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Home My WebLink About2434 UNICORNIO ST; ; CB990137; PermitVil\ 10/29/1999 City of Carlsbad Residential Permit Permit No:CB990137 Job Address: Permit Type: Parcel No: Valuation: Occupancy Group: # Dwelling Units: Bedrooms: Project Title: Building Inspection Request Line (760) 438-3101 2434 UNICORNIO ST CBAD RESDNTL Sub Type: 2152500400 Lot#: $64,261.00 Construction Type: Reference #: 0 Structure Type: 0 Bathrooms: 586 SF ADD+55 SF GAR+464 DECK RAD 0 VN 0 Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: Orig PC#: ISSUED 01/12/1999 BT 03/24/1999 10/29/1999 Plan Chee J7 l0/'29 /99 0001 01 C-P~MT Applicant: RANDALEHM 1016 W WASH INGTON ST SAN DIEGO CA 92009 619-299-5453 Total Fees: $882.68 Building Permit Add'I Building Permit Fee Plan Check Add'I Plan Check Fee Plan Check Discount Strong Motion Fee Park in Lieu Fee Park Fee LFM Fee Bridge Fee Other Bridge Fee BTD #2 Fee BTD #3 Fee Renewal Fee Add'I Renewal Fee Other Building Fee Pot. Water Con. Fee Meter Size Add'I Pot. Water Con. Fee Reel. Water Con. Fee Owner: RADOJEVIC DAN&VESNA 2434 UNICORNIO ST CARLSBAD CA 92009 Total Payments To Date: $327.00 Balance Due: $555.68 $468.03 $0.00 $304.22 $0.00 $0.00 $6.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Meter Size Add'I Reel. Water Con. Fee Meter Fee SDCWA Fee CFO Payoff Fee PFF PFF (CFO Fund) License Tax License Tax (CFO Fund} Traffic Impact Fee Traffic Impact (CFO Fund) LFMZ Transportation Fee Sidewalk Fee PLUMBING TOTAL ELECTRICAL TOTAL MECHANICAL TOTAL Housing Impact Fee Housing lnlieu Fee Master Drainage Fee: Sewer Fee: TOTAL PERMIT FEES Clearance: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $84.00 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $882.68 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 Cartsbad 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 02 ~ff;Jh . PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 1. PROJECT INFORMATION FOR OFFICE USE ONLY ;~;:A~Hkf ~ JJ r f!f/}£~ Plan Ck. Deposit l Validated By ___ --+---....,.......---- Date ______ ......., ...... __ ~--+---- Address (include Bldg/Suite #) Business Name (at this address) 2'-\-34 Ua1c0Yn,D Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use DK.:ttr~;~ ~ o.n t''ll~s\-,nu hnme_ SQ~ ,j_ 1CO.NTACT PERSON (if different from appli~lmtl #of Stories SGi ~T- -\01 3. APPLICANT O Contractor D Owner Name Address City State/Zip Telephone# 4. PROPERTY OWN~ 1 • ·nQ n 1 \Jesn~O_y?'J \ C-- Name Address State/Zip Telephone # 5. CONTRACTOR • COMPANY NAME (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 1$500)). Name Address City State/Zip Telephone# State License # _________ _ License Class _________ _ City Business License # _______ _ 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: D 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. 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 worker's compensation insurance carrier and policy number are: Insurance Company ____________________ _ 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 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 ($100,000), in addition to the cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE______________________________ DATE _________ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that i am exempt from the Contractor's License Law for the following reason: D 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 improvement 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 Law). 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. D 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 I 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 I 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-RESIDENnAL 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? D 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? D YES D 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 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. 8. 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\' of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 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 ot ommenced • 65 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after th w k is com or a period of 180 days (Section 106.4.4 Uniform Building Code). / ~ APPLICANT'S SIGNATUR ~=---"~""'°""""'=:::::>""~...,_!'