HomeMy WebLinkAbout2649 REGENT RD; ; 87-675; Permit.,, z 0 ;:: C ac C ..J 0 "' a
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O I hereby afllrm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profeeelons Code, and my license is in
lull force and effect.
I hereby athrm Iha! I am exempt from the COnlrac-
tor's license Law tor 11,e lollowmg reason !Set 7031.~
Business and ProtesSK>Os Code Any city or counly whict. re-quires a permit to construct. alter, improve, demohsh. Of repair any structure. prior to I1s issuance also requires !heap-
plicant tOJ such perm,1 to hle a si9ned statemenl !hat he tS
hcensed pursuant to the provisions ot the <,;onuactor s
Lttense Law (Chapter 9 commencing w1lh SectK>11 7000 ol Oiv1s,on 3 of the Business and Proless,ons COC1e) or I hat 1s ex· empt tnerelrom and the basis for lhe allegeo exemption Any
vtOlat10n of Section 7031.5 by an apphcanl tor a perm11 sub·
1ects the appheant to a tfVII penalty of nol mO£e lhan five hun-
dred dollars ($500)
I I, as owner of the property, or my employees witn wages
as lhe1r sole compensation. w,11 do 11'1e work. and the strut·
lure Is not intended or olfered for sale (Sec 7044. Busmess
and ProtesslOfls 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, pfOvlded thal such improvements are no1 ,ntend·
ed or Offered !or sale If. however, the build mg Of 1mprovt--
ment Is sokS w11hm one year of complet,on, the owner•bo11der
will have the burden o1 provmg Iha! he d1d not build or 1,n. prove for the purpose of sale)
n I, as owner of lhe property, am excius1ve1y contrachng
with I.tensed contractors to construct the pro1ect (Sec 7044,
Business and Professions Code The Contractor's license
Law does not apply to an owner of property who butk:Ss or 1m• proves thereon. and who contracls !or each PfOff!CIS with a
conlrachx(s) hcense pursuant to the Conlractor's License
Law).
□ As a homeowner I am ImprovIng my home. and the lollow· ing condIhons exist t The work ,s bemg performed prtOf' 10 sale 2 I have hved m my home lor twelve months
pnor to complet10n ol nus WO!'k J. I have no1 claimed this exemplton during the
last three years.
□ I am exempt under Sec ______ . B & P C. for lhis reason ____________ _
0 I hereby alfum that I have a certificate of consent to
sell-insure. or a certificate of Workers' Compensation In-
surance Of a cert11ied copy thereof tSec. 3800. Labor Code)
POLICY NO
COM PANY
0 Copy 1s Med with the cily
0 Certified copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
~
R ERS" COMPENSATION INSURANCE
{T ion need not be completed If the permil
one hundred dollars ($100) or less)
I certify that ,n the performance of the w()n( tor wh,Ch
tnis permit 1s issued. I shall not employ any person ln any
manner so as to become subject to lhe Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. altet making lhIs Cettificate
of Exemption. you should become subject to ttie Workers'
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby afflrm thal there is a construction lending
agency tor the performance of the work for which Ih1s per•
m,t is 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
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT
JOBA,i5_:;1,,1;q £'J_/){)Jtrl-RJ~D. NEAREST CROSS ST.
1°;:iii7eT~,
BUSIN)J u;;;;,SE "
rr1T?N
iERMIT NUMBER ~ ~7~ ~l) I BLOCK l~I~ :-_ { Li. ASSESSO~~CELt~ 3 D'f COIIITRACTOR I , CONTRA~R~ONE• ZONE ~ ( l)' OWN£R7kA Rlf>Ffl-111~:E~;;i COIIITRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ. FOOTAGE
lfJ11JIJEI( 0004 08/05 01n
OWN;~AiqDDRi<e '<.e Al Rd
0?1\1..lf)-J. ~-
DESIGNER DESIGNER'S PHONE -·. M c•
/){}.. JJJFIZ OESCAtPT1DN Of WORK ....
DESIGNER'S ADDRESS STATE LICENSE NO.
f-:41/0 Ct' UEI<. i'l--.7-J F1P FLR ELEV NO OCC GP EDU
STORIES
vO NO --
I
I PARKING SPACE AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMEIIIT TYPE OCC LOAD FIRE SPR
AREA CONST
YO ND vO NO vO NO Nor Valid Unless Machine Cvrified
QTY. PLUMBING PERMIT · ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE is~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001·810·00·00-8220 -Z-1
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00·8221
-------/2::,,. EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8821
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00·00·8222 -------
EACH GAS SYSTEM 5 OR MO Rf METAL FIREPLACE ELECTRlCAL 001 -810·00·00·8223
EACH INSTAl . 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 FURNACEtHEATER SOLAR 001 -810-00·00-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519-92·33 ----
TOTl:.L MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227
TO I AL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·8740 s f!!J-, BRIDGE FEE 360-810-00-00·87 40
QTY. ELECTRICAL PERMIT . ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP $WT BK R CAR PORT TIF 134-810-00-00-8835
l PH 3 PH AWNING LA COSTA TIF 133·810·00·00-8835
EXIST BLOG EA AMP/SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001-810·00·00·8162
REMODEL AL HR PER CIRCUll MFF 880·519·92·57
TEMP POLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 DAYSI •
CREDIT DEPOSIT -----,,; 61,
TOTAL ElEURICAL ! TOTAL TOTAL FEES F8L~ t)U ~-
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION AND PERMIT" AND DO HEREBY E,cp1rat1on Every permit issued by the Bu,1a1ng Othc1a1 under ttte prov1s1ons of this AHA PERM!T IS REQUIRED FOR EJ(CAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1taJ1on and become null and void It the building or work EEP AND 0£MOLITION Ofl CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I$
authonzed by such permit 1s not commenced wtthm 180days trom the date of such TVRE.S OVER 3 STOfllES IN HEIGHT I permit or 1f the butldinH o, work authouzed by such permit ,s suspended or
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned it 1nv time a ter the work ,s commenced for a oemid of l80 da0 s
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLl~~,~~RE i;]_d~/J owNERV
CONTRACTOR 0 l,11\PPROVEDl\ l;fo! /ff7 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
GRANTING OF THIS PERMIT ~
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
l
REINFORCED STEEL I
MASONRY ' • GUNITE OR GROUT ~
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ Stj!EAR
FRAME l
I
EXTERIOR LATH I
INSULATION .
I
INTERIOR LATH & DRYWALL !
I
I
PLUMBING I I
□ SEWER AND BUCO □ FPUCO
UNDERGROUND □ WASTE d WATER
TOP OUT □ WASTE □ Y..,ATER
TUB AND SHOWER PAN !
GAS TEST I
□ WATER HEATER □ SOLAR WATER . !
ELECTRICAL I
.0 ELECTRIC UNDERGROUND GJ UFFER
ROUGH ELECTRIC I l
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL :
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIP.ING
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS I --' ~ . :
CALL FOR FINAL INSPECTION WHEN lf.LL,,APPROPRIAT-E
ITEMS ABOVE HAVE BEEN APPROVED.·
FINAL
PLUMBING \
ELECTRICAL
MECHANICAL
GAS ~
BUILDING
SPECIAL CONDITIONS
. ' '
......... , ... , --Ji.-'67--1.P 7~
' " . ~
. .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES '·
' REO IF INSPECTOR S ' . -INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUC1URAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH -
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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