HomeMy WebLinkAbout2475 UNICORNIO ST; ; CB102494; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-21-2010 Mechanical Permit Permit No: CB102494
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
PC#:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2475 UNICORNIO ST CBAD
MECH
2152601000
$0.00
STARR:REPLACEFAU
Lot #: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/21/2010
JMA
12/21/2010
12/21/2010
BERCKS OLD TIME PLUMBING STARR FRED B&I NDRA K LIVING TRUST
38415 INNOVATION CT
STE E 92563
951 676 7197
Mechanical Issue Fee
Install/Furn/Ducts/Heat Pumps Fee
Fireplace Installation Fee
Exhaust Fan Fee
Installation/Relocation Vent Fee
Hood Fee
Boiler/Compressor to 15HP Fee
Other
Additional Fees
TOTAL PERMIT FEES
1
0
0
0
0
0
7204 BABILONIA ST
CARLSBAD CA 92009
Total Fees: $24.00 Total Payments To Date: $0.00 Balance Due:
$15.00
$9.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$24.00
$24.00
Inspector: ~<,
FINAL AfPROVAL
Date: 01 1 2-~l , 1 Clearance: _____ _
NOTICE: Please take NOTICE tha, 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. II 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 Carl.scad 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 FURTI-IER 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
fees/exactions of which vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has nreviouslv otherwise exnired.
. ~ «~~ ~ CITY OF
CARLSBAD
JOB ADDRESS
CT/PROJECT# LOT #
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718 / 2719
Fax 760-602-8558
www.carlsbadca.gov
J... '-17) SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date
APN
# BEDROOMS # BATHROOMS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
SWPPP
CONSTR. TYPE CCC.GROUP
EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YESO
AIR CONDITIONING
Nc0 m O NoD
FIRE SPRINKLERS
YES□No□
CONTACT NAME (If Different Fom Applicant) APPLICANT NAME
ADDRESS
CITY STATE ZIP c1~,,., ec (.,,f /4 STATE
Ct;
PHONE FAX FAX
EMAIL EMAIL
CONTRACTOR BUS. NAME
ADORES ADD
3
STATE
Cq
PHONE
1'0 -'ITK-37'/I
FAX
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# ~/ ~!: ~z-z_9l
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any str cture, 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 (Cha'fter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or {hat he Is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 703 .5 by any applicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration: I hereby affirm under penally of perjury one of the following declarations: D I have and will maintain a certificate of consent to self,insura for worl<ers' compensation as provided by Section 3700 ot the Labor Code, for the performance of the worl< for which this permit is issued. D I have and will maintain worke~• _,£ompe?atlon, as required bv Section 3700 of the Labor Code. for the performance of the won< for which this permit is issued. My wori<ers' compensa!joo insurance carrier and policy
number are: Insurance Co ~ t:>r{!_ .JO(/(,t,r co,,..p Policy No. o IOl<&M •2 0s>90YJ Expiration Date ~ -e., -I(
'j]ll},section need not be completed if the permit is for one hundred dollars (S100) or less. LJ Certificate of Exemption: I certify that in the performance of the wor1< for which this permit is issued, I shall not employ any person in any manner so as to become subject to lhe Worl<ers' 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 (& 100,000), In
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
65 CONTRACTOR SIGNATURE □AGENT DATE
, -~.. 1 • "ll ,:, -<r ~..-,.,., •• ~ > ~ " f ~"-." """ ,,..."' t " , t~ -.-.. r ' ,.,,, ~ , .,., -, ~ "' "" ., ~ "' ' .(
\ 0 VfN ER-BU I L'D1E R:'.D,E C•L A 'R.~_!,1.0 N,.,\ .. /;:"" ' .. , ,, ;t,_~• .:.<.:?! ·. . "'•··" ~: .f,;;_,.tt.. ; . • . L ~ :t;;
I hereby affirm that I am exempt from Contra<:tor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the won< 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 wor1< 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).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contracto(s License Law does not apply to an owner of
properly who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
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. O ves O o
2. I (have/ have not) signed an application for a building permit for the proposed won<.
3. I have contracted with the following person (finn) to provide the proposed constnrction (include name address I phone I contraclors' license number):
4. I plan to provide portions of the won<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name I address I phone I contraclors' license number):
5. I will provide some of the won<, but I have contracted (hired) the following persons to provide the won< indicated (include name I address I phone I type of won<):
65 PROPERTY OWNER SIGNATURE □AGENT DATE
'.•, C O M P L E T E T H I S S E C T I O N F O R N O N • R E S I D E N T I A L B U I L D I N G P E R M I T S O N L Y
Is lhe applicanl or future building occupant required to submit a business..9 aculely hazardous materials regislration form or risk managemenl and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? D Yes ~No ,
Is the applicant or future building occupant required to obtain a permit from the air pollution conlrol district or a~ity managemenl district? O Yes ~o
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? O Yes ~
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 POUUTION CONTROL DISTRICT.
V: \
I certify that I haYe 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 represenlative of the City 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
AGNNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: AA OSHA perm! is required for excavations over 5'0' deep and demolition or oonstruction of stn.dures over 3 stories in heiglt.
EXPIRATION: Every pem1ij issued by the &ilding Official under the provisions of Iris Code shall expire by limitation and become ~II ard void ff the tx.ilding or work authorized by such pem1ij is nol commenced within
180 days from the date of such perm! or ij the tx.i • authorized by such perm! is susperded or abandoned at anytime after the work is canmenced for a period of 180 days (Section 100.4.4 Uniform Building Code).
JiS APPLICANT'S SIGNATURE DATE / 2 -2.1 -I{)
City of Carlsbad Bldg Inspection Request
Permit# CB102494
Title: STARR: REPLACE FAU
Description:
For: 01/24/2011
Type: MECH Sub Type:
Job Address: 2475 UNICORNIO ST
Suite: Lot: 0
Location:
APPLICANT BERCKS OLD TIME PLUMBING
Owner: STARR FRED B&INDRA K LIVING TRUST
Remarks:
Total Time:
Act Comments
Inspector Assignment:
Phone: 9516767197
Inspector: M C-
Requested By: AL
Entered By: CHRISTINE
CD
43
Description
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Comments/Notices/Holds
Associated PCRs/CVs/SWPPPs Original PC#
Inspection History
Date Description Act lnsp Comments