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Home My WebLink About1961 SWALLOW LN; ; CB041581; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 05-1 i-2004 Plumbing Permit Permit No: CB041581 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 1961 SWALLOW LN CBAD PLUM Status: Parcel No: 2150521335 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: MEYERS RES-COPPER REPIPE Inspect Area: 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: MEYERS NORMAN H PO BOX 1792 RANCHO SANTA FE CA 92067 ISSUED 05/11/2004 KMT 05/11/2004 05/11/2004 $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: $57.00 FINAL APPROVAL ,-- DATE> SIGNATU ·~ ,,..+..,,f<"'--/---c,,£,,<"--------- FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {3/30<// 5 g / CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ~~--~---- Validated By f/rrrr: Date 5-1 \-QL-) Address (include Bldg/Suite #) Yo£\>- Business Name (at this address) \A/.c1,t ful 14 ft fh, ... ;y b Legal Description Lot No, Subdivision Name/Number Unit No. Phase No. Total# of units Existing Use Proposed Use SQ. FT. #of Stories # of Bedrooms # of Bathrooms Name Address State/Zip Telephone# Fax# :~~tttlt(Qtttit:Y;,;i2zi:r:eir1tr~'.ator:!rl;i:: .. genn,:pr:;:eonft'A'qt9rir.;µ~EJ:t9W.QQt!;t Name Name A City State/Zip Telephone II !Jirl:'0~.tJR:t~f#,ijffl.ij.MWi'8AN~'1rt-:ME0t;t?,]Ft,r:J<:%t~<:.~t~;_,;,,Af~:ticlf;,y; "''" -,·ffi~'.;1;::;-;:_~:iI,;(·: (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.e 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 P!:mption. 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 ($6001). l 'Y0l:/w:, Anltre:5-,,,., ffu,.,..,,,,,."0 /1$0 0, ~t'$bn1/ £Jc.:_.;,...., cA '!f.;,,u.c) Cl"{ •'-Jl.{~-1-,q rJ Name Address City J State/Zip Telephone # State License # 4q ) -,, 3 License Class (, ~ ', City Business License # \ () J '::tY t2 l) Designer Name Address City State/Zip Telephone State License # _________ _ :sf::: :<11H<iFO(ERS~titdbMP'JrJS'ATlO tf;\¼.;;.;-:i;;1t;0};1_-,'::::>;,;;.;:;,;t,:S:'.f (;t-. :::;;;; J,.,.i.;;:.:; ':\(i_,,/:\fi?#it0:~':s·/". · Worker's• 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 . . r:£.. I 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 C rrier and policy number are: ''{,. ~ lo u Insurance Company vi. Policy No. '1" ~ )_,,.(:)(::,) Expiration Date. __ -L,--_,_~/'---'=--+--4'---- (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) D CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties end civil fines up to one hundred thousand dolla~Ol,Jn •~Ion~ the cost of compensation, damages ea provided for In Section 3706 of the b dZ:}nt est end attorney's fees. SIGNATURE._~;;i~ ~~~~ ... ~~;:; -;;:;;;;;;-;;;:;;;;-,~~;:;;;;;;;;:;;;;;;;i~~;::;;;;;;::;-;--;;:-~;::_;--:;;;. DATE ~ (J-/ tlll~tialvNf:A!;):tiitt>~~UAaATIQ'N·tfi>,\f$t:t'.'!,'.J:'.{;t".'tt\~1f:,:( ;tr. 'J't:;:i1::'.f:N5~~~1;'?\~i;t;f'\~LY' I hei"eby affirm that I am exempt from the Contractor's License Law for the following reason: D l, 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 sate. 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 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. D YES ONO 2. I (have / have not) signed an application for a building permit tor the proposed work. 3. I have contractsd with the following person (firm) to provide the proposed construction (include name I 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 I 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 work):. ___________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ •co~P,teri!-i~JSiSECTll;il'I-f01<-NiJN>///i$IDENTJ/IL•_BQJCll.lr-J!l.~ERM_J:tiitONtll'/::io,;: 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? 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? D YES D 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. •8/i},}! CPl'IST~UCTiON!~E!',IDING ,AGENCY!, 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). LENDER'S NAME _____________ _ 9i' ',.APPLICANT.'CE81"1flCATION 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. l hereby authorize representatives of the Cit\' 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 excavations over 5'0n 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 limitation and become null and void if the building or work authorized hv 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 tin-·ter the work is commence~a period of 180 days (Section 106.4.4 Uniform Building Code). L / J APPLICA SIGNATUHE 2 -<". 4--__.,,. DATE $ _ }/ ~ Dv~ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/18/2004 Permit# CB041581 Title: MEYERS RES-COPPER REPIPE Description: Type: PLUM Sub Type: Job Address: 1961 SWALLOW LN Suite: Lot 0 Location: APPLICANT ANDERSON PLUMBING INC,WAL TER Owner: MEYERS NORMAN H Remarks: Total Time: CD Description Inspector Assignment~ Phone: 8582929228 lnspecto~ Requested By: BRANDY Entered By: CHRISTINE 24 Rough/Topout ~ ComO~ p;r_ f:::l-,J'l,JC.--- ---·------- --------------- Associated PCRs/CVs Inspection History Date Description Act lnsp Comments