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Home My WebLink About2470 UNICORNIO ST; ; CB120337; Permit.... , 02-23-2012 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit Permit No: CB120337 Building Inspection Request Line (760) 602-2725 2470 UNICORNIO ST CBAD PME 2152600300 Lot#: 0 CHAPPELOW RES -REPLACE FAU Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/23/2012 LSM 02/23/2012 02/23/2012 QUALITY MECHANICAL PROFESSIONALS.INC CHAPPELOW ANN R 1536 FAYETTE ST EL CAJON 92020 619 449 2735 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2470 UNICORNIO ST CARLSBAD CA 92009 $0.00 $0.00 $150.00 $0.00 $150.00 Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due: Inspector: EXPI RED PERMIT PERMIT HAS EXPIRED IN ACCO~DANCE WITH C.B.C. SECTION rn6 4.4 AS N:1END£D BY C.M.C.18.04.030 DATE~5ll;z... SIGNATUR~-~ FINAL APPROVAL Date: Clearance: $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 anack, 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 x i n f whi h h v Tl E imil r hi whi h h f limi i h h rwi ~ «•.~ Building Permit Application Plan Check No.~ l ~ 0 3 "3 7 ( ~ C ITY 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 0 F 760-602-2717 / 2718 / 2719 Plan Ck. Deposit CARLSBAD Fax 760-602-8558 www.carlsbadca.gov Date z /z._gJ 1""2-lswPPP JOB ADDRESS SUITE#/SPACE#/UNIT# IAPN 2---t, 0 V,-J\ LO'IZ-N\O 5, (Jra..c..E,. (3.A o "I 2 o::,e --- CT/PROJECT# ILOT # I PHASE. I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME l CONSTR, TYPE I occ. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) <Z-e?<.... A-~ t:J'v> ~Ni Di= 'c,../, )~, I ,-J 0 Pu~C.:t EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I OECKS (SF) YES[)t I AIR CONDITIONING I FIRE SPRINKLERS NO□ YES □No□ YES□ND□ APPLICANT NAME /Primary Contact) APPLICANT NAME (Secondary Contact) Q..) kt-L 1'-'I fV'~"-1 l't4'J\ r A-L ,,.,_ ---r-N-tw.. ',-) c_ ADDRESS ADDRESS I S'::?.l-. F-A ..J.i;:,-.,.:;-~ b' CITY STATE ZIP CITY STATE ZIP E"L. (_frJ~ CA ct'2-0"20 PHONE !FAX PHONE IFAX (.10\ L-1 '-l q ~"13,.<;; bit\ 1.41....1, q "2..,S 2-s EMAIL EMAIL ~ 0 A-\.-t 1'1 /VI~ CM Pr ,-... n U\ 1..-(i) 'I Pr 1-1. c::O • Le,N"\ PROPERTY OWNER NAME CONTRACTOR BUS. NAME IL.. 1\\.,.\... IA:-r-,/\ (..~PPC'i c::v,.J ~\..)A,-c_1T'1 /'V'l£:C,+-l.A,~1£A-L P (2.,ot=e_~,c,,-,J;l\'1.-S ADDRESS ADDRESS -i'-1--i 0 u i-J ll,.(9 ~r--) lO -5.""I l.s;:-3l--. FA'-l~ ~\ CITY STATE ZIP CITY STATE ZIP (_fr t2-U-e,J"I,~ (A q-z..o:::>c-i 8-Cfr:J-=>r-J CA-.q"2.o1.c, PHONE IFAX PHONE I FAX bt'\ q q , 3,~Y., LtC\. 44q :z ,2, s bt"t 14,L-l q ;2..S'"2..5 EMAIL EMAIL €> Qv A--<-lT' '{ M ~ (.,.t\A ,JI (_,Av '{ A-1-JCC>, c.D/\,-'\ ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# !CLASS ic1;v;u31c;Jo ~ 0 -, 0)\-\ l 0\. '\ C -2-<:> i' W O R K E R S ' C O M P E N S A T I O N :1 .. ~t,j 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 wor1<ers' compensation as provided by Seclion 3700 of lhe Labor Code, for the pertormance of lhe wor1< for which this pennit is issued. ~ I have and will maintain workers' compensation, as reQuired bv Section 3700 of lhe Labor Code. for the pertonnance of the wor1< for which this oennit is issued. My wor1<ers' compensation insur nee carri rand policy number are: Insurance Co MA: ft. 'll-E. L \ i-J~U ~ ~ ( o -Policy No. IV'\ tAJ(CQ 00-rJ8 -o I Expiralion Date C> 2 I 'g' ~section need not be completed if the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the perfonnance 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 Wor1<ers' Compensation Laws of Cal~omia. WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal pen allies and civil fines up to one hundred thousand dollars (&100,000), in addition lo the cost of compensation, dam~rovided for in Section 3706 of the Labor code, inlerest and attorney's fees. _f!5 CONTRACTOR SIGNATURE ~ I hereby affirm that I am exempt from Contractor's Ucense Law for the lot/owing reason: □ □ □ I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< and the slruclure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does nol apply to an owner of property who builds or improves thereon, and who does such wor1< himse~ 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, lhe owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). I, as owner of lhe property, am exclusively contracting with licensed contractors to construct the projecl (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 conlracls for such projects wilh conlractor(s) licensed pursuant lo 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 0 No 2. I (have/ have not) signed an application for a building pennit for the proposed wor1<. 3. I have contracted with lhe following person (finn) lo provide the proposed construction (include name address/ phone/ contractors' license number): 4. I plan to provide portions of the wor1<, bul I have hired the following person lo coordinate, supervise and provide the major wor1< (include name /address/ phone / contractors' license number): 5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name I address I phone I type of wor1<): _f!5 PROPERTY OWNER SIGNATURE □AGENT DATE ( 'I .,. ' ' l' I (CO!'JIPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDIN 1 G PERMITS ON.!LV:· _.,_. is the applicant or future building occupant required lo submit a business~n. 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? D Yes LJ No Is the applicant or future building occupant required to obtain a permit from the air pollution contro~rict or a\L9.!lalily management district? O Yes O No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? LJYes LJNo 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. I certify that I have read the application and state that the aboYe 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 bullding construdion. I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection PllPQSeS. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY 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 permtt issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void d the building or work authorized by such permit is not oornmenced within 180 days from the date of such permit or if the bu11d./'1 work authorized by such perm! is suspended or abandoned at any time after the worl< is oornmenced for a period of 180 days (Seciion 106 4 4 Urnfoon Bu11d1ng Code). £5 APPLICANT'S SIGNATURE ~ DATE O 2.. / / b / I z._