..._-_-_-_-_-_-_-::____________ DATE / _/~ q YELLOW: Applicant PINK: Finance / UNSCHEDULED BUILDING INSPECTION DATE PERMIT# qq () ( ~ 7 • PLAN CHECK# ___ _ JOB ADDRESS 2.'-1:&J Uv I Lf2. ILJJ, o DESCRIPTION ________________ _ CODE DESCRIPTION ACT COMMENTS ft / ruJ~L- City of Carlsbad Bldg Inspection Request For: 6/28/2000 Permit# CB990137 Title: 586 SF ADD+55 SF GAR+464 DECK Description: Type: RESDNTL Sub Type: RAD Job Address: Suite: Location : 2434 UNICORNIO ST Lot APPLICANT RANDAL EHM 0 Inspector Assignment: PD Phone: 6192521181 lnspect,u Owner: RADOJEVIC FAMILY TRUST 03-04-99 Remarks: EARLY PM PLEASE Total Time: CD Description 19 Final Structural 29 Final Plumbing 39 Final Electrical 49 Final Mechanical Associated PCRs lnsgection History Date Description 4/13/2000 17 Interior Lath/Drywall 4/13/2000 18 Exterior Lath/Drywall 4/6/2000 14 Frame/Steel/Bolting/Welding 4/6/2000 24 Rough/Topout 4/6/2000 84 Rough Combo 4/3/2000 24 Rough/Topout 4/3/2000 34 Rough Electric 4/3/2000 82 Drywall/Ext Lath/Gas Test 3/31/2000 15 Roof/Reroof 3/31/2000 17 Interior Lath/Drywall 3/31/2000 24 Rough/Topout 3/31/2000 34 Rough Electric 3/14/2000 13 Shear Panels/HD's 3/14/2000 14 Frame/Steel/Bolting/Welding 2/25/2000 83 Roof Sheathing/Ext Shear 2/23/2000 83 Roof Sheathing/Ext Shear Requested By: FATAHY Entered By: CHRISTINE Act Comments & Act lnsp Comments AP TL AP TL AP PD AP PD AP PD PA PD OK TO INSULATE PA PD NR PO co PD NO ONE AROUND 10:45 co PD " co PD " co PD " PA PD PENDING CHANGES APPROVED WC PD co PD SEE ATTACHED NOTICE co PD SEE NOTICE ATTACHED City of Carlsbad Bldg Inspection Request For: 4/6/2000 Permit# CB990137 Inspector Assignment: PD Title: 586 SF ADD+55 SF GAR+464 DECK Description: Type: RESDNTL Sub Type: RAD Job Address: 2434 UNICORNIO ST Suite: Lot 0 Location: APPLICANT RANDAL EHM Phone: 6192521181 lnspecto~ Owner: RADOJEVIC FAMILY TRUST 03-04-99 Remarks: Total Time: CD Description 14 Frame/Steel/Bolting/Welding li Roug('oOout ~ D -I NQ Tkrro iJ 1 Associated PCRs lnsi:2ection Histo[Y Date Description 4/3/2000 24 Rough/Topout 4/3/2000 34 Rough Electric 4/3/2000 82 Drywall/Ext Lath/Gas Test 3/31/2000 15 Roof/Reroof 3/31/2000 17 Interior Lath/Drywall 3/31/2000 24 Rough/Topout 3/31/2000 34 Rough Electric 3/14/2000 13 Shear Panels/HD's 3/14/2000 14 Frame/Steel/Bolting/Welding 2/25/2000 83 Roof Sheathing/Ext Shear 2/23/2000 83 Roof Sheathing/Ext Shear 12/28/1999 11 Fig/Foundation/Piers 12/28/1999 12 Steel/Bond Beam 12/21/1999 11 Fig/Foundation/Piers Act PA PA NR co co co co PA WC co co AP AP co Comments lnsp Comments Requested By: FATHY Entered By: CHRISTINE PD OK TO INSULATE PD PD PD NO ONE AROUND 10:45 PD " PD " PD " PD PENDING CHANGES APPROVED PD PD SEE ATTACHED NOTICE PD SEE NOTICE ATTACHED PD PD PD SEE NOTICE ATTACHED City of Carlsbad ,~uotou1~--14-t•iii,i4,Ia CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FEES OR OTHER MITIGATION This form must be completed by the City, the applicant, and the appropriate school districts and returned to the City prior to issuing a building permit. The City will not issue any building permit without a completed school fee form. Project Name: Building Permit Plan Check Number: Project Address: A.P.N.: Project Applicant (Owner(s) Name(s)) Project Description: Building Type: Residential Second Dwelling Unit: Res. Additions: Comerc./ Ind.: City Certification of Applicant's information: Carlsbad Unified School District 801 Pine Ave. Carlsbad CA 92009 729-9291 Encinitas Union School District 101 South Ranch Santa Fe Rd Encinitas, CA 92024 (944-4300) J.1.5 -J..50-Q c.; cO Number of New Dwelling Units Square Feet of Living Area in New Dwelling Square Feet of Living Area in SOU ;_::;> ~ Net Square Feet New Area r.5J'_b __ I{J ___________ _ Square Feet Floor Area Date: • J/ San Marcos Unified School District 215 Mata Way San Marcos, CA 92069 736-2200 San chool District 710 Encinitas Blvd. Encinitas, CA 92024 (753-6491) Certification of Applicant /Owners. The person executing this declaration ("Owner") certifies under penalty of perjury that ( 1) the information provided above is correct and true to the best of the Owner's knowledge, and that the Owner will file an amended certification of payment and pay the additional fee if Owner requests an increase in the number of dwelling units or square footage after the building permit is issued or if the initial determination of units or square footage is found to be incorrect, and that (2) the Owner is the owner/ developer of the above described project(s), or that the person executing this declaration is authorized to sign on behalf of the Owner. Signature~~ Date: 2075 Las Palmas Or. • Carlsbad, CA 92009-1576 • (760) 438-1161 • FAX (760) 438-0894 SCHOOL DISTRICT SCHOOL FEE CERTIFICATION (To be completed by the school district(s)) ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• THIS FORM INDICATES THAT THE SCHOOL DISTRICT REQUIREMENTS FOR THE PROJECT HAVE BEEN OR WILL BE SATISFIED. SCHOOL DISTRICT: The undersigned, being duly authorized by the applicable School District, certifies that the developer, builder, or owner has satisfied the obligation for school facilities. This is to certify that the applicant listed on page 1 has paid all amounts or completed other applicable school mitigation determined by the School District. The City may issue building permits for this project. SIGNATURE OF AUTHORIZED SCHOOL& • _ ~ ' DISTRICT OFFICIAL ~./ /7 Htb:2e!!YJL TITLE fldmwrsfralrw ~er~ NAME OF SCHOOL DISTRICT 5/()[)SD DATE PHONE NUMBER ;A-T-=tf:Z/1/0 U2/ft. d ~~ !3b"1 City of Carlsbad ■#Z!U1h¥#·hM =hi·ihi444iei·I September 13, 2000 Judith and Robert St. Austin 2438 Unicornio St. Carlsbad, CA 92009 RECORD COPY GRADING VIOLATION AT 2434 UNICORNIO STREET Dear Mr. And Mrs. St. Austin, I have recently observed the remedial work performed by the property owners of 2434 Unicornio Street and have found their efforts satisfactory. The slope adjacent to your property substantially conforms to the City's 2: 1 (horizontal: vertical) requirement. The slope at the rear of their property has been pulled back to match the existing slopes on either side of their property. They were in the process of landscaping all slopes, ahead of the deadline that I had established with them. It is my conclusion that the grading issues associated with 2434 Unicornio Street have been satisfactorily been resolved, and no further action is required on their part. Sincerely, St=-~~A1~ Construction Manager C: Richard Cook, Public Works Manager Pete Dreibelbis, Senior Building Inspector 5950 E l C a mino Real • Carlsbad, CA 92008 • (760) 602-2780 • FAX (760) 438-4178 @ Samuel A. Smalley, P.E. C.Onstruction Manager aty of carlsbad 5950 El camino Real car1sbad, CA 92008 Dear Mr. Smalley: Re: Grading Ordinance Violations of Property Located at 2434 Unicomio APN #215-250--0400 This letter is a follow-up to our first written oornplaint to the Oty of carlsbad, dated June 2, 2000. As a brief explanation of the history of the situation, we began speaking to the owners at 2434 Uniromio in mid-1999, regarding the undermining of our block wall between the tv-o properties by erosion and neglect of their hill. December 1999, we met with Pete Dreibelbis, and the owner of the property to disruss our roncems about the rontinuing erosion and removal of soil from the owner's hill. At that time, the owner assured us that this would be taken care of during the landscaping phase. In May of 2000, we noted landscaping OCOJrring. Soil that had existed on their hill was moved to the rear (west view) of their property for lot enlargement and view enhancement On June 2, 2000, we filed a written oornplaint to the Oty of carlsbad, regarding improper grading on their property. On June 6, 2000, we met with you and Pete Dreibelbis to see the improper grading existing at 2434 Uniromlo. On June 14, 2000, you sent a letter to the Radojevic's at 2434 Uniromio that they were in rode violation. In our telephone conversation with you on June 29, we were assured the Gty v«>uld be doing a physical inspection regarding rorrecting the rode violations. To date, violatlons rontinue, scraping of soil from the adjoining hill rontinues and further, no soil oornpaction has taken place. Also, we are