Loading...
HomeMy WebLinkAbout1950 SWALLOW LN; ; CB042180; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-07-2064 Plumbing Permit Permit No: CB042180 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1950 SWALLOW LN CBAD PLUM 2150521319 Lot#: 0 Construction Type: NEW Status: Applied: Entered By: Reference #: Plan Approved: ISSUED 06/07/2004 MDP 06/07/2004 06/07/2004 Project Title: Applicant: SALBATO RESIDENCE COPPER REPIPE 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: SALBATO GARRETT G 1950 SWALLOW LN CARLSBAD CA 92009 Total Fees: $57.00 Total Payments To Date: $0.00 Issued: Inspect Area: $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 Balance Due: $57.00 3752 06/07/04 0002 01 02 CGP 57"00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. --------- EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By ___________ _ Date. _______________ _ Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed l,Jse SO. FT. #of Stories # of Bedrooms # of Bathrooms ielephone # .. ~&~~, Name Address City State/Zip Telephone # ~ _lf!f~~:l)fi~~fr ' ·~~"?' ...... , (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 ls exempt therefrom, and the basis for the alleged exemption. Any v'olatlo of Section 703 .5 by any applicant fpr a oermit subjects the applicant to a civil oenAltv of not more than five hundred dollars ($6001).1 L: . h \o • 1150 fl•1Yl6\l'~h,.tl tJla({!/lf\ (A °!)..O';}..t) ,1q-44q._ ('1,u State License # _l-j-'---'4'-:)-'---'l_,· b"-")....,__ __ Address -City ,J State/Zip Telephone # License Class (,) '7 City Business License # I D1 'i LJ Q 0 Designer Name State License # Address City State/Zip Telephone (Qi • ™ff[~.,~1i&Uf~~l.P:. ....~~1.t:.~~J~~ Workers' Compensatio~ 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 which this permit is ,fs;ued. My worker's compensation insurance carrier end policy number are: -z / '4- lnsurance Company S to, ±-e £\A )I) d Policy No. 1, ~ Afo/0:, Expiration Date OT _ 0 _ . # (THIS SECTION NEED NOT BE COMPLEiED IF THE PERMli 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: Failure to secure workers' compensation coverage ls unlawful, and shall ■ubject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100 000 In ad on to the cost of compen■atlon, damages as provided for In Section 3706 of the Lab~de, Interest and attorney's fees. !IGN~:~•~1rn11]f,.....,,,.[J' .• ""'iEa,ij@'f~·'!'l!'l''~l<~~"''~~.;;,::""i~~'ll1'!'-ffli<'I v,; : "'~~"! .... L!:!lt: ... ,~ll.,!iLC ._ RA -~ .· ' ': ' ' ' ., "' . -'· '. · ,w ' , . ~!!~ liilJ . "c;;.g/ ,m ~../l. .&'• .,1 --. ' ~taill';S- 1 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 Professio_ns 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). 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 projects with c'ontractor(sl 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 mafor 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 numberl=·---------------------------,--------------------- 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):, ________________________________________________________ _ Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management end prevention program under Sections 25505, 25533 or 25534 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 district? 0 YES O NO -Is the facliity 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 ANO THE AIR POLLUTION CONTROL DISTRICT. rtm ~~IifJiJ:fpJJ-2m~_ijrfQLR<mt9IR~,Y~'!lf~~~~~j~'1iil:~i'FJ\~'i~'ixil.W~'l'R;~JJl,W~f~i~f-t1 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 Code). LENDER'S NAME_______________ LENDER'S ADDRESS ________________________ _ , ruffll;Ril~fcC~flift!i:!~!~~t~l9I'!li1fJ!lliii&ffll~Jl'~m~~~ 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 ALSP AGREE TO SAVE, INDEMNIFY ANO 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~n height. EXPIRATION: Every permit issued by the building Otticlal 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 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned at any tirr ,11er the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). / / APPLICA _;s1GNATURE ~ DATE '2fl2 J r bL/ WHITE: File YELLOW: Applicant PINK: Finance m ·. City of Carlsbad Bldg Inspection Request Permit# CB042180 Title: SALBATO RESIDENCE Description: COPPER REPIPE For: 07/07/2004 Type: PLUM Sub Type: Job Address: 1950 SWALLOW LN Suite: Lot 0 Location: APPLICANT ANDERSON PLUMBING INC,WALTER Owner: SALBATO GARRETT G&TRACEY E Remarks: Total Time: CD Description 24 Rough/Topout A-Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment:~ Phone: 8582929228 lnspector:yS Requested By: BRANDY Entered By: CHRISTINE