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Home My WebLink About1954 SWALLOW LN; ; CB121367; Permit07-19-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Tille: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB121367 Building Inspection Request Line (760) 602-2725 1954 SWALLOW LN CBAD PME 2150521320 Lot#: 0 SOPCZYK: REPLACE WTR. HEATER Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 07/19/2012 JMA 07/19/2012 07/19/2012 ALL STAR WATER HEATERS & PLUMBING SOPCZYK STANLEY R&BERGART SHARLENE S 17886 LAKESHORE DR 92530 1-800-727-0977 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 1954 SWALLOW LN CARLSBAD CA 92009 $30.00 $0.00 $0.00 $65.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: INAL APPROVAL i'./ fC>---tZ Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition" of fees, dedications, reseivations, 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 for processing in accordance with Cartsbad 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 ttieir imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any f i n f i h h vi I n N T wh· h I «,It!' Plan Check No. Cto12.-/ ?.(p? Est. Value ~· CITY 0 F CARLSBAD Plan Ck. Deposit Date ?!11/1z._ I JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 1954 Swallow Lane --- CT/PROJECT # rOT# I PHA!lE # I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSI NE~ NAME I CO~TR. TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Fefi of Atrected Area(s) Replace existing water heater. Same size and location. EXISTING USE I PROPOSED USE I GARAGE (Sf) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS YES □#_ NO □ YES D NO □ YES □ NO □ CONTACT NAME (If Different Fom Applicant) APPLICANT NAME Ken Block ADDRESS ADDRESS 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Menifee CA 92584 PHONE IFAX PHONE I FAX 951-345-4083 EMAIL EMAIL PROPERTY OWNER NAME Stanley Sopczyk CONTRACTOR BUS. NAME All Star Water Heaters ADDRESS ADDRESS Same as job 30300 Puerto Vallarta CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Menifee CA 92584 PHONE IFAX PHONE I FAX 760-845-4149 951-345-4083 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE LIC. # STATE UC.# IClASS C 36 ICllYBt;:::; / <..I-\ Ir 812894 Wor1<1rs' Compensation Declaration: I hereby affirm under penalty of peljury one of the following declarations: □ I have and wlll maintain a certlficete of content 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. ill I have and will maintain worll.ers' compensltlon, as required by Section 3700 of the Labor Code, for the performance of the wori<; for which this permit is issued. My workers' compensatkln insurance carrier and policy number are: Insurance Co. Granite State Ins. Co, Policy No. 1646180 Expiratkln Date 08/02/2012 This section need not be completed if the permij is for one hundred dollars ($100) or less. □ Certificate of Exemption: r certify that in the per1onnance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subject an employer to crimlnal penalties and civil fines up to on, hundred thousand dollars (&100,000), In addition to the cost of compen11tlon, damages a p ded for I e Labor code, Interest and attorney's fees . ..6$ CONTRACTOR SIGNATURE I hereby affinn that I am exempt from Contractor's License Law for the following reason: □ 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-OOilder will have the OOrden of proving that he did not build or improve for the purpose of sale), □ I, as owner of the property, am exdusively 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 contra;ts 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 construcUon of the proposed property improvement. □ Yes □ No 2. I (have/ have not) signed an applicatkln for a building permit for the proposed work 3. I have contracted with the following person {finn) to provide the proposed construction {include name address I phone I contractors' license number): 4, r plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (Include name I address I phone I contractors' license number): 5. I will provide some of the work, 001 l have contracted (hired) the following persons to provide the work indicated (include name I address/ phone I type of work): .JE5 PROPERTY OWNER SIGNATURE AGENT DATE I certify that I have read the application and state that the above infonnatlon Is correct and that the Information on the plans Is accurate. I ae-eeto comply Mth all Clfy ordinanms aoo State laws relating to blildng construction. I hereby authorize representative of the City of Ca'lsbOO to enter UJXlll lhe above mentioned property for inspectioo purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES 1/JHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING Cf THIS PERMIT. OSHA: An OSHA pennit is required tr excavations over 5'0' deep a,d demolition or oonstrucoon of structures over 3 stories in height. EXPIRA.TI~: Every ~rmit issued by the Building Official under the provisions of this Code shall expire by limitalbn and become null and vok:I if the building orw.:irk authorized by such permit is oot canmenced within 180 days from the date ofsudl permrt or ii the build' or work a · · · suspended or abandol'led at any time after the w:,rk is oommenced for a pericxl ol 180 days (Section 106.4.4 Unibm Building Code). /i5 APPLICANT'S SIGNATURE DATE I ~rl<.... Inspection List Permit#: CB121367 Type: PME Date Inspection Item 08/07/2012 25 Water HeaterNents 08/07/2012 25 Water HeaterNents 08/07/2012 29 Final Plumbing 08/07/2012 29 Final Plumbing Friday, August 10, 2012 SOPCZYK: REPLACE WTR. HEATER Inspector Act Comments RI PB AP RI PB AP Page 1 of 1