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Home My WebLink About1972 SWALLOW LN; ; CB003497; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09/26/2000 Plumbing Permit Permit No:CB003497 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: A&J FOSTER, INC. STEB Building Inspection Request Line (760) 602-2725 1972 SWALLOW LN CBAD PLUM 2150521324 Lot#: 0 Construction Type: NEW WETHERSPOON RES NEW WATER HEAT REPLACE WATER HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: WETHERSPOON BEYERL Y 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 1972 SWALLOW LN CARLSBAD CA 92009 ISSUED 09/20/2000 CB 09/26/2000 09/26/2000 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: $27.00 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 TOTAL PERMIT FEES Inspector: 0 0 0 0 1 0 0 FINAL APPROVAL Date: ":)/'c)./Ol $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Clearance: _____ _ 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 fOf 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 rght to protest the specrried fees/exactions DOES NOT APPLY to water and sewer connection fees and capa~y changes, nor planning, zoning, grading or other similar application processing or seivice fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been niven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. (;@(20 2qq 7 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit~-------- Validated Byf_,/e? Date 'l/;)£2/ @ 1. PROJECT INFORMATION Ln ,_ n 197d, S u Jc:/ I I O(..L) !.1,.L!'....J ~ Address (Include Bldg/Suite #) Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms Fu# 3. -APPL'..ICANT Downer. City State/Zip Telephone# I I (( I t Name City State/Zip Telephone# 6. 'CONTRACTOR i COMPANY NAME· (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 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 exempt· Any_ vio ion of Section ?031.5 by any applic~ permit subjects e a civil penalty of not e t five hundre~oll s I $5001). Name I'") Address Stoto Ucons, # ....,,(j<-=?:/:J'-=--<IF-oZ.~()~ License Class----~=----City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 8. WORKERS' COMPENSATION1• Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 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 ls 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 ',i";uad. My worke' mpens fon · surance carrier and po· y num er are: l / / Insurance Company · • Policy No. 1\)8,[X\ ]Sle£ l (JD Expiration Date S] l U"O \ !THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that ln 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 ■ecura workers' compen■etlon coverage la unlawful, and shall aubfect an employer to criminal penalties and civil fines up to ona hundred thousand dollars ($1 ,0001. In a o the of compensation, damages as provided for In Section 3706 of the L~~I code) ln__r"-at and attorney's fees. SIGNATURE=-~2:;;;~=~;;~==~==--==========~= OATE ":J. /€ ( (L1,) 7: OWNER-BUILDER DECLARATION 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 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 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 (Sac. 7044, Business and Professions Coda: The Contractor's license Law does not apply to an owner of property who builds or improves ihereon, and contracts for such projects with contractor(s) 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 major labor and materials for construction of the proposed property improvement. 0 YES QNO 2. I !have I have not) signed an application for a building permit for the proposed work. 3. I have contractad with the following P.erson (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): _______________________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following p1:1rsons to provide the work Indicated (include name / address / phone number / type of work): __________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NbN~RES'IDENTJAt,eU1LoiNa PERMITS ONLY".!:/('.'.,.;: 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 26606, 26633 or 25634 of the Presley-Tanner Hazardous Substance Account Act1 0 YES O NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary ot a school site7 0 YES D 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. B, CONSTRUCTION LE~OING AGENcv,,,, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ ·9, ,. APPLICANT c~"TIFICATION? 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. J 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUDGMENTS, COSTS ANO 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 Offlclal under the provisions of this Code shall expire by llmltallon and become null and void if the building or work authorized by such permit ls 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 al any time alter the work I c mane tor a period of 180 days (Se on 106 4 4 Urnlorm Butldlng Code) 91 k'" l ("I,, APPLICANT'S SIGNATURE 'f:,,~c-::1l __ .e:::::::::::~~===---------------DATE ---+-\,c+lo=-+-~U..,J~=------- WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 03/01/2001 Permit# CB003497 Title: WETHERSPOON RES NEW WATER HEAT Description: REPLACE WATER HEATER Type:PLUM Sub Type: Job Address: Suite: Location: 1972 SWALLOW LN Lot APPLICANT A&J FOSTER, INC. 0 Owner: WOTHERSPOON BEVERLY W Remarks: Total Time: CD Description 25 Water HeaterNents Act Comments ~F~ Associated PCRs Inspection History Date Description Act lnsp Comments Inspector Assignment: _2- Phone: 7604385066 Inspector: ~ --""' ........ __ _ Requested By: BEVERLY Entered By: CHRISTINE