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Home My WebLink About1977 SWALLOW LN; ; CB041585; Permitw-City of Carlsbad ' 1635 Faraday Av Carlsbad, CA 92008 05-1 r-2004 Plumbing Permit Permit No: CB041585 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1977 SWALLOW LN CBAD PLUM 2150521331 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: SCHUTH RES-COPPER REPIPE Applicant: ANDERSON PLUMBING INC.WALTER 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 1 0 0 0 Owner: SCHUTH NANCY J 1977 SWALLOW LN CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 05/11/2004 KMT 05/11/2004 05/11/2004 $20.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $30.00 $0.00 $0.00 $0.00 $57.00 Total Fees: $57.00 Total Payments To Date: $0.00 Balance Due: $57.00 Clearance: NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of ees, dedications, reservations, or ether exactions hereafter collectively referred to as "fees/exactions." You have 90 days from the date this permit was issued to pretest imposition of these fees/exactions. If you protest them, you must follow the pretest procedures set forth in Government Code Section 66020(a), and file the pretest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, er annul their imposition. You are hereby FURTHER NOTIFIED that your right to protest the speclfied fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f I x ions f whi h h v r vi I . N Tl E imil r hi or 1 hi h f lirni i h . . x i d . ... .... ........ _________ _ PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Address (include Bldg/Suite #) W'!t°"' Legal Description Lot No. Existing Use SO. FT. #of Stories City FOR OFFICE USE ONLY PLAN CHECK NO. c_-!,olf I :>~S EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By __ __,~c..::....___:::....,_ ____ _ Date. ______ S,__-__,_l\;_-_co;c__11---- Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms S.tate/Zip Telephone # Name rt.~U~~., -~~f.\~:?i1FJll" . ~.$SU'4k,~emt'!ll½f~i~'~~~~~r~~~~~~~~-~~~~ (Sec. 7031 .6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair eny 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 License Law (Chapter' 9, commanding with Section 7000 of Division 3 · of the Business and· Professions Code) or that he is exempt therefrom, and the basis for the alleged =mptlon. 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 ($600}). } ~alk,r AM¥5o,,... f/tA,ec>-•rY) /1$0 O, 1•1~u:6hn~1 £JC~j•n cA t:f;.u& {,/flf--YY~ ... l-4L/r; Name Address City State/Zip Telephone # State License # 41 ) -,, 3 License Class L '.1 b City Business License # \ t) J Y L/ C, D Designer Name State License # Address City State/Zip Telephone ta· · ·,p ~ij$1 !tQ.w.!ENTAffl~ Worke;'s• Compensation Declaration: ~ .~~~~~~~~~~~~t•~~~~;:r , I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self•lnsure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. _s:J;.. 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 ~ued. My worker's compensation insurance !rrier and policy number are: q, • -7!: J /\ LJ Insurance Company $ fAfE, f v\ )'\'I. Policy No. _ b O (>) Expiration Date __ f..,_+f_u __ -+-+-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) O CERTIFICATE OF EXEMPTION: I certify that in tha 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 tha Workers' Compensation Laws of California. WARNING: Fallura to Hcure worker•' compenntlon coverage I• unlawful, and ahall aubject en employer to criminal penalties and civil fines up to one hundred thouaand dolla~O), ~n a~tlo~ the coat of compenaatlon, damage• H provided for In Section 3706 of the b d..f.'.jnt est and attorney's fees. SIGNATURE_.-~ -DATE ~ f:7'./ -=-4-...Yf-1.....::::._-f---. ~~t•m~uirP1.alfl:"'cfrKa)\ffo · ,,. · '~•c~~ • .. J;~~~\i'll"::~'.'Z:x~~ I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 w ithin one year of completion, the owner•bullder will have tha burden of proving that ha did not build or Improve for the purpose of sale). 0 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). 0 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. 0 YES ONO 2. I (have I 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 I contractors license number): 4. I plan to provide portions of the work, but I have hired the following parson to coordinate, supervise and provide the major work (Include name / address / phone number/ contractors license number):·------------------------------,---------------------- 6. 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): ________ .,_ ___________________________________________________ _ "-11:t"~~~~ ·!,~~· "1,, •.~ ....... ~ f:.~ml 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 Act7 0 YES O NO Is the applicant or future building occupant required to obtain. a permit from the air pollution control district or air quality management distrlct7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. IJ}l'l'§J~s,:i.,lJcTJ§:fJh~~JrfOWcEN~V~~~12''"''~~-~~"<~i·~ · ..:¼;':_,;., ">, ~-, \' b<•it" ~,• •• 5 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS. _________________________ _ r~;lf~¼'.Aiw:te.'AN'tiCER-r!UcA:i:10,n~l":"~ •• ~::ra"'I~~ ,"Jt"'¼: -1~~"~'.1-.. ~'.' ""'' .,.kc •,.;..,· .· :i,t.:';,:c:•~:..,<'f I ~ertify that I have read tha application and state that the above information Is correct and that the information on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cit\' 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 et<cavations over 5'0" deep and demolition or construction of structures over 3 stories in height. EXPl~ATION: Every pe~~it Issued by the bul(ding Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authonzed hy such permit 1s not commenced w1th1n 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tirr ,11er the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). L I ( APPLICA ·' SIGNA TUFIE z ~ :Ac: / DA TE $ -J I D L, • WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/25/2004 Permit# CB041585 Title: SCHUTH RES· COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 1977 SWALLOW LN Suite: Lot 0 Location: APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: SCHUTH NANCY J Remarks: Inspector Assignment~ Phone: 6194497646 Inspector~ Total Time: CD Description 24 Rough/Topout Requested By: MARK Entered By: CHRISTINE 7t) Comment /fr f.1,wk'-- ---- Associated PCRs/CVs Inspection Hlstory Date Description Act lnsp Comments I