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HomeMy WebLinkAbout2435 UNICORNIO ST; ; CB900440; PermitB U I L D I N G P E R M I T Permit No : CB900 440 Project No: A9000535 Development No: 03/19/90 09:27 Page 1 of 1 Job Address: 2435 UNICORNIO ST Permit Type : PLUMBING Parcel No: Valuation: O Str: Fl: Ste: LI .. 2 OJ, 1 C-,MT Construction Type: NEW Occupancy Group: Class Code: Status: ISSUED Description: REPAIR WATER LINE OWNER CONTRACTOR RASKANSKY , IDEL TOBIE'S PLUMBING 1655 THIBODO ROAD VISTA, CA 92083 *** Fees Required *** Fees: Adjustments : Total Fees: Fee description 10.00 .00 10.00 *** Applied 03/19/90 Apr/Issue Validated By: DC Lie. Lie. C 4768 18 619 931-9432 619-757-2583 Fees Collected & Credits *** Total Credits: Total Payments : Balance Due: Units Fee/Unit ,00 .00 10.00 Ext fee Data --------------------------------------------------------------------------- Enter "Y" for Plumbing Issue Fee > Each Install/Repair Water Line > * PLUMBING TOTAL CITY OF CARLSBAD 2.50 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 7.50 Y 2 .50 1 0 .00 PERMIT AP~LICA~ION City of Carl sbad Building Department EST. VAL. ______________ _ 2075 Las Palmas Or., Carl s bad, CA 92009 (619) 438-1161 PLAN CK DEPOSIT ____________ _ VALID. BY. _______________ _ 1. PERMIT DATE _______________ _ A • COMMERCIAL TENANT IMPROVEMENT B C 0 INDUSTRIAL 0 RESIDENT I Al □DUPLEX 0 TENANT IMPROVEMENT □APARTMENT □CONDO □SINGLE FAMILY DIIELLING □DEMOLITION □RELOCATION □MOBILE HOME □ELECTRICAL □MECHANICAL □POOL OSPA □RETAINING IIALL □SOLAR ROJECT INFORMATION PLAN CHECK No . Building or Lot No. Subdivision Name/NlXlber F Unit No. Phase No. CHECK BELC7ol IF SUBIII TTED: 02 Energy Cales 02 Structural Cales 02 Soils Report ASSESSOR'S PARCEL 01 Addressed Envelope EX I ST I NG USE PROPOSED USE A(scRtP!loA oF UoRK sv/JflL. y 1 ,Ne- BLOG. SQ. FTG. 3. CONTACT PERSON NAME CITY SIGNATURE 4. APPLICANT NAME Cl TY 5 . PROPERTY OWNER NAME TY CONTRACTOR 77Jl?/E"5 Cl TY 11,srrr SIGNATURE DES I GNER # Of STORIES 0 CONTRACTOR flt t/lfl J3l;./ (1, STATE ADDRESS ZIP CODE DAY TELEPHONE D AGENT FOR CONTRACTOR ADDRESS OOIINER D AGENT FOR OIINER STATE OIINER STATE STATE ZIP CODE ADDRESS ZIP COOE DAY TELEPHONE □LESSEE DAY TELEPHONE □TENANT ADDRESS /~SS-7,:#//.30/.J(J iZ D ZIP CODE 9.::ior3 DAY TELEPHONE 7 S-?-dJ !:Jo· .3 LICENSE CLASS '2-3~ CITY BUSINESS LIC. # 2 / 93 t') 6 TITLE ADDRESS ZIP CODE DATE DAY TELEPHONE STATE LIC. # 7. WORKERS' COMPENSATION \Jorkers' COffl)ensation Declaration: hereby aff,rm that have a cert1ficate of consent to self·insure 1ssucd by the Director of Industrial Relations, or a cert Hi cate of \Jorlcers I C~nsat ion Insurance by an a<ini tted insurer, or en exact copy or duplicate thereof cert 1 f ied by the O i rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). 8 . INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certificate of Exefll)tion: I certify that in the performance of the work for which this permit 1s issued, I shall not ~Loy any person in any manner so as to become subject to the Uorkers' Corr1)enSation Laws of California. SIGNATURE DATE OWNER -BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: DI as owner of the property or my ~loyees with wages as their sole c~nsation, will do the work. and the structure 1s not intended or offered for sale (Sec. 7041., Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or i~roves thereon,, and who does such work h1mself or through his own employees, provided that such improvements are not 1ntended or offered for sale. If, however, the building or improvement is sold within one year of COfll)letion, the owner·builder will have the burden of proving that he did not build or i~rove for the purpose of sale.). 0 t, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Bus1ness and Profess1ons 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 I s License Law). D I am exef11)t under Section ____________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, i"°"rove, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he ts l1censed pursuant to the provisions of the Contractor's License Law (Chapter 9, comnencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is ex~t therefrom, and the bas;s for the alleged exe~tion. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred do l I ars [S500J ) . 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-Tamer Hazardous Substance Account Act? OYES ONO Is the applicant or future building occupant required to obtain a permit from the air pollut1on 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 s1te7 OYES If ANY OF THE ANSWERS ARE TES, A FINAL CERTIFICATE Of OCllJPANCY IIAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS IIET OR IS IIEETING THE REQUIREMENTS Of THE OFFICE Of EMERGENCY SERVICES AND THE AI R POlLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY 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 10. APPLICANT'S SIGNATURE 1 certify that I have read the application end state that the above 1nformation 1s correct. I agree to c~ly with all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the abovc ment ioned property for 1nspect1on purposes. I AlSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUJGMENTS, COSTS ANO EXPENSES IIHICH IIAY IN ANY IIAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING Of THIS PERMIT. Expiration. Every permit issued by the Building Official under the provisions of this Code shall eKp1re by limitation and become null and void if the building or work authorized by such permit 1s not coomenced w1thin 180 days from the date of such permit or 1f the bu1ld1ng or work authorized by such permit is suspended or abandoned time after th work is c00l11Cnced for a period of 180 days (Section 303(d) Uniform Build1ng Code). w-□ OIINER ~OR D BY PHONE APPROVED BY: _______ _ DATE: __________ _ WHITE: File YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB900440 FOR 03/23/90 DESCRIPTION: REPAIR WATER LINE TYPE: PLUM JOB ADDRESS: 2435 UNICORNIO ST APPLICANT: TOBIE'S PLUMBING CONTRACTOR: TOBIE'S PLUMBING OWNER: RASKANSKY, IDEL REMARKS: T3/MH/757-2583 SPECIAL INSTRUCT: TOTAL TIME: PHONE: PHONE : PHONE: INSPECTOR AREA TP PLANCK# CB900440 OCC GRP CONSTR. TYPE NEW STR: FL: STE: 619 757-2583 619-75?~ 619 93L-943t/ CD 29 LVL DESCRIPTION ACT COMMENTS PL Final Plumbing 111!... Pvc.. L1tJ-(_ e £.lb/vi ------------------ ------------------ ------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS