HomeMy WebLinkAbout2646 UNICORNIO ST; ; CB931103; PermitCity of Carlsbad
■ =I! ii n;; ,,. I •14 •»ta 1, ,t4 '' I
DATE: 09/13/94
TO: DROUILHET, MICHAEL
2646 UNICORNIO STREET
CARLSBAD, CA. 92009
PLAN CHECK EXPIRATION
PC# CB931103 DATE: 10/08/94
ADDRESS: 2646 UNICORNIO ST
You have applied to have your plans checked on the date shown
above, and you have not obtained your building permit.
The provisions of Section 304(d) of the Uniform Building Code
state:
"Section 304(d) Expiration of Plan Review
Applications for which no permit is issued
within one year following the date of
application shall expire by limitation, and
plans and other data submitted for review
may thereafter be returned to the applicant
or destroyed by the Building Official.
In order to renew action on an application
after expiration, the applicant shall resubmit
plans and pay a new plan review fee."
Please check_ the appropriate box indicating your choice
an/turn this letter to the BUILDING DEPARTMENT.
__ PROJECT ABANDONED. I WILL PICK UP PLANS WITHIN 10 DAYS.
PROJECT ABANDONED. PLANS MAY BE DESTROYED.
If you have any questions, please contact the Building
Department at (619) 438-1161.
DORIS COSMAN
Building Department
2075 L as Palmas Drive • Carlsbad, California 92009-1576 • (619) 438-1161
PERMIT APPLICATION
City of Carlsbad Building Departaent
2075 Las Palaas Dr., Carlsbad, CA 92009 (619) 438-1161
1. PERMI I IYP£
A -D Commercial D New Building D Tenant Improvement
B . D Industrial □ New Building □ Tenant Improvement
C . □ Residential D Apartment D Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
□ Mechanical D Pool D Spa D Retaining Wall D Solar □ Other ____ _
2. PRQJF.C'f INI-URMATION FOR OFFICE USE ONLY
Building or Suite No.
(_,A-f' .... LS,£3,M Address~ ~ Y ~ U ,V £ CO fi_.,N l 0
Nearest Cross Street c..oR..l .AJ n A
LEGAL bEscR115'1iON Lot No. suixhvis1on Name/Number Omt No. Phase No.
cA£CR BEwW IF SOBMI 11 ED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
PROPOSED USE
SQ. FT. # OF STORIES
3. WN IACI PERSON (u dulerent from applicant)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCANI □wNIRACIOR □ACENI FOROONIRAclOR P(<JWNER □AG£Ni F0ROWN£R
NAME ,AA. I c.. \+-A-EL ~4.lL-t+e r ADDRESS ~ (.p Lf (o u Al u:::o A._tv { -0
CITY Q.. AfLl-S. n, ~ STATE G+ ZIP CODE q l.-0 0 Cj DAY TELEPHONE (_p { if L-0 ~ 0 G:, (o L
NAME,lv\LC..tl -=L-D~f.A..tLl:H?t ADDRESS o>_(o4Co UtJICDfl/.JlO
CITY C!-A-(LL.--S 6A-h STATE Cl\-ZIP CODE9 L--W °I DAY TELEPHONE 6 ( °I '7U) ,-0 (p (o 2..
NAME
CITY
ADDRESS
ZIP CODE
LICENSE CIASS
ADDRESS
DAY TELEPHONE
STATE UC.# CITY BUSINESS UC. #
DESIGNER NAME
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
1. WOIUffilts' wMP£NSA:i1ON
Workers' Compensation Oeclarauon: I hereby affirm that I have a cert1hcate of consent to sell-insure issued by the Director ol fndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Ceruhcate of £xempuon: I ceruly that in Lhe performance of Lhe work for which this penmt 1s issued, I shall not employ any person in any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWRIDt-B0ilDIDt OEd.XitA'MON V Owner-Builder Oeclarauon: I hereby affirm that f am exempt from the Contracto?s Llcense Law for the following reason:
I°' 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.).
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).
□ I am exempt under Section _______ Business and Professions Code for this reason:
(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, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and sis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects applican a civil Icy o not more th!n N_undred dollars [$500)).
SIGNATURE ~'le-~,__,.,,__,. ----_,_.,, ~ "-DATE / O -cJ ~ -3
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?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF THE ANSWERS ARE YF.S, A FINAL crRTIFICATE OF ~ANCY MAY NITT BE ISSUED Af"fER JULY 1, 1989 UNLF.S.5 THE APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFJCE OF EMERGENCY SERVICES AND 1lIE AIR POll.UTION CDN1ROL DISIRICT.
9. wNsmocnON L£NOCNC AC£Nct
I hereby alhrm that there 1s a construcuon lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
io. APPDCAN"l c£it'l1FicX11oN
I cerufy ifiat I have read the appl1cal1on and state that the above mformauon 1s correct. 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 Al.SO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE crrY OF CARL.5BAD AGAINST AIL UABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WI-DOI MAY IN ANY WAY ACX:R\JE AGAINST SAID crIY IN CDNSF.QUENCE OF nm GRANTING OF nus 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 limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is sus nded or a\andoned at anx ti fter the wor is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
E DATE: Lo -m '9 3