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HomeMy WebLinkAbout2572 UNICORNIO ST; ; CB011472; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04/ 19/2'001 Plumbing Permit Permit No:CB011472 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2572 UNICORNIO ST CBAD PLUM 2152803000 Lot#: 0 Construction Type: NEW FOLEY RESIDENCE WATER HEATER REPLACEMENT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: TORREY PINES PLUMBING STE 101 FOLEY FAMILY TRUST 12-22-00 ISSUED 04/19/2001 MOP 04/19/2001 04/19/2001 6121 NANCY RIDGE DR SAN DIEGO CA 92121 619 677-5445 2572 UNICORNIO ST CARLSBAD CA 92009 7045 04/19/01 0002 01 CGP Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES Inspector: Total Payments To Date: 0 0 0 0 1 0 0 $0.00 FINAL APPROVAL Date: .F,,, J,,,. ~ / 7 Balance Due: Clearance: $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 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which vou have oreviouslv been a iven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exnired. 02 27-00 PERMIT APPLICATION FOR OFFICE USE t;tl; ( l{ 1G PLAN CHECK No. e)\· le (4'(J CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Deposit _________ _ Validated By __________ _ Date _______________ _ 1. PROJECT INFORMATION , , ~ 2.,S,2 )l V)I (QYV)!O QI_ Address (include Bldg/Suite #) Business Name (at this address) Legal Description Unit No. Phase No. Total # of units Proposed Use #of Stories # of Bedrooms # of Bathrooms 2. CONT ACT PERSON (If different from ·applicant) Name Address City State/Zip Telephone# Fax# C ntracror I) Agent for Contractor (e,., &, b2. Address 4. 5. Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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, I 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 J~ed. My worker's co!Tlpensation insurance carrier and olicy number are: C2..I _Q \ t j Insurance Company VY'\.:::> t;, I Policy No.fa3Q~ I Expiration Date _ 0 I 1 oz_ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100} OR LESS) O 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 dollars $1 0,00 ). in addition to the co of ompensation, damages as provided for in Section 3706 of the , interest and attorney's fees. DATE.....:,_!!..-f-..1-...i.,:P,..LJL-__ I hereby affirm that I e mpt 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 Section ______ Business and Professions Code for this reason: 1. I personally plan to provide the major labor arid materials for construction of the proposed property improvement. 0 YES O NO 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 / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL 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 7 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 LEND.ING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097Ii) 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 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 height. EXPIRATION: Every permil issued by lhe building Official under the provisions of lhis Code shall expire by limitation and become null and void if the building or work aulhorized by such permit is not commenced within 180 days from the date of such permit or if the building or work aulhorlzed by such permil is suspended or abandoned al any time after the work i co menced for a period of 180 days (Seclion 106.4.4 Uniform Building Code). DATE PINK: Finance City of Carlsbad Bldg Inspection Request For: 05/02/2001 Permit# CB011472 Title: FOLEY RESIDENCE Description: WATER HEATER REPLACEMENT Type:PLUM Sub Type: Job Address: Suite: Location: 2572 UNICORNIO ST Lot 0 APPLICANT TORREY PINES PLUMBING Owner: FOLEY FAMILY TRUST 12-22-00 Remarks: Total Time: CD Description Act Comments Inspector Assignme Phone: 7606038787 Inspector: Requested By: LINDA Entered By: CHRISTINE 1-/3 25 Water HeaterNents /if--------- Associated PCRs Inspection History Date Description Act lnsp Comments