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Home My WebLink About1976 SWALLOW LN; ; CB041934; PermitCL . [~Q \+{( ~r5'Y7163s~!r!?a~~ ~~~!!,~~~2oos ' 05-21-2004 Plumbing Permit Permit No: CB041934 Job Address: Permit Type: Parcel No: Reference#: Project Title: Building Inspection Request Line (760) 602-2725 1976 SWALLOW LN CBAD PLUM 2150521325 Lot#: 0 Construction Type: NEW SERRIN RES COPPER REPIPE Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 05/21/2004 SB 05/21/2004 05/21/2004 Applicant: ANDERSON PLUMBING INC.WALTER SERRIN FAMILY REVOCABLE LIVING TRUST 12-13-01 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 Total Fees: $57.00 0 0 0 1 0 0 0 4423 SALISBURY DR CARLSBAD CA 92008 Total Payments To Date: $0.00 Date: $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: Clearance: $57.00 NOTICE: Please ta at approval of your project includes the "I position" I fees, de ·cations, reservations, or other exactions hereafter collectively referred to as "fees/exactions." ou 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 f es/ex ction I whi h h ve revi I be n iv n N TICE similar thi r a t which the sta f limi · n has reviou I h rwise ex ir d. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Legal Description Lot No. Existing Use SO. FT. #of Stories FOR OFFICE USE ONLY f PLAN CH.ECK NO. t, L/ / tr ry v EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date·-------------'---- Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Address Coty State/Zip Telephone # ~"' i!.J;i!iil.!i!tl~.imi'8fir'~~~D~1flJm2ii!!i.."iilllllliilliB~~~~m'M:4~ Name Address City S.tate/Zip Telephone# . .Alim~~~ij~,: . "' ~~~~~ (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 Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Any violajion o Section 7031.5 by an applicant for a permit subjects the applicant to a civil penalty of not more than fJve hundred dollars ($5001). f\n W\, • t D n. M,-.. h \ 2.1 • GA , •4 Designer Name Address City State/Zip Telephone State License # _________ _ ~iWiffi §Q1tum.mrr~·~1~t . ,, Workers' Compensation Declaration: I hereby affirm u11der penalty of perjury one of the following declarations: 0 I have and will maintain ri 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 hsued, My worker's compensation insurance carrier and policy number are: / / / Insurance Company $:t4=1'fe £ti} l') ~ Policy No. 1 t> ~ >-, <)V) Expiration Date D'?I:( 6(.. (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) / O CERTIFICATE OF EXEMPTION: I certify that in the performance of tha 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. 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 he did not build or Improve for the purpose of sale). O 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 ______ Businass 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 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/ 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):. ________________________________________________________ _ 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 25634 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 o 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. ·.§9. I:tl!Jl:~~@ll(!'t~9.1fi~, · , . ~il~mi."tm~~G'l.!rD~B'Bim'_g~_,~1.1\mB"!~~.~ 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(1) Civil Code). LENDER'S NAME__________________ LENDER'S ADDRESS 'Ef!W-o.!N:~t[iiJ&e.'.8:!1L -~J~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 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 II the building or work authorized by 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 lirT' ,lfer the work Is commenced a erlod O days (Section 106.4.4 Uniform Building Code). / / APPLICA :; SIG~ATUAE --"""=---==-----1,_.,--,_,-_-_--:..~-----------DATE '$ / J:-) 0 L _ l WHITE: File YELLOW: Applicant PINK: Finence City of Carlsbad Bldg Inspection Request For: 05/27/2004 Permit# CB041934 Title: SERRIN RES COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1976 SWALLOW LN Lot 0 APPLICANT ANDERSON PLUMBING INC,WALTER Inspector Assignment:~ Phone: 6194497646 Inspector: Cp Owner: SERRIN FAMILY REVOCABLE LIVING TRUST 12-13-01 Remarks: Total Time: CD Description Act Comment Requested By: MARK Entered By: CHRISTINE 24 RoughfTopout 42-_ _,__.f-__,,~~~A-~l-~---------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments