The URL can be used to link to this page

Home My WebLink About1969 SWALLOW LN; ; CB021382; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 05-06-2002 Plumbing Permit Permit No: CB021382 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1969 SWALLOW LN CBAD PLUM 2150521333 Lot#: 0 Construction Type: NEW BARNES RES-COPPER RE-PIPE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/06/2002 RMA 05/06/2002 05/06/2002 Applicant: Owner: 6550 05/06/02 0002 01 02 ERIC FREDERICO 4588 CORONADO 92057 760 722-1928 Total Fees: Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain $57.00 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 Inspector: BARNES PAULA D 1969 SWALLOW LN CARLSBAD CA 92009 f Oc.-f-CJ3!J 0 Total Payments To Date: $0.00 0 0 0 1 0 0 0 Balance Due: Clearance: $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 CGP 57-00 $57.00 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 , . FOR OFFICE USE ONLY PERIV!IT APPLICATION PLAN CHECK NO. C.io J. (]/ ,< CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By r ~ £!1+ Date S/6~2 1. PROJECT INFORMATION /CJ'~ 9 S ltlLCJjl t) c-v Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessoc ;arcel # V re -Existing Use Proposed Use Description o ork SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) Name Address 3. APPLICANT O Contractor O Agent for.Contractor O Owner Name .4. PRO~RTY OWNER u.u,J c-.. Name ,6, CONTRACTOR • COMP.ANY NAME Address Address City 0 Agent for Owner City State/Zip State/Zip City S.tate/Zip Telephone# Fax# Telephone# Telephone# (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 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 exempt ion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil pen~lty of not more than five hundred dollars 1$5001). /:{Y1L Fre-,ie-r/e..o 'l~-8 '6 Cu-oYL ec.do &.ea..h~1cJ, CL>L • '7)..1)5"2 22=?--l'l'fl~ Name Address City State/Zip l,elep r~ _ State License# 7 ~D//'5 License Class C -~ S,, City Business License# _.1,q~B,l--)'-4-"'-"~~ Designer Name Address City State/Zip State License # _________ _ .6. WORKER$' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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. O 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 1$1001 OR LESS) igf 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 cure workers' compens coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred st f co , amages as provided for in Section 3706 of the Labor code, interest and attorney's fees. ·---,J.aCL.J<C.....L!'----L...:....::.....::........i.<::..=~c...,,,:::'----... --. ______ DATE 5' .-to -t) ~ OWNER-BUILDER t)ECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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). 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 / have not) signed an application for a building permit for the proposed work. 3. I have contract&d with the following person (firm) to provide the proposed construction (include name I 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 I 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 _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS 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 O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 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. ,~. CONSTRUCTION LENDING'.AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS __________________________ _ 9. APPLICANT CERTIFICATIOr,I 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 to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt 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 comm ed within 180 days from th date of permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commen d or a period of 80 day ( .4. U rm Building Code). APPLICANT'S SIGNATURE DA TE _..:_5"_--~..::,____---_,:,:._V_.f-:....___ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/31/2003 Permit# CB021382 Title: BARNES RES-COPPER RE-PIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1969 SWALLOW LN Lot APPLICANT ERIC FREDERICO Owner: BARNES PAULA D Remarks: PM PLEASE Total Time: 0 Act Comment Inspector Assignment: RCB Phone: Inspector: Requested By: PAULA BURNS Entered By: CHRISTINE CD Description 29 Final Plumbing #------ Associated PCRs/CVs lns(lection Histo['l Date Description Act lnsp Comments 12/20/2002 24 Rough/Topout AP JM 12/20/2002 29 Final Plumbing WC JM 05/08/2002 26 Plumbing Repairs/Sprinkler NR RC NEED PERMIT FOR H/W HTR, ELEC REPAIR-SEE NOTES ON CARD I