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Home My WebLink About2835 UNICORNIO ST; A; CB150488; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-17-2015 Permit No: CB 150488 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2835 UNICORNIO ST CBAD St: A PME Status: Parcel No: 2153602603 Lot#: 0 Applied: ISSUED 02/17/2015 RMA 02/17/2015 02/17/2015 Reference #: PC#: Project Title: Applicant: VAYNSHTEYN RES-REPAIR GAS LEAK IN LINE @WALL OF GARAGE TIM BENNETT PLUMBING STE D 5631 PALMER WAY CARLSBAD CA 92010-7243 760-458-1824 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Entered By: Plan Approved: Issued: Inspect Area: Owner: VAYNSHTEYN L&A FAMILY TRUST 01-07-09 1263 MARIPOSA RD CARLSBAD CA 92011 $160.00 $0.00 $0.00 $0.00 $160.00 Total Fees: $160.00 Total Payments To Date: $160.00 Balance Due: Inspector: Clearance: _____ _ $0.00 NOTICE: Please take NOTICE th t 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 • • • been iven NOT «~'» ~ CITY OF CARLSBAD Building Permit Application 1635 Faraday Ave., Carlsbad, CA 92008 760-602-2717 / 2718 / 2719 Fax: 760-602-8558 www.carlsbadca.gov # OF UNITS # BEDR OMS SUITE#/S~E#/U # BATHR OM DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) oF c, EXISTING USE PROPOSED USE GARAGE (SF) PATIOS (SF) DECKS (SF) Plan Check No. Est. Value NAME FIREPLACE YES □#_ NOD APPLICANT NAME (Primary Conracl)7't/lflt-. /3eN/'/f1T APPLICANT NAME (Secondary Contact) ADDRESS 57.t,j 0 ADDRESS STATE (A ZIP 'U) 0 CITY STATE FAX PHONE FAX PROPERTY OWNER NAME CONTRACTOR BUS. NAMETr ADDRESS ADDRESS CITY ZIP CITY STATE Cr! FAX ARCH/DESIGNER NAME & ADDRESS STATE UC.# STATE LIC.# CLASS SWPP AIR CONDITIONING YES D NOD ZIP ZIP 'IUJID '1 S-3~, c ,JCP FIRE SPRINKLERS YES D NOD (Sec. 7031.5 Business 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 [Cha'f_ter 9. commending with Section 7000 of Division 3 of the Business and Professions Code) or Chat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 103 .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 pe,jury one of the following declara6ons: 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. 'fl 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 peu: is issued. My workers' compensa i9n insurance carrier and policy number are Insurance Co. ev~ T ~I Yv>t/M#tE Policy No. ~b l.3 'jo 11 ti Expiration Date _,_,_,,.!Ct..,.o-'---'~---- This section need not be completed if the permit is for one hundred dollars ($100) or less. 0 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 provide for in Section 3706 of the Labor c ·nterest and attorney's fees. _K! CONTRACTOR SIGNATURE □AGENT DATE 2-/7-/~ I hereby affirm that I am exempt from Contractor's Ucense 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 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 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). D I, as owner of the property, am exclusively contracting wilh 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). D 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. □ Yes □ 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/ 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 lollowing persons to provide the work indicated (include name/ address /phone/ type of work): _K! 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. of the work this permit is issued (Sec. 3097 (i) Civil Code). 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..tth all City ordinances and State laws relating to building construction. I hereby aulhorize representative of the City of Carlsbad to enter upon the above menti:lned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGA.INST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGA.INST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA An OSHA pellTlrt is required for excavations over 5'0' deep and demolrtion or construction of structures over 3 stories in height. EXPIRATION: Every pellTlit issued by the Building Offcial under the provisions of this Code shall expire by imitation and become nuff and void if the building or \\00\ aulhorized by such pellTlrt is not commenced within 180days from the date of such pellTlit or if the buiding or v.or11 authorized by such permit is suspended or abandoned at anytime after the v.or1I is commenced for a peood of 180days (Section 100.4.4 UnifollTl Building Code). ~ APPLICANT'S SIGNATURE / # DATE 7 -fr/;) Inspection List Permit#: CB150488 Type: PME Date Inspection Item 02/18/2015 23 Gas/TesURepairs 02/18/2015 29 Final Plumbing 02/18/2015 39 Final Electrical Thursday, February 19, 2015 Inspector Act PY AP PY AP RI VAYNSHTEYN RES-REPAIR GAS LEAK IN LINE@ WALL OF GARAGE Comments CALL WITH ETN VACANT/ GARAGE CODE 2525 Page 1 of 1