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Home My WebLink About2458 UNICORNIO ST; ; CB021131; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-15-2002 Plumbing Permit Permit No: CB021131 Job Address: Permit Type: Parcel No: Reference #: Project Title: Applicant: Building Inspection Request Line (760) 602-2725 2458 UNICORNIO ST CBAD PLUM 2152600600 Lot#: 0 Construction Type: NEW PALAY RES-GAS FOR FUTURE SPA & FIRE PIT Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: MULLEN CONSTRUCTION PALAY ELLIOT J&SUSAN B ISSUED 04/15/2002 AMA 04/15/2002 04/15/2002 2890 PIO PICO DR CARLSBAD, CA 92008 619-434-2233 2941 SONDRA CT CARLSBAD CA 92009 :;002 ::i,v1 ;:, )2 :;co2 ')1 ::Gt- Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain 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: Total Payments To Date: 0 0 0 0 0 1 0 $0.00 FINAL APPROVAL Date: ( 'L -( -O'"v Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 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 fee~ 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 w • h h v r vi I n iv n N I imil r hi i h h f limi i n h I h rw· FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C(JC> )._!/]I ' CITY OF CARLSBAD BUILDING DEPARTMENT EST. VAL. _________ _ 1635 Faraday Ave., Carlsbad, CA 92008 Plan Ck. Deposit -----~---- Validated By_'7-"-+-t'--::::,-i;~.------ Date ___ -=.-.,t....,1--1-..-.~~~~~-- 1. PROjECT INFORMATION R~.68 l¼(M8'.Y 1P ~. Address (include Bldg/Suite #) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Proposed Use # of Bedrooms # of Bathrooms CONT ACT PERSON (If different from applicant) Name Address City 3. APPLICANT O Contractor O Agent tor Contractor O Owner O Agent for Owner Name 4. Name 5. CONTRACTOR· COMPANY NAME Address City Address City State/Zip Telephone# Fax# State/Zip Telephone# State/Zip Telephone# (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 Codel or that he is exempt therefrom, and the basis for the alleged exemptiouuation o~ion 7031.5 by any applicanrJJ a i-,ib~ects the pplicant to ~til penalty Mt mor than five hund~;t ~l:r~~osr.:. 2 Z.. J =s Name Address ! City State/Zip Telephone # State License # Lj J;. / 7 f: 5 License Class __ ._f.t2.....,.______ City Business License # / 2 tJ '( 6 2_ / Designer Name Address City State/Zip Telephone State License # _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O 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 of the work for which this permit is issued. O 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 worker's compensation insurance carrier and policy number are: Insurance Company______________________ Policy No._____________ Expiration Date _______ _ (TH~ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS 1$100) OR LESS) ff 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 Workers' 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 100,0 , in addition to the cost of compenaatlon, damages aa provided for in Section 3706 of the bor co e, Interest and attorney's fees. SIGNATU'R!!~~~-"1.:l!S.o:a_, ____________________ _ DATE __ .........,"--,_C),_c;,:}__cc..,_ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 (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 himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or i mprovement 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 Lawl. 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 the 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 (firm) to provide the proposed construction (include name / address / 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 / contractors license number):. _________________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the 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 hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CER'flFICATE 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. B. 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. 3097(i) Civil Code). LENDER'S NAME ______________ _ 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\t of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO &AVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO 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 issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced w· 180 days from the date of such permit or if the building or work authorized;zy s ch permit is suspended or abandoned at any time alter the work is co ed to p I0d of 180 days (Section 106.4.4 Uniform Bu1ld1ng Code). APPLICANT'S SIGNATURE ',e.~~¢::,,.k,~~~----------------DATE _.,,.__,-_;/'J__,,_~_;;_.::.c<._..:::.. _____ _ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 07/19/2002 Permit# CB021131 Title: PALAY RES-GAS FOR FUTURE SPA & Description: FIRE PIT Type: PLUM Sub Type: Job Address: 2458 UNICORNIO ST Suite: Lot 0 Location: APPLICANT MULLEN CONSTRUCTION Owner: PALAY ELLIOT J&SUSAN B Remarks: Total Time: - Act Comments Inspector Assignment: RCB Phone: 76J845L...0O Inspect~--- Requested By: MULLEN CONSTR Entered By: CHRISTINE CD 23 Description _G_a_s/T_e_s_UR_e_pa-ir_s ____ f __,_(-'-fl_o ~rt1----'-/-_'f _1-}n __ R_r_.__/hv __ S......;t['=-, _<'(D;.._D _ _,_f_" _r/tcr_-r IT Associated PCRs/CVs Inspection History Date Description Act lnsp Comments 04/17/2002 23 GasrresVRepairs AP RC OK TO COVER