~~ [~~~~1~:8~~~~ or STRUCTUR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SI~ CONTRACTOR 0 APPROVEDB~ DATE 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 BY PHONE 0 1 /o-18-6~ GRANTING OF THIS PERMIT ',1
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TYPE I DATE INSPECTOR I
4 ~" ... "' ~~
BUILDING I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
. REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ..
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl~~NG SOILS COMPLIANCE
SHEATHING D ROOF □ SHEAR PRIOR TO
FRAME I
EXTERIOR LATH I
I
FOUNDATION INSP
IA.if'\ -h ·•.,,tt:,. M'! 't.1::1',(' STRUCTURAL CONCRETE -· "" ' ,i. ,I~~# •
OVER 2000 PSI f;.->,,,,' •.: ,r .,_, l ~-
INSULATION I PRES TRESSED -, ~ ' '
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED .
CONCRETE
PLUMBING I FIELD WELDING -
D SEWER AND BUCO D Pl;./CO
UNDERGROUND □ WASTE □ WATER
C
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
:GAS TEST I
PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I .
□ ELECTRIC UNDERGROUND Ot UFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
' I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' I ·-·.
VENTILATING SYSTEMS I ' .
I
ITEM§ifBOVE HAJE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL .
-
GAS .. -~
BUILDING ' . 1 .•
SPECIAL CONDITIONS