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Home My WebLink About2699 REGENT RD; ; CBR2017-0560; Permit" Print Date: 03/21/2017 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: 2699 Regent Rd BLDG-Residential 2081330426 $0.00 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Residential Permit www.carlsbadca.gov Work Class: P/M/E Lot#: Reference#: Construction Type: Bathrooms: Orig. Plan Check#: Plan Check#: Description: PRIMO: REPAIR OF 1" GAS LINE. PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT Total Fees: $166.00 Owner: TRUST PREMO LAWRENCE L FAMILY TRUST 04-24-09 2699 Regent Rd Total Payments To Date: $166.00 Status: Applied: Issued: Finaled: Inspector: Balance Due: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exaction." You have 90 days from the date this permit 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 ln connection with this project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitation has previously otherwise expired. Permit No: CBR2017-0560 Closed -Finaled 03/20/2017 03/20/2017 $0.00 $166.00 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD (cicyof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Plan Check No. Cr, fl.. 1...0 I 7 -O'> 6 () Est. Value SWPPP JOB ADDRESS SUITEf/SPACEI/U f # BATHROO . GROUP EXISTING USE ED USE GARAGE (SF) PATIOS (SF) DECKS ( F) FIREPLACE YES[], Nc(J FIRE SPRINKLERS YES□No[J APPIJCANT NAME Primary Contact ADDRESS CITY PH~\,O- EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL ZIP FAX PROPERTY OWNER ADDRESS 2'b CITY LJu," h.1:, EMAIL CONTRACTOR BUS. NA.ME ADDRESS PIPES PLUMBING ZIP (Sec. 7031.5 uslness 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 llcensed pursuant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Coda} or that he Is axiimm. therefrom, and the basis for the allegea exemption. Any violation of Section 7031.5 by any applicanrtor a permit subjects the applicant to a clvil penalty of not more than five hundred dollars {$500}) • • Worbrl' Compen11tiofl Declaration: / hereby affirm under penalty of perjury one of the foll()wing declarations: l;I_! have and will maintlln • certificate of consent to self-Insure for workers' compensation as provided by Sedion 3700 of lhe Lalxlr Code, for the performance of the work for which this permit Is issued. ~ haw and wUI maintain work~' compen11th>n, as recrulred by Section 3700 of lhe Lalxlr Code, for the performance of the work for which this pemlft Is Issued. My workers' compensatlon}nsurallef r'_.ie' and policy number are: lnsurB11C8 Co ~ -~ ~ Pol;cy No. Oj1.Q 211!,'.4= Exp,atioo Date_\.:.,J1--~L·1-l...:~-'-'---'Plii.section need not be completed if the permit is for one hurKlred dollars ($100) orb. . LJ Certificate of Exemption: I certify that in the performance of the 'M)(k, brwhlch this permit is issued, l shat! not employ any person in any manner so as to become subject to the Worir:ers' Compensatk>n Laws of California WARNING: Fallure to secure worters' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to ona hundred thousand dollars (&100,000), in addition to the cost of oompenution, dam rovided for In Section 3706 of the Labor code, lnterast and attorney's fees. AS CONTRACTOR SIGNATURE ;iiiiim □AGENT I hereby affirm th8t I am exempt from Contractor's /h111se Law for the fo/Jowlng reason: □ □ □ I, as owner of the property or my employees wid1 wages as their sole compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business Md Professions Code: The Contractor's Uoense Law does not apply lo an owner of pro~erty who builds or improves !hereon. and who does such work himself or through his own employees, provided improvements are not Intended or offered for sale. If, h01N8ver, the building or improvement Is sold within one year of completion, the owner-builder wm have the burden of proving that he · improve for the purpose of sale). I, as owner of lhe property, am exclusively contracting with lk:ens&d contractors to constnx:t the project (Sec. 704 property who builds or improves thereon, and cuntracts for such projects with contractor(s) licensed pursuant I am exempt under Sectlon,~--- Code: The Contractor's license Law does not apply to an owner of r's Ucense Law). 1. I personally plan to provide the major labcir and materials for construction ofth Oves 0No 2. I (have I have not) signed an appllcallon ~)r a building permit for the worl<. 3. I have contracted with the following persor1 {firm) to roposed construction (include name address I phone/ contractors' license number): 4. I plan lo provide portions of the WO):k, but I have · e following person to coordinate, supervise and provide Iha major work Dnclude name I address I phone I contractors' license number): 5. I wiU provide some of the work, buh-u.. ntract&d (hired) the foUowing persons lo provide the work indicated (Include name / address / phone / type of work): AS PROPERTY OWNER SIGNATURE □AGENT DATE • Is the applicant or future building occupant requl~ed to submit a business plan, a:::utely h als reglstratiOfl form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Aci? Yes No Is the applicant or futulll buildlng occupant required to obtain a permit from the Yes No ts lhe fa::lflty to b8 constructed within 1,000 feel d the outer boundary of IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICAT =c-:uP"AN·.,·c·y MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION OL DISTRICT, I oerllfythat I IIM read the appllcation and state 1hatthe abcwe int:Nmation Is conect:and that the informallon on the plans Is accurate. I agree to complyfflth all Clzyoldlnanoes and StatB laws relating ID bulkllngconstruction. I hel8by aullorize -~ of the aty of Carisboo lo enlef upcn the atxM, mentioned IJOl)8l1y ilr inspedion fXJ""""• I ALSO AGREE TO SAVE, INDEMNlfY AND KEEP HARMLESS THE CITY OF CAAlS8'\D AGAINST ALLLIABlLITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAJNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OOH.A; AA OSHA pe,ml is °"'red ilr excavati<,,s o,er SO deep and dem<>liJn or Oll1strudion of slrucbJll!S.,., 3 sillies i'I h091I. EXPIRATION: EYel)' pe,mlt issued by the 8uidllljJ Oflbal under the pro"5bns of ~Is Code shall expire by lin-and beo:lme nuH and voif , the bui~ing or \\OIi< aulhorized by such pe,mlt • not llOl11l110l100d l\ihin 1lll days lorn the dale of such pem1il or if the buitfilg orm aulhorized by such pe,mi ssuspendedor abanooned at anyti!re alllrthe m • oonmenced ilr a i,,r<XI of 100days (S!<tm 100.4.4 Unm E\Jidilg Code). ,es' APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Ema11 ]lyj]!jinq@carlsbadca.gov or Mail !he oornpleted form to City of Carlsbad, Bui~ing DM~on 1635 Faraday Avenue, Carlsbad, Cafifomia 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS COY srAre ZIP CllY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above,) OCCUPANT (Listed obo"8) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed abov@) MAIL/ FAX TO OTHER: _______________ _ A! APPUCANT"S SIGNATURE ASSOCIATEDCB#------------ NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP .' PER IT INSPECTION HISTORY REPORT (CBR2017-0560) Pormit Type: BLDG-Residential Application Date: 03/20/2017 Owner: TRUST PREMO LAWRENCE L FAMILY TRUST 04-24-09 Work Class: P/M/E Issue Date: 03/20/2017 Subdivision: CARLSBAD TCT#84-14 UNIT#01 Status: Closed -Finaled Expiration Date: 09/18/2017 Address: 2699 Regent Rd Carlsbad, CA 92010-6414 IVR Number: 2627 Scheduled Actual Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete 03/20/2017 BLDG-Final 017239-2017 Passed Paul Bumette Complete Inspection Checklist Item COMMENTS Passed BLDG-Building Deficiency No BLDG-Plumbing Final No BLDG-Mechanical Final No BLDG-Structural Final No BLDG-Electrical Final No 03/20/2017 03/20/2017 BLOG-23 017111-2017 Passed Paul Burnette Complete Gas/Test/Repairs Checklist Item COMMENTS Passed BLDG-Building Deficiency Yes March 21, 2017 Page 1 of 1