HomeMy WebLinkAbout2475 UNICORNIO ST; ; CB020912; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
03-27-2002 Plumbing Permit Permit No: CB020912
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2475 UNICORNIO ST CBAD
PLUM Status: ISSUED
03/27/2002
MDP
03/27/2002
03/27/2002
Parcel No: 2152601000 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: STARR RESIDENCE Inspect Area:
WATER HEATER REPLACEMENT
Owner: Applicant:
A&J FOSTER, INC.
STE B
STARR FRED B&INDRA K 3979 03/28/02 )002 jj_
CGP 13706 HWY 8 BUS
EL CAJON CA 92021
61 9-390-44 77
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
TOTAL PERMIT FEES
Inspector:
2475 UNICORNIO ST
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
1
0
0
FINAL APPROVAL
Date:
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
D PER\,~T
fl('CORDAl'~~~ VJ1TH u.0.c.
9GNATURE ... w~)"--_
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
f • I • im'I r • • Ii i i • •
02
27 .oo
FOR OFFICE USE ONLY
PERJVIIT ~PPUCA TION 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
2475 UNICORNIO STREEI'
Address (include Bldg/Suito Ill Businnss Namo (at this address)
Legal Description Lot No. SFR Subdivision Namo/Number Unit No. Phase No. Total II of units
Assessor's Parcel II
215-260-10-00
Existing Use
Description of Work SO. FT.
water Heater Replacement
2. CONT~CT P~QN..(11 different frorh a't!1;t} UNICORNIO ST STAKR, l''lilil.J
#of Stories
Carlsbad
Name Address City
3. APPLICANT xo Contractor O Agent forfo.rJJJAc;tOrB O OwOAr Bn AgenU11r 't'a'.llfon Arlen Foster7Carol Foster j/Uo-fMJ.o as • .t;.L J ,
Name Address City
4. PROPERTY OWNER
srARR FRED 2475 UNICORNIA ST Carlsbad
Name Address City
5. CONTRACTOR -COMPANY NAME
Proposed Use
II of Bedrooms II of Bathrooms
CA. 92009 760-438-3741
State/Zip Telephone II Fax II
ca. 92021 ( 619.) 390-44 77
State/Zip Telephone II
Ca. 92009 760-438-3741
State/Zip Telephone II
(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
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applic~nt to a civil penalty of 9-0~5'~':f. thprGtg fJ~t1~~18J'Jl$500U.
A & J Foster Plumbing 13706-B Hwy.8 Bus . El CaJon CA. ~ \
Name Address
36
City State/f~l0836 Telephone II
State License II 630120 License Class C-City Business License II --------
Designer Name Address City State/Zip Telephone
State License II ----'N-"-/-'A _____ _
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 self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance f 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 I issued. My worker's compensation insurance carrier and policy number are: .
467
_01 0000713 04-01-02
• Insurance Company State Comp. Ins. Pohcy No._____________ Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
0 CERTIFICATE OF EXEMPTlON: I certify that in the performanco of the work for which this permit Is issued, I shall not employ any porson in any manner sons
to become subject to the Workers' Compensation laws of California.
WARNING: Failure to secure workers' compensation coverage is unlawful, and shnll subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100 0001. in addition t the cost of compensation, damages as provided for in Section 3706 of the labor code, Interest and attorney's fees.
SIGNATURE __ _Ji..;...,«.,~~--..,g;;JCZ.i::,:'.1,,~LL.-------------DATE _3-,-2. S? -0'? ..-
7. OWNER-BUILDER DECLARATION
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
!Soc. 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 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 (lirm) to provide the proposed construction (include name I address I 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 I contractors license number): _________________________________________________ _
5. I will provide some of the work, but I have contracted (hired) tho following persons to provide the work indicated (include name / address / phone number / 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 hoznrdous materials registretion form or risk management and prevention
program under Sections 26505, 25633 or 26534 of the Presley-Tanner Hazardous Substance Account Act7 0 YES D NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management dlstrlct7 0 YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school sito7 0 YES O NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT ltAS MET on IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ANO 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 which this permit is issued (Sec. 30971i) Civil Code).
LENDER'S NAME _____ OO_NE ________ _ 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 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 end demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permil issued by the building Official under the provl • ns of this Code shall expire by limilalion and become null and void if the building or work
authorized by such permil is not commenc I 180 ~~ the of su 1 permil or if Iha building or work aulhorized by such permit is suspended or abandoned
at any lime aller lhe work Is commen od T ti~ . Unilorm Building Code). t~~~ 2 b LL.UL
APPLICANT'S SIGNATURE ____________ _,_______________ DATE _____________ _
YELLOW: /\pplicant PINK: Finance