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HomeMy WebLinkAbout1936 SWALLOW LN; ; CB042173; Permit0\ '(rttA ~ ~q1-- \ , · I City of Carlsbad f I Vl_ \-e[ ~{Cfff)'I 1635 Faraday Av Carlsbad, CA 92008 Mlut-2004 · \.::::lvf · Plumbing Permit Permit No: '\II .11(\\__ ,. V,. Building Inspection Request Line (760) 602-2725 CB042173 t'\\J11\~)\~?,Y~~ Job Address: Y6 SWALLOW LN CBAD Permit Type: PLUM Status: Parcel No: 2150521311 Lot#: 0 Applied: Construction Type: NEW Entered By: ISSUED 06/07/2004 MDP 06/07/2004 06/07/2004 Reference#: Project Title: Applicant: BURNAND RESIDENCE COPPER REPIPE 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 Plan Approved: Issued: Inspect Area: Owner: BURNAND PERRY H TRUST B 4407 MANCHESTER AVE #201 ENCINITAS CA 92024 $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 3752 06/07/04 0002 01 CGP Date: Clearance: E hat approval of your project includes the "I positi "of fees, dedications, reservations, or other exactions hereafter collectively referred to as "fees/exact1ons." You have 90 days from the date this permit was is ued 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 imposition. You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any I x ti n I whi h h r vi u I N Tl E imil r i r t whi h h f limi Ii n h 02 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. ____ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit ________ _ Validated By __________ _ Date ______________ _ Phase No. Total # of units Existing Use Proposed Use SO. FT. #of Stories # of Bedrooms # of Bathrooms Address City State/Zip Telephone# Fax# "'JJtii'ifffrJffit'OdfrW~t(l'r,l½i0JOI¾QWAet;:r::?, CI~;b'iitiFfOr':"<>Wnar-"r;;. ,;_; ,i •:~:~~;3: City State/Zip Telephone# Name Address City State/Zip 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 Godel or that he is exEimpt_ therefrom, and the basis for the alleged exemption, Any v~atid of Section 7031.5 by any applicant fpr a oermit subjects the applicant to a civil p11nAltv nf not more than five hundred dollars ($500]).1 L \t:Jlh,\:t«:: l\ ies:Soh \11\lmb;,,*, 1150 n.,n,.~~n .. 11 t.(t,,ql()lo LA °!)...o;;..i) ,1"1-4'/q~ t~,o Name Address J. ~ City ✓ State/Zip Telephone # State License # vJ C\ :) l b "°) License Class (,,) (, City Business License # l D 1 ~ Lj Q () Designer Name State License # Address City Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: State/Zip Telephone D I 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 . .-fii! 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 &ued. My worker's compensation insurance carrier and policy number are: L j J Insurance Company 'S tc, ±:e £,A y'.) d Policy No. q' -AfLQ) Expiration DateC) T1 _{) -f (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($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 and civil fines up to one hundred thousand dollars ($100 00 In ad n to the cost of compensation, damages as provided for in Section 3706 of the Lab~de, interest and attorney's fees. •7·::.'~o:~NRe·R·.·•1·so·1•"""'"'"·c•·•·-'R'••"'"N··· ~•H·, ·••n-;' '.II'" '"I''•"'"'"~·.···· ', • .~~TE 6lt '-i .. · .,,., 1,+!"~'/[,,:VY ,, ,'-U!;t,;1,1,JC lo~,Mil,1\,1, -,~~ , ,1 ~As\ ~, n ~ ¥ ,,,f?'i'~~ ~, r " ~ , 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 who builds or improves thereon, and contracts for such projects with contractor(sl 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 for the proposed work. 3. I have contractscl with the following person (firm) to provide the proposed construction {include name I address/ phone number / contractors license number): 4. 1 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/ 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 ______________________ _ i;OMPtliTE:;i;f11s.·~ecr1qN.•FPR NON'!l.ESIDENTIAL BUILPING:PERM[TS<ONLY,.• 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 Hazardo\Js Substance Account Act? D YES D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 D YES D 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'i·•;,:@!lSTRUC:tiON'.ti:NDING·AGENCY,,:.u: • : 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 _____________ _ •~l,i' •Al'~~!CANT •¢ERTl,1.cATIQN 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 Citt 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 5'0~ deep and demolition or construction of structures over 3 stories~n height. EXPIRATION: Every permit issued by the building Official under the provislons of this Code shall expire by limitation and become null and void if the building or work authorizer! hv such permit is not commenced within 180 days from the date of such permit or if the buildlng or work authorized by such permit Is suspended or abandoned at any th 'ter the work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Gode). APPLICA SIGNATURE 2~ , DATE WHITE: File YELLOW: Applicant PINK: Finance Inspection List Permit#: CB042173 Type: PLUM Dale Inspection Item 07/12/2004 24 Rough/Top out Tuesday, July 13, 2004 lns2ector Act PS AP BURNAND RESIDENCE COPPER REPIPE Comments -~-·-- Page 1 of 1 City of Carlsbad Bldg Inspection Request Permit# CB042620 Title: ELLIOTT RESIDENCE Description: COPPER RE PIPE For: 07/12/2004 Type: PLUM Sub Type: Job Address: 1926 SWALLOW LN Suite: Lot 0 Location: APPLICANT ANDERSON PLUMBING INC,WALTER Owner: ELLIOTT CRAIG&NANCY Remarks: Ml<EO FOR STRUCTURAL & PLUMB Total Time: ---- CD Description Comment Inspector Assignment: ~ '"'"'' p Inspector: Requested By: BRANDY Entered By: ROBIN 17 Interior Lath/Drywall 24 Rough/Topout Gr rr1, /Jll V -------------~ Associated PCRs/CVs Inspection History Date Description Act lnsp Comments