HomeMy WebLinkAbout1948 SWALLOW LN; ; CBR2020-0276; Permit,,
Print Date: 02/12/2020
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
1948 Swallow Ln
BLDG-Residential
2150521314
$0.00
Residential Permit
Work Class: P/M/E
Lot#:
Reference #:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
Description: JACKSON: REPLACE WATER HEATER
WATER HEATER PERMIT
Total Fees: $98.00
Owner:
KERI JACKSON
1948 Swallow Ln
CARLSBAD,CA 92009
Total Payments To Date: $98.00
(City of
Carlsbad
Permit No: CBR2020-0276
Status:
Applied:
Issued:
Permit
Finaled:
Closed -Finaled
02/04/2020
02/04/2020
Inspector: TAlva
Final
Inspection: 2/12/2020 1:27:17PM
Contractor:
THE ROCK REMODELS INC
1259 Bobolink Dr
Vista, CA 92083-3061
760-605-5002
Balance Due: $0.00
$98.00
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 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 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 fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
1635 Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
•
c·cicyof
Carlsbad
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CtRarrx()J.,'9-Jio
Est. Value
PC Deposit ---------
Date --4=c}:;,....1-{Y....,/l"";J.=O=d--0_::__
Job Address __,/Lq...L-L/,.___,f?"--___ a,_;_/_lo_uJ__;L-:__-=---c-a_r_.Suite: ___ APN: --------
CT/Project #: _________________ Lot#: ___ _
Fire Sprinklers: yes/ no Air Conditioning: yes/ no Electrical Panel Upgrade: yes/ no
BRIEF DESCRIPTION OF WORK: _.::,~:......:....ns_-h_c:,;_j::::..,_/_ ..... k--'-"@:=._---=/JJ.c.:....::.;cz:..;.k __ · _Y__:_~ __ +e_;_::;_,__Y' ______ _
□ Addition/New: _____ .Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? Yes/ No New Fireplace? Yes/ No, if yes how many? __
D Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ No
□ Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□ Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ___________________________________ _
D Plumbing/Mechanical/Electrical Only: ________________________ _
D Other:-----------------------------------
APPLICANT (PRIMARY CONTµ:T) / _ PROPERTY o1~NER. -r L
Name: A-/ VvU7{ ..) ~ ~ z._ Name: Fe I" I ..j a C.:--'>0 f7 ,
Address· /25q f?cJbcJ/,-,,, /c l:J r: Address: /qLff'.... StAJa//ovl/J·
City: \7ist0-: State:C-1'r Zip: '72o8-;; City: c~ r/..thd State: c,,1-Zip: "'2£):}7,
Phone: _ _,_.~L-....:>::..=.';;)4_:,.._-....:.../.L7-=~:.:::L~~--Phone:~----------~----
Emaila' ,::) Jc. re ntO '>, tLC, Email: --P,k ......... e .... c,'-+-i...,+/_..a,..c_,_~@:s...;1{},=µ,..,/](A;=.LL.7_,,_,,C'-""t:J-'-r?l:....L __
IJ,(4./ /. LC///;? '-'
Address: _______________ _
City: _______ State: __ ~Zip: ___ _
CONTRACT~USINE,~ L,, ,I) _ / /,
Name: ~ /4JC,~ Pf.en{a::u./5
Address: / £-fJ ,%di,, :rz E 2Sr.
City: l//sf-zl../ State:ctl: Zip: 1'248:3
Phone: ~S--~c:702.._ •·
DESIGN PROFESSIONAL
Name: ________________ _
Phone: ________________ _
Email: ________________ _ Email: &Gt .f?-pAf)c(elr1re@jY!fCl/)
Architect State License:___________ State License: /@2!1/ 8, Bus. License: f!;/J)'S ()_o_q_(o_o_l ___ O/ -
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to itsc?,e) / ~
issuance, also requires the applicant for such permit to file a signed statement that he/she 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/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500}).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I h rby affirm under penalty of perjury one of the following declarations:
ave and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
which this permit is issued.
0 I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: ______________________ _
Policy No. ______________ Expiration Date: _________ _
□ 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 be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage Is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.0 n addition the to th t of compensation, damages as provided for In Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: AGENT DATE:
( OPTION B }: OWNER-BUILDER DECLARATION:
I hereby affirm 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-builder will have the burden of proving that he did not build or improve for the purpose of sale).
□ 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 th.ereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's Licen~e 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 construction of the proposed property improvement. □ Yes □ 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/ 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/
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/ type of work):
OWNER SIGNATURE: ___________________ □AGENT DATE: _____ _
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there ls a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ______________________ Lender's Address: _____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING 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 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes D No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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.
APPLICANT CERTIFICATION:
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 representative of the City 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 5'0' deep and demolition or construction of structures over 3 stories in height.
1cial under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
mt ate of such permit or if building or work authorized by such permit is suspended or abandoned at any time
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-1
ecti n106.4.4Uniform ,lding de). DATE: d/ 4 I ;;:oze)
r,
Ph: 760-602-2719 Fax: 760-602-8 8
Page 2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
~~ ~
PERMIT INSPECTION HISTORY REPORT (CBR2020-0276)
Permit Type: BLDG-Residential Application Date: 02/04/2020 Owner: KERI JACKSON
Work Class: P/M/E Issue Date: 02/04/2020 Subdivision: CARLSBAD TCT#79-28
Status: Closed -Finaled Expiration Date: 08/10/2020 Address: 1948 Swallow Ln
IVR Number: 24640 Carlsbad, CA 92009-4142
Scheduled Actual Inspection Type Inspection No. Inspection Status Primary Inspector Date Start Date Reinspection Complete
02/12/2020 02/12/2020 BLDG-25 Water 119185-2020 Passed Tony Alvarado Complete
HeaterNents
BLDG-Final 119186-2020 Passed Tony Alvarado Complete
Inspection
February 12, 2020 Page 1 of 1