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Home My WebLink About1937 SWALLOW LN; ; CB012123; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 06/20/2001 Plumbing Permit Permit No:CB012123 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1937 SWALLOW LN CBAD PLUM Status: ISSUED 06/20/2001 JM 06/20/2001 06/20/2001 Parcel No: Lot#: 0 Applied: Construction Type: NEW Entered By: Reference#: Plan Approved: Issued: Project Title: FOREMAN-REPLACE WTR HEATER Inspect Area: Applicant: A & J FOSTER 2819 CENTRAL AVE SPRING VALLEY 619 697-4151 Total Fees: $27.00 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 Inspector: Owner: FOREMAN ROBERT 1937 SWALLOW LANE CARLSBAD CA 92009 760-929-0550 Total Payments To Date: $0.00 Balance Due: $27.00 0 0 0 0 1 0 0 $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 :~:J{PIRED,ERMIT t: r-XPIRED IN ACCORDANCE WITH U.B.C. '.~ ,;,4,4 $27 .00 SIGNATURE t (vJ FINAL APPROVAL Date: Clearance: _____ _ NOTICE: Please take NOTICE that approval of your project includes the 'Imposition· of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their imposllion. You are hereby FURTHER NOTIFIED that your right to protest the spec~led fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in oonnection with this project NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this, or as to which the statute of limitations has oreviouslv otherwise exoired. PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE USE ONLY PLAN CHECK NO. (j b I )., EST. VAL. Plan Ck. Deposit..-,,:::,_,__~-----,~- Validated By Date _______ -b-,_..._"+-lf,,,'-+- <Siuite> Business Name (at this address) Address (include Bldg/Suite#) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> <Total> Legal Description <Assessor No> Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units <Existing Use> <Proposed Use> Assessor's Parcel # Water Heater Installation Existing Use <SQ FT> <Stories> Proposed Use <Bedrooms> <Bathroom> Description of Work SQ.FT. # of Stories # of Bedrooms # of Bathrooms 2.f,;:; .q9,r4T,_~T,ffi~R,Q~,.,~f1~1~Jr•~lf«>~l,PPA!~fri~tf ·•1;;;, ":i'!t!l1i,}lWu-•·'fH:li;,_. <Name> <Address> <City> ST <Zip> <Phone> <Fax> Name Address City Slate/Zip 3N~t!i®~~l/ff].,q/,'.y;o~Jt,~1:• ~ ®~n'rtf6~btf~,~,~~~ . ·.1.'c':*gentior_,Qrlg~~tti'f§~~ii~rtek ,.ii~ia'~b. Name 4.]( ~~!)P!!81'Yji9,r'~ffiji, : Ii : . ROBERT J FOREMAN Name ,: .• ·;·i~PN~~P,!9~"iii~.6~fft~,~j\ft . Address Address City ii/iir. <City> City State/Zip ST <Zip> State/Zip Telephone# Fax# Telephone# (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 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 tor 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 [$500]). All Star Water Heaters & Plumbin, 17886 Lakeshore Drive Lake Elsinore CA 92530 8007270977 Name Address City State/Zip Telephone# City Business License # 1210402 State License# _7=--7=--8=--c1.cc5~6'------- <Name> License Class C36, HIC <Address>--------<City> ST <Zip> <Phone> Designer Name Address City State/Zip Telephone State Licence# _________ _ 6. WORKERS• COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D 1 have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. li2I I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code. for the performance of the work for wh·1ch this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company State Fund Policy No. 159113900 Expiration Date 08/01/2002 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) D CERTIFICATE OF EXEMPTION: t 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. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pen a l\ies and ch1il fines up to one hundred thousand do11.-_}.~.~-~--i). in addition to 1he cost of compensation. damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE-~---------------------DATE_0_6_/_13_/_2_0_0_1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 1, 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 lo 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 lo an owner of property who builds or improves threreon, 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: I personally plan to provide the major labor and materials for construction of the proposed property improvement. I (have I have not) signed an applicant for a building permit for the proposed work. D YES ONO 1. 2, 3. I hayr contracted with the following person (firm) to 11rqvide the proposed construction (include name ( .i,;ldr~s~ phone number/ contractors license number): <Name> <p.aoress> <WorK Phone> <State License> 4. I plan to provide portions of the wqrk. but I have hired the following person l,p ~o,ordinate, supervise and provide the m!lfl' work {include name I address I P.h,one number I contractors license number):<Name> <Aaaress> <work Phone> <State License> 5. I will P[QVide some of the work, but I have contracted (hin~d) the following person to provide the work indicated (include name I address / P.h.qne rumber / type of work) <Name> <Aaoress> <Work Phone> <vvorK I ype> PROPERTY OWNER SIGNATURE _____________________ _ -~s~~~JF,t~r,_ ~,~-!1!~ F~ffliJ~~lMt~tM,,P~~t~~J,~yt(~i,~,~;e-~,~m, ~~~v <1f!i'~1i::·· : 'ffJl~I~, 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? D YES O NO Is the applicant or future building occupant required to obtain a permit from lhe air pollution control district or air quality management district? 0YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of 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. a,. •TC0~,T8gcn9,,_Ll{N_Ql~,~i'~G~pv'\r.i.; I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3087(1) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS _______________________ _ 9.,'';:;,,>,,P~kl~~I.';,~~11F\B11igJ, 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 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit 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 limltation and become null and void if the building or work authorized by 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 lime after the work 1s commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE _0_6--'-/_1.c...3/'--2--=0--'0_1 ____ ~--