HomeMy WebLinkAbout1910 SWALLOW LN; ; CB910042; Permitf
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PERMIT,'JlPPLICATION
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 EST. VAL _______________ _
1.
A
PERMIT TYPE
COMMERCIAL
PLAN CIC DEPOSIT ____________ _
VALID. BY ______________ _
DATE _______________ _
TENANT IMPROVEMENT
B O INDUSTRIAL 0NEI. □TENANT IMPROVEMENT
C □RESIDENTIAL □APARTMENT □CONDO □SINGLE FAM!LY DIIELLJNG OADDITJON/ALTERATION
□DUPLEX OoEMOL\TI0N □RELOCATION □MOBILE HOME □ELECTRICAL ~LUMBING
□MECHANICAL □POOL OsPA □RETAINING I.ALL □SOLAR QOTHER
2. PROJ PLAN CHECK No. F Address l..l-01.,-...J LJJ, Building or Suite Mo.
Nearest Cross Streets i /_ { i\ fl\l, 0 O f-i,ftk .,. \ L-.! i\"L L c, • '
LEGAL DESCR.IPTION Lot No. Subdivision Narne/Nunber
Wt\, ~L" ff N, f-fl-\-Unit No. Phase No.
CHECK BELCM IF SUBMITTED;
Q2 Energy Cales 02 Structural Cales 0 2 Soi ls Reeort
ID C o,V()D-'
01 Addressed Envelope
3.
ASSESSOR'S PARCEL
BLDG. SO. FTG.
CONTACT PERSON
NAME 'i2 \) e) I rj
CITY
SIGNATURE
f
# Of STORIES
f Ai),\ ~:/~ STATE {~,t
1" '
EX!STING USE PROPOSED USE
r I TTI 1"b S
ADDRESS '--1 1, (o ;-J
ZIP COOE q101-s--DAY TELEPHONE
7'-/l-)7L/7 f I I 8
4. APPLICANT AGENT FOR CONTRACTOR 0QI.INER □ AGENT FOR mmER
5.
6.
7.
8.
NAME fn ,-"
Ci TY
PR
NAME
CJ TY
Cl TY
CONTRACTOR
NAME /11f,~JT PL,q,, (,}1·0~
L~{ o,,o liLI
WORKERS' COMPENSATION
STATE C.
OWNER
STATE
STATE ( tt
1'-1-/-52 f
STATE
ADDRESS
zip cooE t'~"lol-)---
ADDRESS
Z!P CODE
ADDRESS '-{ 3 l, /-.J
ZIP COOE q ·2-0 L-)~
C -1,r. LICENSE CLASS _____ lo_
Tl TLE
ADDRESS
ZIP COOE
C'
DAY TELEPHONE 7
□LESSEE □TENANT
DAY TELEPHONE
~) ct I '" Ct. ( s c·
DAY TELEPHONE 7 'I/ -77'-i 7
CITY BUSINESS LIC. #
DAY TELEPHONE STATE UC. #
Workers' Compensation Declaration: hereby affirm that have a certificate of consent to self·insure issued by the Director of industrial Relations,
or a certificate of Workers• COlll)enSation Insurance by an aCJ1dtted insurer, or an e)(act copy or duplicate thereof certified by the Director of the
insurer thereof filed with ~he Buildin\ Inspection Department (Section 3600, Lab. C).
INSURANCE COMPANY t\_H,-1..-M~ lt.~ -~ ..... t,{ ' POLICY No. lvC J/ovo1/:.e'il.PIRATION DATE O q 1
Certificate of E)(emption: I cert fy that in the performance of the work for whic this permit is issued, I shall not employ a n in any manner
so as to become slbject to the IJorkers' Compensation Laws of California.
SIGt<IATURE DATE
OWNER-BUILDER DECLARATION
Owner Builder Declaration: 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason;
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.).
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 1oho builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
0 l am exempt under Section ____________ Business and Professions Code for this reason:
(Sec. 703\.5 Business and Professions Code: Any City or County 1ohich 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, conmencfng with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom,
and the basis for the alle9ed exe~tion. 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 [$500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS Ot<ILY:
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 25534 of the Presley-Tanner Hazardous Substance Account Act?
Ores ONo
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district'
□YES
Is the facility to be constructed 1oithin 1,000 feet of the outer boundary of a school site?
□YES
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCOJPANCY MAY NOT BE ISSU:O AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS
OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTIOtl CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construction \ending agency for the performance of the work for which this permit is issued (Sec 3097(\) Civil Code).
LENDER'S NAME LEt<IDER'S ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I have read the application and state that the above information is correct. I agree to comply with all City ordinances and State laws relating
to building construction. I hereby authorize representative~ of the City 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, JLOGMENTS, COSTS ANO EXPENSES IJHJCH KAY IN ANY 'IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
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 by such permit is not conmenccd within 180 days from the date of such permit or if the b.J1 lding or work authorized by such permit is suspended
after the work is coornenced for a period of 180 days (Section 303(d) Uniform Building Code).
0 OIJNER ~RAC TOR OBY PHONE APPROVED BY; _______ _
DATE:
WHITE: File YELLOW: Applicant PINK: Finance
• CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/16/91
WATER FITTINGS
INSPECTOR AREA PK PERMIT# CB910042
DESCRIPTION: REPLACE
PLASTIC TO COPPER 10 UNITS OK T MATA
PLANCK# CB910042 ace GRP
TYPE: PLUM
JOB ADDRESS: 1910 SWALLOW LN
APPLICANT: MERIT PLUMBING (ROBIN)
CONTRACTOR: MERIT PLUMBING
OWNER:
PHONE:
PHONE:
PHONE:
CONSTR. TYPE NEW
STR: FL: STE:
7417747 118
74177'9---
REMARKS: MH/741-7747
SPECIAL INSTRUCT:
/)
INSPECTOR I ML
r I
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS CD
29 PL Final Plumbing ~ ~1¢,,l'{'i2. p,,4_, "brpM'f ---------------112 ALL 10 7v/Vl-f-.f (v'mt7c?t'C
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
011491 Final Plumbing
ACT INSP
AP TP
COMMENTS
QUEST REPAIR@ FITTINGS #21&2
PERMIT# CB910042
DESCRIPTION: REPLACE
PLASTIC
TYPE: PLUM
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 01/14/91
WATER FITTINGS
TO COPPER 10 UNITS OK T MATA
STR: JOB ADDRESS: 1910 SWALLOW LN
APPLICANT: MERIT PLUMBING (ROBIN)
CONTRACTOR: MERIT PLUMBING
PHONE: 7417747
PHONE: 7417747
INSPECTOR AREA PK
PLANCK# CB910042
OCC GRP
CONSTR. TYPE NEW
FL: STE:
118
OWNER:
REMARKS: MH/741-7747
SPECIAL INSTRUCT:
PHONE: ~r)
INSPECTOR I ~' l
TOTAL TIME:
LVL DESCRIPTION ACT COMMENTS CD
29 PL Final Plumbing 4/!_ tRu<cr ffee&tll e ~, mt-1rf #-;2. 1,. 1-1.-
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS