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Home My WebLink About2683 REGENT RD; ; CB911693; PermitPERMIT APPLICATION PLAN GIECK NO. CJ I-I (p City of Carlsbad Building Departaent 2075 Las Pal..,. Dr., Carlsbad, CA 92009 (619) 438-1161 F.Sf. VAL. ___________ _ I. PkRM1 i ii PE PLANCKD~ VAIID. BY ~fo ~ DATE _'=7,_(,:,-o/2 /tJ--µ A -Li COmmerctal Li New Bu1ldmg U lenant Improvement B -□ Industrial □ New Building □ Tenant Improvement C -□ Residential □ Apartment II Condo D Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition U Relocation □ Mobile Home □ Electrical laPlumbing □ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other 2. PRCllF.Cf INFORMATION FOR OFFICE USE ONLY Address :;;1..6 ~ 3 &5c:,..rt (lo~;,.:. BuUdmg or Suite No. Nearest Cross Street llGAL bEScRIP I ION Lot No. Sub(hVIston Name/Number 0mt No. Phase No. CHECK BEWW IF SOBMII IED: □ 2 Energy calcs □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ADDRESS DAY TELEPHONE 'l'i -i.,; s:1.,,..,._10,-, /4,,r. s-rc-#' 6Di STATE Cp ZIPOODE ).)FU, DAYTELEPHONE NAME--p)M/Ql\.,<I~ Po,,0, \-1.o.A-ADDRESS -iS'lfS-ilArr}.,~ S"T -,,,.,.._/ri,,,J-STATE CA ZIPOODE ",J....oo DAYTELEPHONE NAME ~~~ ... PlviA-b,;..,& ADDRESS ")r1.'i f,fircATO,-J "'~ CITY ,..,,,vOJ(C,·O STATE C,O. ZIPOODE 7)../1,{, DAYTELEPHONE(61~)"1.£{-":,l'L\ sTATE uc. #Ct,::f(Jol.f ucENsE cLASs G--¾ c1TY ausINESs uc. # CITY STATE ZIP OODE DAY TELEPHONE STATE IJC. # 7. WORkERS' WMPENSAltON Workers' Compensation Declarauon: I hereby afhrm that I have a cert1hcate of consent to self.insure issued by the Director of lndustnai Relations, or a certificate of Workers' Compensation Insurance by an admitted 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). o.bc X ~-(I.IVU,. POIJCYNo01-rP06J?4'§jIRATIONDATE 1,ft /6 111 I r2 IC 1s perm1 1s 1ssu , s a no emp oy any person m any manner 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 Ccxle: 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. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving chat he did not build or improve for the purpose of sale.). D I, 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 Llcense Law). D I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business 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 chat he is licensed pursuant ta._ the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Cdde) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATIJRE DATE CoMPIEIE IRIS SECIION FOR NON-RESIDEN IIAL BUILDING PERMIIS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF 11IE ANSWERS ARE YES, A FINAL CERTIFICATE OF CXDIPANCY MAY NITT BE ISSUED AYl1!R JULY 1, 1989 llNLl!SS 11IE APPIJCANT HAS MET OR IS MEIITING 11IE REQlllREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND 11IE AIR POLLtmON OON1ROL DISl1UGI". 9. WNSIRUCIION LENDING AGENCY I hereby afhrm that there 1s a construction lendmg agency for the performance of the work for which this permit 1s issued (Sec 309?(1) Cavil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPIJCXN 1 C£kliFICAiiuN I cenify that I have read the apphcauon and state that the above mformat1on 1s correct. I agree to comply wuh all City ordinances 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 1U SAVE INDEMNJFY AND KEEP HARMLESS 11IE CflY OF CAruSBAD AGAINST AU. lJABIUllES, JUDGMENTS, CDSTS AND EXPENSES WlUCH MAY IN ANY WAY A£IlUl1! AGAINST SAID CflY IN OONSF.QIJENC!l OF 11IE GRANTING OF 11IlS 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 permit 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 permit 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) Uniform Building Code). APPIJCANT'S SIGNATURE ,-:__?.A_:;J (_j~plicant DATE: /1. /t-7 I PINK: Finance .) .. CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB911693 FOR 12/17/91 DESCRIPTION: GAS LINE REPAIR TYPE: PLUM INSPECTOR AREA PY PLANCK# CB911693 ace GRP CONSTR. TYPE NEW JOB ADDRESS: 2683 REGENT RD APPLICANT: DEPENDABLE PLUMBING CONTRACTOR: DEPENDABLE PLUMBING OWNER: STR: FL: _STE· REMARKS: MH SPECIAL INSTRUCT: TOTAL TIME: CD 23 LVL DESCRIPTION PL Gas/Test/Repairs --------------------------------------------------- PHONE: PHONE: PHONE: 619 266-21 619 266-2 ~ COMMENTS ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS