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HomeMy WebLinkAbout1981 SWALLOW LN; ; CB920306; PermitB U I L D I N G P E R M I T Pe rm it No : l B 9 .. Li 3 0 t> Project No: A~2~C771 Develo,; men+-N' : 03/23/92 1S:41 Page 1 ot 1 Job Addr.ess: 1981 SWALLOW LN Permit Type: PLUMBING Par.eel No : Valuation: o Construction Type : NEW Occupancy Group: Class Code: Description: GAS REPAIR Appl/Ownr : WEST BLUFF NORTH HOA 1981 SWALLOW LANE CARLSBAD, CA 92009 A Jr* AdjLtstments: Total Fees: Fee description Enter "Y" for Plumbin Gas Piping System * PLUMBING TOTAL Str: Fl 6914 03/23/~ :0001 01 02 C-PRMT 10-00 StdtllS: ~,,c Jf:.L) Applie~: 03/231 ~ Apr/Issue: OJ/~ /9? Validate'! By: DC b19 436-1144 . 0 I . llO 10.00 Ext fee Data 7.50 Y 2 .50 1.0.(0 ..• --------- CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPUCATION ~ ~ PLAN CHECK NO. City of carlsbad Building Departaent I EST. VAL 2075 Las Palaas Dr •• carlsbad, CA 92009 (619) 438· 1161 PIAN CK DEPOSIT I. PFJlMI I liPE =· BY ___ -=.-=.-=--=--=--=--=--=--=--=--=--=--=--=--=--=--- A -Li COmmerc1al U New Bmldmg LI I enanc Improvement B -□ Industrial □ New Building D Tenant Improvement C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ Alteration □ Duplex □ Demolition O Relocation □ Mobile Home □ Electrical D Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall □ Solar □ Other 2. PROJECI' ~TION / BuiJdmg or Suite No1 l.. FOR OFFICE USE ONLY .,,_ c~-Ls '="4 Lf:CAL DEstklPI ION Lot No. Sub(hvis1on Name/Number Omt No. Phase No. CHECR Bf:WW IF SOBMll 1£0: □ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope ~~~;~ -- ~Ff. I'-' t # OF STORIES EXISTING t/SE PROPOSED USE {,-,,c 3. WN IACI PERSON (I[ duierent from apphcanf) NAME ADDRESS ZIP CODE CITY STATE DAY TELEPHONE 4. Al'PIJCANI NAME UWNiRACIOk □AGENI FORWNIRACIUR DOWNER □AGENI FOR OWNER ADDRESS STATE ZIP CODE DAY TELEPHONE i3 J.,(( JV,,..cl-(.. ~D8S5i:+ STATE ZIP CODE DAY TELEPHONE k,s t-oh ADDRESS STATE c..._ ZIP CODE <;:200? DAY TELEPHONE STATE LIC. # LICENSE CI.ASS CITY BUSINESS LIC. # CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. # 7. WORkHkS' WMPENSAIION Workers• Compensation Ueclaratlon: I hereby afhrm that I have a certUlcate of consent to seif-msure tssued by the Ulrectorof lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof tiled with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Cerbhcaie of Exemption: I certify that m the performance of the work for which this perrmt 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of C.alifomia. SIGNATURE DATE 8. OWNkk-BOUDEk DffiARAJIUN bwner-Bmider Declaration: I hereby affirm that I am exempt from the COntractor's License Law for the foiiowmg reason: D 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 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.). D 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 Llcense Law). □ I am exempt under Section ________ Business and Professions Code for this reason: (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 Llcense Law (Chapter 9, commencing 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 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 ($5001). SIGNATIJRE DATE CoMPLEIE IHIS SECI10N FOR NON-RESIDENIIAL BUILDING PERMII's ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration fonn or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ 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 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF TIIEANSWERS ARE YES, A FINALCERTIFICATI! OF oa:tlPANCYMAYNOT Bl! IS.WED AFTER JULY I, 1989 IJNIBSS TIIE APPUCANT HAS MET OR IS MEETING TIIE REQIJIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND TIil! AIR POlLITl10N CDN1ROL DISTIUCT. 9. WNSIHOCIION i.£NDING AGENCY I hereby afhrm that there 1s a construction lending agency for the performance of the work for which this penmt 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS IO. XPPLiCXNI CPJtlMCAlibN I certify that I have read the application and state that the above mformauon 1s correct. I agree to comply with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLF.'iS TIIE QTY OF CARISBAD AGAINST AIL IJAIIIIJTIES, JUDGMENTS, COSTS AND EXPENSES Willett MAY IN ANY WAY A£DUIE AGAINST SAID QTY IN CDNSl1QUENCE OF nm GRANTING OF THIS PERMIT. OSHA: An OSHA pennit is required for excavations 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 buildin r work authori uc permit is not comme ced within 365 days from the date of such permit or if the building or work authorized by nnit is suspend oned at any time t the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). DATE: _____ _ PINK: Finance PERMIT# CB920306 DESCRIPTION: GAS REPAIR TYPE: PLUM CITY OF CARLSBAD INSPECTION REQUEST FOR 03/26/92 JOB ADDRESS: 1981 SWALLOW LN APPLICANT: WEST BLUFF NORTH HOA CONTRACTOR: PHONE: PHONE: OWNER: REMARKS: RS/HESTON/438-3104 SPECIAL INSTRUCT: TOTAL TIME: PHONE: INSPECTOR AREA PY PLANCK# CB920306 ace GRP CONSTR. TYPE NEW STR: FL: STE: 619 436-1144 CD LVL DESCRIPTION COMMENTS 23 PL Gas/Test/Repairs ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS