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Home My WebLink About2423 UNICORNIO ST; ; CB131697; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 07-17-2013 Permit No: CB131697 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: 2423 UNICORNIO ST CBAD PME 2152501200 Status: Lot#: 0 Applied: Entered By: Plan Approved: Issued: Inspect Area: Project Title: TYBURSKI RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATION Applicant: CALIFORNIA DEL TA MECHANICAL STE 155 6056 E BASELINE RD MESA AZ 85206 480-898-0007 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Owner: TYBURS KI FAMILY TRUST 06-15-01 2423 UNICORNIO ST CARLSBAD CA 92009 ISSUED 07/17/2013 SKS 07/17/2013 07/17/2013 $31.00 $0.00 $0.00 $64.00 $95.00 Total Fees: $95.00 Total Payments To Date: $95.00 Balance Due: Inspector: FINAL APPROVAL Date: I-I 3 -I'/ Clearance: _____ _ $0.00 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f " ., City of Carlsbad 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718/ 2719 Fax: 760-602-8558 Building Permit Application Plan Check No.~ ( _5 / l.fCf :;- Est. Value Plan Ck. Deposit ~) Date JOB ADDRESS 2423 Unicornio St SUITE#/SPACE#/UNIT# APN CT/PROJECT# LOT# PHASE# # Of UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) Replace existing like for alike water heater EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) I FIREPLACE 1AIR CONDITIONING I FIRE SPRINKLERS YES[)i NoCJ YES □No □ YES□No□ CONTACT NAME (If Different Fom App/leant) C l"f . D It M h . I I APPLICANT NAME GeorQi Stoianov a I orma e a ec amca nc. ADDRESS ADDRESS 6056 E Baseline Rd # 155 6056 E Baseline Rd # 155 CITY STATE ZIP CITY STATE ZIP Mesa AZ 85206 Mesa AZ 85206 PHONE PHONE YAX I FAX 480-898-0007 1-480-218-5645 858-603-7367 858-240-6677 EMAIL EMAIL california@deltamechanical.com galinap@deltamechanical.com PROPER1Y OWNER NAME Ed Tyburski CONTRACTOR BUS. NAME California Delta Mechanical Inc. ADDRESS ADDRESS 2423 Unicornio St 6056 E Baseline Rd 3 155 CITY STATE ZIP CITY STATE ZIP Carlsbad CA 92009 Mesa AZ 85206 PHONE I FAX PHONE I FAX 858-335-1349 480-898-0007 EMAIL EMAIL ARCH/DESIGNER NAME & ADDRESS I STATE UC.# STATE UC.# I CLASS I CITY BUS. uc.1214281 811114 c-36 (Sec, 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair an~ 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 B_usiness 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 c1v1I penalty of not more than five hundred dollars ($500)). t • ~ -1 ~ • ~ ' • " ' = " ~ ' .. ' • ' 7' .. "' -~ WORKERS ' COMPENSATION '. ~ ,_,.,,, . ~ " ,. """'"' Workers' Compensation Declaration: I hereby affirm under penaffy of perju,y one of the following declarations: l2J 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. [Z] 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 workers' compensation insurance carrier and policy number are: Insurance Co Policy No. 1697823 Expiration Date o7,o,12014 This section need not be completed if the permit is for one hundred dollars ($100} or less. [Z] 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 S 06 of the Labor code, interest and attorney's fees. ~ CONTRACTOR SIGNATURE I hereby affirm that I am exempt from contractor's License Law for the following reason: □ □ □ 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). 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). I am exempt under Section ____ Business and Professions Code for this reason: 1.1 personally plan to provide the major labor and materials for conslruclion of lhe proposed property ,mprovemenl. 0 Yes 0 No 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 I 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/ 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 I phone/ type of work}: ~ PROPERTY OWNER SIGNATURE DATE OM_.fLETE THIS SECTION FOR NON-~~SIDENTIAL ~UILDING PERMITS ONLY s the applicant or future building occupant required to submit a business~. acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the >resley-Tanner Hazard011s Substance Account Act? D Yes LJNo s the ap~icant or future tl'uilding_ occupant required to obtain a permit from the air pollution control district or a~ality management district? O Yes O No s the facility to tlll constructed within 1,000 feet of the outer boundary of a school site? O Yes LJNo F 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 :MERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. 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. hereby authorize representative of the City 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 \GAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. )SHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. :XPIRA TION: Every penntt issued by the Building Official under the provisions of this Code shall expire by lirMation and become null and void ff the building or m authorized by such penmtt is not commenced within 80 days from the date of such perrM or ff the building or work auth by such permit is suspended or abandoned at anytime after them is commenced for a period of 180 days (Section 106.4.4 Unfform Building Code). ~ APPLICANT'S SIGNATURE DATE (~ lnsp~ction List Permit#: CB131697 Type: PME Date Inspection Item 01/09/2014 25 Water HeaterNents 01/09/2014 25 Water HeaterNents 01/09/2014 29 Final Plumbing 01/09/2014 29 Final Plumbing Friday, January 10, 2014 Inspector Act PB PB RI AP RI AP TYBURSKI RES-REPLACE WATER HEATER-LIKE FOR LIKE-SAME LOCATIO Comments TYBURSKI RES, 10-12 PM TYBURSKI RES, 10-12 PM Page 1 of 1