Loading...
HomeMy WebLinkAbout1952 SWALLOW LN; ; CB042181; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 ' 06-07-2004 Plumbing Permit Permit No: CB042181 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 1952 SWALLOW LN CBAD PLUM 2150521315 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: PARMAN 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: PARMAN D MICHELE 1952 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 CGp 02 57-00 FINAL APPROVAL DAT~CLEARANCE SIGNATURE 4, ---- 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 \)se SO. FT. #of Stories # of Bedrooms # of Bathrooms City State/Zip Telephone # Fax # ·21IILIDlq;\U!,1"1~1IDt .. ;~M.[o,C'~ er~~~~ Address City State/Zip Telephone # •, ' Tiffi!ll)l)'~~~l'@"&'\a~~~~nf{~ Name Address City State/Zip Telephone# tftl:§~P~~ · ,, ~~: (Sec. 7031.6 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 v'olatio of Section 703 .5 by any applicant for a oermlt subjects the applicant to a civil pen~ltv of not more than f)ve hundred dollars ($500]).r J: · '°' 11.so n.m"'"~""'" t:Jt.a<PJ.A CA °I J.-o")..o ,1,,,-94q.__, t':l,u Address ' Coty .J • State/Zip Telephone # State License # _'1....:...._4'--:>=....;l:.._. -"-b-"),e__ __ License Class L, ~ {;, City Business License # I DJ '-J Lj Q Q Designer Name Address City State/Zip Telephone State License # IJ~~~ii.ij -~~n.r:>. "1"1"' . .. .. ~~~i: ~,z~,~~ Worke;'s• Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 and policy number are: "7... / tJ_ Insurance Company S tg ±-e £,A Y> A Policy No. q' -Afo/0) Expiration Date OT _ 0 _ . . ~ (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 tci become 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 clvll fines up to one hundred !~;;:~~:;::~;:Q:::::::::::=~~ii~=~I 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 comJ)ensation, 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 ha did not build or improve for the purpose of sale). O 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 contractor(s) licensed pursuant to the Contractor's License Law). O I am exempt under Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the maior 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 0AT6 ~tiM.itEMt:!f~S.j;Q;Tli[t{f,6-~~~~ft~EgEQ] ~}pc ;.,. . ~ 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? 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 th<> 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. ·1ri,m.r.. m-rn ·=· l:dN!Jl:er~~.:r;;. '"f''-filmim-~r--r---lll'@_,"'!'l!!!!.'!lf•''1i'"...u'j".11i--,w~-~7,•~~~1<:.\,Jgli',."l!C:r-n111;vr"><l);l~:r.1,\!;11 t .. !.. i&~,s.J),,;,..,qg;r __ ...... J.:~ ... NJ>..JJ.~ :~""gi..i~s! .. ~~~~R11M:nr~f!iV,r~~;,..'ljlimtl~)L~r.;,,,;tt:~r.,r;~~.~~l1~1~>\.r.3:i~~f1~11rNH.l~~;;iMll_ .. ~~,r:~~1t.~51ll;~i1:l.'~1.,~:'i~1~:.;, I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil C?de). LENDER'S NAME_______________ LENDER'S ADDRESS ________________________ _ ~1m!4ffl[c~~~lrr®'.WJQ~~~~~~~~~~ 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 autho.rize representatives of the Citt of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALS_O AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 storiesJn height. EXPIRATION: Every permit Issued by lhe building Official under the provisions of lhis Code shall expire by limitallon and become null and void If the building or work authorized hy such permit Is not commenced within 180 days from the date of s~ch permit or II the building or work authorized by such permit Is suspended or abandoned at any tirT' ,fler the work is commenced for a period of 180 days (Secllon 106.4.4 Uniform Building Code). / / L APPucA _; s1GNATURE ~ ' oATE (, fD l r b / WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB042181 Title: PARMAN RESIDENCE Description: COPPER REPIPE For: 06/18/2004 Type: PLUM Sub Type: Job Address: Suite: Location: 1952 SWALLOW LN Lot 0 APPLICANT ANDERSON PLUMBING INC,WALTER Owner: PARMAN D MICHELE Remarks: Total Time: Act Comment Inspector Assignment: J\,1\/\ Phone: 6194497646 Inspector: ---- Requested By: MARK Entered By: CHRISTINE CD Description 24 Rough/Topout ~------ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments