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Home My WebLink About2837 UNICORNIO ST; ; CB053361; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 09-26-2005 Plumbing Permit Permit No: CB053361 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: 2837 UNICORNIO ST CBAD PLUM Status: Parcel No: 2153602605 Lot #: 0 Applied: Construction Type: NEW Entered By: Reference #: Project Title: Applicant: GUTENPLAN RESIDENCE WATER HEATER REPLACEMENT CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 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 1 0 0 Plan Approved: Issued: Inspect Area: Owner: WANGANNIEC 2837 UNICORNIO ST #5 CARLSBAD CA 92009 ISSUED 09/26/2005 MOP 09/26/2005 09/26/2005 $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 Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due: $0.00 EXPIRED PERMIT Inspector: ------ PERMIT HAS EXPIRED IN ACCORDANCE WITH C.B.C. SECTION 106.4.4 AS AMENDED BY C.M.C.18.04.030 DATE °'h s \a"2 s1GNATURE_~"'k<t£~----- FINAL APPROVAL 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 • • Tl hi • h • PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 110N 2837 UNJCORNIO CARLSBAD, CA 92009 FOR OFFICE USE ONLY PLAN CHECK NO. ______ _ EST. VAL. _________ _ Plan Ck. Deposit _________ _ Validated By _________ _ Date ____________ _ Address (indude Bldg/Suite#) Business Name (at this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel # Existing Use Proposed Use Replace standard water heater like for like Description of Work SQ.FT. # of Stories # of Bedrooms # of Bathrooms California Delta mechanical, Inc. 2500 s. Power Rd. Suite# 120 Mesa AZ 85209 (480) 898-0007 ( 480) 898-0005 Telephone# Fax# 480-898-0007 Name City State/Zip Telephone# ~. RTY"""OWNE~~R~----- ANNIE GUTENPLAN 2837 UNICORNIO CARLSBAD CA 92009 760-438-4084 Name Address City State/Zip Telephone# ,. ------ (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 ijs 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 [$500]). California Delta Mechanical, Inc. 2500 S. Power Rd. Suite# 120 Mesa 85209 Name Address City State/Zip (480) 898-0007 Telephone# State License # 811114 License Class C-36 City Business License # 1214281 Designer Name Address City State/Zip Telephone# State License # Workers' Compensation Dedaration: 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. IE! I have and will maintain worker's 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 State Compensation Insurance Fund (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS F D CERTIFICATE OF EXEMPTION: I certify that in the perfo Policy No. 1697823 Expiration Date . ...,0...,7 ... /0"'-l'-'/-"'0"'-6 _____ _ ONE HUNDRED DOLLARS [$100) OR LESS) nee of the work for which this permit is issued, I shall not employ any person in any manner so as to WARNING: Failure to secure workers• compensatl n cov a dollare(S100,000), In addition to the cost of compe at SIGNATURE Rome( Maru I :ailfLD&R DECLARATION u wful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand rovlded for In Section 3706 of the Labor Code, interest and attorney's fees. DATE 09/20/05 I hereby affirm that I am exempt from the Contr or' ,cense for the following reason: D I, as owner of the property or my employees with wag s a their sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044. Business and Professions Code: The Contractor's License 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 exdusively 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). 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 (indude 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 (indude name I address / phone number / /ontractors license number): --------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name/ address / phone number/ type of work): PROPERTY OWNER SIGNATURE ___________________________ DATE __________ _ WHITE: File YELLOW: Applicant PINK: Finance PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 COIIPLETE 1ll8 8EC110N FOR NOH-RSIOBmAL BUILDING PERIIITI ONLY Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration for or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Ad? 0 YES □ NO Is the applicant or future building occupant required to obtain a permtt from the air pollution control district or air quality management district? □ YES □ NO Is the faciltty to be constructed within 1,000 feet of the outer boundary of a school site? O YES O NO IF ANY OF ntE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS ntE APPLICANT HAS MET OR IS MEETING ntE REQUIREMENTS OF ntE OFFICE OF EMERGENCY SERVICES AND ntE AIR POLLUTION CONTROL DISTRICT. I. CON811WC110N LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this pe~ is issued (Sec. 3097(1) Civil Code) . •• 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 au Ctty ordinances and State laws relating to building construdion. I hereby authorize representatives of the City of Carisbad 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, JUDGEMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF ntE GRANTING OF ntlS PERMIT. OSHA: An OSHA permit is required for excavations of 5'0" deep and demolition or~nstrudion of strudures over 3 stories in height. EXPIRATION: Every permtt issued by the building Officia under the provisions of th Code shall e)(j)ire by limitation and become null and void ~ the building or work authorized by such permit is not commenced within 180 days from t ate of su9'1 tt or If e building or work authorized by such permtt is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section .4.4 or B • g C e). APPLICANT'S SIGNATURE Romel Maru ' DATE 09/20/05 --------------- WHITE: File YELLOW: Applicant PINK: Finance