HomeMy WebLinkAbout1961 SWALLOW LN; ; CB910044; PermitB U I L D I N G
01 /10/91 08:13
PERMIT Permit No : CB910U44
Page 1 of 1
ProJeCt No: A910005b
Development No:
Job Address: 1961 SWALLOW LN
Permi t Type : PLUMBING
::,tr: Fl : Ste:
Parcel No: 215-052-13-35
Valuat1 n: 0
Construction Type: NEW
Occupancy Group: Rl Class Code:
Description: REPLACE WATER FITTINGS
: PLASTIC TO COPPER 10 UNITS OK T MATA
Appl/Ownr : MERIT PLUMBING (ROBIN)
436 NO QUINCE ST
ESCONDIDO, CA 92025
CONTRACTOR MERIT PLUMBING
436 NO QUIN E ST
ESCONDIDO, CA 92 0 25
. "* fees Required
Fees :
Adjustments :
Total F'ees:
Fee description
Enter "Y" for Plumbing
Lther
* PLUMBING TOTAL
7417747
0?39 01, 10/ 1 01
Cfl-( g-~ 7 (;p
Status: ISSUED
Applie : 01/10/ 1
Apr/Issue:
Vall ated By: CD
118
7 41774 7
,00
,00
158.00
**
Ext fee Data
7,50 Y
150.00 15/UNIT
158,00
~
0
0
~APPROVAL
INSP. ~ DATE ?:J -r/11
CLEARANCE------.
!5
,...
-4, 8 :, ... ,.
0 ,....
,;,;. rv
CITY OF CARLSBAD
2075 Las Palmas Dr .• Carlsbad CA 92009 (619) 438-1161 ti (.'O . . .,
;:
PERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Pal mas Dr., Carlsbad, CA 92009 [619) 438-Lltil EST. VAL~--------------
PLMI CK DEPOSIT ____________ _
VALID. BY _____________ _
1. PERMIT TYPE DATE _______________ _
A -0 COMMERCIAL TENANT IMPROVEMENT
B O !NDUSTRIAL □TENANT IMPROVEMENT
C ORES!DENTIAL □APARTMENT □CONDO □SINGLE FAMILY DI/ELLING OADDITION/ALTERAT!ON
□DUPLEX ODEMOLIT!ON □RELOCATION □MOBILE HiJ!,IE □ELECTRICAL ~LUMB!NG
QMECHAN!CAL □POOL □SPA □RETAINING \JALL □SOLAR □OTHER_' ____ _
2. PROJECT INFORMATION PLAN CHECK No. F Address (., I -I~ 1/1 ) W t-.ik c:i--.J Lt--l Bu, lding or Suite No.
Nearest Cross Streets ft, ( ;\ In I ,J 0 f:J:<J'fL
LEGAL DESCRIPTION Lot No. tJ Subdiv1.lj.•i on Name/Numer U;Y't 1':>LH f f fV J P, n-t Unit No. Phase No.
CKECK BELOI/ IF SUBMITTED: 02 Energy Cales 02 Structural Cales 0 2 Soi ls Report D 1 Addressed Envelope
3.
ASSESSOR'S PARCEL
BLDG. SQ, FTG.
CONTA~T PERSON
NAME r'D ~JJ _ _)
CITY l;· .S ,· (.J, _) 0
SIGNATURE
# OF STORIES
STATE ( f>r
EX! ST I NG USE
ADDRESS
ZIP CODE
l+?Jt;; tJ
11 t-0 l-\-
PROPOSED USE
DAV TELEPHONE
4. APPU~~NT ~ON TRACTOR 0 AGENT FOR CONTRACTOR □OWNER
NAME rv1 .:: f-"' 1 r f'L \ r' 13 1 r" \, Ji.JC
0 AGENT FOR OWNER
5.
6.
-
7.
ADDRESS
CI TY f \l v1J OJ O ,;::, STATE l ('r Z1 P CODE
PROPERTY OWNER OWNER
NAME ADDRESS
CITY STATE ZIP CODE
CONTRACTOR Pc q fh (3, '" c. NAME f'\ ~f',..,IT ADDRESS
CITY STATE r ,-r ll P CODE
"~))f
51 GNATURE TI !LE
DESIGNER ADDRESS
CITY STATE ZIP CODE
WORKERS' COMPENSATION
ff "2 o l.. )
If.~ b ,J
(j)u
C
DAY TELEPHONE
0 LESSEE
DAY TELEPHONE ,, -'-t° ~1 / 1 ll IL.
DAY TELEPHONE
DAY TELEPHONE
□TENANT
s,
7'-lf-}1'--1)
STATE LIC. #
Workers• COOJ,)ensation Declaration: hereby affirm that have a certificate of consent to self-insure ;ssued by the Dlrector of Industrial Relations,
or a certificate of Workers• Corrpensation tnsurance by an achitted insurer, or an €}1'..BCt copy or duplicate thereof certified by the Director of ttie
insurer thereof filed with the Build\ng Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO.
Certificate o Exemption: ! certify that in the performance of the work
so as to become subject to the Workers' Corrpensation laws of California.
SIGNATURE DATE
EXP I RAT I ON DATE
is issued, I shall not ~Loy any person in any manner
8. OWNER-BUILDER DECLARATION
Owner-Builder Oeclaratfon; I hereby aff1rm that I am exempt from the-Contractor•s License la" for the following reason:
DI as owner of the property or my employees wlth wages as thelr sole compensation, will do the work and the struc:ture is not 1nte-nded or offered for sale
(Sec. 70441 Business and Professions C:ode: The Contractor's llcense Law does not apply to an owrler of property who builds or i~roves thereon,. and who
does such work himself or through his own en-ployees~ provided that such frrproveme-nts are not intended or offered for sale. lt, however, the butlding
or 1mprovement 1s sold with;n one year of COOl)letion, the oi.ner-bui Ider w1 lt 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 l lcensed 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 lmproves thereon, aOO contracts for such projects with contractor{s)
licensed pursuant to the-Contractor•s License La")-
0 I am exerrpt under Sectlon ___________ Business and Profession5 Code for th1s reason:
(Sec. 7031~5 Business and Profess;ons Code: Any C1ty or County which requires a permit to construct, alter, irll)r'Ove, demolish, or repair any structure,
prior to its issuance, atso requires the applicant for such permit to file a signed statement that he is licensed pursuant to ttle provisions of the
Contrac:::tor~s License Law (Chapter 9, COIT'rnencing with section 7000 of Division 3 of the Business and Professions Code) or that he is exempt the-refrom,
alld the basis for the al\ege<I e•ell"l'tion. Any violat\on of Section 7031.5 by any applicant for a perm\t subjects the appl1cant to a civil pena\ty of not
more than five hundred dollars [$500] ).
SIGNATURE DATE
CCJo!PLETE THIS SECTION FOR N0N-RES!DENTTAL BUILDING PERMITS ONLY;
Is the applicant or future tx.Jllding occupant required to submit a business plan, acutely hazardous materials registration form or ris.k management and prevention
program ullder Sections 25505, 25533 or 25534 of the Pres\ey·Tanner Hazardous Substance Account Act?
0YES □NO
Is the applicant or future building occupant requ~red to obtal,:i a permit from the air pollution control dlstrict or air quality management district?
□YES D•□
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site'
If A.NY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE Of OCUJPANCY MY NOT BE ISSUED AfTU JULY 1, 1989 UMLESS THE APPLICANT HI'.$ MET QI! IS MEETIIIG TKE REWIREMENTS
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 ls issued {Sec 3097(i) Civi I Code).
LENDER'S NAME Lrn0ER IS ADDRESS
10. APPLICANT'S SIGNATURE
I certify that I have read the appl)cation and state that the above information ls correct. l agree to comply with all City or-dlnances and State laws relating
to building construction. l hereby authorize representative~ of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I "LSO
IO.GREE TO SAVE INDEMNIFY IO.N0 KEEP KARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABlllTIES0 JLIJG14ENTS, COSTS AND EXPENSES 1/HICH MY IN ANY IIAY ACCRUE IO.GAINST SAID
CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT.
EKpiration. Every permit issued by the Build)ng Official under the-provis,-oris of this Code shall expire by limitation and become null and void if the bu;lding
or work authorized by such permit is, not coornenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or a ndon-ed at any tlme after the/ork is coomericed for a period of 180 days {Section 303(d) Urdform Building Code).
,f,:...-f+....J..l~-N~T-,_l=A~T-U.;,R.c.i.."""-' ..... '--"-,;;-:::::,'-------=□----o~_N_E_R_~----~-T-RA-C-:T-OR-:-:----□-:-:--BY_P_H□-~-E=-:-:-:-:--=:-:-------------A-P-P-RO_VE_D_B_Y_,_ -_-_-_-_-_-_-_-_-_-_-_-_-_-_-_ 1 DATE:
WHITE: File YELLOW: Applicant PINK: Finance