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Home My WebLink About2637 REGENT RD; ; CB920022; PermitB u I L D I N G p E R M T T Permit No: 'B920Ul .. 01/09/9l 10:32 Pc1ge l c,f 1 Joh Addre~s: 2b37 REGENT RD Permit Tyre: PLUMBING Parcel No: 218-133-0b-91 Valuat1on: Construct1ot1 Type: NEW Occupancy Group: 0 Description: GAS LINE REPAIR Appl/Ownr : DEPENDABLE PLUMBING 7929 SILVERTON AVEN SAN DIEGO, CA fee::: Requ11.ed Fees: AdJustments : Total Fees: fee description ~as Piping SystPm A PLUMBING TOTAL Str: Cl·1::iS Cc. it': 61~ CITY OF CARLSBAD ProJect Nr: A9 ll(I( E9 D•v·1 opment Ne,: F : t ~ 5864 01/09;92 OOo1 01 02 C-PRMT 10 -00 eR. St 1. us· ,i~~ Applied: u ... /U-; 9 Apr/Issue: 01/0Y/q Validate,'! By: [)C 2b6-12121 .OU . ll t 10.00 A ~ \ Ext ff:.'e Data 7.5ll Y ~.50 10.0ll 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION PLAN CHECK NO. City of carlsbad Building Departaent 2075 Las Pal•• Dr •• cartsbad. CA 92009 (619) 438-1161 ~ V PLAN CK DEPOSIT ____ ~----~---l l!ST. VAL VAIID. BY---~~-----------=------ I. P£RM.t I JiPE A -UCOmmerc1al U New Bu1idmg D tenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential D Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration D Duplex D Demolition D Relocation □ Mobile Home □ Electrical Iii Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall D Solar □ Other DATE C 2. PRClJECT INFORMATION FOR OFFICE USE ONLY Add~ess ;J::6 ~ '7 i2.,~,..-r L.D , Butldmg or Suite No. ~rest Cross Street -r~....,.19:"'"''-" <)v<. LEGAL DESCRIPI IUN Lot No. Suix11V1s1on Name/Number Unit No. Phase No. CHECK BEWW IF SOBMl 11 ED: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCBI, EXISTING USE PBOPCJSED USE ~SCRIPTION OF WORK U ,oJ I I .., "-. l'vL f If i_ _/ SQ. FT. # OF STORIES 3. WN IACI PEJtSON (II dllierent from appUcant) "D NAME 6i II t:IASo,.., ADDRESS "2..637 '2.£6-c~r ,~ CITI c,0,../.1(..,.,}-STATE C,o. ZIPCODE DAYTELEPHONE ?2.D-/S-80 4. APPIJCANI W.CUNIRACIQ..K □AGENI FORWNIKACIUR □OWNEB-UAGENI FOR OWNER ..N ✓(.)/ NAME ~___,t,..1,L-t. nu....i.., ... 5 ADDRESS ...,.,,.'I s,tve....T"Orv Ai,.c. .rT"-7'" · CI~&;',.J or-c (rO STATE C,o ZIP CODE ~/"U:, DAY TELEPHONE '.2,66°-'l.11.. I 5. PkuPEff OWNER NAME ja j f I Jc:.\4 r 0.V ADDRESS L-(; 3} 12.,_(.,-<..,T rl.() ZIP CODE DAY TELEPHONE STATE CA 6. ~~.l<1bt..z. ADDRESS CITI STATE ZIP CODE IJCENSE CLASS ADDRESS DAY TELEPHONE STATE !JC.# CITI BUSINESS !JC. # . )It-SIGNER NAME /cm STATE ZIP CODE DAY TELEPHONE SfATE !JC.# 7. WOIUMtS,-' WWWWSAI ION workers· compensation uectarauon: I hereby aiurm that I have a certUlcate of consent to self-msure issued by the Director of lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admicted 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). INSURANCE COMPANY POIJCYNO. EXPIRATION DATE Ceruhcate of Exemption: I certlIY that m the performance of the work for which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATIJRE DATE 8. UWNEk-BUilDEll DliJ.ARA]iuN Owner-Builder Oeclarabon: I hereby affmn that I am exempt lrom the Contracto?s Lcense Law for the following reason: D 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 Ccxie: The Contractor's Llcense 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 that 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 Ccxie: The Contractor's Llcense 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). □ I am exempt under Section ________ Business and Professions Ccxle 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 that he is licensed pursuant to the provisions of the Contractor's Llcense Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATIJRE DATE COMPLEIE IRIS SECIION FOR NON-RESIDEN IIAL BOIIDJNG PERMil's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES □NO IF ANY OF TIII!ANSWERS ARI! YES, A FINAL CERTIFICATE OF CJCDJPANCY MAYNITTBEJSSUED AFll!RJULY 1, 1989UN1J!SS TIII!APPUCANT HAS MlIT OR JS MEETING TIil! RF.QUlREMENTS OF nm OFFJCI! OF EMERGENCY SERVlCI!S AND TIil! AIR POLLUTION WNTIIOL DISl1UCT. 9. WNSI KOCI ION IENDING AGENCY I hereby afitnn chat there 1s a construction lendmg agency for the performance of the work for which this penntt 1s issued (Sec 309?(1) CivlJ Gxie). LENDER'S NAME LENDER'S ADDRESS 10. APPLlcAN I cmtl'McX:liuN I certify that I have read the apphcauon and state that the above mformauon 1s correct. I agree to comply with all Caty ordmances 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 AISO AGREE ID SAVE INDEMNIFY AND KEEP IIARMlJ!SS TIil! CITY OF CARISBAD AGAINSf AIL IJAlllUl1ES, JUDGMENTS, CXlSl'S AND EXPENSES wmrn MAY 1N ANY WAY ACCRUE AGAINSf SAID CI1Y 1N WNSEQUENCI! OF TIil! GRANTING OF TIIlS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pennit 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 pennit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). t'""<7~,i? MIBa J-;, • n : F e YEIJ..OW: Applicant PINK: Finance •' ... PERMIT# CB920022 DESCRIPTION: GAS LINE REPAIR TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 01/10/92 JOB ADDRESS: 2637 REGENT RD APPLICANT: DEPENDABLE PLUMBING CONTRACTOR: PHONE: PHONE: OWNER: REMARKS: MH/KIM/266-2121 SPECIAL INSTRUCT: TOTAL TIME: PHONE: INSPECTOR AREA PY PLANCK# CB920022 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 266-12121 CD LVL DESCRIPTION ACT COMMENTS _2 3-_P_L _G_a_s_f_T_e_s_t_f_R_e_p_a_i_r_s _______ 6{ -------------------- ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS