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HomeMy WebLinkAbout2575 UNICORNIO ST; ; CB973186; PermitJ B U I L D I N G P E R M I T 10/23/97 13:41 Permit No: CB97318b Project No: A9704090 Development No : Page 1 of 1 Job Address : 2575 UNICORNIO ST Suite : Permit Type: MISCELLANEOUS Parcel No: 215-280-44-00 Lot#: Valuation: 3,744 Construction Type : Occupancy Group : Reference#: Status : NEW ISSUED 10/23/97 10/23/97 JM Description : REROOF 3900 SF , COMPOSITION Appl/Own~_: DOO RITE CONSTRUCTION 751 SESAME STREET CHULA VISTA , CA 91910 **A Fees Required *** Fees : Adjust ments : Total Fees: Fee description Miscellaneous Fee 1 * MISCELLANEOUS TO AL , 104 .00 ,00 l:04.00 Applied : Apr/Issue: Entered By : 800 525-7929 Fees Collected & Credits . s : To Pa rnents: t .00 ,00 104 .00 -Ext fee Data 104.00 PERMIT FEI 104 .00 0618 10/23/97 0001 01 02 C-PRMT 104-00 FIN AL~. \~?Rf)V/\L ---:, /_(._ /3-OATE ):2,.f'-9 2 CLEAHANC~------~ CITY OF CARLSBAD 2075 Las Palrnas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ON PERMIT APPLICATION PLAN CHECK NO •-':-f---+-.;.._,,;;; • CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. ___ ___..~~---,1---- Plan Ck. Deposit _/4,µ..,_t(;,..1:.L..t i.::V:.....Z2~--- (760) 438-1161 1. PROJECT INFORMATION . :$:-C ~::i:._a_te_d_e_y==~=~~~:~~~::i~3;~'/-=~f:,~z~ r,)~75" llai c oR.1U10 , Address hnclude Bldg/Suite I l Business Name lat this ■ddr■ssl Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total , of units 2. • CONT ACT PERSbN Cit dlffwent .fNHn ■i,picanij Name Address City State/Zlp Telephone I Fax I . ~ -~, .. -. ···-,•·····-· Name Name S. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which requires• permit to construct, ■her, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to ftte • signed statement that he is lic-ed pur■uant to the provisions of the Contractor's License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and ProfHsions Code) or that he Is exempt therefrom, and the basis for the alleged exemption. Anv vi lation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of t mor■ than five hundred dollars 1$60011. e ..J • ;;;s-- License Class ___ ......,5,,,.... _____ _ Designer Name Address City State License I _________ _ 6 . WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following deci■r■tions: State/Zip Telephone --,. -··,• , ... ..:.. ' -~ ,~ ., O I have and will maintain a certificate of consent to Hit-insure for workffl' compensation H 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 workers' compensation, ■s 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 ■r■: _ _ q r Insurance Company 1/ ~ r) n a LL.--C Policy No. ;) lJ ':> '8 cJ / J5 f''Jf'. Expiration Date . ....:./_-_/_-_I' __ _ (THIS SECTION NEED NoTif COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100J OR LESSI 0 CERTIFICATE OF EXEMPTION: I c■rtify that in the p■rform■nce of the work for which this permit ii Issued, I ■hall not employ any person in any manner 10 ■a to become subject to the Workers' Compensation Laws of Califomi1. WARNING: Failure to ■■cure worltffl' compenHtlon cove,age l#ll■wful, and ■hall aubject ■n employer to crtrMMII peneltiH and civU fines up to -hundred thousand dollars 1$10 001, In tlon, d■m■gN • provided for In Sec:tlon 3706 of~ r:ode, lnt-t and ettomey'1 fNs. ~'.GN~~=:R•BUILDER DECLA~TION DATE ~i~f;?.-,::,r,?. ,, .. ·,.,.-;n ••• ·· •• I hereby affirm that I ■m exempt from the Contractor' a Lie-• Law for the following reason: 0 I, ■s owner of the property or my employHs with wages H their sole compensation, will do the work and the ltructur■ is not intended or offered for Hie (Sec. 7044, Busin■sa and Prof■ssions Code: The Contractor·• License Law does not apply to an owner of property who build■ or improves thereon, and who doH auch work himself or through his own employHs, provided that such improv1rn■nt1 ■11 not int■nded or offered for Nie. If, however, the building or lmprovem■nt is sold within one ye■r of completion, the owner-build■r will have the burden of proving that he did not build or Improve for the purpon of ■■1•1. 0 I, ■s owner of the property, ■m exclusively contracting with lic■ns■d contractors to construct the project CS■c. 7044, Busineu and Profe■slona Code: The Contractor's License Law does not apply to ■n owner of property who builds or improv■s thereon, and contract■ for such projects whh contr■ctorl1) lie-eel pursuant to the Contractor's LicenH l.awl. D I am exempt under Section ______ Business and Profe11ions Code for this re■1on: 1. I personally plan to provide the major labor and materials for construction of the propo■■d property improvement. 0 YES ONO 2. I (have/ have not> signed ■n application for• building permit for the propoHd work. 3. I have contracted with the following person Cfirml to provide the propoud construction Clnclude name / addrna / phone number / contractors He-• number!: 4. I plan to provide portions of the work, but I hav■ hired the following person to coordinate, superviH and provid■ the major work Clnclude name / ■ddrns / phone number/ contractors license number!: __________ ....; ____________________________________ _ 6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated Cinclude name / addre11 / phone number / type of workl: _________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ 1COMPLETE THIS SECTION FOR NON-RESJDENTIAi. IUILDINO PERMITS ONi.v:•J.•81~·•·; .,.,,..,...,., •• ,,,.,.,..7"!'f~j''~1~ .... ,~r.,.-,~1'7." ·}·;. -~·-· • .. • ._ .. ,.. ....... •••••• ··•·· Is the applicant or future building occupant raquired to submit • business plan, ■cvtaly hazardous m1teri■l1 registration form or riak men■gement ■nd prevention program under Sections 25505, 25533 or 25634 of the Pruley•T■nner H■z■rdoul 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 ■Ir qu■llty m■n■g■ment district 7 0 YES O NO Is the facility to be constructed within 1,000 faet of the outer boundary of • school site 7 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 ·; , .... ,. ---~----• ···c"~ ~~'~:;"'-:'.."""."." .. ,_ • ..,,-~. •r,~, , .... ··~-... :---,-, ••• ". ~ •• I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is isiued tSec. 3097(1) Civil Codel. LENDER'S ADDRESS _______________________ _ I certify that I have re■d the application and state that th■ above information is correct and that the Information on the plans Is accurate. I agree to comply with 111 City ordinances and State laws relating to building construction. I hereby authorize representatives of the Cltt of C1rl1b1d to enter upon the ■bova mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 h■ight. EXPIRATION: Every permit issued by the Building Official under th■ 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 366 days from th■ date of such permit or If the building or work authorized by such permit is suspended or ~bandoned et any time after t~• wor~m~2•vs (Section .108.4.4 Uniform Building Code). A ·~ APPLICANT'S SIGNATURE ( _ ~ -____ DATE t/Cd2: CT_,,, /,92? ~ --- WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB973186 DESCRIPTION: REROOF 3900 SF, TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 12/05/97 COMPOSITION STE: INSPECTOR AREA RB PLANCK# CB973186 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 2575 APPLICANT: 000 RITE CONTRACTOR: UNICORNIO ST CONSTRUCTION PHONE: 800 525-7929 PHONE: OWNER: REMARKS: C/KIRK/909/678-1330 SPECIAL INSTRUCT: PHONE: INSPECTOR __ _,}'-Z-~/3;__ ___ _ 7 TOTAL TIME: LVL DESCRIPTION ACT COMMENTS CD 19 ST Final Structural f!_f}_ _____ _ ------------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE 120397 110797 DESCRIPTION Final Structural Final structural ACT INSP CO RB CO RB COMMENTS NO PRE-ROOF INSP NO PRE-ROOF INSPEC