HomeMy WebLinkAbout1936 SWALLOW LN; ; CB042173; Permit0\ '(rttA ~ ~q1--
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, · 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
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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
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Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments