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HomeMy WebLinkAbout2442 UNICORNIO ST; ; CB050605; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 02-28-2005 Plumbing Permit Permit No: CB050605 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2442 UNICORNIO ST CBAD PLUM Status: Parcel No: 21 52500200 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: TAYLOR RES REPLACE H2O HEATER Inspect Area: Applicant: ALL STAR WATER HEATERS & PLUMBING 17886 LAKESHORE DR 92530 1-800-727-0977 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 0 0 0 0 1 0 0 Owner: TAYLOR JIMMY W&ROSELLEN M 2442 UNICORNIO ST CARLSBAD CA 92009 ISSUED 02/28/2005 KG 02/28/2005 02/28/2005 $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 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: EXPIRED PERMIT $27.00 PERMIT HAS EXPIRED IN ACCORDA~~WOO,Sol}&-0002 01 SECTION 106.4.4 AS AMENDED BY C.M.C.f&ltt13d'J CGF· DATE lh> loc, SIGNATURE .l!:o<fl~Ll>.ltl..t>----- Inspector: FINAL APPROVAL Date: 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 02 27-00 FOR OFFICE USE O:LY PLAN CHECK No.C,0051'.)(t,OS- I PERMIT APPLICATION EsT. VAL. __________ _ CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Plan Ck. Deposit _f!J, _______ _ Validated By--+--~------- Date __ __,,__J____.-)_......._.f'---~~(5::;""- l..J tJ\l..DLLJJ \ 0 Address (indude Bldg/Sutte #) Business Name (et this address) Legel Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # WAt&? H '=ATE;fl c/u Existing Use Proposed Use Description of Wor'K SQ. FT. # of Stories # of Bedrooms # of Bathrooms Name Address City State/Zip Telephone # Fax# Addre11 City State/Zip Telephone# {Sec. 7031.S Businesa and Professions Coda: Any City or County which requires• permtt to construct, alter, Improve, demolish or repair any structure, prior to ,ts 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 w,th 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 [$S00]). c)Li-:~7,i'il.. vJAT<:::JZ ttt:AJ~~ are, (Akt::::::> ,to'U:-Lv1..E:::.l--S ,~'-'t: CA State/Zip Bou ? '2-7 OC--1,7 Telephone# Name . 0 .I Address /' '? ~ City State License# nl 'l.-91 ~ License Class __ \....-'.'_~--~-------City Business License# ___________ _ Designer Name Address City State/Zip Telephone# State License# _______ _ 6. WORKER'S COMPENSATION Wor'Kers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for wor'Kers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. ~ I have and will maintain wor'Ker'a compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued My wor'Ker's compensation insurance carrier and policy number are: , / Insurance Company ST P\11==: ~.,~ 0 Policy No. 17, / (. l/ l CJ '{ Expiration Date OJ .... I -U 'O (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 wor'K for which this permtt Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Cornpen tJon Laws of California. WARNING: Failure to aecure workers' la unlawful, and shall aubJect an employer to criminal penalties and civil fines up to one hundred thousand dollara($100,000), In addition to the cot of co gH are provided for In Section 3708 of the Labor Code, lntereat and attorney's fees. SIGNATURE ----DATE z-z:z_-c, r 1. I. as owner of the property or my employees with wagea as their sole compensation, will d the work end the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Lew does not apply to an owner of property who builds or Improves thereon. and who does such wor'K 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 wm have the burden of proving that he did not build or improve for the purpose of sale). D 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 contracior(s) licensed pursuant to the Contractor's License Law). D 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. D YES □ NO 2 I (have/have not) signed an application for a building permtt for the proposed wor'K. 3. I have contracted with Iha following pen.on (firm) to provide the proposed construction (Include name/ address/ phone number/ contractors license number). 4. I plan to provide portions of Iha wor'K, but I have hired the following person to coordinate, supervise and provide the major wor'K (include name /address / phone number t /ontrectors 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 ___________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COMPLETE-THIS SECTION fOR Q P~RMITSONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for 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 oocupant required to obtain a permit from the air pollution control district or air quality management district? D YES D NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? D 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 ANO THE AIR POLLUTION CONTROL DISTRICT. ---- I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code). LENDER'S NAME _________________ _ 9 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 C,ty ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, COSTS AND CITY IN CONSEQUENCE OF Tl-IE GRANTING OF THIS PERMIT. OSHA: An OSHA permit Is required fore nd demolition or construction of structures over 3 stories in height EXPIRATION: Every permit issued by the uil • g Official u er e 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 within 1 day from the a of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 18 days ( ection . .4 Uniform Building Code). WHITE: File YELLOW: Applicant PINK: Finance