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Home My WebLink About2433 UNICORNIO ST; ; CB040280; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 01-27-2004 Plumbing Permit Permit No: CB040280 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2433 UNICORNIO ST CBAD PLUM Status: Parcel No: 2152501600 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-44 77 SULLIVAN RES-REPLACE WATER HEATER 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 Plan Approved: Issued: Inspect Area: Owner: BLACK MIKE&JANET K 2433 UNICORNIO ST CARLSBAD CA 92009 ISSUED 01/27/2004 KMT $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: $27.00 PERMIT HAS EXPIRED IN ACCORDANCE WrTH C.B.C. SEC110N 106.4.4 AS AMENDc.O BY C.M.C.16.04.030 DATE~ \lZ. \ \,D.__ SIGNf.. TliPsf ______ ,_ FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. {13 o Lj OlJ-0 CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By ___________ _ Date. _______________ _ , 1. 1, .\rPitoritc:t 1NFORMA1:10N,, ;,;1;; u: • I 2433 Unicor.nio St. Address (include Bldg/Suite II) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total II of units SFR Assessor's Parcel II Existing Use Proposed Use 215 250 16 00 Description of Work SQ. FT. I/of Stories II of Bedrooms II of Bathrooms Name Address City State/Zip Telephone II Fax II Name Address City State/Zip Telephone II Sn] J i van Frank Name 1 2433 Unicornio St Address Carl shad City Ca 92009 S.tate/Zip 619 249 2673 Telephone II (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 ($5001). kiale9s6 B Hwy. 8 Bus • Cl',. ~2~21 ( 61~ 390 4477 S~te 1p~lephone II ~Jm~ J Foster Plumbing State License II -"6c.;3~0,;..].i..:.2.o.0'------License Class ........ (.=_3.,_6.,__ _____ _ City Business License II ) ? ) 0 8 3 6 Designer Name Address City State/Zip Telephone State License II ----1e>.1J..,.-l).~1------- ]6::,::'? V/OJfj{~F{S_' NcJ) MWk~SAif JQl'ru~~:,~j;~~ ~1l 1Tt~1 t~J ·.~~ '.]~~;t:::~~~~~f:trn;.:Jr~;..;Jj~·1::~~r!~]~~~~~~liJJEW~1~]{~~~~~]~f~~:Jf~:~~'lf%~~~:1~'1~1Y[~'j;~~~;~:~~/~~;~;~r :,;J::~~4~T'i'J:.':·~\/it,~~:::1:/1·~~:~::t/~, 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 . . 0 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 -'};sued. My worker's compensation insurance carrier and policy number are: Insurance Company State COff\l3. Ins. Policy No.467 0l 0000713 (THIS SECTION NEED NOT BE COMPLE'tED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$100] OR LESS) Expiration Date. --1.0u.4A=J0~],=.1,Q.,_,4_ 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 secug.,,."11<~ thousand dollars I $10 SIGNATURE lawful, and shall subject an employer to crlmina • • Ines up to one hundred ages as provided for in Section 3706 of the nd attorney's fees. DATE •1: ~'',pWNE!J{B.QfuDER'!'.t:iec11A'i1Ar10.r..rmru:I:"t:rir I hereby affirm that I am exempt from the Contr 0 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 tha 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 contractorls) 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 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 nama / address / phone number/ type of work):. ____________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _ 1COMP,LETE.:tii:i1$is~c;f1Q'NJFQff'1VQl'i!RESiiiENTiA'i,'.~D1i:oil\iG PEjjMi,f~~;Qi'itY~l~~i;:{rr.J1f¾;~}1f~!J!~~:~1~~:~ll1'.;l!ji.lft:;~;£~U,)!~lill:f;;:;:;;t ·•,;~ :;t,'.;; "," •. [I;, 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? 0 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 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/)!,.~of;l~f~b.9.T:ioN(t.;Erijb1i'Ji:, 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. EXPIRATfON: 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 comme ithin 180 days from th a f such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is comm rio of ays (S n 1 O .4 Uniform Building Code). DATE .1 ,· 1 ~ /~) (} APPLICANT'S SIGNATURE -~~~~~~~~_j_~~'Z~~~~~---------__ ~ -L-4 I I PINK: Finance