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Home My WebLink About1946 SWALLOW LN; ; CB042178; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-07-2004 Plumbing Permit Permit No: CB042178 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1946 SWALLOW LN CBAD PLUM 2150521318 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: RAMIREZ 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: RAMIREZ ARTHUR X 1946 SWALLOW LN CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 06/07/2004 MDP 06/07/2004 06/07/2004 $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 3752 06/07/04 0002 01 CGP Date: Clearance: NOTICE: Please take NOTICE that approval of your project includes the ulmpo tionn of es, 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 fw · h I i ·1 r whi h Ii i r vi I ---·-·--·--·---- 02 57 .oo PE,RMIT, 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. ________________ _ Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms City State/Zip Telephone # Fax# b [ii)'1"o_ ~QilID"!l~e.t;.,@..tl,t,~~~B Name City State/Zip Telephone # ~~-~~w~a~~-~~t~,~~-.,, Name Address City S.tate/Zip Telephone# . ~~_} .·'. •i,j''• (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 7031.5 by eny applicant fpr a cermit subjects the applicant to a civil penAltv of not more than five hundred dollars ($6001).""1. L \)J !>.,\::\:tr: ~n.~ies:Soh \wm\o,"-j, 11 50 n-m~l'~hr.ll t,{IA~ CA 0/)..0~ i> ,1"1-44q._.,.r._('::/ ,u Name -Address • • City .J State/Zip Telephone # State License # '14 :> l b °) License Class C,.) " City Business License # I D1 'i Y Q Q Designer Name Address City State/Zip Telephone State License # (6j . -~!l~9.M[fflSJA[.l~L Workers' Compensation Declaration: i!ii!li mtiEiB~~~ 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. ~ 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 ;f;;ued, My worker's compensation insurance carrier and policy number are: "7. / ':/- Insurance Company S f-g ±:e £ \A I() d Policy No. q' -Af,-0 "',) Expiration Date O T _ (} _ ,. (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 subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000 In ad on to the cost of compensation, damages as provided for In Section 3706 of the Lab~de, Interest and attorney's fees. &;;;~;:~,m1P.1rerl\:-~~~J1~""f:i'9R~~~EUil~~~BB~1 I heieby 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 comJ)ensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professlo_ns 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 thet 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 c·ontractor(s) licensed pursuant to the Contractor's License Lew). 0 I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the maj~r labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have notl 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 / 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 I 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 I address I phone number/ type of workl: · 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. tf!~l4mt~is.Y1:Jit§r!ijJ.K@l:t<r~:r~~i · ., ,,. · ~~~R§m~~iimm.~1W~~t~~4i:~~riiB1!1.~~s~~ii~ I hereby affirm that there is a construction .fending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Code). LENDER'S NAME _______________ LENDER'S ADDRESS. ________________________ _ (~~J;!r>:N;f;e~ITTf\l'illl~lUO~--~~~,r~~~~~~~ I certify thet 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 w ith 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 ALS.0 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 If the building or work authorized by such permit is not commenced within 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 l!ter the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). / / APPucA _; s1GNATURE ~ ' DATE '=,,DJ r /?L/ WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB042177 Date Inspection Item 06/30/2004 24 Rough/Top out Monday, October 25, 2004 Type: PLUM Inspector Act PS AP ROSEN RESIDENCE COPPER REPIPE Comments Page 1 of 1