HomeMy WebLinkAbout1979 SWALLOW LN; ; CB041586; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-11-2004 ' Plumbing Permit Permit No: CB041586
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
1979 SWALLOW LN CBAD
PLUM
2150521336 Lot#: 0
Construction Type: NEW
Status:
Applied:
Entered By:
Reference #: Plan Approved:
Project Title: PIACARINA RES-COPPER REPIPE
Applicant:
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
0
0
0
1
0
0
0
Owner:
LABOS PIACARINA
1979 SWALLOW LN
CARLSBAD CA 92009
Issued:
Inspect Area:
1860
PENDING
05/11/2004
KMT
$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:
DATE. __ L
$57,00
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
FOR OFFICE USE ONLY
PLAN CHECK No.CJ3Ci:!..15Eh
EST. VAL. _________ _
Plan Ck. Deposit--~--------
Valida&:tBy 1?irtt'
Date 4 {l I Ol-(
Address (include Bldg/Su,te #)
W)i ~
~ (' "" Business Name (at this address) \.u-e1,t rul \.\" :t 11b.,..~ b
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units
Existing Use Proposed Use
SQ. FT. #of Stories # of Bedrooms # of Bathrooms
Name City S,tate/Zip Telephone #
tl· -r :llt±~~~~~~~-"WJ;;; ~W~il~" h:..:1~~~~~icli
(Sec. 7031.6 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 fil~ 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
rmptlon. 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 1$50011, l
~al¼e,c An4<:5o-,o e,/,f,'rl,>9•'"') JJSo 0, ~t$h#I~} £fC.<Jj•» cA 1).pJ.c) {,)"f "''14"1--1-Jl../o
Name Address City State/Zip Telephone #
State License 11 41) ~ ,, 3 License Class L. '1 ', City Business License II \ () 1 Y Y C) i)
Designer Name Address City State/Zip Telephone
State License #
~..t ··W:QBKERS}~fiifA:rfoN_' ~k _ .. -~ l!.~~~, ~ i~~r.+ ,,.![(,\':!.;,'f;;..~~ ... 1'1~i1 .,•~11,~~li't'.,\'~~~-".""~·~
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of consent to self-insure for workers' compensation es provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
_r£,. 1 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
Tsued. My worker's compensation insurance Cjrrier end policy number are: q, '" --,: /0 LJ
Insurance Company $ TAfE. f \A '(\'I, Policy No. _ ).., 6 (>) Expiration Date __ f.._+f-::;_-.::/---1---
(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.
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
(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).
O 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).
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 not1 signed an 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 / 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 workl:. ________ "------------------------------------------------------
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 Act7 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? O 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 AND THE AIR POLLUTION CONTROL DISTRICT.
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) .
. J.., :II ;:{
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 8kcavations over 6'0" deep and demolition or construction of structures over 3 stories in height.
EXPIR_ATION: Every pe_r"'.'it issued by the bui(ding Official under the provisions of this Code shall expire by limitation and become null and void ii the building or work
authorized hy 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 tirr .fter the work Is commence~ period of 180 days (Section 106.4.4 Uniform Building Code). L l /
APPLICA . SIGNATURE z ~~ / DATE s -JI -DL,~
WHITE: File YELLOW: Applicant PINK: Finance
m -City of Carlsbad Bldg Inspection Request
For: 05/25/2004
Permit# CB041586
Title: PIACARINA RES-COPPER REPIPE
Description:
Type: PLUM Sub Type:
Job Address: 1979 SWALLOW LN
Suite: Lot 0
Location:
APPLICANT ANDERSON PLUMBING INC,WAL TER
Owner: LABOS PIACARINA
Remarks:
Total Time:
CD Description
Inspector Assignment~
Phone: 6194497646
Inspector: ..Q_
Requested By: MARK
Entered By: CHRISTINE
24 Rough/Topout /L Comment
Jfbvr!f-t
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments