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Home My WebLink About2544 UNICORNIO ST; ; CB054013; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 11-21-2005 Miscellaneous Permit Permit No: CB054013 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: 2544 UNICORNIO ST CBAD MISC 2152802300 $0.00 Subtype: OTHER Status: Lot#: 0 Applied: Entered By: Reference #: Plan Approved: Project Title: Applicant: SHEPARD RES R & RALL WINDOWS AND RE-STUCCO THE W HOLE HOUSE Owner: Issued: Inspect Area: MOORE, JOE SHEPARD MARGARET E 3612 VALLEY ST CARLSBAD, CA 92008 760-434-1203 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $120.00 WINDOWS STUCCO 2544 UNICORNIO ST CARLSBAD CA 92009 Total Payments To Date: $120.00 FINA~PPROVAL Date: -S -O{z Balance Due: Clearance: ISSUED 11/21/2005 SB 11/21/2005 11/21/2005 $60.00 $60.00 $0.00 $120.00 $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 FOR OFFICE USE ONL V PERMIT APPLICATION PLAN CHECK N0.054° /3 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ 1. PROJECT INFORMATION Address ~de Bldg/Suite #) ~ tr. Utvt ,ar2N[j) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use D:e;~s?-:7~co Crvtw .J u;rv.l)~· F~/~ # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) /' ,-L,A . I ~ ~ 3/?"Z:. e;r~J/~f./ 5"?-C~~ Namf' Address City ·3. APPLICANT ~tractor O Agent for Contractor O Owner O Agent for Owner Telephone # Fax # 4. Address • z'5''i/cl-tJnJ1coe/lJlo State/Zip Telephone # ~ q~Q4<} '-'.31-'rt..f3 ( Name Address City S.tate/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 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 exemri ·on. Any violation of Section 7031.5 by any applican) for a permit subjects !!JI ~~ican~to a civil penaltv. f not more than five hundred dollars ($5001). -'(,p,2-VAIi. r c;. a~ ; -/zo Name State License # ~ 7 S l{,s- Address License Class _,8~._-__ I.__ ____ _ City State/Zip Telephone # City Business License # _______ _ Designer Name City State/Zip Telephone State License#"'""'---------- 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and w ill 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. 0 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 issued. My worker's compensation insurance carrier and policy number are: Insurance Company_____________________ Policy No. Expiration Date. _______ _ SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS) 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 come 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 clvil fines up to one hundred thousand dollars ($10 00 , di on to the cost of compensation, damages es provided for In Section 3706 of the Lai,.r code,· terest and attorney's fees. SIGNATURE_-=:::;z~~~L!.~~~,Z'"f~"3~•~~---------------DATE / ?/ r- 7. OWNER-BU 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 t hat 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 Lawl. 0 I am exempt under Section ______ 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 / 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-RES/OENnAL 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 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 I hereby affirm that there is a construction lending agency for the performance of the work for w hich this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME ______________ _ ~9; APPLICANT CERTIFICATION LENDER'S ADDRESS ________________________ _ 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 Cit\' 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 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 1 BO days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenc r a ·od of 180 days (Section 106.4.4 Uniform Building Code). /4 I _ APPLICANT'S SIGNATURE ---=;;z;.l~,..,L...L.)_V~~..'._t_~:::l-~_,.._~~..!<,==-----------DATE / / -Z,.I' 0 S YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 04/04/2006 Permit# CB054013 Inspector Assignment: PD Title: SHEPARD RES R & RALL WINDOWS Description: AND RE-STUCCO THE WHOLE HOUSE Type: MISC Sub Type: OTHER Job Address: Suite: Location: 2544 UNICORNIO ST Lot APPLICANT MOORE, JOE Owner: SHEPARD MARGARET E 0 Remarks: FRONT WINDOW REPLACEMENT INSPECTN Total Time: CD _D_e_s_c-rip-t-io-n-------~ Comment 19 Final Structural Comments/Notices/Hold Associated PCRs/CVs Original PC# Inspection History Date Description 02/14/2006 19 Final Structural 12/06/2005 18 Exterior Lath/Drywall Act lnsp Comments CO PD TEMP GLASS AP PD --- Phone: 7608054329 Inspect& Requested By: JOE Entered By: CHRISTINE