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HomeMy WebLinkAbout2639 UNICORNIO ST; ; CB951125; Permit~ U I L D I N G Pag e .1 of 1 J p b Address: 26 3 9 UNI CORNIO ST Permit Type: PLUMBING Parcel No: 215-350-38-00 Valuation: 0 Construction Type: VN P E R M I T Su ite: Lot#: Pc rnn t No : CB 9 J 1 I .~ 'i Project No: A95Ulb~3 Development N : 321.2 08/ !.61 9<;; 00,~ Occupancy Group : Reference#: S t a.., ·-t.J;l 6 T Applie2i : I SStJED 08/1 6/9 5 0 8/1 6/95 MDP Description: WATER HEATER REPLACEMENT Appl/Ownr : AJ FOSTER INC. 2819 CENTRAL AVE SPRING VALLEY, CA. 91977 *** Fees Required Fees : Adjustments: Total Fees: *** 27.00 .00 27.00 *** Apr/Issue: Entered By: 619 697-4151 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 27.00 *** Fee description Units Fee/Uni t Ext fee Data Enter "Y" for Plumbing Iss ue Fee > Each Water Heater and/or Vent > * PLUMBING TOTAL 7.00 20.0 0 Y 7.00 27 .00 FINAL APPROVAL : 1 ~•c:p 'D l DATE g. "· 9 .s /cL.E/iR, .. ~CE _____ 1 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 . PERMJT APPLICATION Cl . . PI.AN CHECK NO. . . City of Carlsbad Building DepartEnt 2075 Las Pal-s Dr., Carlsbad, CA 92009 (619) 438-1161 I. PERMl'l' 1YPE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: ________ .....::l-C.Ji... __________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJECT INFORMATION FOR OFFICE USE ONLY Address 2639 Unicornio St. Building or Suite No. Nearest Cross Street LEGAL DESCRIPTION Lot No. Sulxhvts1on Name/Number Unit No. Phase No. CHECK BEWW IF S0BMl1 IED: □ 2 Energy Cales □ 2 Structural Cales D 2 Soils Report D 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE PROPOSED USE DESCRIPTION OF WORK Water Heater Replacement 50 Gallon SQ. FT. # OF STORIES # OF BEDROOMS # OF BA TIIROOMS 3. WN IACI PwtSON (1r durerent from applicant) NAME (last name first) Laskin, Paul ADDRESS 2639 Unicornio St. c1TY ~rJ~ STATE H~ zrPcoDE q 20~q DAY TELEPHONE 8~~ ~332 4. APP~1 RAC !OR □ AG£.f.F OR CON I RACI01iOWN£R □ AGEN I FOR £ NAME Oast name first) Kristy F~ster ADDRESS 2819 Central Ave . CITY S~rin~ Valley STATE CA ZIP CODE 91977 DAY TELEPHONE 697 4151 s. PROPEJh oW Ek NAME (last name first) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE 6. OONi'RACloR NAME (last name first) A & J Foster, Inc. ADDRESS 2819 Central Ave . CITY Spr ing Valley STATE CA ZIP CODE 91977 DAYTELEPHONE 697-4151 STATE UC.# e3AJ ?Q LICENSE CI.ASS DESIGNER NAME (last name first) ADu CITY BUSINESS UC.# ] 2003S d CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoltkElts' OOMP£NsAt1oN Workers' Compensation Declarauon: I hereby alhrm that I have a ceruhcate ol consent to self-insure issued by the Director of lndustnal 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, I.ab. C). so as to become subject to the Workers' Compensation laws of California. S.s~;~~~itJ~g; DATE 6 -/&,-q5 □ □ D Owner-Builder Declaration: I hereby arltrm that I am exempt from the Contractor's License Law for the following reason: 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 a n 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.). 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 I.aw (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged exemption. 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 [$500]). SIGNATURE DATE COMPLETE 'IRIS SEct'loN FOR NON-RESIDENTIAL BUILDING PERMITS 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 Hazardous Substance Account Act? D 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? 0 YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF 11-IE ANSWERS ARE YES, A FINAL CERTIFICATE OF oa:uPANCY MAY NOf BE ~UED AFTER JULY 1, 1989 lJNLESS 11-IE APPUCANT HAS MET OR IS MEETING 11-IE REQUIREMENTS OF 11-IE OFFICE OF EMERGENCY SERVICES AND 11-IE AIR POU.UTION OONTROL DISilUCf. 9. CDNSI it0Ci1ON LENDING AG£NCV I hereby afl1rm that there 1s a construction lending agency for lhe perlormance of the work for which this permit 1s issued (Sec 3097(1) ClVll Code). LENDER'S NAME None LENDER'S ADDRESS 10. APPUCAN I CE1tl1FICAIION I cerufy iliac I have read the application and state that the above mlormat1on 1s correct. I agree to comply w1lh 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.50 AGREE 10 SAVE INDEMNIF'i' AND KEEP HARMLESS 11-IE Cl1Y OF CARISBAD AGAINST All. UABIUTIES, JUDGMENTS, CDSrS AND EXPENSES WI-DOI MAY IN ANY WAY ACXJUJE AGAINST SAID Cl1Y IN OONSF.QUENCE OF 11-IE GRANTING OF nos 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 suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Bui~g Cod::: APPLICANTS SIGNATURE DATE: ~-1/h -::Y<.'7" PINK: Finance PERMIT# CB951125 DESCRIPTION: WATER HEATER TYPE: PLUM JOB ADDRESS: CITY OF CARLSBAD INSPECTION REQUEST FOR 09/06/95 REPLACEMENT STE: INSPECTOR AREA PLANCK# CB951125 OCC GRP CONSTR. TYPE VN LOT: APPL! CANT: p..,;J CONTRACTOR: 2639 UNICORNIO ST FOSTER INC. PHONE: 619 697-4151 PHONE: OWNER: REMARKS: MW/PAUL/622-3194 SPECIAL INSTRUCT: TOTAL TIME : CD 25 LVL DESCRIPTION PL Water Heater/Vents ------------------ ------------------ -------------------- PHONE: INSPECTOR ~i> ___ C~=-------- ACT COMMENTS 4£-------- ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS C/J ?. '7v /J Q-,_/lcA-~ ~~ (I/VI