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HomeMy WebLinkAbout1972 SWALLOW LN; ; CB041932; Permit,(\ 'A \n City of Carlsbad J---}1 ~ ~ 635 Faraday Av Carlsbad, CA 92008 Plumbing Permit Permit No: CB041932 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1972 SWALLOW LN CBAD PLUM 2150521324 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: KHIMANI RES COPPER REPIPE Applicant: 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: KHIMANI NATASHA 1972 SWALLOW LN CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 05/21/2004 SB 05/21/2004 05/21/2004 $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 FINAL APPROVAL PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Lot No. Subdivision Name/Number Existing Use SO. FT. #of Stories ·"" Name Address City FOR OFFICE USE ON~ y l ~ PLAN CH.ECK NO. C) I °' / L EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ___________ _,_ ___ _ Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms Telephone # Fax # Telephone# S.tate/Zip Telephone# (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, altar, 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 end' Professions Code) or that ha Is exempt therefrom, and the basis for the alleged exemption. Any violaJion o Section 7031.6 by an applicant for a permit subjects the applicant to a civil penalty of not more than fjva hundred dollars ($6001). 1-\n W\, • t o n.P',_.. h \ 2..1 • GA , •4 City · State/Zip Telephone # City Business License # / Q J l.J 1-J {) 0 Address City State/Zip Telephone l , ,. 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 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: 1 / } Insurance Company $:f~,e_ £/Ah of Policy No. 1 t> ~), OV} Expiration Date CJ~ Q_L (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) / D 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. rv NEii-BOJL~titCl:A'liAT " ' "'· I hereby affirm that I am a><empt from the Contractor's License 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 Coda: 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). D 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). D 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 O NO 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 port ions 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 26505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act7 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? D YES D NO . Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 D 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. 8 · , ·~JJci:@{f(i!~oi· wetrd • · • ~.iv~1 · r 'll~~;l'm t~~~-,;i:~"i"ll:n~i!~R.ct'!I 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 ADDRESS • ·; r 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 Cit,-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 If the building or work authorized by such permit Is not commenced within 1 BO days from the date of such permit or If the building or work authorized by such pennit Is suspended or abandoned at any tir,, ,Her the work Is commenced a erlod O days (Section 106.4.4 Unlfonn Building Code). / / t APPLICA _; SIGNATURE _ _.,,=._.£,:-_:-___,• ... ~~~=====-------------DATE '$ _ d-, ) _ 0 L _ I WHITE: File YELLOW: Applicant PINK: Finence ' . m City of Carlsbad Bldg Inspection Request For: 06/04/2004 . Permit# CB041932 Inspector Assignment: PS Title: KHIMANI RES COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: Suite: Location: 1972 SWALLOW LN Lot 0 APPLICANT ANDERSON PLUMBING INC,WALTER Owner: KHIMANI NATASHA Remarks: --- Phone: 6194497646 Inspector: ~ Total Time: CD Description Requested By: MARK Entered By: CHRISTINE A~ Comment ~ r,'ri ,± L-z;:,,:t) 24 Roughffopout Associated PCRs/CVs Inspection History Date Description 06/02/2004 24 Rough/Topout Act lnsp Comments CO PS UNIT LOCKED