The URL can be used to link to this page

Home My WebLink About1940 SWALLOW LN; ; CB042175; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06-07-20d4 Plumbing Permit Permit No: CB042175 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1940 SWALLOW LN CBAD PLUM Status: Parcel No: 2150521312 Lot#: 0 Applied: Reference #: Project Title: Applicant: SALMI 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 Construction Type: NEW Entered By: 0 0 0 1 0 0 0 Plan Approved: Issued: Inspect Area: Owner: SALMI ELLABLANCHE K 1940 SWALLOW LN CARLSBAD CA 92009 ISSUED 06/07/2004 MOP 06/07/2004 06/07/2004 $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 3752 06/07 /04 0002 01 02 FINAL APPROVAL CGp 57-00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 Existing Use SO. FT. #of Stories FOR OFFICE USE ONLY PLAN CHECK NO. --------- EST. VAL. _________ _ Plan Ck. Deposit ________ _ Validated By ___________ _ Date. _______________ _ Phase No. Total # of units Proposed \,Jse # of Bedrooms # of Bathrooms City State/Zip Telephone # Fax # IIDX.~liD!&V~@· B~~~"m Name Address City S.tate/Zip Telephone# (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 v'olatio of Section 703 .5 by any applicant f~r a oermit subjects the appllcant t·o a civil cen~ltv of not more than five hundred dollars ($500)). L: . b ' 1150 0-JYlpit-~h,.ll tJt:.a~ (,A °!).O')..i) ,1"1-4'-{q-...]t<;:/,u Address ~ City oJ • State/Zip Telephone # State License # _11~<-\'-:>_l'-. =b~")..__ __ License Class C.,,) (;, City Business License # I D1 '-:l LJ Q () Designer Name State License # A!.. .QJfiw~ '7m\UitN.~®'fi· Address City Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone 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: -z / ':/- Insurance Company S tg ±-e £\A Y' d 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 to become subject to the Workers' Compensation laws of California. WARNING: Failure to sacure workers' compensation coverage la unlawful, and ahall aubject an employer to criminal penalties and civil fines up to one hundred ;~~:~;::~:~;~:~:~~:~:~:::::::=;::::::;~t1.&c:=~~Jffl I he;eby affirm that I am exempt from the Contractor's license Law for the following reason: O 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 maior labor and materials for construction of the proposed property improvement. 0 YES ONO 2. I (have / have not) signed ~n 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 I 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): ________________________________________________________ _ 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 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 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. t.i · g@=·j ;f;fiJ1]'Jli:Q~"ll;fii1[9'~Jimey~~~Yril~--~'~A:B't~D~tHr~~f,til}!~:t.~tlffl\1,il 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. __________________________ _ ~xi.., -~·J['QA'NMEiift~AJE1Q.IDi.~~~~!\'lr~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 autho0rize representatives of the Cit\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALS.O AGREE TO SAVE. INDEMNIFY ANO 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 storles~n 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 l1y 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 till' ,r1er the work Is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). / / APPLICA ., SIGNATURE ~ DATE {, ~12 J t /9L/ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request Permit# CB042175 Title: SALMI RESIDENCE Description: COPPER REPIPE For: 06/24/2004 Type: PLUM Sub Type: Job Address: 1940 SWALLOW LN Suite: Lot 0 Location: APPLICANT ANDERSON PLUMBING INC,WALTER Owner: SALMI ELLABLANCHE K Remarks: Total Time: CD Description 24 Rough/Topout ;12Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: V Phone: 6194497646 Inspector: r?s Requested By: BRANDY Entered By: CHRISTINE