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HomeMy WebLinkAbout1967 SWALLOW LN; ; CB041583; Permit0\C()l City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-11-2004 Plumbing Permit Permit No: CB041583 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1967 SWALLOW LN CBAD PLUM 2150521339 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: Project Title: J&E INC RES-COPPER REPIPE Applicant: ANDERSON PLUMBING INC.WALTER 1150 N 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: J&E INC C/O PAULINE TELFER 1717 TIMOTHY PL VISTA CA 92083 Issued: Inspect Area: '(.!(/', --~-\.r. .. ,· ISSUED 05/11/2004 KMT 05/11/2004 05/11/2004 $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 FOR OFFICE USE ONL y J'I PLAN CHECK NO. {!J;Dl/15'c.'D CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit ~ Validate~ ~ Date ~ [\ lOY f. PllbJECT INFORMATION u ~ { I /'(6 ~ / "" 7 Address (include Bldg/Sutte #I -1'1 Business Name (at this address) \A,}<1,t fblM f:f llb:c.Y b '/1\£\>t Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Name tJ:,,.,,iio\'t!\'8..!.,,~ttni fiiWlifl.Ml (Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to ,construct, alter, Improve, da~olish or repair any struc~ure, prior to its issuance, also requires the applicant for such permit to file a signed statement that ha Is hcensed pursuant to the provisions of the Contract~• 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 basrs for the alleged xemptlon.' Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than fJve hundred dollars ($60011. }_ f.v01!:e,r At>U(:5010 f/L+'rtr>-•'fY) JJ$o n. t!'ku$bn1J £/CoJ♦r, CA '{;.Mc> t.1or~yyt,,---:,,1,t.}Q Name Address City ✓ State/Zip Telephone II State License # 41 ) -,, 3 License Class C, 1 h City Business License II \ () J ':i 4 <2 D Designer Name State License II Address City e. ,.YlORKER_S::::~ :::cb;;::M::;-_ ~;:;:::;::::SA::Tl::-:;:ON;:;:;;:;;;:;:::: .. ~'""""'..... < Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone O I have and wlll 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. _ri.. 1 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 Tsued. My worker's compensation insurance ?rrler and policy number are: l'J'., --,: J () U Insurance Company $ fAfE, f v\. Y'.\4 Policy No. '1' !.... ).,. 6 6) Expiration Date. __ f_,_-'f----+-+-- (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 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 aecure workers' compenaetlon coverage la unlawful, and ■hall ■ubject an employer to crlmlnel penalties and clvll fines up to one hundred thou■-nd doll~O), _In •'!!!!tlo~ the coat of compenaatlon, damage■ a1 provided for In Section 3706 of the b 11.!:.}nt_ est and attorney's feea. SIGNATURE,......-~ -DATE ___;:~~4-+-.:::D'-";__-t------ 7 , t.lEA)lllfir®li:'fffi:lARA'fli N _______ __._ ·· f!I':: " I haieby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 (Sec. 7044, Business end 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 ______ 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 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 I 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 I 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):, ________________________________________________________ _ PROPERTY OWNER SIGNATURE--,---------------------- COMPlETE''{ti[S SECT!Qf!fOR NON-RESIDENTTAL'BUfLOINO P.tfiNIITS O LY. 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 dlstrict7 O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a 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. 8 , . ~STRUCTION ~ENDING AGENC .. -~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). ,9 .. 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 IIKCavations over 5'0" 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 hy such permit Is not commenced within 1B0 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any tlrr ,fter the work is commenced for a period of 1B0 days (Section 106.4.4 Uniform Building Code). L I t APPLICA ·' SIGNATUl1E: z ~::<c:::,....,,,, DATE $ -JI DL-_ • WHITE: Fila YELLOW: Applicant PINK: Finance Inspection List Permit#: CB041583 Date Inspection Item 09/28/2004 29 Final Plumbing 05/13/2004 24 Rough/Topout Tuesday, September 28, 2004 Type: PLUM J&E INC RES-COPPER REPIPE Inspector Act Comments PS AP FINAL PER PS PS AP Page 1 of 1