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Home My WebLink About2633 UNICORNIO ST; ; CB131983; Permit08-15-2013 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: ANYTIME PLUMBING 1064 LA MIRADA CT VISTA CA 92081 760-806-1556 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB131983 Building Inspection Request Line (760) 602-2725 2633 UNICORNIO ST CBAD PME 2153503900 Lot#: Status: 0 Applied: Entered By: Plan Approved: SAIYED RES -REPAIR SEWER LINE IN FRONT YARD OUT TO STREET Owner: ALI SAIYED M 2633 UNICORNIO ST CARLSBAD CA 92009 Issued: Inspect Area: ISSUED 08/15/2013 SKS 08/15/2013 08/15/2013 $154.00 $0.00 $0.00 $0.00 TOTAL PERMIT FEES $154.00 Total Fees: $154.00 Total Payments To Date: $154.00 Balance Due: Inspector: M· (~ Clearance: ------ $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or other exactions hereafter collectively referred to as 'fees/exactions." You have 90 days from the date this permit was issued 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 THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING ~ «-'~ ~ CITY O F CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 email: building@carlsbadca.gov www.carlsbadca.gov SUITEt/SPACEt/UNIU □BUILDING □FIRE Plan Check No. Est. Value SWPPP () # BEDROOMS # BATHROOM CONSTR. TYPE O C. GROUP ESCRIPTION OF WORK: Include Square Feet of A"ected Area(s) '2e-v lC\_t.,'n j Porl--1'0 V\ c:, .p Sewc:..r I +i'O~ '-f c.-rJ2 -\-o s+c-e.,._k- EXISTING USE PROPOSED USE GARAGE (SF) PLICANT NAME (Primary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL STATE ZIP 2J:,Jo 9 ARCH/DESIGNER NAME & ADDRESS STATE UC.# PATIOS (SF) OECKS (SF) FIREPLACE YES[)# AIR CONDITIONING NcQ YES □No □ APPLICANT NAME (Secondary Contact) ADDRESS CITY STATE ZIP PHONE FAX EMAIL CITY , ZIP l/1 .5 STATE LI FIRE SPRINKLERS YES□No□ (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, Improve, demolish or repair an~ 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 Code} or !hat he is exemQt 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)), r ... :,f',,,_{""'[-" -..~~ ,-, ~-,-/'.., ,-~--1" ------" .. --~":'!!' "; .. cO<=~---,,.,...,,,, -·---,--~--, _,,,-.,,r ... ~"'}-~7Yf. ~~~l<_~_~s_:,~M~-~tw!!'.~.~J.~.!.!~.~--__ ,_ ..... ·~··· .... ,.:.:::._,. ,_,,. _____ ,_ .. ___ ,_ ~-'-·--·->·· ,,-=·=---·,&.1 Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: !J 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. ~ I have and will maintain wo~ys• compensation, as required bv,Section 3700 ~ the Labor Code, for the performan~ of the work for which this oermitjs issued. My workers' compensa , i urance a~r a~palicy nu_mberare: Insurance Co. 11:. t:,..t,1r-,{.y .,04 ...f-.10 It"<. ( .J. fl 'iv fl< n c.l.Policy No, '2;:>W L /t::7 z.a7 Ir Expiration Dale ;, <r0 l r ~section need not be completed n the permit is for one hundred dollars ($1CJO) or less. LJ Certificate of Exemption: I certify thal in the performance the work for which this permit is issued, I shall not employ any person in any manner so as to become subjecl to the Workers' Compensation Laws of Calttomja. WARNING: Failure to secure workers' ensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dama s provlded_)lr in Section 3706 of the Labor code, Interest and attomey's fees. ~ CONTRACTOR SIGNATURE / L--□AGENT I hereby affirm that I am exempt from Contractor's Ucense 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 lhe structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's License Law does nol apply to an owner of property who builds or improves thereon, and who does such work himsett 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 complelion, the owner-builder will have lhe 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 Contraclor'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 pursuanl lo the Contractor's License Law). I am exempt under Section ____ Business and Professions Code for this reason: 1. I personally plan lo provide lhe major labor and malerials for construction of lhe proposed property improvement. 0 Yes 0 No 2. I [have/ have not) signed an application for a building permit for lhe proposed work. 3. I have contracted with lhe following person [firm} to provide the proposed construction (include name address I phone / contractors' license number}: 4. I plan lo provide portions of the work, bul I have hired lhe following person lo coordinale, supervise and provide the major work (include name I address I phone / conlractors' license number): 5. I will provide some of the work, but I have conlracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work}: _g PROPERTY OWNER SIGNATURE □AGENT DATE , 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 Acri Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management districrl 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 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. I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code}. Lenders Name Lenders Address I certify that I have read the application and state that the above lnfonnation is conect and that the lnfonnation on the plans is accurate. I agree to comply"Mth all City ordinances and State la'Mi relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aoove mentioned property for inspedioo ~rposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGA.INST 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 permn is required for excavations over 5'0' noo or construction of structures over 3 stories n height. EXPIRATION: Every permit issued by the Building • nder visions of this Code shall expire by limnation and become null and voi:l ~ the building or y,Olk authorized by such permit is not commenced v.ithin 180days from the date of such permn or if the • ory,Olk by such permn is suspended or abandoned at anytime after the v.ol1< is commenced for a period of 180 days (Sedoo 100.4.4 Uniform Building Code). ,K! APPLICANT'S SIGNATURE DATE STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE. Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection. CEf?11FICATE OF OCCUPANCY /Con1mcrc1,-tl PrOJf'CtS 0 n IV) Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Car1sbad, Building Division 1635 Faraday Avenue, Car1sbad, California 92008. I CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg, 1) NO CHANGE IN USE / NO CONSTRUCTION MAIL/ FAX TO Olli ER: CHANGE OF USE/ NO CONSTRUCTION ,i6 APPLICANT'S SIGNATURE DATE . . . Inspection List Permit#: CB131983 Type: PME Date Inspection Item 08/21/2013 29 Final Plumbing 08/19/2013 22 Sewer/Water Service 08/16/2013 21 Underground/Under Floor 08/16/2013 21 Underground/Under Floor Thursday,August22, 2013 Inspector Act MC Fl MC AP RI PD co SAIYED RES -REPAIR SEWER LINE IN FRONT YARD OUT TO STREET Comments CLEANOUT YARD BOX IN PLACE TO P.O.C Page 1 of 1