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Home My WebLink About1938 SWALLOW LN; ; CB042174; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-07-2004 Plumbing Permit Permit No: CB042174 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1938 SWALLOW LN CBAD PLUM 2150521316 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference#: Plan Approved: ISSUED 06/07/2004 MOP 06/07/2004 06/07/2004 Project Title: Applicant: GAITHIER RESIDENCE COPPER REPIPE 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: GAUTHIER MARK D 1938 SWALLOW LN CARLSBAD CA 92009 Total Fees: $57.00 Total Payments To Date: $0.00 lnspec Date: Issued: Inspect Area: $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 Balance Due: $57.00 37s2 06/07 /04 0002 01 CGP Clearance: NOTICE: Please take NOTICE that approval of your project includes the "I positi '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 lees 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 fhi rvil NTI hi 02 57-00 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. --------- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date _______________ _ Add ess (include Bldg/Suite #I \ ~usiness Name (at this address> Leg!n:t&ron Lot No. \~!~1t lta~'eNumbe~t)('1"b Unit No. Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax # ·"P',....""'"'~~rffi! fpr\I"':@IQ~eDfltmlgn •'W.~fi~~ City State/Zip r elephone # ··· ... ~ "-"~~~i~1l!'1fll!ll.1'J.Y.i~!:~~-~I Name Address t11 JR1~1\m1~m-• ·1., City S.tate/Zip -,~ 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 exemption. Any v'olatlo of Section 703 .5 by any applicant fgr a oermit subjects the applicant to a civil oen•ltv of not more than five hundred dollars ($500I1.J L: . h °\o' 1150 0•1'14'\l'~h"'ll t-J°lo.(p,p(.A °l)..O')..i) ,r1-44q.__. t':/,Q Address -City .., State/Zip Telephone # State License # _L-J-'--1:....:>_;:_l:....·..,.b'--~,,,_ __ License Class L,) '7 City Business License # I D1 Y LJ Q Q Designer Name Address City State/Zip Telephone Stete License # gJ. ~~~~00;;;;,;iit!;,.rollll~iill~w.""'i1Jl.:~~1il',\i!rif&~~~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certlficati, 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. ~ 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 carrier and policy number are: -:t. / '::/- Insurance Company 'S fg ±-e £\A Y' :' Policy No. q' -H,-0 "', Expiration Date OT _ O _ !'.I • (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 la unlawful, and shall subject en employer to criminal penaltlea and civil fines up to one hundred thous .. and dollars ($10.0 0. 00. In ad . on to the cost of compensation, damages as provided for In Section 3706 of the~~ and attorney's fees. ~~.G~A~;~ljffiPJ~~~lOCt:~MtfPR~ '", · , • .. , ~~~-ut~•~a 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 sofa compensation, will do the work and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Coda: 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 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 c·ontractor(sl 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 maior 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 / 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 I 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; __________ _ ~QM!J~E'(E!{l:[~Eg;fioNtF.QjjtN,O}IJ&:~iliENU~~JfO;_'ffitJ9.fe~ij1Jjij$]dBJ~~t~~~1~,il"'l'{m~ 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 25506, 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 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. [!lnilffi$.,fJ!IJ:c.:.111§:,j(l3."W~f&g1.~'1{~~:ii~tJl~1'i&m~B~~.'!1~~lfiiB~~!'!TmliiltB11~iffl~~~11! I hereby affirm that there is a construction le~ding agency for the performance of the work for which this permit is issued (Sec. 3097(il Civil Code). LENDER'S NAME_______________ LENDER'S ADDRESS ~mu1ciN~a!lim.GAtl<m::~-~~~~ •. i ,;:,, · 'r' · .. ~ 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 Stat e laws relating to building construction. I hereby autho'rize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALS.O 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~n height. EXPIRATION: Every permit Issued by the building Official under the provisions of this Code shall expire by limitation and become null and void ii the building or work authorized lly such permit Is not commenced within 180 days from the date of such permit or ii the building or work authorized by such permit Is suspended or abandoned at any tlIT' dter the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). / / APPLICA _; SIGNATURE ~ ' DATE '=,, 12 J t {<) LI WHITE: FIie YELLOW: Applicant PINK: Finance Inspection List Permit#: CB042174 Date Inspection Item 07/13/2004 24 Roughffopout 07/12/2004 24 Roughffopout Tuesday, July 13, 2004 Type: PLUM Inspector Act RI PS AP GAITHIER RESIDENCE COPPER REPIPE Comments Page 1 of 1 m ' ·City of Carlsbad Bldg Inspection Request ' Permit# CB042620 Title: ELLIOTT RESIDENCE Description: COPPER RE PIPE For: 07/12/2004 Type: PLUM Sub Type: Job Address: 1926 SWALLOW LN Suite: Lot 0 Location: APPLICANT ANDERSON PLUMBING INC,WALTER Owner: ELLIOTT CRAIG&NANCY Remarks: ASKED FOR STRUCTURAL & PLUMB Inspector Assignment: ~ '"'"'' (¥ Inspector: Total Time: CD Description Requested By: BRANDY Entered By: ROBIN Comment 17 Interior Lath/Drywall 24 Rough/Topout fi,1fYb' Associated PCRs/CVs Inspection History Date Description Act lnsp Comments