HomeMy WebLinkAbout2431 UNICORNIO ST; ; CB013825; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-13-2001 Plumbing Permit Permit No:CB013825
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2431 UN ICORNIO ST CBAD
PLUM Status: ISSUED
12/13/2001
JM
12/13/2001
12/13/2001
Parcel No: 2152501500 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Issued:
Project Title: SMALLEY-WATER HEATER REPLACE Inspect Area:
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
Total Fees: $27.00
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
TOT AL PERMIT FEES
Owner:
SMALLEY DAVID A&BARBARA
2431 UNICORNIO ST
CARLSBAD CA 92009
Total Payments To Date: $0.00 Balance Due: $27.00
0
0
0
0
1
0
0
$20.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
:~'PIRED PERMIT
,..~~i ED IN Ar.CORDANCE wrrn l r..
u}'"' ~ 7-SIGNATURE C kAJ
' PERMIT· APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
1. PROjECT INFORM,ATION .
2431 Un1corn10 St.
FOR OFFICE USE ONLY
PLAN CHECK Nc<IBa {3?},,,,5
EST. VAL. _________ _
Validated B
Date'--------1.t---==-l-'!:......:1-r'=-1--
Address (include Bldg/Suite #I Business Name (at this address)
Legal Description Lot No. SFR Subdivision Name/Number Unit No. Phase No. Total # of units·
Assessor's Par_£el #
215-LS0-15-00
Existing Use Proposed Use
Description of Work SO. FT.
Water Heater Replacement
#of Stories # of Bedrooms # of Bathrooms
2. gg~~rcfE~~fi~~erent from 1ijlj~1ttJnicornio St • carlsbad CA. 92009 760-438-4779
Name Address City State/Zip Telephone # Fax #
Ar 1fA"lf t~f ~r9c?J£?ba_ftoF0£i~l0"1 fol CJ?Yffl~B £§~139r BJ! ~gerH~r ~':J6n, Ca. 92021 (619)390-4477
Name Address City State/Zip Telephone #
4 , PROPERTY 01/il':,IER
Barbara SmaJ.ley 2431 Unicornio St. Carlsbad ca. 92009 760-438-4779
Name Address City State/Zip Telephone #
6. CONTRACTOR • COMPANY NAME
(Sec. 7031.5 Business and Professions Code: Any City or County which requiros a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code! or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Sec\ion 7031. 5 by an)'._ <!J)Plicant for a !l.ermit subjects the a_12pli~ant to a civil penalty of
9
n,Qt0rr.i..Q/e th( aplfll(e, QU.Qdred
4
dpllats I$ 50011. A & J Foster Plumbing 137Ub-B Hwy.~ Bus. El caJOil CA. LILL o ~Jj~U-q//
N Add City State-iZio, Telephone # ame 630120 ress C-36 . . . LLL0836
State License # __________ License Class __________ City Business License # _______ _
Designer Name
State License# __ N_;/_A ______ _
Address City State/Zip Telephone
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 tho performance
of the work for which this permit is issued.
XO I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for tho performance of the wo1k for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
State Comp.Ins. Insurance Company ____________________ _ Policy N~_67-0l 0000713 04-01-02 Expiration Date _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNORED DOLLARS l$1001 OR LESSI
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shell not employ ony 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, ond shell subject an employer to criminal penalties nnd civil fines up to one hundred
thousand dollars ($100,000). in addition to the cost of compensation, damages es provided for in Section 3706 of the Labor code. interest ond attorney's fees.
SIGNATURE. _____________________________ _
7. '"'owNER-BUILDER DECl.!ARATION
DATE _________ _
I hereby affirm that I am exempt from the Contractor's License Law for the following reason:
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 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 t o provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have / have notl 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 tho 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 indicated (include name / address / phone number / type
of work):. ________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _
rcOMP,LETE THIS sediioN'FOR NON-RESiDENT!Ai.'BU1rn11ifo PERMITS ONl:Y#'~· •" '· , , ,
DATE _________ _
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 26606, 26533 or 26634 of the Presley-Tenner Hazardous Substance Account Act7 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? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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.
e. CONSTRUCTION LENDING. AGENCY: "
I hereby affirm that there is a construction lending agency for tho performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME ____ t-D_NE ________ _
19. • ARP1!CANT CERTIFICATION . ,,
LENDER'S ADDRESS _________________________ _
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 o( this Code shall expire by limitation and become null and void if lhe building or work
authorized by such permit is not commenced within 180 days from the dale of such permit or II the building or work authorized by such permil Is suspended or abandoned
al any time after the work is commenced Qeriod of 180 da action 1 .4.4 Uniform Building Code).
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