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Home My WebLink About2508 UNICORNIO ST; ; CB973678; Permit<IS B U I L D I N G P E R M I T Permit No : CB973678 Project No : A970475~ Development No: 12/01/97 09 :02 Page 1 of 1 Job Address : 2508 UNICORNIO ST Permit Type: PLUMBING Suite: Lot#: Parcel No: 215-270-03-00 Valuation: o Occupancy Group: Reference#: Cotiidift:i12ft)l .6ri <".(')9p~1 N2!Y stla-f&g": I ssugD'OO Applied: 12/01/97 Apr/Issue: 12/01/97 Entered By: JM 940-111 2 Description: GAS LEAK REPAIR Appl/Ownr : NORTH COUNTY PLUMBING PO BOX 1758 VISTA CA 92085 *** Fees Required *** Fees: Adjustments: Total Fees: 760 Fees Collected & Credits Total Credi ts: Total Paymen ts: Balance Due: .OU .00 27.00 *** Fee description Units Fee/Unit Ext fee Data Enter "Y" for Plumbinq Issue Fee 20.00 Y 7.00 27.00 Gas Piping System * PLUMBING TOTAL FINAL APPROVA L INSP .. &6 I CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION FOR OFFICE USE ONLY PLAN CHECK NO. ~?5 ({7ff CITY, OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. " Plan Ck. Deposit ~ Z ,,. z; U Val;datad By ~¼ (760) 438-1161 Date a.a __ ·7 1. PROJECT INFORMATION Suite I) , I) ( >-11(.D<f'I Q t'.-6 . Legal Descrtption Subdivision Name/Number Unit No. Phase No. T ot■I I ot units Proposed UH lot Stories I ot Bedrooms I of Bathrooms Name Address State/Zip Telephone II Fax II i./0 -1 I.J.. State/Zip Telephone II . tJaor City Stat■/Zip Telephone I 5. CONTRACTOR • COMPANY NAME (Sec. 7031.5 Business and Professions Code: Any City or County which r■quires • permit to construct, alter, improv■, demoli1h or repair any structure, prior to Its issuance, also requires the applicant for such permit to flle a signed statement that he is licensed pur■uent to the provisions of the Contractor'• License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Prof11sions Code) or that he i1 exempt ther■trom, and the basis for the alleged X ~~nV~:] ame / State License, I::, >:vs-:;z... License Class ...::;__.;.:_______ City Busine■I Licwa, / 20 S-0 I Designer Name Addrns City State/Zip Telephone State License I _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to aalf-lnsure 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 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 ls issued. My worker's compensation insurance carrier and policy number ■re: ~ .1 f 1 ~ lnsuranceCompany5 •½f. l)J.J'l't,.. foe-¥>~ PolicyNo.2-ZH-o/7-/Jed· l;j.lL Expiration Date o-f/ LO (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS t•100J OR LESS) ' / 0 CERTIFICATE OF EXEMPTION: I certify that in·the p■rformanca of the work for which thi1 permit is is1uad, I ahall not employ any person in any manner 10 as to become subject to the Workers· Compensation Laws of C■lifomi■ . .,.. compensation coverage la unlawful, and 11h11 IUbjlc:t an emplo,er to c:rtmklal peneltln Ind clvU fin■• up to one hundred thousand dollar to the coat of compenutlon, d■fflllSJN a provld■d for In Section 3706 of 'fie~:!?' lnt-t Ind 111--,•1 fN■. ~ SIGNATURE--+---'--'-=-=:;..._=-----------------DATE l~{?Ji4 :;- 7_ OWNER-B'ulLDERDECLARATION •• •• • • ' ', •• :·•"••··" .. ··· "·:-,..·.;,:·•r-'.•"'• ':•·':' .. , .·,·-,r;·r. , .... •• I hereby affirm that I ■m exempt from the Contractor's License Law for the following reason: 0 I, as owner of the property or my employees with wages II their ■ole compensation, will do the work and the structure is not Intended or offered for aale (Sec. 7044, Busin111 and Prof111ions Code: The Contractor'■ License Law does not apply to an owner of property who build■ or Improves thereon, and who does such work hims■lf or through his own employN1, provid■d that auch Improvements ■re not Intended or offered for 1119. If, howavar, th■ building or lmprovem■nt la sold within one year of compl■tlon, the owner-builder will have the burden of proving that he did not build or Improve tor the purp011 of 1111). D I, es owner of the property, ■m exclusiv■ly contracting with lic■nsed contractors to construct the project (Sec. 7044, Bualneaa and ProfHaionl Code: The Contractor's License Law does not apply to an owner of property who build■ or lmprov11 ther■on, •nd contracts tor such project■ with contractorla) llc-ed pursuant t o the Contractor's Licenae L■w). D I am exempt under Section ______ Business and Profe11lons Cod■ for this re11on: 1 . I personally plan to provide the major labor and mat■ri■ls for construction of the propoaad property lmprov■ment. 0 YES ONO 2. I (have / have not) signed ■n application for• building permit for the propoaad work. 3. I have contracted with the following person Uirm) to provide the propoaed construction (Include name / 1ddrn1 I phone number / contractors lie-• number): 4 . I plan to provide portions of the work. but I have hir■d the following person to coordinate, ■uparviaa and provide the major work llnclude name / 1ddr111 / phon■ number / contractors licenae number): _______________________________________________ _ 5. I will provide some of the work, but I h1v1 contracted (hired) the following per■on■ to provide the work lndiceted (Include name / eddrHa / phone number / type of workl:. _________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ 'COMPLETE THIS SECTION FOR NON-RESIDsniAi. IUILDINO PERMITS ONi. y;,;-:f:'F-".""°'' ·: -.-n: ·-,,, .,...,7'~'!':""~~-,~1::-c,,,1 ~"?':'f?' ~·; :·.-• ·• .. • · • • ·y· ........ •• -• •• · ••• Is the applicant or futura building occupant required to ■ubmit • buaine■s plan, acutely h■z■rdous m■t1ri1ls registration form or rtak management and prev■ntion program under Sections 25505, 25533 or 25534 of the Pr11ley-T1nner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obteln a permit from the air pollution·control distri_ct or air qualltv management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school aite7 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. ia. • CONSTRUCTION LENDING AGENCY ·, ·' , •••• , ~·~-----•···-,·-,_-·:·,e--::7:-~•,-:-~"'""''~'"-·" ,~.-~.,..,. ··-· •. , '."'-··•,•·· .... ~-·· ·-,,~·- 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Sec. 30971H Civil Code). I certify that I have read the application and 111111 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 her1by authorize repres■nt■tivn of the Citt of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU 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 iss by t Building 01 iclal under the provisions of thi1 Code shall 1xpire by limitation and become null and void if the building or work authorized by such perm· 1 o~menced ithin 365 days from the data of such permit or If the building or work authorize y s h permit is suspended or abandoned at any time afte t k is comm,mi::ftHll~ period of 180 days !Section 106.4.4 Uniform Building Codal. WHITE: File YELLOW: Applicant PINK: Finance . . ... • UNSCRf:OULED BUILDING INSPECTION DATE /?-" /· 9'7 INSPECTOR _ ___,.;!Z:....._..,.:;;/3 ___ _ > PER1'ffi" # ?' 7 3 { 7 / PLAN CHECK# ____ _ JOB ADDRESS _____ ;)-_.)(_C) ____ g-' __ U_11_/_c_o ____ r._e ________ / __ a __ ~ ________ _ DESCRIPTION _____________________ _ TIME ARRIVE: -----TTh!E ____ _ CODE DESCRIPTION ACT COMMENTS