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