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Home My WebLink About2624 UNICORNIO ST; ; CB981050; PermitB U I L D I N G 04/14/98 13 :51 Pa9e 1 of 1 1 J.-)b Ack1ress: 2b24 UNICORNIO ST Permit Type : MISCELLANEOUS Parcel No: 215-350-46-00 Valuation: 0 P E R M I T Suite : Lot#: Pl:'tr:n t No: CB981 U'itl ProJect No: A980139b I>evelopment No: 5·'91 04/14/98 0001 01 02 111,00 OccLLpancy Grour,: Reference#: C-PRMT Construction Type: NEW Status: I !:>SUED Description : MASTER BATH REMODEL : RELOCATE FIXTURES/SHOWER Appl/Ownr : HANNON CONSTRUCTION 1005 HYGEIA ENCINITAS CA 92024 Fl';'es Required Fees: Adjustments: Total Fees : Fee description Miscellaneous Fee# Miscellaneous Fee# Miscellaneous Fee# * MISCELLANEOUS TOT ADD GLASS BLOCK 760 753-7855 Applied: 04/14/9h Apr/Issue: 04/14/98 Entered By: JM .00 .oo 111 .00 Ext fee Data 50.00 PERMIT FF.E 20.00 ELEC 41.00 PLUM 111.00 f Fl APP RO\/AL I INS rt~~ DATF//·/b ·1/ V lcLEARANCE----- CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE O~ PLAN CHECK NO. ;d/&)() CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _______ ..,,._,,......,.....,..,_ (760) 438-1161 Plan Ck. Deposit ...,.,-------;f--.L--'--''-"''-=;__ Validated By_-"'-''--"::e-?~---r.,...-;.,.-'7"--- Date _____ ~r:.,c-.._.Lr----'-'--<----- 1. PROJECT INFORMATION r9-6dt./ l2t\l 1 (or2.ri> to Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Existing Use Proposed Use Description of Work 6A-n+-~c,Df;=I SsN1 €:;, SO. FT. #of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) ~ !\ W 1 II l 4 (\I'\ 6 !..f Al\/ I\ 20 N I oos \,d u {'.'%$C,/ A;-~df:: 7 S".3-7655 ,,, < Name Address 1 3. APPLICANT O Contractor O Agent for Contractor O Owner Name Address City 0 Agent for Owner City State/Zip Telephone# Fax# State/Zip Telephone# 4. PROPERTY OWNER (2£A--u A-f\t3 86d-C.f &.J?t$'2A-I}) $mer State/Zip ]ho qi:st -10a-£ Telephone# Name Address City 5. CONTRACTOR • COMPANY NAME (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 Code) or that he is exempt therefrom, and the basis for the alleged exemption. An"t violation of S ction 7031.5 by any appli ant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)). \,c__h , t • • ',.oJ. c._ - Name Address City State/Zip Telephone # City Business License #(247U3zi State License # Pz: \ ~ c..j S Lj -'6 License Class b -l \id 1 \,Lt '.a,,., f? 1J A-a, rt1 cyQ I ot>S 1h (£14= Designer Name Address ,AiJf FAY IK>I t.45 &fr: :::Zoo-153-7 KS 5 City State/Zip Telephone State License # ~ lf4 '=le 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: ~ 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. ~ave 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company :5{-M"~ f , I\,] b I Policy No. \ ~ (;,f!,C:,,9..-¢1() (THIS SECTION NEED NOT BE CO ~ETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) Expiration Date 0 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 dollar , • addit(on t ost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE: ___ .:::t:::~~.A..--L.J.A=~:::::::=====---------DATE _________ _ 7. OWNER-BUILDER I 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(s) licensed pursuant to the Contractor's License Law). 0 I am exempt under Sect ion ______ 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. 0 YES ONO 2. I (have / have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address I phone number / contractors license number): 4. I 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 _______________________ _ DATE __________ _ COMPLETE THIS SECTION FOR NON-RESIDENT1AL 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? 0 YES O 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 O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O 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. 8. CONSTRUCTION LENDING AGENCY 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 ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPLICANT CERTIFICATION 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 ANO 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 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 a~k 1~7en~Kor a penod of 180 days (Section 106.4.4 Uniform Bu1ld1ng Code). APPLICANT'S SIGNATURE p~ ~ c....-DATE l.-f-I y --:t5 WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB981050 CITY OF CARLSBAD INSPECTION REQUEST FOR 11/10/98 DESCRIPTION: MASTER BATH REMODEL RELOCATE FIXTURES/SHOWER ADD GLASS BLOCK TYPE: MISC STE: INSPECTOR AREA PD PLANCK# CB981050 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2624 UNICORNIO ST APPLICANT: HANNON CONSTRUCTION CONTRACTOR: PHONE: 760 753-7855 OWNER: REMARKS: C/MR LUCK/619/587-1500 EXT 240 SPECIAL INSTRUCT: PM INSPECTION PLEASE TOTAL TIME: PHONE: PHONE: /l I /) INSPECTO~_,~:__:'--=---------- CD 19 29 39 49 LVL DESCRIPTION ACT COMMENTS ST Final Structural PL Final Plumbing EL Final Electrical ME Final Mechanical f-- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 051898 Interior Lath/Drywall AP PD ON 5-15-98 051598 Interior Lath/Drywall AP PD 051598 Exterior Lath/Drywall AP PD 051398 Rough/Topout AP PD 051398 Rough Combo AP PD 051298 Rough Combo co PD 042898 Underground/Under Floor AP PD