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Home My WebLink About1922 SWALLOW LN; ; CB161756; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 05-05-2016 Permit No: CB161756 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 1922 SWALLOW LN CBAD PME 2150521302 UECKER:REPLACEFURNACE COASTAL REFRIGERATION APTI 6525 PASEO FRONTERA CARLSBAD CA 92009-4534 760-683-5683 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Status: Lot#: 0 Applied: Entered By: Plan Approved: Owner: UECKER SUZANNE 1922 SWALLOW LN CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 05/05/2016 SLE 05/05/2016 05/05/2016 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: fl1. ~ Date: o Clearance: $0.00 I\OTICE: Rease ta<e i'OllCE that ww.,i ci )OJ p-tject irdl.des tre ""lrrpasitiori" ri fees, dedcaticn;, reseivoocm, cr ctt>;r exaiicn; tm<iter roleclively rderredtoas 1ees'9"adicn;." Yoo m.e 9lday.,frcmtl"e-llis pemit""" issuedtoJ>ctesl il11JCl5ilicrl rithesefees'~ If yoo prdesl It-err\ yoo m..ot fdlo.vtt-eprdesl ixooed,es set fa1h in GMmrerl C<XE Sedon 66020(a), ard filetl"e prdesl ard anyctt>;r req.ired infonration w1h tl"e Clty Mrage,"fcr procassrg ;,, acxnda rewlh Ca1sba'.l Mridpa C<XE Sedon 3.32.COO. Failu-etotirreytalo.vlt<i ~wll ta-anySl.lEecµrt lega a:lionto~ re.,;ew, set aside, \Od, a aTU their irrpcsition. Yoo are her,fy FlRTl-ER i'OllFIEDthal )OJ ri[tt to praest tre specified fees'e,act;cn; IXES NCJr APPLY tovaer ard ""1M!K oonnedon leas ard "'IJOCilY cnrges, ncrJjannrg, ,mrg. gajrg crctt>;rsml,n,ppicaoon procassrg c,...,.;oefeas in oonnecton w1h llis p-tject. r-m IXES IT l'PPI..Ytoany f wi NOTICEsirrila-totli dli ·se • ' THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH 0HAZMAT/APCD Plan Check No. Est. Value Plan Ck. Deposit Ccityof Carlsbad Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov Date SWPPP EXISTING USE APPLICANT NAME Primary Contact ADDRESS CITY PHONE EMAIL DESIGN PROFESSIONAL ADDRESS CITY PHONE EMAIL # OF UNITS # BEDROOMS PROPOSED USE GARAGE (SF) STATE ZIP FAX STATE ZIP FAX STATE LIC. # SUITEI/SPACEI/UNITI # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP AIR CONDITtONING YES □No □ CITY BUS. LI .# FIRE SPRINKLERS YES0N00 -- /_,,! 1/30.:? (Sec. 7031.5 Business and Professions Code: Any City or Coun_ty 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 D1v1sion 3 of the Business and Professions Code} or fhat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)). WORKERS' COMPENSATION Workers' ompensatlon Declaration: I hereby affirm under penalty of perjury one of the following declarations: D ve and wlll maintain a certificate of consent to self-insure for v.orkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this pennit is Issued, I have and will maintain workers'~atlo? 8;!$1uired ~ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation · s number are: Insurance Co. ~ r~a Policy No. 74/:r,e(r:,t:&-( t:f l'l,y Expiration Date _,:,:::;.,._,u.~,c_,:_1_-1_ ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worl<ers' ompe California. WARNING: Failure to secure workers' co satlon coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred housand ollars (&100,000), in addition to the cost of compensation, damag lded for in S 06 of the Labor code, interest and attorney's fees. ,a$ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from Con □ □ □ 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 who does such work himself or through his own employees, provided tl1at such improvements are not intended or offered for sale. If, however, the buildir,g or improvement is sold within one year of comple~on, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). 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). 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 impro~ement. 0Yes 0No 2. I (have/ have not) signed an application for a building permit for the proposed worl<, 3. I have contracted with the following person {firm) to provide the proposed construction (include name address I phone/ 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/ 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 I J)(1one I type of work): _,6$ PROPERTY OWNER SIGNATURE □AGENT DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevenUon program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? D Yes D No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feel of the outer boundary of a school site? □ Yes □ 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. CONSTRUCTION LENDING AGENCY APPLICANT CERTIFICATION I certify that I have read the appllcatlon and stare that the above lnfonnatlon is oonectand that the Information on the plans Is accurate. 1 agree ID oomplywith all City ordinances and State lav.s relating ID building construction. I hereby authorize representative of the Qty of Carlsbad to enter up::in the atx:>ve mentioned property kir inspectioo JX.Jrposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AG'\INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT OSHA: M OSHA pennlt is required for exc.avaboos over 5'0' demolitKln construci:ion of structures over 3 stories in height. EXPIRATION: Every permit issued by the Buildin Offcial u all expire by lfllitation and oocome null and vod if the building oroork au rized by such permit IS not commenced within 180 days from the date of such pennlt or if th or spended or abandoned at any time after the oork is commenced for a pe · of 180 ys (SeciKln 100.4 .4 Unibrm Building Code). ,6$ APPLICANT'S SIGNATURE DATE • STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. Fax (760) 602-8560, Email buildinq@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY Ol'llONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) □ CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _______________ _ ,.IS APPLICANT'S SIGNATURE □ ASSOCIATEDCB#------------- □ NO CHANGE IN USE/ NO CONSTRUCTION □ CHANGE OF USE/ NO CONSTRUCTION DATE ... -----·-... ----•·-· ZIP Inspection List Permit#: CB161756 Type: PME Date __ Inspection Item 05/12/2016 43 AirCond/Furnace Set 05/12/2016 43 AirCond/Furnace Set 05/12/2016 49 Final Mechanical 05/12/2016 49 Final Mechanical Thursday, May 12, 2016 Inspector Act MC MC RI AP RI Fl UECKER:REPLACEFURNACE Comments Page 1 of 1