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Home My WebLink About1671 CORTE ORCHIDIA; ; CB030774; Permit03-17-2003 City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No CB030774 Building Inspection Request Line (760) 602-2725 Job Address Permit Type Parcel No Reference # Project Title 1671 CORTE ORCHIDIA CBAD PLUM 2159502100 Lot# Construction Type 0 NEW SWICK RES GAS TO BBQ/FIREPIT ELEC TO BBQ AND FRONT YARD FOUNTAIN Status Applied Entered By Plan Approved Issued Inspect Area ISSUED 03/17/2003 SB 03/17/2003 03/17/2003 Applicant SWICK KENNETH E&JENNY S 1671 CORTE ORCHIDIA CARLSBAD CA 92009 Owner SWICK KENNETH E&JENNY S 1671 CORTE ORCHIDIA CARLSBAD CA 92009 0554 03/17/03 0002 01 02 CGP 47.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Dram Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees 0 0 0 0 0 1 0 $2000 $000 $000 $000 $000 $000 $700 $000 $2000 $000 $000 $000 TOTAL PERMIT FEES $4700 Total Fees $4700 Total Payments To Date $000 Balance Due $4700 Inspector FINAL APPROVAL Date Clearance NOTICE Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exactions" 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 IT APPLY to any fees/exactions of which you have previously been aiven a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave , Carlsbad, CA 92008 I!: JIPROJECT INFORMATION FOR OFFICE USE ONLY PLAN CHECK NO EST VAL Plan Ck Validated Date S — ' 7 ~ Address (include Bldg/Suite #) f\ Business Name (at this address) Legal Description Lot No Subdivision Name/Number Unit No Phase No Total tt of units Assessor's Parcel tt Existing Use33 Proposed Use Description of Work £4A/0S£4/VY^ le 2 CONTACT PERSON (if different from applicant) SQ FT #of Stories tt of Bedrooms °f Bathrooms To- '"» v-^Ofaf/ A Name Address City 3 ., APPLICANT gjf Contractor ; Q Agent for Contractor D Owner D • Agent ;f or Owner State/Zip Telephone # Fax #/Zip (7&C>) Name 4 --PROPERTY OWNER :* " Address City State/Zip Telephone # Address City State/Zip "elephoneName 5 CONTRACTOR - COMPANY NAME ' ""' '",:„.,- *'" „, '" ' "^ ...:. • •" ':'': .. ' ,./*••* J=:- '• ;:; (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 Contractors License Law [Chapter 9, commending 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 permit subjects the applicant to a civil penalty of not more than five hundred dollcars I $5001) , CA Name State License # X7 ,£>/// /p2> Wto/ Address License Class £-2? City State/Zip City Business License tt Telephone-* _ Designer Name Address City State/Zip Telephone State License # _ 6 WORKERS' 'COMPENSATION . '•„>*>-•«,•• -.. . •'.:" ""'"' ' .e-- l .. " 7;- -^ ' > ' ........... Workers' Compensation Declaration I hereby affirm under penalty of perjury one of the following declarations |~| I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued l~l I have and will maintain workers compensation as required by Section 3700 of the Labor Code for the performance of the work for which this permit is issued My worker s compensation insurance carrier and policy number are Insurance Company _ Policy No __ Expiration Date __ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS),/" n CERTIFICATE OF EXEMPTION I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers Compensation Laws of California WARNING Failure to secure workers' compensation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (fel 00 000) jn additionito the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney s fees SIGNATURE ^^^--ifC^k SftCfUi— __ DATE Q<3/t7/&> - 7 T^WNER-BUILDER DECLARMION " ': •*" '""'•* ' "'••-.. 3 1^~': ~ ""*' i •'••'• I hereby affirm that I am exempt from the Contractor s License Law for the following reason [~l 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 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, 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 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 License Law) l~l I am exempt under Section _ Business and Professions Code for this reason 1 I personally plan to provide the major labor and materials for construction of the proposed property improvement l~l YES 0NO 2 I (have / have not) signed an application for a building permit for the proposed work 3 I have contracted with the following person (firm) to provide, the proposed construction (include name / address / phone number / contractors license number) 4 I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number / contractors license number) ____ 5 I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type of work) _ _ _ PROPERTY OWNER SIGNATURE 7 • S ***\ <S\-DATE 0 3 / bOMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY : I?' 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? O YES H] NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? l~l YES f~l NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? FJ] YES Q NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT 8;:: CONSTRUCTION LENDING AGENCY ' f ; :: i •••• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 30970) Civil Code) LENDER'S NAME _ LENDER S ADDRESS __ 9 APPLICANT CERTIFICATION •'S I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree tc comply with 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 TO SAVE INDEMNIFY AND 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 GRANTING OF THIS 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 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 laorlays frosn 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 comm2<ed for a perigjJT 180 daj (Section 106 4 4 Uniform Building Code) APPLICANT'S SIGNATURE DATE WHITE File YELLOW Applicant PINK Finance City of Carlsbad Bldg Inspection Request For 04/17/2003 Permit* CB030774 Title SWICK RES GAS TO BBQ/FIREPIT Description ELEC TO BBQ AND FRONT YARD FOUNTAIN Inspector Assignment JM 1671 CORTE ORCHIDIA Lot 0 Type PLUM Sub Type Job Address Suite Location APPLICANT SWICK KENNETH E&JENNY S Owner SWICK KENNETH E&JENNY S Remarks Phone 7604150256 Inspector Total Time CD Description 29 Final Plumbing 39 Final Electrical 4- Requested By BRAD GORE Entered By CHRISTINE Act Comment Associated PCRs/CVs Inspection History Date Description Act Insp Comments 03/21/2003 21 Underground/Under Floor WC JM 03/21/2003 23 Gas/Test/Repairs AP JM 03/21/2003 31 Underground/Conduit-Wiring PA JM CONDUIT ONLY, FRT & BACKYRD Friday, March 14, 2003 To Whom It May Concern' I, Mr. And Mrs. Swick, state a release of liability and give permission to M&W Landscaping (Lie. # 384461) to act as our agent in pulling the necessary application permit(s) with the City of Carlsbad for work to be done at our residence located at 1671 Corte Orchidia, Carlsbad, Ca 92009 We have contracted with M&W Landscaping to install two electrical outlets in the landscaped areas extending from the house and for a non-metallic gas line running from the gas meter to the back yard for which city inspections will be necessary Contact phone numbers: Swick residence (760) 431 -2908 M&W Landscaping (760) 945-3443 office Brad Gore of M&W (760) 415-0256 cell Sincerely, 03 // 7 Mr. And Mrs. Swick Date