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Home My WebLink About2422 UNICORNIO ST; ; CB043283; PermitCity of Carlsbad 1635 Faraday Av Carlsbad , CA 92008 08-19-2004 Plumbing Permit Permit No: CB043283 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2422 UNICORNIO ST CBAD PLUM Status: Parcel No: 2152500700 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: BLAZE RES-REPAIR GAS LINE Inspect Area: Applicant: ~ TURNER PLUMBING ""'- 40409 CARMELITA CIRCLE 92591 951-699-6162 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 0 1 0 Owner: BLAZE CARL A&MARY J TRS 2422 UNICORNIO ST CARLSBAD CA 92009 ISSUED 08/19/2004 KMT 08/19/2004 08/19/2004 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $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 9278 08/19/04 0002 01 CGP Inspector: Jk FINA Date: 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 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 E imil r to thi or a • d. 02 27,00 PER.MIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 FOR OFFICE U::il: UNL Y PLAN CHECK NO. CJ£f:j3d..~3 EST. VAL. _________ _ Plan Ck. DepoiJ ini\' ~:~:ated A l~q Business Name (at this address) Subdivision Name/Number Unit No. Phase No. Total I of units Existing Use Proposed Use SQ. FT. lot Stories I of Bedrooms I of Bathrooms Name Name Address City State/Zip Telephone I • • ,< •• , .i1ffiJ[i<fE~ (Sec. 7031.6 Buslneu 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 bivislon 3 of the Business and Professions Code) or that he ls exempt therefrom,. and the basis tor the alleged exemption. Any violation of Section 7031.6 by any applicant tor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($6001). City State/Zip ~~neJ .)/1 City Business License I ...:°11/2=..,..,_~ ... ~-.....,a/1"""-~u'- Designer Name Address City State/Zip Telephone State License I -•~:~ro:sl:!fii¼~~~~l ·,!;•.d't:::J~Ma~Jli'.i~l,...;~ Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self-Insure tor workeri compensation as provided by Section 3700 of the Labor Code, tor the performance of the work tor which this permit Is Issued. O I have and will maintain workers' compensation, as raqulred 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_____________________ Polley No .. ____________ Expiration Data _______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lf1001 OR LESSI r:Y"'cER!IFICATE OF EXEMPTION: I certify that in the performance of the work tor which this permit Is Issued, I shall not employ any person in any manner so as J"'f; become aubject to the Workers' Compensation Laws of California. WARNING: Flllluni to ,._ wOftl.,.' compenaatlon covan1ga la unlawful, and shall aubject an employer to criminal panllltlea and clvl flnu up to one hundred thouund dolla,a ($100,0001, In addition to the co_at of companntlon, damagaa ea provided for In Section 3708 of th• Labor coda, lntarHt and attorney's fH■. SIGNATURE DATE ·1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: O I, aa owner of the property or my employees· with wages II their sole compensation, will do the work and the structure is not intended or ottered for sale (Sec. 7044, Buslneu 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 tor 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). O I, H owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor'• License uiw does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(sl licensed pursuant to the Contr■ctor'a 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) algned 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>=------------------------~---------------------- 6. 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): ________________________________________________________ _ 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, 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act7 -0 YES O NO Is the applicant or future building occ_upant required to obtain • permit from the air pollution control district or air quality management district? 0 YES O NO Is the facility to be COf\Structed within 1 ,000 feet of the outer boundary of • school site 7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIRCA TE 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. !8Y.are<iif~1]W.~~~... . ·, " ~ ~-W~z!~~~°ijzm~~Rjl:5N~1;,l.•·~~~.!'......ii'~t'.;,. ~ij-~ ~ .. br.tL .~!~'!?~ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(11 Civil Code). LENDER'S NAME rPNll'KB<fANM:!iffiff 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 Citt of Cerlsbad 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 6'0" deep and demolition or construction of structures over 3 stories In height. EXPIRATION: Every pennlt Issued by the building Official under the provisions of this Code shall expire by limitation and become null and void If the building or wor1< authorized _by such pennlt Is not commenced w hln 180 days from the date of such pennlt or II the building or work authorized by su~h permit Is suspe dad or abandoned at any time alter the wor1< Is commenced for ~ (Sec~lon 106.4.4 Uniform Building Code). l'.S { q f' APPLICANT'S SIGNATURE -----===;....+------------------DATE ----+-----1---...._ __ WHITE: File YELLOW: Applicant PINK: Finance City of Carlsbad Bldg Inspection Request For: 08/23/2004 Permit# CB043283 Title: BLAZE RES-REPAIR GAS LINE Description: Type: PLUM Sub Type: Job Address: 2422 UNICORNIO ST Suite: Lot 0 Location: APPLI CANT TURNER PLUMBING Owner: BLAZE CARL A&MARY J TRS Remarks: AM INSP PLEASE Total Time: CD Description Act Comment Inspector Assignment: Phone: 9516996162 Inspector: .jPA- Requested By: N/A Entered By: ROBIN r . 'G 21 Underground/Under Floor LN ___________________ _ 23_ _ _,,_A----'----'l'---=-.;-----~,=;;.,<---1) __ _E:0 Associated PCRs/CVs Inspection History Date Description Act lnsp Comments