HomeMy WebLinkAbout2836 UNICORNIO ST; ; CB142943; PermitResidential Permit
Print Date: 10/01/2019
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
Project Title:
Description:
FEE
Total Fees:
2836 Unicornio St
BLDG-Residential
2153600300
$ 0.00
Work Class: P/M/E
Lot#:
Reference #:
Construction Type
Bathrooms:
Orig. Plan Check #:
Plan Check #:
PME -MTD PROPERTIES: REPLACE FAU
Total Payments To Date :
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Final
Inspection:
( City of
Carlsbad
Permit No: CB142943
Closed -Finaled
10/30/2014
10/30/2014
04/28/2015
AMOUNT
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." 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 fees /exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
Building Division
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
( Cicyof
Carlsbad
Lt o/uJ/V
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITH/SPACEI/UNITt
□BUILDING □FIRE
Plan Check No.
Est. Value
PHASE# # OF UNITS # BEDROOMS # BATHR MS TENANT BUSINESS NAME
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
12~+:A-t<
EXISTING USE GARAGE (SF) PATIOS (SF) DECKS (SF) FIREPLACE
YES[}t
APPLICANT NAME
DESIGN PROFESSIONAL
ADDRESS ut1iJ11t-
CITY STATE ZIP STATECtt-
PHONE FAX FAX
EMAIL
STATE UC.# STATE<frho
□HEALTH 0 HAZMATIAPCD
SWPPP
CONSTR. TYPE OCC. GROUP
FIRE SPRINKLERS
YESONO□
tt-,ll
(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 Business and Professions Code} or !hat 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 [$500)).
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 wori<ers' compensation as provided by Section 3700 of the Labor Code, for the perfonnance of the wort for which this penntt Is issued. D I have and will maintain workers' compensation, as reQuired by Section 3700 of the Labor Code. for the perfonnance ol the wort for which this permtt is issued. My workers· compensation insurance carrier and policy
------------,:----=-------Policy No. ______________ Expiralion Date _________ _
eed not be completed ff th
ate of Exemption: I certi
WARNING: Failure to
he cost of compensatl
ploy any person in any manner so as to become subject to the Warters' Compensation Laws of
I penalties and civil fines up to one hundre thousand d liars (&100,000), In
l
I hereby affirm that I am exempt from Contractor's Ucense Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the wort 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 himse~ or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or lmp<ovement is sold within one year of completion, the owner-builder will have the buroen of proving that he did not build or improve tor 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 Contracto(s License Law does not apply to an owner ol
property who builds or imp<oves thereon, and contracts for such p<ojects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _____ ,Business and Professions Code for this reason:
1. I personally plan to p<ovide the major labor and materials for construction ol the proposed property improvement. O Yes O No
2. I (have / have not) signed an application for a building permit for the proposed work.
3. I have contracted with the tallowing person (finn) to provide the proposed construction (include name address /phone/ contractors' license number):
4. I plan to provide portions of the wort, but I have hired the following person to cooroinate, supervise and provide the major wort (include name I address I phone / contractors' license number}:
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the wort indicated (include name I address / phone/ type of wort):
JtS PROPERTY OWNER SIGNATURE □AGENT 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 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? Yes No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management district? Yes No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? Yes 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.
Lender's Address
I certify that I have read the application and state that the above infonnation is correct and that the infonnation on the plans is accurate. I agree to comply with all City ordinances and State laws relating to building cons1ruction.
I hereby authorize representative of the City of Garlsbad to enter upon the alxlve mentioned property t r inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS TI-IE CITY OF CAALSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND NST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA penmn is requred -•a"V'"""" 5'0' r 3 stores n height.
EXPIRATION: Every penmit issued • me null and voi:l i the buiKling or work authorized by such penmit is not rommenced v.1thin
180 days from the date of such pe ~::;z~~~Sny time after the work is commenced for a .4.4 Unifonn BuiKling Code).
RS APPLICANT'S SIGNATURE DATE
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
CERTIFICAfE OF OCCUPANCY ( C o m m c r c , ,½ f Proiccts 0 n f y I
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed fonm to City of Cartsbad, Building Division 1635 Faraday Avenue, Cartsbad, California 92008.
I CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA
PHONE I FAX
EMAIL OCCUPANT'S BUS. LIC. No.
DELIVERY OPTIONS
PICK UP: CONTACT (Listed above) OCCUPANT (Listed above)
CONTRACTOR (On Pg. 1)
MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) ASSOCIATED CB#
CONTRACTOR (On Pg. 1) NO CHANGE IN USE / NO CONSTRUCTION
MAIL/ FAX TO OTHER:
CHANGE OF USE / NO CONSTRUCTION
,€5 APPLICANT'S SIGNATURE DATE