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Home My WebLink About1976 SWALLOW LN; ; CB154373; Permit• 12-11-2015 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: MARR City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME} Permit Permit No: CB154373 Building Inspection Request Line (760) 602-2725 1976 SWALLOW LN CBAD PME 2150521325 MARR:REPLACEFURNACE Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 12/11/2015 JMA 12/11/2015 12/11/2015 SERRIN FAMILY REVOCABLE LIVING TRUST 12-13-01 1976 SWALLOW LN CARLSBAD CA 92010 858-337-2365 4423 SALISBURY DR CARLSBAD CA 92010 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Total Fees: $163.00 Total Payments To Date: Inspector: f11-{.p&,,,;w. $0.00 $0.00 $163.00 $0.00 $163.00 $163.00 Balance Due: Clearance: $0.00 NOTICE: Aease ta<e NOTICE that~ ct )OJ ?tjed irdl.des tre "lrTl)Olitiori' ct fees, dedcatiors, reservalicns, or ctt.,-exa;tiors -cdledivay referred to as "feee/exa;ticns.'' You rave 00 drjs fro-ntre-tns pemit""' iSSJSd to ?'(lest irTJ=ili01 ct trese feee/exa;tiOl"IS. If you ?'(lest thlrr\ you mst fdlo.vlhe ?'des! ?"(lC8(ire6 set forth in C?cMmrenl Qxle Sd0160020(a), mJ file th, ?'(lest mJ My dra" reciJred infcmai01 wlh Ire Qty Mn3ger for procsssrg in a:x:ada-a,wlh Ca1sboo M.ridi:a Oxle &do, 3.32000. Fallletotirreyfdlo.vthat ~wll ba-My~ lega adi01toatta:k, 1"8'v1ew, set aside, vtid, er aru treir irrp:sition. You are reel>/ FUmER NOTIRBJ that )OJ rig! to ?'(lest tre specified feee/exa;tiors llCES NOT APPLY to'Mll<r ml se.,er cx,--re:jjo, fees ml capa::ity c:lB1ges, nor ~a-rirg, :zairg, g,drg cr ether sinrila-wicaio, procss,;rg or sennre fees in 001nedicr wlh !tis ?tjed. I'm DCES IT APPLY to ary f . ciwirli ___ ,.:__ . L---,.,;vena~V"m,...,.....,.;rrila-toths. ,v-<3<0tnffid,tte ......... Ltedli-'-'--'-j---has . ~--'se--' . .. ,THE FO~OWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMATIAPCD • • C_cityof Building Permit Application Plan Check No. ffi / )• / J, ?-(7 ~ 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov - www.carlsbadca.gov Date I z_,/ I I /, .:; lswPPP JOB ADDRESS/ q 7 ,,6 5' t/1/ II, L-L-0 1,./ I-t::..rJ t3 SUITE#/SPACE#/UNITI l'"N --- CT/PROJECT# . I LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS l TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) (25-PlAt.-6 (v.. ~r.Jf'lc.£ EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YESQ No[] YES □No □ YES □No□ APPLICANT NAME :OPERTYOWNER ,C:::/) c,J-1jll./) MA(lfl,. Primary Contact ADDRESS ADDRESS IC/ 1-6 5 w ~ l,U) vJ (IJr.J t5 CITY STATE ZIP CITY (Af),l-5 GAD STATE CA ZIPq"J,ooq PHONE l'AX PH~E<x h ~7 J.-3 bS' l'AX EMAIL EMAIL e Mlll;/l, (!!.,, s!J cc 4. vOrJ\ DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ADDRESS ADDRESS CITY STATE ZIP CITY STATE ZIP PHONE l'AX PHONE l'AX EMAIL EMAIL I STATE LIC. # STATE LIC.# I CLASS I CITY BUS. 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 signed statement that he is licensed pursuant to the provisions of the Contractor's Lrcense Law /Chapter 9, commending with Section 7000 of DivIsIon 3 of the B_usiness and Professions Code} or fhat he is exempt 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 c1vII penalty of not more than five hundred dollars {i500}). WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: El 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 reauired 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. ______________ Expiration Date _________ _ µil§.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 pennit 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 clvll fines up to one hundred thousand dollars (&100,000), in addition to the cost of compensation, dam vlded for In Section 3706 of the or code, Interest and attomey's fees . .65 CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: D 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). ~ 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) □ 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. OYes 0No 2. I (have I have not) signed an application for a building pennit for the proposed work. 3. l have contracted wijth the following person (firm) to provide the proposed construction (include name address I phone 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 (inciude 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 I type of work): -,/15 PROPERTY OWNER SIGNATURE □AGENT DATE /v I , COMPLETE THIS SECTION FOR NON~RESIDENTIAL BUILDING PERMITS ONLY ts lhe applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenfon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substaoce Account Act? Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? Yes No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? Yes 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lendmg agency for the performance of the work this permit Is issued (Sec 3097 (1) Civil Code) Lender's Name Lender's Address APPLICANT CERTIFICATION I certify that I have read the application and state that the above lnfonnatlon is correct and that the infonnatlon on the plans is accurate. I agree to comply with all Chy ordinances and State IBM relating to bulldlngconstructlon. I hereby authorize representative of the City of Carlsbad to enter upJ11 lhe aOOve menooned property br inspection purp,JSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CAALS&\O AGAINST ALL LIAlllLITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA permit is requred tir excavations over 5'0' deep and demolitk:Jn or construction of structures over 3 stories i1 height. EXPIRATION: Every~rmlt issued by the Building · I under the provisKlns of this Code shall expire by limitation and beoome null and vok:I Wthe buik:ling or'MJl'k authorized by sudl permit is not oommenced v.ilhin 180 days from the date of sudl permit or if the bu" · or'MJl'k authorized by sudl ~nnil is sus or abandoned at any time after the'MJl'k is commenced for a~ of 1 days (93c!Dn 100.4.4 Uniform Buik:ling Code). # ,@S° APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY DPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) MAIL TO: CONTACT (Listed above) CONTRACTOR (On Pg. 1) OCCUPANT (Listed above) MAIL/ FAX TO OTHER: ________________ _ A5 APPLICANT'S SIGNATURE ASSOCIATED CB#------------- NO CHANGE IN USE/ NO CONSTRUCTION CHANGE OF USE/ NO CONSTRUCTION DATE ZIP Inspection List Permit#: CB154373 Type: PME Date Inspection Item 02/01/2016 49 Final Mechanical 01/11/2016 49 Final Mechanical 01/08/2016 43 AirCond/Furnace Set 01/08/2016 49 Final Mechanical Monday, February 01, 2016 Inspector MC MC MC MC MARR:REPLACEFURNACE Act Comments Fl NR PA NR NEED T-24 PACKAGES. Page 1 of 1