extremely roncemecl that eventual failure of our block wall adjoining the properties will "beoorne a hazard to life and limb or to endanger property or to adversely affect the safe use or stability or' our property. When can we expect written ronfirmatlon from the Oty of cartsbad that oode violations will be CDl'Teded? Sincerely, Judith & Robert St.Austin c: Richard Cook, Public Works Manager ./ Pete Dreibelbis, Senior Building Inspector June 14, 2000 Dan and Vesna Radojevic 2434 Unicornio Carlsbad, CA 92008 RECORD COPY Certified Mail 7099 3220 0004 0429 4360 GRADING ORDINANCE VIOLATION OF PROPERTY LOCATED AT: 2434 UNICORNIO. APN #215-250-0400. It recently came to my attention that unapproved grading activity has occurred at the above referenced property. I visited the site and determined that the grading of your property was conducted in violation of the City's Grading Ordinance. I request that you contact me within the next two weeks to schedule a meeting to work out a program to resolve the apparent violation. Your work program will most likely require that you obtain a grading permit through normal City procedures, or return your property's topography to its pre-existing condition. This may require the processing of grading plans prepared by a Registered Civil Engineer as well as preparation of soils reports. Frequently, this process will take in excess of three months. During the interim, your work program may require temporary erosion control measures to protect the health, safety and welfare of the public. You may be required to pay normal plancheck fees and to submit the regular security bonds. However, since a violation has occurred, the grading permit fees may be twice the normal fee in accordance with the requirements of the Grading Ordinance. Please take note, failure to contact me within two weeks or to satisfactorily establish a program to mitigate the violation within a reasonable period of time will result in the filing of a Notice of Grading Violation against your property and in possible proceedings of nuisance abatement or misdemeanor violation or both. If you have questions regarding this matter or to schedule a meeting to establish a work program to resolve this issue, you may contact me at 602-2780, Ext. 7306. Respectfully, 1 _Q_ {~ SAMUEL A. SMALLEY, P.E. Construction Manager SAS:jag c: Richard Cook, Public Works Manager Pete Dreibelbis, Senior Building Inspector Robert & Judith St. Austin, 2438 Unicornio 5950 E l C a m ino R eal • Carls b a d , CA 9200 8 • (7 6 0) 602-2780 • F A X (760 ) 438-4178 @ CB990137 2434 UNICORNIO ST CBAD . 'i. 586 SF ADD+55 SF GAR+464 DECK \ RESDNTL RAD Lot#: RANDAL EHM 1(1~q9 -h ~~ ~ ~ ~do+oj~ ~-181) 1(~o{qq ~LIY) ~9~1~7 '- (6 (z_.,( -t7 l.,?PROVALS , . 1'~ 0"l"_ _ f ,,,-/w f rr"' ~ulldlng 10 /i I <:icr Plannir.z • 4/li,19? Eng!ncer!ng ._Fire -2/4/t:f Cl 01'/y ~ /fA-A.'f-e-s ..d1/ ~o/47 C LW( ;;·,, , J /1 i Irr-~ s;l 11-ff;(~✓ 1ZJ &; if ,y c:1 L -A a--/~ 47 ~) •• ----Coastal ----Health ----Assoc. '3(v-t(1,q-~ s--6 €fz{ . 1/'b/q"J P/OJtS @ f:-c ~o\f J!L , /,,/.._ q/21(11~ dUJA.?r,;-, ;V-~ L/1,NA¼f fv~ I F}~~~"'~-- df~ I::" r -fa5f ft-MJ 11 ~ {v u /'/ L l/ l'C;::l::-ett"7! ~~~f--_= =~~ µ~ll ~~~-~~~===~ ~ -~--~~ ~~ ~~ ~--~ v\ I/'" ---+---ASSESSOR PlANS ----'----C OFO t6[ c,( 't~ C. tr-'{ .Q ~ FG to\ r>-l °" "\ ~'"" to(~{ct"t f<--A-1'-'5 e_ R:_ ~ \ti\-_q ~LAN~ @__~~GTJ he£~ {c{Zlf(~ 17~( 03/28/2000 - City of Carlsbad Plan Check Revision Permit No:PCR00046 RY Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2434 UNICORNIO ST CBAD PCR Status: ISSUED 03/03/2000 JM 03/28/2000 03/28/2000 Parcel No: 2152500400 Lot #: 0 Applied: Valuation: $0.00 Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: STRUCT REVISION-JOIST/HD&DECK Inspect Area: Applicant: NEVILLE KATHY 101 6 W WASHINGTON SAN DIEGO CA 92103 619-299-5434 Total Fees: $273.00 Plan Check Revision Fee Owner: RADOJEVIC FAMILY TRUST 03-04-99 2434 UNICORNIO ST CARLSBAD CA 92009 Total Payments To Date: FINALJ-PP OVAL 2668 03/28/00 0001 01 02 C-PRMT 273-00 Balance Due: $273.00 $273.00 ' Date: "? • f • 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. f Ci((._, % CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. __________ _ Plan Ck. Depositc..