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Home My WebLink About1924 SWALLOW LN; ; CB042622; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB042622 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1924 SWALLOW LN CBAD PLUM Status: Parcel No: 2150521307 Lot#: 0 Applied: ISSUED 07/02/2004 MDP 07/02/2004 07/02/2004 Construction Type: NEW Entered By: Reference#: Project Title: Applicant: MALUBAY RESIDENCE COPPER RE PIPE 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 Plan Approved: Issued: Inspect Area: Owner: MALUBAY ELIZABETH G 1924 SWALLOW LN CARLSBAD CA 92009 $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 5783 07 / 02/ 04 0002 01 02 CGp 57,00 FINAL APPROVAL DATEZ,~ SIGNATUR~--~-e--E"--64"'-.c.__ __ _ PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. ------ CITY OF CARLSBAD BUILDING DEPARTMENT 163!:i Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By_~---------- Oate ________________ _ Address (Include Bldg/Su,te #) \ l _ r Bu9Ress Name (at this address) ro ED \>.. 1 ~~t R:w.>,,,.rt ~ u o c-t b leAal Description l ot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # /<..e · Existing Use Proposed \)se ffJfi!!:Niork~ ,p. SO. FT. #of Stories # of Bedrooms # of Bathrooms .. State/Zip Telephone# Fax# -~ Name Address ·· · ~JJIID!J\\r~.Wm:tt · ~ Name Address City S.tate/Zip Teliiphone # (Sec. 7031.6 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 ii 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 Codel or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than f)ve hundred dollars [$5001). \! I a \ ±vc: I\. n dR1'S::19 h \?LYvM'P ~% .1. bL Li SQ r1 • m.. CJ> 1:i,,, tl l:. L c."' ·oe: c.A 1 'J...6). 0 Designer Name State license·, _________ _ Address I ·I City State/Zip Telephone @~lfft!$B'.~EN{~ , ~f',8W~.~~~ Workers' Compensation Declaration: I hereby affirm under penalW of perjury one of the following declarations: 0 I have and will maintain a certificat11 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. 0 I have and will maintain workers' compensation, as required by Section 3700 of the labor Coda, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: · Insurance Company S \:a.\:t ¥\A,,n,o\ Policy No. <\, b -d--~ ~ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) 0 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 aubject an employer to crlmlnal penalties and clvll fines up to one hundred thousand dollars ($1 0,0001, In addition to the cost of cqmpensatlon, damages as provided for In Section 3706 of tha abor co e, in rest and attorney's faes. SIGNATURE -:... • DATE 0/ bL-. a~12~&~Tuw~r11Jirrf.tm!™l'am~•1~:. . . . .~ .~ · . • · JA~~~ .t, m I hereby affirm that I am exempt from the Contrector'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 within one year of completion, the owner-builder will have the burden of proving that ha did not build or improve for the purpose of sale). 0 I, as owner of the property, am exclusively comracting 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 mejor 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 contracted _with the following person (firm) to provide the proposed construction (include name I address I phone number I 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 I contractors llcense_number): ______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the.following persons to provide the work Indicated (include name I address/ phone number/ type of work): · PROPERTY OWNER SIGNATURE DATE< nurmtHiffl~~JI&1i'!~~a1t1c~..i.r.mreiii'.M.Ur~ .. , . ~ 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 26506, 25533 or 25634 of the Presley-Tanner Hazardous Substance Account Act7 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? 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. !Sl.11::lWlv;n15jifi!Ti7',r,'ini.'T:tjl'Ef,,jriiii-<fEi1~. ·••.• . 'fJtlfl'~--r,-~~M,1!11~!1~fliffl!~ffifj!llil/l.lllWll!\'r,\li'lllli).fflfil~rri<~:~..-:,,'lP-~~-!ii!!!!!ll~ ~~5cHHl..R11.h9~~~,v.~ ..•• ~!:tW.J..H"J~ .... -.b1.t:. ~ • . .3lf~~fN.tii:lfffl~R~W~i~m~~ra11~-11mt~!tKu1:a~JJ~~\~J1¥~~;T;..UHt~iiji;i~~iht~j~J~i~ I hereby affirm that there is a construction ,lending agency for the performance of tha work for which this permit is issued (Sec. 3097(1) Civil Code). a ··EU 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 Cltt 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 6'0" 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 1,y such permit Is not commenced within· 1 so days from the date of s~ch permit or II the 'building or work authorized by such permit is suspended or abandoned at any tirn ••ter the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). --t/ /2 · , -~-:::1:':S . DATE I-' A/ b'-/ APPLICA ;; SIGNATURE ---~------>--""'----------------~--C/. 1 I WHITE: FIie YELLOW: Applicant PINK: Finance 1.nspection List Permit#: CB042622 Type: PLUM Date Inspection Item 07/13/2004 24 RoughfTopout Wednesday, July 14, 2004 Inspector Act PS AP MALUBAY RESIDENCE COPPER RE PIPE Comments FINAL Page 1 of 1