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Home My WebLink About1962 SWALLOW LN; ; CB041928; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-21-2004 Plumbing Permit Permit No: CB041928 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1962 SWALLOW LN CBAD PLUM Status: Parcel No: 2150521326 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: BATES RES COPPER REPIPE Inspect Area: 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: BATES CHARLES E&SHARON A 1962 SWALLOW LN CARLSBAD CA 92009 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 Fl~J,'\L APPROVAL FOR OFFICE USE ONLY PEf{MIT. APPLICATION PLAN CH.ECK NO. & t,//°tZ 0 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date. ___________ __,_ ___ _ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed \,Jse SO. FT. #of Stories # of Bedrooms # of Bathrooms Telephone# Fax# Address City State/Zip Telephone # ffl>Jii!fif«la.W.itlliiB1'1f~~~~-•!fERID~~W:l,r.'1 Name Address City S.tate/Zip Telephone # 'y. ~~., . ·~~~~~~~ (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 exemption. Any violaJion o Section 7031.5 by an appllcant for a permit subjects the applicant to a civil penalty of not more than f)ve hundred dollars 1$5001). ~n ""'-•. t o n. "M,-.. h \ 2.1 • a , •4 Designer Name State License # Address City ... (Q ~{Uf ~ ~QM!alfii§'~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 0 I have and will maintain Ii 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: /, / / lnsuranceCompany CS:tecl'.e f::tAnof Policy No.1 ~AOV} ExpirationDateD?I:( o<... (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100) OR LESS) / 0 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: Fallure to secure worker•' compensation coverage 11 unlawful, and shall subject en employer to crlmlnel penaltlea and clvll fines up to one hundred thousand doll ), In addition t he cost of compensation, damage• ea provided for In Section 3706 of the L or er•• lntere t end attorney'■ fees. DATE ~ ~ !Jl-. ~-. · iw.tm'iliP.l!rtll'liE.<i~fr~f '. .,. . 'Jl!!I __ . . , ~-~1&~~"a.WSB I hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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 w ho 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 wlihin 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 Lew 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 / 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/ 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 DATE, @9.ffi~-~~~clffif~~~l~ti.Ali,filJ,IpI@1eilM1t~19.H~r", 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 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? 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. , ,. ' .~]IJ:H[c.lt~~fl~i'.&1-tml~ ·,.,.,tffllfS~~11B.lim~1,t~~fr~E~~ 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 Coda). LENDER'S NAME LENDER'S ADDRESS ~: ~-~1!£91Jjlf.[~~~'b. 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 5'0" deep and demolition or construction of structures over 3 siories in height. EXPIRATION: Every permit Issued by the building Official under the provisions of !his Code shall expire by llmitatlon and become null and void If the building or work authorized l)y such permit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any tirn ,fter the work Is commenced a erlod O days (Section 106.4.4 Uniform Building Code). L ;· J APPLICA .,SIGNATURE --=--=--l.. .. --~+-;_-_-_-_-_____________ DATE '$ _.)J Ol-~ . 1 WHITE: File YELLOW: Applicant PINK: Finance . m City of Carlsbad Bldg Inspection Request . For: 06/11/2004 . Permit# CB041928 Title: BATES RES COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 1962 SWALLOW LN Suite: Lot O Location: APPLICANT ANDERSON PLUMBING INC,WALTER Owner: BATES CHARLES E&SHARON A Remarks: Total Time: CD Description 24 Rough/Topout £ Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment~ Phone: 6194497646 Inspector:~ Requested By: MARK Entered By: CHRISTINE R~~