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HomeMy WebLinkAbout2466 UNICORNIO ST; ; CB120207; Permit.. City of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-02-2012 Permit No: CB120207 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2466 UNICORNIO ST CBAD PME Status: Parcel No: 2152600400 Lot#: 0 Applied: Reference #: PC#: Project Title: Applicant: CYRUS MOAVENI MOAVENI RES-GAS & ELECT TO BBQ 2466 UNICORNIO ST CARLSBAD CA 92009 858 338 6954 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: CYRUS MOAVENI 2466 UNICORNIO ST CARLSBAD CA 92009 858 338 6954 ISSUED 02/02/2012 LSM 02/02/2012 02/02/2012 $150.00 $30.00 $0.00 $0.00 $180.00 Total Fees: $180.00 Total Payments To Date: $180.00 Balance Due: Inspector: EXPIRED PERMIT PERMIT HAS EXFIREO IN ACCORDANCE WITH C.B.C. SECTnJN 106.4.4 A.S AMEN0~8.04.030 DATE~ SIGAATUREt:;61;F-~f-f----- FINAL APPROVAL Date: Clearance: $0.00 NOTICE: Please take NOTICE that approval of your project includes the 'Imposition' of fees, dedications, reservations, or olher 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 you: 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 r . . «~~ Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Plan Check No. Cf> / d-0~ 1 '¥ CITY OF CARLSBAD Fax: 760-602-8558 www.carlsbadca.gov DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Est. Value Plan Ck. Deposit Date4p/ ~ /'2:-SWPP SUITE#/SPACE#/UNIT# APN TENAN BU INE NAM ~outr -AAJD e:vte c.Of-JD01T· PATIOS (SF) DECKS (SF) FIREPLACE YES □#_ NOD APPLICANT NAME (Secondary Conlacl) ADDRESS CITY STATE PHONE FAX CONTRACTOR BUS. NAME ADDRESS CITY STATE PHONE FAX AL STATE UC.# CLASS AIR CONDITIONING YES □ NO □ ZIP ZIP CITY BUS. UC.# FIRE SPRINKLERS YES D NOD (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 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 declaraffons: D I have and will maintain a certificate of consent to self-Insure for workets' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. D 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 workets' compensation insurance carrier and policy number are: Insurance Co. Policy No._______________ Expiration Date _________ _ This section need not be completed if the permit is for one hundred dollars ($100) or less. D 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 to become subject to the Workets' 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. ~ CONTRACTOR SIGNATURE □AGENT DATE I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason: □ I, as owner ot 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 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, the owner-builder will have the burden of proving that he did not build or improve tor the purpose of sale). illl I, as owner of the property, am exclusively contracting with licensed contractots 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 puisuant to the Contractor's License Law). D I am exempt under Section _____ Business and Professions Code tor this reason: 1. I peisonally plan to provide the major labor and materials for construction ot the proposed property improvement. ptYes □ No 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/ contractors' license number): 4. I plan to provide por1ions ot the work, but I have hired the following petson to coordinate, supervise and provide the major work (include name/ address/ phone / contractois· license number): ress /phone/ type of ): Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regislration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ 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, of the work this permit is issued (Sec. 3097 (i) Civil Code). Lender's Address I certify thatl have read the application and state that the above information is oorrect and that the information on the plans is accurale. I agree to oomply with all City ordinances and Stale laws relating to building oonstruction. I hereby auih9fize representative of lhe City of Carlsbad to enter upon lhe alxlve mentilned property br inspedion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE Cl1Y 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 penntt is required br excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every pennit issued by the Buikling Offcial under the provisilns of this Code shall expire by imitaliln and become nun and void if the buikling or v.ork authorized by such permtt is not oommenoed 'Ailhin 180days from the date of such • cir if the building orv.ork • by such permtt is suspended or abandoned at any time after the v.ork is commenoed for a periJd of 180qays (Seeton 100.4.4 Uniform Buikling Code). DATE rel t}:2 1&-- Inspection List Permit#: CB120207 Type: PME Date lnspectio~ Item 02/03/2012 23 Gas/TesURepairs 02/03/2012 31 Underground/Conduit-Wirin Inspector Act PY AP PY AP MOAVENI RES -GAS & ELECT TO BBQ Comments \0 ob\d.J/\ F 0~ (T\,Ll1,--\-PCLvl ~ ortl ~-&~ LflcP . Monday, August 27, 2012 Page 1 of 1