HomeMy WebLinkAbout2618 UNICORNIO ST; ; CB021172; Permit,, City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
04-17-2002 Plumbing Permit Permit No: CB021172
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2618 UNICORNIO ST CBAD
PLUM Status: ISSUED
04/17/2002
JM
04/17/2002
04/17/2002
Parcel No: 2152803300 Lot #: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: EDWARDS -REPLACE WATER HEATE R Inspect Area:
.6-pplicant:
A & J FOSTER
2819 CENTRAL AVE
SPRING VALLEY
519 697-4151
Total Fees:
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
$27.00
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacuum Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
Additional Fees
f· TOTAL PERMIT FEES
Inspector:
5311 04/18/02 0002 01
Owner:
EDWARDS ANTHONY G C&ELLEN CGP
2618 UNICORNIO ST
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
1
0
0
EXl
r>ERM.7 ~S '.
-.:crlON 106.
FINAL APPROVAL
Date:
TI
Balance Due:
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
$27.00
PE Rf~IT
'~fi"."H U.B.C.
Clearance: ______ _
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
• hi h v • I I hi • h i
02
27-00
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 _______________ _
1. PROJECT INFORMATION
2618 UNICORNIO STREEI'
Address (include Bldg/Suite #) Businoss Name (at this address)
legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total # of units SFR
Assessor's Parcel # Existing Use Proposed Use
215-280-33-00
Description of Work SO. FT. #of Stories # ol Bedrooms II of Bathrooms
Water Heater Replacement
2. CONTACT PERSON (II dlflerent from oppllcon\.)
:EI::WARDS, TONY 2bl8 UNICORNIO ST Carlsbad CA. 92009 760-431-0742
Name Address City State/Zip Telephone /I Fax#
3. APPLICANT Ox;ontractor O Agent for Contractor O Owner D Agent for O)(tner . Arlen Foster/Carol Foster 13706-~ Hwy.8 Bus . EL CaJon, Ca . 92021 (619)390-4477
Name Address City State/Zip Telephone #
4 . PROPERTY OWNER
2618 UNICORNIO ST Carlsbad Ca . 92009 760-431-0742
Address City State/Zip Telephone#
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 tho provisions of tho Contractor's license l aw
!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. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant t~ a civil penalty of not more than fiye tiuJJ.ctrwl dBlla~4$f701).
A & ,J Easter Plumbing 13706-B Hwy .8 Bus. El CaJon CA. 92021 ~6.i'.:IJ39 -
Name Address C-36 City State/Zip 121081j~phone II
State license# 630120 license Class __________ City Business license II ______ _
Designer Name Address City State/Zip Telephone
State license # N/ll. ---~--..-~----
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
[] I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the labor Codo, for the performance
ol the work for which this permit is issued.
QI X' 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
is~uecf. My worker's compensation insurance carrier and policy number are: 04-01-02
Insurance Company State Comp. Ins. Policy No. 467-01 0000713 Expiration Date ______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$1001 OR LESS)
D CERTIFICATE OF EXEMPTION: I certify thot 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 covern is unlawful, and shnll subject an employer to criminal penalties nnd civil fiues up to one hundred
SIGNATURE nsoti 1, dnmagu "" provided for In Section 3~:6TAt~ R"olc°S'. 2\J02'"d attorney's fees.
7. OWNER-BUILDE
's license law for the following reason:
0 I, as owner of the property or my employees with wages as their sole comnensation, 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 improvement~ are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, tho owner-builder will have the burden of proving that he did not build or improve for the purpose of sale).
0 I, es owner of the property, am exclusively contracting with licensed contrnctors to construct the project (Soc. 7044, Business and Professions Code: ThA
Contractor's license law does not apply to an owner of property who builds or improves thereon, end contracts for such projects with contractor(s) licensed
pursuant to the Contractor's license law).
0 I om exempt under Section ______ Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of tho 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 / 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 I type
of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _ DATE ------------COMPLETE THIS SECTION 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 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 site7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT IIAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
B. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this pe,mit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME NJNE 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 Tl-tE CITY OF CARLSBAD AGAINST All LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF Tl-tE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavations over 5'0" deep and demolition or construction of structures ovor 3 stories in height.
EXPIRATION: Every permil issued by the building Official under lhe provisions ol lhis Code shall expire by limilalion and become null and void if the huliding or work
authori,ed by such permit is not commenced within 180 days from the le such permit or ii the building or work authorized~ ~c~ermi1 is suspendert or abandoned
al any lime after lhe work Is commence d 18 s (Sec 106 4 U!'iform Building Code). "'it( 1 8 ?Gr ')
APPLICANT'S SIGNATURE -~t~~~~~!_j_~~~Z~i~~~~--------0/\ IE '-..,
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