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Home My WebLink About1962 SWALLOW LN; ; CB030096; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-10-2003. Mechanical Permit Permit No: CB030096 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1962 SWALLOW LN CBAD MECH 2150521326 Lot#: $0.00 BATES RES-REPLACE FURNACE 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 01/10/2003 RMA 01/10/2003 01/10/2003 ·54,~o -:)1/l'J/03 ·)J02 )1 Applicant: ARS STE 100 6162 NANCY RIDGE DR SAN DIEGO CA 92121 858-677-5455 Mechanical Issue Fee Install/Furn/Ducts/Heat Pumps Fee Fireplace Installation Fee Exhaust Fan Fee Installation/Relocation Vent Fee Hood Fee Boiler/Compressor to 15HP Fee Other Additional Fees TOTAL PERMIT FEES 1 0 0 0 0 0 Owner: BATES CHARLES E&SHARON A 8011 WINGATE DR GLENN DALE MD 20769 $15.00 $9.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $24.00 Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due: Inspector: EXPIRED PERMIT PERMIT HAS EXPIRED IN ACCORDANCE WITH U.B.C. SECTION 108.4.4 D•'.TE ....:•w\.;;9l.:lt,.i, r~[}>.;o.._SIGNATURE __,J&~i .. 1, ... r __ _ FINAL APPROVAL Date: Clearance: ~::sF~ $24.00 NOTICE: Please take NOTICE that approval of your project includes the ~Imposition" of fees, dedications, reservations, 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 prooedures set forth in Government Code Section 66020(a), and file the protest and any other required inforn,ation 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 thal your right to protest lhe 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 seNice fees in connection with this project. NOR DOES IT APPLY to any f . I imil r hi . h h y; /.,_ PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. C&o ~ (JD 1'' CITY of CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ---~------ Validated o/, a;;f_~ Date (l.f_tJ.L __ t 7 :1111·· ! ,f tr:: ,r1?it~_7Jft)~~!P{;·?[1 :~: :/:? :L;:, ;:_,/~;r1:.-,i~:J'"":'\:1. 6fA1.JL.. Business Name (at this address) Legal Description II Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use Assessor's Parcel # Existi~Fg II of Bathrooms Name Address City State/Zip Telephone II Fax I/ r ia'Ager\f1Joif<!:iih17~c;tb~;-;jr[J:5,W~~rr;::.,li);Jllo:g'~i:i'fHliP-0Wft'~f;;•_:c·· . :t. ·~:' :·. '•' • ICC ,s.':1:>. City 5, . CONTRACTOR'-COMPANY' NAMi:ic ·' :!(. (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 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 and Professions Code) or that he is exempt therefrom, and the basis for the alleged exe p ·on. Any violation of SectionZ.031'®.y applicant for a perm~;ects the (pplicant t~$ ~enalty oCA-m r ;;;,five hundre h olla? I~~~ Name Addr City State/Zip Telephone II State License II ']4J fSZ.,O License Class ~2D C,~ City Business License# /Di3D7DO Designer Name Address City State/Zip Telephone State License II __________ _ 6. WORKERS' coMPENSA'fl6N .?~!'."'"'".""t<:\': '· .,,) .... ,.,1.,1,., Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 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 whic/t is permit Is issued. My worker's compensation insurance carrier and policy n~mber are: j<o I - Insurance Company (Y)AeG,+-L<..5d--j /l('.'., Policy No. 24,i3ff~:3 -0 / Expiration Date. / / \...£J (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$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 secure workers' compensation coverage Is unlawful, and shan subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000 In ditlon the cost of sation, damages as provided for In Section 3706 of the Lab r cod , Interest and attorney's fees. DATE -~L..,L...C~D:_.!,-,ec __ I heieby affirm that I am exempt from the Contractor's License Law for the iollo~ing reason: O I, as owner of the property or my employees w ith 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 ere 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). 0 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 profects 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 O NO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contract&d with the following person (firm) to provide the proposed construction (include name / address / 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 / phone number / contract ors 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 _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NoN,fiESIDENfiJU ·eu1[0fNfilfiERMlfs'o'NllY.,1' ! '';i,,;,•,-,:w:1•~:.'''!>,r• ~'' ,,, !/j\• _.,.. ••. , 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 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 distlict 7 0 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. CONSTRUCTION LENDING AGENCY, 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(il Civil Code). LENDER'S NAME ______________ _ 9. AP.Pi..lCANT CERTIFICAtioi'.!i':_,. 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 Citt 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. JUOGMENTS, 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. 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 aulhorized by such permit is not commenced within 180 days from the date of such permit or If the building or work aulhorlzed by such permit Is suspended or abandoned al any lime after the work is com e ced r aper' d of 180 da:r: (Section 106.4.4 Uniform Building Code). // / ,<APPLICANT'S SIGNATURE -~~l,..1~~~:__..L,..fl-~~:::;..!~=...-------DATE / 1/Q 3 W: Applicant PINK: Finance