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Home My WebLink About1965 SWALLOW LN; ; CB041582; Permitw, ~tj___ City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-11-2004 Plumbing Permit Permit No: CB041582 Job Address: Permit Type: Parcel No: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 1965 SWALLOW LN CBAD PLUM 2150521334 Lot#: 0 Construction Type: NEW SLLL CO. RES-COPPER REPIPE Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: PENDING 05/11/2004 KMT Applicant: Owner: .'1.860 'JS' . .111,. 04 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 Total Fees: $57.00 SWALLOW LANE LTD LIABILITY CO PO BOX 368 CARLSBAD CA 92018 0 0 0 1 0 0 0 Total Payments To Date: $0.00 $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 FINAL APPF~OVAL PERMIT APPLICATION • FOR OFFICE USE ONLY PLAN CHECK No CJ3C/1fS82- CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Esr. VAL.---------- Plan Ck. Deposit ~ Validate:1 \ Date (5 \( n\\ \ \ Address (include Bldg/Suite #) W\£\A (b ""' Busine;~ Name (at this address) \A,)<1,t l 14 i :f 'lb-c-:Y b Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name A dress City S.tate/Zip Telephone # ~~" · •~@,~~~iii{ ;ro;.~~~l~7.~~~~l!;/'~~~~'.iI'.,m7~~~~ (Sec. 7031.5 Business and Professions Code: Any City or County which requires I permit to construct, alter, improve, demolish or repeir any structure, prior to its Issuance, also requires the applicant for such permit to fit!' a signed statement that he Is licensed pursuant to th~ provisions of the Contract~r•s License Law [Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code] or that he 1s exempt therafro~, and the basis for the alleged ~mptlon. 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 ($600]). ) ~01:f'.r AnU'f'5o-c fly,.,..,>e,'"") JJSo 0, ~,~b1111 £/Coj•r. c4 '!!{;.p;.,c) ')fl/ ~y4t1J-.,-1,1-J (i Name Address L City State/Zip Telephone # State License# 41) -,, 3 License Class _ 1 h City Business License # \ fl 1 ':::fL/(2 D Designer Name Address City State/Zip Telephone State License # .. --.. -.. -.,.-,.-,..-,1'1'i-_.-.-~--~~·.':i!'."~-'t"l"I~""'"""'"'"'.'_, __ ;,•,&:fll?l'l'"""'..,..~P"~'"-..,.""1""i:ll'""''--••-t""""'__, .. _,,.""''11 111"-' ~WJ\S~~W~NS~.i,,_,.. !!-!<11.tMM.udt~ .•.i~,,..-'" .~-..,i!ll.~1~•••••1i-1,'"'i;,:~•;-,Mln' • 1.'.iii,1w!l.lwc.,..;;.,,,w,: • ", ... -, .. ;a-·, l,$'~:.~·-" · ~ '"'"'' ,..» Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certiflcat11 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. __r£ t have and will maintain workers' compensation, as required by Section 3700 of the Labor Coda, for the performance of the work for which this permit is Tsued. My worker's compensation insurance?rrier and policy number ere: q, • ~ !o L) Insurance Company $ TAfE. f v\ '{\4'1. Policy No. _ ).,. 6 6) Expiration Date __ f-L-+~-;;:__--+-+-- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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: Fallure to aecure worker•' compenaatlon coverage i• unlawful, and ahall aubject an employer to criminal penalties and civil fines up to one hundred thouaand dolla~OJ, !n a~tlo~ the coat of compenaatlon, damage••• provided for In Section 3706 of the b 11.t:Jnt est and attorney's fees. SIGNATURE:i--iiiit ~lffl~~~~~iiiii ·~:iiiiii~iiii~miiiiii;i:i~n~~ DATE :-='S=-:±~-:±....;(J'-/==1:::::::--=. - 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 (Sac. 7044, Business and Professions Coda: 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 contrects 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 parson (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).:_----------------------------,---------------------- 6. 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):. _______ ~------------------------------------------------- •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 ts the applicant or future building occupant reQulred to obtain.a permit from the air pollution control district or air Quality management district ? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school slte7 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,..,. ~Nlt.R\./CTIOtlr~Jii!Qt~G'iJi~G.i~"mi~-"l~~ . ~~~;!~iii1P\,, Ull··~.;.;;: !'l:,,i '!..~ ,r: "~· .;'<•. ,.;~t'f:T " "' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 30970) Civil Code). LENDER'S ADDRESS =:---:-------------------------, :r ~ ~ r ~ ~ ~, ~-~·~~· -~ ~-:a t~~)~ii~. -~a·-;r-.1Jr-~~-~--t ;, .!~ ;;:;: 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 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 8f<cavations 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 authorized by 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 llrr ,11er the work is commence~ period of 180 days (Section 106.4.4 Uniform Building Code). L I I APPLICA ·' SIGNATURE z ~~/ DATE $ -JI -DL-• WHITE: FIie YELLOW: Applicant PINK, Finance . Inspection List Permit#: CB041582 Type: PLUM ~D~a_te~_~ln~s~p~e~ct~io~n~lte~m~-------~ln=s,pe_ctor Act 09/28/2004 29 Final Plumbing PS AP 05/13/2004 24 Rough/Topout PS AP Tuesday, September 28, 2004 SLLL CO. RES-COPPER REPIPE Comments FINAL PER PS UNITS 1965, 1967 Page 1 of 1