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Home My WebLink About2651 REGENT RD; ; CB112285; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 10-25-2011 Permit No: CB112285 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: PIPES PLUMBING 1145 LAW ST 92069 434-3067 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees 2651 REGENT RD CBAD PME 2081330402 TAMARACK POINT-GAS LINE REPLACE MENT TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: JOHNSON KAREN 2651 REGENT RD CARLSBAD CA 92010 Issued: Inspect Area: ISSUED 10/25/2011 KG 10/25/2011 10/25/2011 $150.00 $0.00 $0.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: FINAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the "Imposition'' of fees, dedications, reservations, or other exactions hereafter collectively referred to as "tees/exactlons." 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 in connection with this project. NOR DOES !T APPLY to any hi h v '"'Vi n iv n N T mil r hi r h' h h rwi ~ «~ ~ CITY OF CARLSBAD JOB ADDR:z 1,5 I CT/_.PflOJECT # EXISTING USE CONTACT NAME (It ADDRESS CllY PHONE EMAIL Building Permit Application 1635 Faraday Ave., Garlsbad, CA 92008 760-602-2717 / 2718 / 2719 PROPOSED USE STATE FAX Fax: 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# #BATHROOMS GARAGE (SF) PATIOS (SF) DECKS (SF) APPLICANT NAME ADDRESS ZIP CONTRACTOR BUS. NAME ADDRESS CllY PHONE EMAIL ARCt4/D£SIGNER NAME & ADDRESS STATE UC.# STATE UC.# Ui.,4 I --------+- Plan Check No. ( / -2--ZR'S Est. Value Plan Ck. Deposit SWPP ----I NAME NST • TYPE OCC. GROUP AIR CONDITIONING FIRE SPRINKLERS YES O NOD YES O NO □ STATE ZIP FAX (Sec. 7031.5 Bustness and Professions Code: Any City or Cour:it)t which requires a permit to construct. alter. Improve, demotiSh or repair any structure, prior to its issuance. also requk'es the applicant for such permit to file a 8ianed statement ttiat he Is licensed P\N'SUllnt to the l!f'OV~ of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of OMsion 3 of the Business and Professions Code) or lhat he Is exempt therefrom, and the basis for the alleged exemption. -.r, YiolaUon of Section 7031..5 by any applicant for a permit subjedS the applicant to a · civil penalty of not more than five hundred dollars ($500)). Workers' Compensation Declaration: J hereby Blrim lm!W'penally ofpetjrj one dlhe lobing dedarations: □ 1 have mKI wll malntah I cdftcale of consent 10 Mlf.insln b WlffllS' ccq,ansaion as proi,ided by Seclion 3700 of lhe labor Code, ror the perfoonanca d 118 Mltk lor wtich tis permit is issued. -rf-1haveend ... --... •~-by-3700o/tt>e~Code.b-"9peffmnao<;eo/tt>e_b-...,,ttupamlb __ My_' :::"Iij5canie<eoo- """"''"'' 1"""'""Co-PoicyNo =1zw&C,.l6iVtl', --2-1111 This seclion need not be completed iflhe pamlil is bone tud'ad doln ($100) or Jass. · / 0 Certificale of Exemption: I carify 111111 in Ile performanoe rlhwork tw11tich this permit Is issued, I shal not..,,. any parson in any man,a so aa to become SIJt+ld to Ill Wolters' Compens8'on Laws of California. WARNING: Fllilunt to secure WOfWI' compenaatlon coverage Is unlawful, and shall subfect an employer to criminal panalliN and civil mes up to OM huftdNd thousand dolars (&100,000), In addition to the cost of c:ompensation, damages a provided for In Sedlon 3706 of the Labor code, lntetast and attorney's tees. ,f!$ CONlRACTOR SIGNATURE l:!J,!L------□AGENT I hMtby Bltirm that I Ml exempt mm Cootntckr's Uoense Law fot ttHt following reason: O I, as 0'Mlef cl lie property or my employeeSi will wages as lllir sole compensation. wl do Ile wort aid the swcttn Is not intended or ollered b sale (Sec.. 7044, Business and Prolesslons Code: The Cmtaclor's License Law does nol apply" kl an owner cl plOflefty who buids or impoves thereon, and who does such wort hinself or ttrough his own empi)yees, prO¥idad 1'81 u:h iqwolleme11ts are not inlended « olfered for sale. If, however, the buldng or lmpro.eme,c ls sold within one yea-cl compelion. the 0Ml8r4'tilder wil have lhe bwderl d PfOW'1 lhat he _. nol bdld or anprove for Iha JMP018 of sale). □ I, as owner cl a-.e properly, am exdu5Nely curtracling with licensed conlrad:ors lo c:onsi'Uct lhe project (Sec. 7044 .Bmlness and Professi;Jns r.ode: The Cmnckr's License Law does nol appy to ai owner of property who buids Cl'~ flereon, and tMIJads b $tldl projeds!Mlhconhclor{s) licensed JUS1811! Conlraca's license Law). 0 I am exempt l.llder Section __Business 800 Professions Code for this reason: 1. I personally pian to provide 1he major lato and materials kl" coostrucion of lie ""'"'tl!o"'8ffyimproyemant. 0 Yes □ No 21(haYe/ha,e,o1)ilgneda1""""""b-a""""'9-b-tt>e- 3. I have conlradtld will tie fahing pnm (inn) to pnwide Ile poposed,,.,h ... fnwde name adctess I phone I co..-actln' licen&e flllllber): 4.lplan., __ o/"9-,bullhavelnd"9-»-.-anc1-1>e...;., ___ /_/_/_'lcenoe"""""'): 5, I wiD pro¥ide some cl Iha work, tni I ha'le contracted (hired) · penons 10 provide lhe work lndicaled fllidude name I address / phone / type of work): ,f!$ PROPERTY OWNER SIGNATI/RE □AGENT DATE Is lhe applicanl or future building occupanl required to submil a business plan, acutely hazardous malerials regislralion lorm or risk management and prevention progfam under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazadous Substance Account Ad? O Yes □ No ts the applicanl or Mure building occupant required to obtain a permit from the air pollution coolrol district or air qualily managemenl districl? □ Yes □ No Is the facility to be constructed wilhin 1,000 leet ol the outer boundary of a school sile? □ Yes □ No IF ANY OF THE ANSWERS ARE YES,A FINAL CERTIFICATE OF · CUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR ISM ETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION CON DISTRICT. 1 cellify lhal I have read 1he application and state 111at.1he aoove infonnation is conectand 111at. the infonna1ion on 1he p1ans is acmate.1 ao,ee 1o a,mplywill a11 City~ and State 1aws re1aoog1o building oonslruction. I hereb-j aumize represenlawe of the City of Carlsbad ti enter l4)0l1 Ile aboYe mer6:Jled ~ b" iispediln plEPOSllS. I Al.SO AGREE TO SAVE, NJEMNtFY AND~ HARMLESS THE COY OF CARLSBAD AGAINST All LIABILITIES, JUDGMOOS, COSTS AKJ EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTNG OF THIS PERMIT. OSHA: hi OSHA pemlk is requred b" excavations OVllf 5'0' deep and demoiioo oroonstrudi>n of siucues CNl/1: 3 sbies ii heqll. •. -"~ EXPIRATION: Evert perTril issued by the Biting Olfi:ial ooderthe p!Ollioorls of tis Code shall expi-e by lirNation and becane IUI and -.ad ii Ile buidi1g or wak autlOrized by such penril is not amnenced 'Mlhin 180 days tom the dale or such pemit or if Ile buidi1g or~ aullorized by such pemlk is suspended or abandoned at any line afler the wak is c:oomenced b" a period of 180 days (Sediln 106.4.4 lk1ibm ~ Code). .llS APPLICANrs SIGMA TURE DATE \"0 'Z-5 «~> ~ CITY OF CARLSBAD UNSCHEDULED BUILDING INSPECTION 8-44 Development Services Building Division 1635 Faraday Avenue Carlsbad CA 92008 760-602-2700 DATE to;i'(ti INSPECTOR: _:1_~----- PERMIT#: \\'z? RS:: CONTACT: -------- PHONE#: _______ _ JOB ADDRESS: U CJ/ ks-61,,11 ~ DESCRIPTION: ___ F,.,_.✓,__-9-/J;,..:4::::ld....!✓'-· --,q<..:~=..:):,..____Z_, ~-''-----------~ / CODE I' 2,,3 Bldg Inspection Form DESCRIPTION <i~~ Page 1 of 1 ACT COMMENTS AP Rev. 06109