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Home My WebLink About1945 SWALLOW LN; ; CB120548; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 03-28-2012 Permit No: CB120548 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1945 SWALLOW LN CBAD PME Status: Parcel No: 2150521343 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: LEWIS RES-REPLACE WATER HEATER@ BACK PATIO ANDERSON PLUMBING INC.WALTER 1150N MARSHALL EL CAJON, CA 92020 619-449-3852 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Owner: LEWIS JEANETTE M 1945 SWALLOW LN CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 03/28/2012 RMA 03/28/2012 03/28/2012 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: t/-1f-/Z-Clearance: $0.00 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 I , n I hi h h Tl whi h Iii i in «t'» ~ CI TY OF CARLSBAD JOB ADDRESS CT/PROJECT# Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax 760-602-8558 www.carlsbadca.gov SUITE#/SPACE#/UNIT# Plan Check No. Est. Value Plan Ck .. Deposit .1-n-S+ c;:_,\\ L./0 G c.Ji lon n ec,J-l,vfa.JL GcJ be,.__e_,rL ~ u EXISTING USE PATIOS (SF) DECKS (SF) FIREPLACE YESO . APPLICANT NAME (Primary Contact) APPLICANT NAME (Secondary Contact) ADDRESS ADDRESS CITY CITY PHONE FAX EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS STATE LIC. # (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 sll(ned statement mat 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 exemRt 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 clvtl penalty of not more than five hundred dollars ($500)). • 1 ·1,.,,:;,fki . W O R I< E R S ' C O M P E N S A T I O N ' . , . . , . • : . r,.;;-../:f.l Workers' Compensation Declaration: / hereby affirm under penalty of perjury one olthe following declaralions: D I ~ave 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. ~ave and will maintain wor1<ers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co ' ,.... ' ' Policy No. y 11? y 5 3 Expiration Date I a I as / 1 a ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ 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 Cal~ornia. 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 (&100,000), In addition to the cost of compensation, damages as provided for In Sectio 6 of the Labor code, Interest and attorney's fees. £5 CONTRACTOR SIGNATURE I hereby affirm Iha/ I am exempt from Con/rac/or's License Law for /he following reason: □ □ □ 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 OIITI 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). I, as owner of the property, am exdusively 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 Contraclor's License Law). 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. O ves 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 address I phone/ 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 Onclude name I address I phone 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 I address I phone/ type of work): .Ji5 PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLV . ~ . -. Is the applicanl or Mure boilding occupant required to submit a bosiless.J!!!!,, arutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Haz.atdous Substance Account Act? 0 Yes D No Is the applicant or future bullding occupant required to obtain a pemil from the air pollution control district or a!t.S!!ality management district? Dves D No Is the facility to be constructed v.ithin 1,000 feet of the outer boundary of a school site? 0 Yes LJNo IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUEO 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 worlc this permit is issued (Sec. 3097 (i) Civil Code). Lender's Name Lender's Address ;APPLICANT CERTIF I CATION I certify that I have read the application and state that the above lnfonnation Is conectand that the lnfonnation on the plans Is aa:urate.I agree to complyv.ilh all City ordinances and State laws relating to building conslruction. I hereby authorize repnisentative ci the~ ci Carlsbad to enter upon the aboYe mentioned property for inspection puposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN NM WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA pemit is required for excavations over 5'0' deep and demolition or oonslrudion of structures over 3 stories in height. EXPIRATION: Every permit Issued by the Bliking Official under the provisions ofllis Code shall expire by irritation and become nul and void Wthe buildng or work authorized by such permit Is not commenced v.ithin 180 days from the date of such pennt or W the bulding or work authorized by such pennt Is suspended or abandoned at any line aner the work Is coomenced for a period ci 180 days (Sectiorl 106.4.4 iliform Bl.tilg Code). J!S APPLICANrs SIGNATURE DATE ~ d°-( I a- City of Carlsbad Bldg Inspection Request For: 04/18/2012 Permit# CB120548 Title: LEWIS RES-REPLACE WATER Description: HEATER@ BACK PATIO Type:PME Sub Type: Job Address: 1945 SWALLOW LN Suite: Lot: 0 Location: APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: LEWIS JEANETTE M Remarks: water heater on the back patio Total Time: CD Description Act Comments Inspector Assignment: _fil Phone: 6194493852 Inspector: ---- Requested By: BRANDY Entered By: CHRISTINE 25 29 Water HeaterNents Final Plumbing _f]f_ ____________ _ ~------------- -------------- Comments/Notices/Holds Associated PCRs/CVs/SWPPPs Original PC# Inspection History Date Description Act lnsp Comments