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HomeMy WebLinkAbout2845 UNICORNIO ST; ; CB012995; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-17-2001 Plumbing Permit Permit No:CB012995 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2845 UNICORNIO ST CBAD PLUM Status: ISSUED 09/17/2001 CB 09/17/2001 09/17/2001 Parcel No: 2153602610 Lot#: 0 Applied: Construction Type: NEW Entered By: Reference #: Plan Approved: Issued: Project Title: CHAMBERS RES/ NEW WATER HEATER Inspect Area: Applicant: A&J FOSTER, INC. STE B 13706 HWY 8 BUS EL CAJON CA 92021 619-390-4477 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 TOTAL PERMIT FEES Owner: CHAMBERS SAMUEL D lll&BESSEY MICHELE I 2845 UNICORNIO ST CARLSBAD CA 92009 0400 09/19/01 ~ijtl Total Payments To Date: 0 0 0 0 1 0 0 $0.00 FINAL APPROVAL Date: lo f 1/o ( ~, Balance Due: Clearance: $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 $27.00 NOTICE: Please take NOTICE that approval of your project includes the "lmposilion" 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 CaMsbad 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute af limitations has oreviouslv otherwise exoired. 02 27-00 FOR OFFICE USE ONLY PERMIT APPLICAT·ION PLAN CHECK NO { CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 EST. VAL. ________ _ Plan Ck. Deposit --..-.....----- Validated By ~---~-f?'--,----- Date q ... J]-C>{ 1. PROJECTINFORMATION 2845 UNICORNIO ST. Carlsbad CA 92009 <Suite> <Name> Business Name (at this address) Address (include Bldg/Suite #) <Legal Descr> <Lot> <Subdivision Name/No> <Unit> <Phase> Legal Description <Assessor No> Assessor's Parcel # WATERHEA TERINSTALL Description of Work Lot No. Subdivision Name/Number <Existing U se> Existing Use <SQ FT> SQ. FT. <Stories> # of Stories 2. CONTACT PERSON (if different from applicant) Unit No. Phase No. <P roposed Use> Proposed Use <Bedroom s> # of Bedrooms <T otal> Total # of units <Bathroom> # of Bathrooms <Na m e> <Address> <City> ST <Zip> <Phone> <F ax> Name Address 3. APPLICANT NetClerk Inc C Contractor [i2'.] Agent for Contractor C Owner 720 Dubuque Ave Name Address 4. PROPERTY OWNER SAMUEL D CHAMBERS 2845 UNICORNIO ST. Name Address 5. CONTRACTOR -COMPANY NAME City State/Zip Telephone# Fax # C Agent for Owner South San Fr; CA 94080 8883301777 City State/Zip Telephone# CARLSBAD CA 92009 7609300122 City State/Zip Telephone# (Sec. 7031 .5 Business and Professions Code: Any Cily 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). A & J Foster Incorporated PO B ox 2758 El Cajon CA 92021 6 193904477 Name Address City State/Zip Telephone# State License # --'6'-'3'-'0'-1'-'2::..:0=------- < Name> License Class _c'--3_6 _______ _ <Address> City Business License # 1210836 <City> ST <Zip> <Phone> Designer Name Address City State/Zip Telephone State Licence# _________ _ 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. liZI 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 S tate Comp Ins. Fund Policy No. 00506395 Expiration Date 05/01/2002 (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 doll~~;;.·1), 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_0::.c9::..:./...:..1..::c3/'-=2'-'0'-"0-'1 ____ _ 7. OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the ContractMs 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 struclure 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). D 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 threreon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exempt under Section ______ Business and Professions Code for this reason: 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement. □ YES ONO I (have/ have not) signed an applicant for a building permit for the proposed work. I ha,Y\! contracted with the following person (firm) to ~rqvide the proposed construction (include name~ ;;ii;ldrf/S~ phone number/ contractors license number): <Name> <Aaaress:> <WorK t->none> <State License> 4. I plan to provide portions of the ..yqrk, but I have hired the following person t,p coordinate, supervise and provide the m_ajqr work {include name / address / P.h.one number t contractors license number):<Na m e> <Aadress> <Work Phone> <State License> 5. I will PJQVide some of the work, but I have contracted (birfld) the following person to provide the work indicaled (include name / address/ Rh.Qne rumber / type of work): <Na me> <Aaaress> <Work Phone> <WorK I ype> PROPERTY OWNER SIGNATURE _____________________ _ DATE _________ _ COMPLETE THIS SECTION FOR NON-RESIDENTIAL 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 D NO Is the applicant or future building occupant required to obtain a permit from the air pollution control distrtct or air quality management district? □YES □NO Is the facility to be constructed within 1,000 feet of the outer boundary of school site? DYES D 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. 3087(i) Civil Code). LENDER'S NAME______________ LENDER'S ADDRESS ______________________ _ 9. APPLICANTCERTIFICATION I certify that I have read the application and state that the above information is correct and that the informalion 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 Cily of Carlsbad to enler upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGEMENTS, 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 conslruction of struclures over 3 stories in height. EXPIRATION: Every permil 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 aulhortzed by such permit is nol commenced within 180 days from lhe dale of such permit or if the building or work aulhorized by such permit is suspended or abandoned at any lime after lhe work is commenced for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE ~-------------------DATE _0_9_/_1...:..3'--/2-'0'-0'-1 ______ _ 11:21 fl-~ City of Carlsbad Bldg Inspection Request For: 10/10/2001 Permit# CB012995 Inspector Assignment: RCB Title: CHAMBERS RES/ NEW WATER HEATER Description: Type:PLUM Sub Type: Job Address: Suite: Location: 2845 UNICORNIO ST Lot APPLICANT A&J FOSTER, INC. 0 Owner: CHAMBERS SAMUEL D lll&BESSEY MICHELE I Remarks: AM PLEASE Total Time: CD Description Act Comments 25 Water HeaterNents 4f F11()/IV Associated PCRs Inspection History Date Description Act lnsp Comments Phone: 7609300122 Inspector: /!, 6b Requested By: DAVE C. Entered By: CHRISTINE 09/28/2001 25 Water HeaterNents NR RC NO ANSWER -LEFT NOTE