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