HomeMy WebLinkAbout2661 REGENT RD; ; CB880105; PermitCII z 0 .: C C
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O I IM<•by afllrm that I am licensed under
p,o,,lalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Profe11lon1 Code, and my license 1s In
lull force and eltect.
I hefeby att1rm 1na1 I am exempt trom the Conirac.-
101 s L1tense law tor 11,e lollow,ng , .. son (s« 7031 5 Business and Ptotess.ons Code Any c11y °' county whicr. re quues a permit lo construct. aller improve demohsh. or repair any st rue lure. pnor 10,1s issuance also ,equ,res !heap-
plicant for suctt permit to t,1e a signed s1atemen1 that ,he is
licensed pursuant to the pr0111stOl'ls ol the ton1rac10, s ucense Law (Chapter 9 commencing w11h Section 7000 of OtvtS+On 3 of the Bus,ness and Proless,ons Code1 Of that,s ex-
empt ttlerefrom and the Nsis k>f the allegeo e~emp11on Any v1olat10n ol Sec11on 7031 ~ by an apphcant !Of a pe<m11 sub-iects tne applicant to a c1v11 oenatty of noi mol'e than five hun
dred dol~rs ($500)
1. as owner ct lhe properly. OI' my employees w,th wages
as lheu soie compensation, w\11 do lhe worlc. an<i lhe struc-ture 1s nol 1nten<Jed Of olfered for Sile (Sec 7044 Busmess
and Profession~ COde The Contrac.lor's Litense law does
not apply 10 an owner ol properly who bu11ds or improves thereon and who does such work h1msell or through h1s own
employees. provided th.al such improvements a,e not mtend-eo °' oUered lor sale II. however. the bu1kimg or improve-
ment 1s sotd w1th1n one year ol completion. the owner~bU1lder WIii have lhe burden ol prCMng lhal he did not build or im-
prove fo, lhe purpose ot saleJ
t. as owner of !he properly, am exclusively conlractmg
wIIh ltcensed conlraclors to construct the·proiec1 (Sec 7044 Business and Prolesst0ns Code lhe Contractor's License Law does not app1y lo an owner ol property who builds Of 1m-
pt"OYes thereon. and who conlracts lor each prOjecls w11n a
contractor(s) license pursuant to the ConlractOf's License Law)
I As a homeOWner I am 1mprovmg my home. anct the follow
mg cond11oos exist t The work 1s being perfo,med prior 10 sa1e
2 I have hved in my home for 1welve months
pr101 10 complebon ot 1h1s work I have not clamled this exemption dunno !he last three years
g ~h~r::a~:lunderSec _____ _ B&PC
0 I hereby allum lhat 1 have a certificate of consent to
self-insure. or a cerhhcate of Workers Compensa11on In-
surance. or a certified copy thereol lSec 3800. LabOt' Code)
POLICY NO
COMPANY
~ Copy lS ftled With the city
0 Cemlled copy 1s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Tt11s section need not be completed 11 the permit
,s for one hundred dollars ($100) or less)
0 I cerhf)' that in !he performance of the work IOf which
Ihis permit 1s Issued. I shall not employ any person ,n any
manner so as to become subJecl lo lhe Workers· Compen•
sauon Laws of California
NOTICE TO APPLICANT If'. after making Ih1s Cert1f1cate
of E,:empIIon. you shOuld become subJect to lhe Workers·
Compensallon provisions of the Labof' Code. you must
torthw1lh comply w1Ih such provisions or this permI1 shall
be deemed revoked
0 I hereby af11rm that !here 1s a construction lending
agency lor the performance of the work tor which th,s pet-
mtt IS ISSue<I (Sec 3097. Ctvil Code)
Lenders Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARD ---·--·--. . ·----. ---. ------. ---·--··---···-·-···-·-------------APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ; 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB AOOAESS AV ST RO, THOMAS BROS NO. !DATE OF APPLICATI~ BUSINESS LICENSE ti VALUATION PERMIT NUMBER
).~{,/ fl_ EGENt (e.p. I-..{ :i--~ o?/.,3/) Ci\~or0 ~ LOT 8L0CI( I SUBOI V1S1QN I ASSESl A PA,EL NO 3 7 .cfC 7;;,CTA,1=--/--CONTRACTORS PHONE• ZONE /II . o -I ~ -O -
OWNE A·s NAME I 'f ~ ;~NE ;s/;o~ M1rtet< o :f' A CONTA~C1\'5 ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE
OWNER'S MA• L NG ADDRESS
:i. c,. ~/ fl e b~fJT ;e 'iJ. DESIGNER DESIGNER'S PHONE
OESCR•PTIQ~ WORK
c.-E ;; w t) () ;:; (J A-11 D Co /JE~ DESIGNER'S AOORESS STA TE LICENSE NO
-~~-e{ 7P 0027 01/25 0101 02EldPmt 89-6
<
/ F p FLA ELEV NO ace GP EDU
STORIES
vO NO --I CENSUS TRACT I PARl(ING SPACE AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST
~ y D ND ,o NO vO NO Not Valid Un~• Machine C~rt,Jied
QTY. PLUMBING PERMIT -ISSUE 1.51J QTY. MECHANICAL PERMIT -ISSUE /~~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100.000 BTU ISUILUIN-> r t11MII uu 1-ij I u-uu-uu-o, {U ... "'Y <T-V
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATER AND OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00·8891 ..ilt!!l. 10
EACH GAS SYSTEM 1 10 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 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 MOBILE HOME 001 ·810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226
EACH ROOF ORAIN (INSIDE! DRYER VENT STRONG MOTION 880-519-92-33 . £i u
TOH,L MECHANICAL ~ FIRE SPRINKLERS 001-810-00-00-8227
TOTAL PLUMBIN(, I 2627~ PUBLIC FACILITIES FEE 320-810-00-00-8740 <o .
ff5(!V MOBILE HOMEKuP } '"O~ BRIDGE FEE 360·810-00-00-8740
QTY_ ELECTRICAL PERMIT -ISSUE QTY_ ~ PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl HKR CAR PORT rv \\.~ tjl J ' ' TIF 312-810-00-00-8835 -I PH 3 PH AWNING ~ v•• r' I~ " " . I\.) LA COSTA TIF 311-810·00-00-8835
EXIST BLDG EA AMP SWT BKR GARAGE ... -r~Wf~ ,.~ -~ FMF
I PH 3 PH \ ,r-C\IJ.~; ~' l ,., 0,/ LICENSE TAX 001-810-00-00·8 l 62 -
REMODEL ALTtR PE R CIRCUIT \<.s>,. --.;;'l MFF 880-519-92-57
TEMP POLE 700 AMPS '-..~~ ... .... ,~o/-<
OVER 200 AMPS ----.;:___<-.,GI, ";:;,.,,,'
TEMP OCCUPANCY 130 DAYSI
C REDIT DEPOSIT
TOIAL ELELlRICAl I TOTAL TOTAL FEES PAYABLE I t/1 1 ~1)
I HAVE CAREFULLY EXAMINED THE COMPLETED · APPLICATION ANO PERMIT ANO 00 HEREBY Exp1ratton Every perrn1t issued by tt-ie Bu,td,ng Qff,c111 unde, the prov1s1or).1 ot ttus * AN OSW. PERMIT IS REOUIAEO FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by t1m1tat1on end become null and void II the building or work S o·· DEEP ANO DElilOllTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT I~ authonzed by such permit ,snot commenced within 180 days from 1ne date 1Jf such STRUCTURES OVER 3 STORIES IN HEIGHT
·ISSUED TO COMPLY WITH ALL CITY COUNlY AND SHTE LAWS GOVERNING BUILDING CON :~'::~n':ci '!, ·=~y ~~~1:He~~h=~~,:~!h:~~~e~le~~~~ ro~~~·~,s~~~~~ or STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPLICA;e:;:__,U~ OWNERvf CONTRACTOR [J
APPR~-~
DATE KEEP HARMLESS Tt-!E CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
I 1/4!i-JfV EXPENSES WHICH MAY N ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF ?HIS PERM1T
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
--REINFORCED STEEL
MASONRY --GUNITE OR GROUT
SUB FRAME D FLOOR D CEl~ING
SHEATHING D ROOF D SHEAR
FRAME --EXTERIOR LATH
-~
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO [J PL/CO
UNDERGROUND D WASTE □;WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
-
GAS TEST
D WATER HEATER D SOLAR WATER
, ELECTRICAL
D ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
i5 ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
---
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECtilON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL '
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING ---SPECIAL CONDITIONS
-
C.BS)(O LE)b
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO :·o;-;:., FOUNDATION INSP ,_.,
STRUCTURAL CONCRETE .• , ..
OVER 2000 PSI
PRES TRESSED t.-'
CONCRETE ' '
POST TENSIONED ..
CONCRETE ..
FIELD WELDING ( r ~ '
HIGH STRENGTH , ....
BOLTS .!'' •. ,'
SPECIAL MASONRY -~·':/' ~-=-'/ -
PILES CAISSONS
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