-...--------r-- Validated By~~.,..... ....... -,....,._..,-'7"-c~- Date ________ ....._,~::::n<'--'-'~'--- 1. :fJecT INFORMATION ~ IJ.:. '9,4 UJ:, \ e-ar 1>-1 o Address (include Bldg/Suite #) l&t 5'2-52.- ~ J.m.P»t c:., '4>..o.1di21"-C£c ·'a;;;;~at this address) Legal Description Lot No. ~S&n~me/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use ~De~:°ZJ t2A.,\fl~ ~-#of tU4oJ~ 2. CONTAC,T PERSON (If dlfle;from applicant) / / -' "'--------------,---------------=----------------Name State/Zip Telephone# Fax# 3. 4. PROPERT~, lJM • U(Q Name cil:kW. ; City State/Zip Telephone # 5. CONTRACTOR • COMPANY NAME (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 tor such permit to tile 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 tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). Name Address City State/Zip Telephone# State License # __________ _ License Class _________ _ City Business License # _______ _ 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: 0 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. 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 worker's compensation insurance carrier and policy number are: Insurance Company _____________________ _ Policy No. ____________ _ Expiration Date _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 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 ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees. SIGNATURE______________________________ DATE _________ _ 7. _OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D 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 improvement 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 Law). 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 indicat ed (include name/ address / phone number / type of work): ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENnAL BUILDING PERMITS O1111.:Y 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? D 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? 0 YES D 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 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. 8, 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 ________________________ _ rs. 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,, of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY 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 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 within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is com enced for a period of 180 days (Section 106.4.4 Uniform Building Code). • APPLICANT'S SIGNATURE ~k_ DATE WHITE: File YELLOW: Applicant PINK: Finance EsGil Corporation 'l.n Partnersfiip w itfi (jovemment for 'BuiUing Safet!f DATE: March 28, 2000 JURISDICTION: Carlsbad PLAN CHECK NO.: PCR00-46(99-137rev4.) PROJECT ADDRESS: 2434 Unicornio Drive PROJECT NAME: SFD Revision for Radojevic SET: II ~NT □ PLAN REVIEWER □ FILE ■ The plans transmitted herewith have been corrected where necessary and substantially comply with the jurisdiction's building codes. D The plans transmitted herewith will substantially comply with the jurisdiction's building codes when minor deficiencies identified below are resolved and checked by building department staff. D The plans transmitted herewith have significant deficiencies identified on the enclosed check list and should be corrected and resubmitted for a complete recheck. D The check list transmitted herewith is for your information. The plans are being held at Esgil Corporation until corrected plans are submitted for recheck. D The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant contact person. D The applicant's copy of the check list has been sent to: D Esgil Corporation staff did not advise the applicant that the plan check has been completed. D Esgil Corporation staff did advise the applicant that the plan check has been completed. Person contacted: Telephone#: Date contacted: (by: Mail Telephone Fax In Person ■ REMARKS: Kathy to hand carry the plans. By: Bert Domingo Esgil Corporation 0 GA O MB O EJ O PC Enclosures: Log Fax#: trnsmtl.dot 9320 Chesapeake Drive, Suite 208 ♦ San Diego, California 92123 ♦ (858) 560-1468 ♦ Fax (858) 560-1576