HomeMy WebLinkAbout1960 SWALLOW LN; ; CB910045; Permit----------------iiiiiiiiiiiii...iiiiiiiiiiiiiiiiiiiii---
B IJ I L D I N G
Ul/10/91 08:14
Pd.ge 1 of 1
Job Address: 1960 SWALLOW LN
Permit 1ype : PLUMBING
Parcel No : 215-052-13-21
Valuation : o
PERMIT Pe1m1t No : CB91U045
Project No: A9100057
Devr->lopment No :
Str: Fl : Ste:
t/
{!c,,,a)A_ l O , ,,,--
Construction Type: NEW
Occupancy Group: Rl
Description: REPLACE
Clas~ Code : (}f-:\, /1~, .... tatus: ISSUED
01/10/91 WATER FITTINGS
: PLASTIC TO COPPER 10 UNITS OK T
Appl/Own1 : MERIT PLUMBING (ROBIN)
43b NO QUINCE ST
ESCONDIDO, CA 92025
CONTRACTOR MERIT PLUMBlN
436 NO QUIN
ESCONDI
*** Fees Require
Fees:
AdJustments:
Total Fees:
Fee description
Enter "Y" for Plumbing
Other * PLUMBING TOTAL
CITY OF CARLSBAD
/ 0 ~ Applied:
MATA Apr/Issue:
Validated By:
7417747 1HI
CD
7417747
.00
,00
158.00
Ext fee Data
7,50 Y
150.00 15/UNIT
158,00
~APPROVAL
INSP. ~ DATE .cjs-f q,
CLEARANCE r '
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
'
PERMIT APPLICATION
City of Carlsbad Building Department EST. VAL _______________ _ 2075 Las Pal mas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMIT TYPE
A D COMMERCIAL
' 0 INDUSTRIAL Om.i
0RES!DENTIAL D APARTMENT
QDUPLEX ODEMOL!TI0I<
OMECliANICAL □POOL
2.
Address
Nearest Cross Streets t l-
TENANT IMPROVEMENT
□TENANT IMPROVEMENT
OCOIW0 □SINGLE FAMILY DIJELL!NG 0 ADDITION/Al TE RAT ION
□RELOCATION □MOBILE HOME QELECTRICAL!:LUMB\NG
QSPA QRETAIN!NG I.All QSOLAR QOTHE~~~~-----
Bui ldlng or Suite No.
PLAN Cl( DEPOSIT ___________ _
VALID. BY ______________ _
DATE _______________ _
F
LEGAL DESCRIPTION Lot No. Phase No.
CHECK BELOW If SUBMITTED:
Q2 Energy Cales 02 Structural Cales 02 Soils Report Q 1 Addressed Envelope
ASSESSOR'S PARCEL EXISTING USE PROPOSED USE
hJ ,1 1-\-
BLOG. SO. FTG. # OF SlORIES
3. CONTACT PERSON
4.
5.
6.
7.
Q L. \ I 1-...Li: NAME (2-t, (\ I ,_l f Ail ' \
CITY f
SIGNATURE
ADDRESS L/ 3 G f'l
STATE ( /y ZIP COOE q ? (j i ) DAY TELEPHONE / '/ / -7 7 '-/ 7
APPLICAN
t.AME M f,i', I
CllY t::~lv/"OJ"\b [ t1::: PROPERTY OWNER
NAME
Cl TY
CONTRACTOR r \...1.-1 Vh /l, I 1--'(, NAME I'\'\ (; f-I 1
CITY
Cl TY
WORKERS' COMPENSATION
0 AGENT FOR CONTRACTOR
ADDRESS
STATE CI➔.
01.'NER
STATE
STATE CA
ZIP CODE
ADDRESS
ZIP CODE
ADDRESS
ZIP COOE
LICENSE CLASS
STATE ZIP CODE
Oo!.NER 0 AGENT FOR OIJNER
DAY TELEPHOt.E 7 7y J
QLESSEE □TENANT
DAY TELEPHONE
DAY TELEPHONE
CITY BUSINESS LlC. #
DAY TELEPHONE STATE LIC. #
Workers• Corrpensationoeclaration: hereby affirm that have a certificate of consent to self-insure issued by the Director of industrial Relations,
or a certificate of l.'orkers' C~nsation Insurance by an aO'Tiitted insurer, or an e)u1ct copy or duplicate thereof certified by the Director of the
insurer thereof filed with the Building lnspecti n Department (Section 3800, Lab. C).
INSURANCE COMPANY l \,I ~JC"-':) (G ~~v POLICY NO. t,,.) C... C/rYXJ )itxP!RATION DATE / 0
Certificate of E)(emption: I certi y that in the performance of the work for whic this permit is issued, ! shall not employ
so as to become subject to the Workers• Corrpensation Laws of California.
SIGNATURE DATE
8. OWNER-BUILDER DECLARATION
Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I as o.rner of the property or my employees .rith .rages 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 bui\ds or irnproves thereon,, and who
does such work himself or through his o.rn employees, provided that such irnprovements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the comer-builder will have the burden of proving that he did not build or improve for the purpose
of sa\e.).
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 La.r docs not apply to an o.rner of property .rho builds or improves thereon, and contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Lai.).
0 I am exefl"f)t under Section ___________ Business and Professions Code for th1s 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 \s licensed pursuant to the provisions of the
Contractor's License Lai. (Chapter 9, cOlffllencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is e)(~t therefrom,
and the basis for the alleged e)(emption. 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).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENl\Al BUILDING PERMITS ONLY:
ls the applicant or future building occupant required to subilit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 255D5, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
QYES QNO
Is the apPlicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
OYEs
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
QYES
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCONANCY MAY NOT BE ISSLED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS "ET OR JS MEETING THE REQUIREMENTS
OF THE OFFICE Of EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
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).
LENDER'S NAME LENDER'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 la.rs relating
to building construction. ! hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE 10 SAVE JNDE"NIFY AND KEEP HARMLESS THE CITY Df CARLSBAD AGAINST ALL LIABILITIES, JLDGMENTS, COSTS AND EII.PENSES IJHICH MY IN ANY \JAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING Of lHIS PER"IT-
Expiration. Every permit issued by the Building Official under the provisions of this Code shall f.')(pire by limitation and become null and void if the building
or i.ork authorized by such permit is not coomenced i.1thin 180 days from the date of such permit or if the building or i.ork authorized by such permit is suspended
or andoned at any time after the work is coot11enced for a pe~iod /'180 days (Section 303(d) Uniform Building Code).
0 0\.JNER ~NTRACTOR OBY PHONE APPROVED BY;
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