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HomeMy WebLinkAbout2651 REGENT RD; ; CB920943; PermitPERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Department I EST. VAL 2075 Las Pal_,. Dr., Carlsbad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT _______ _ VAIID. BV __________ _ I. PFJtMI I liPE DATE A -U COmmerctal LI New Bu1ldmg Li lenanc Improvement B -□ Industrial Li New Building □ Tenant Improvement C -IB'R.esidential □Apartment □Condo ~ogle Family Dwelling □Addition/Alteration □ Duplex □ Demolition 131'.iechanical □ Pool □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Spa □ Retaining Wall □ Solar □ Other 2. PRQJF.CT INFORMATION FOR OFFICE USE ONLY Address Butldmg or Smte No. '2C..S7 ~<ii.el ,r Nearest Cross Street Lot No. { A¥u1tx1~ame/Number LEGAL DEScRIPI ION Omt No. Phase No. CHECK BEWW IF SO BMI I I Eb: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addr~ Envelope ASSESSOR'S PARCEL EXISTING USE \~ OF Pr '2,:5 701Jfife_, v IJ I\ # OF SIDRIES 2.) PROPOSED USE DESCRIPTION OF WORK SQ. FT. NAME CllY rom app 1can ADORES DAY TELEPHONE 'la:)-()% °J s . 'Sftt..:tA-~ NAME /',C..TIJ.:LJ l',-\iU:il.O TlTJ6.. ADDRESS ZIP CODE CI1Y \)\'$-rt\-STATE CJ\. DAY TELEPHONE 5. PROPM. I Y OWN RR NAME 5COTT HD~ ADDRESS CI1Y Ci'o2,t.5<, fof\-0 STATE CA-ZIP CODE 9 ?.CCfs DAY TELEPHONE '17.0 -0 ?J,Pj ADDRESS 2.$\fll:> S -~ CI1Y '\)\.S-.,:>. STATE c,A ZIP CODE q2{.J83 DAY TELEPHONE 0fl-'1<Il-4-lSC STATE UC.# '50',~-LICENSE CIASS (_-ZQ CI1Y BUSINESS UC. # l/ I "J &::() CI1Y l,J t A-STATE ZIP CODE DAY TELEPHONE STATE UC. # 7. WOltkERS' WMPF.R Workers• Compensation Declarat10n: I hereby afftrm that I have a certlllcate of consent to self ~msure issued by the VI rector of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted 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). ~ )iC 1<Wuloll C. INSURANCE COMPANY i-'(..94, ?£'..'::() POLICY NO. \~ EXPIRATION DATE I [ · °/3 □ □ □ oy any person m any manner mn t at am exempt w or t e o owmg 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 and 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. If1 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.). l1 as owner of the property, am exclusively contracting with licensed contractors to construct the project (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 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: (Sec. 7031.S Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the.applicant for such pennit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License I.aw (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.S by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars {$500]). SIGNA111RE DATE COMPI.EIE IHIS S£CIION FOR NON-RESJOE'.NJIAL B0ILOING PERMll'S ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn 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 pennit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANVOF THE ANSWERS ARE YES, A FINALCER11FICATE OFOCx:IJPANCYMAYNOT BE ISSUED AFl1!RJULY 1, 1989 llN1J!SS THEAPPUCANT HAS MEf OR 1S MEF.11NG THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POI1.IT110N CDNTROL DISl1UCT. 9. WNSI KOCI ION L£NDING £ENCY I hereby athnn that there ts a constructton lend mg agency for the performance of the work for which thts penmt ts issued (Sec 3097 (IJ Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. XPPIJCXN I dklMCAIK.JN I certify that I have read the appJJcat1on and state that the atx>ve mformauon 1s correct. I agree to comply with all City ordmances 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 ALSO AGREE m SAVE INDEMNIFY AND KEEP 1IARM1JlSS THE CTIY OF CAR1SBAD AGAJNsr ALL UAIIIU11F.S, JUDGMENTS, CDSTS AND EXPENSES WHICH MAY IN ANV WAY NJCRUE AGAINST SAID CTIY IN CDNSEQUENCE OF TIIE GRANTING OF 1111S PERMIT. OSHA: An OSHA pennit 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 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 pennit 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) Unifonn Building Code). APPLICANTS SIGNATURE DATE: 9 I /0 h <'. < OW: Applicant PINK: Fmance • CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB920943 FOR 12/11/92 INSPECTOR AREA PY PLANCK# CB920943 OCC GRP DESCRIPTION: ADD AIR CONDITIONER TYPE: MECH JOB ADDRESS: 2651 REGENT RD APPLICANT: ACTION AIR CONDITIONING CONTRACTOR: OWNER: REMARKS: MH/NANCY/720-0369 SPECIAL INSTRUCT: TOTAL TIME: CD 43 LVL DESCRIPTION ME AirCond/Furnace Set PHONE: 619 PHONE: PHONE: CONSTR. TYPE NEW STR: FL: STE: 727-4152 \') I JI INSPECTOR __ '-~r--·-7-+------- • ACT COMMENTS _ii? ____ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 102392 Final Mechanical ACT INSP CO PD COMMENTS