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
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS