HomeMy WebLinkAbout2833 UNICORNIO ST; B; CBR2017-0601; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Print Date:.05/22/2017 Residential Permit Permit No: CBR2017-0601
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
II Dwelling Units:
Bedrooms:
Project Title:
Description:
2833 Unicornio St,~ f>
BLDG-Residential
j l .:5 3,11,0 .?,(p O .:,_
$0.00
www .carlsbadca.gov
Work Class: P/M/E
Lot II:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Plan Check#:
AMENT: GAS FURNACE AND CONDENSING UNIT REPLACEMENT
Owner:
Status:
Applied:
Issued:
Finaled:
Inspector:
Contractor:
Closed -Finaled
03/27/2017
03/27/2017
MARK AMENT A PLUS HEATING COOLING AND ELECTRIC INC
PLUMBING, ELECTRICAL, AND MECHANICAL PERMIT
Total Fees: $166.00 Total Payments To Date: $166.00
116S Linda Vista Dr, 113
San Marcos, CA 92078-3821
760-290-8327
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.
$166.00
$0.00
l1H1: FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING D ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD I
( City of Building Permit Application Plan Check No. (~'f :20) 7-{)/n() -
1635 Faraday Ave., Carlsbad, CA 92008 Est. Value
Carlsbad Ph: 760-602-2719 Fax: 760-602-8558 Plan Ck. Deposit email: building@carlsbadca.gov
www.carlsbadca.gov Date 3/,;?-;;.../;·1-ISWPPP
JOB ADDRESS SUITE#/SPACE#/UNIT# r PN 2. K~< l} 1rr>('V,O <;1Y«. +-~ ---
CT/PROJECT# LOT# I PHASE# I# OF UNITS I # BEDROOMS H BATHROOMS I TENANT BUSINESS NAME I cuNSTR. TYPE I occ. GROUP
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
~ ( f I ~ C. e. \II'\ l I'\ -\-o,t 9c-. ") ,f'_.., -r n tl.c. ( 0-.v\l:! Co"' J ~"'$ 1 "\.'j v Ir\. •l ➔ . Ca""-alo l ") 2u3 o s i -f + -
EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES(JI NO□ YES □No □ YES□No□
APPLICANT NAME A -t-\-\ t:A h Yl"i ~Cool, v,.q I ~c-P~PERTY OWNE.il_R ~
Primary Contact "-•~ V\f"\e"'-
ADDRESS ADDRESS
Ill?) LlnJ\ \/l'i-k Pr ~ 113 2~)1 \.) V\. \ (.Or \'\~ t::i 'S~ r-c.._<,.-1. ~'iS"
CITY STATE ZIP c~ STATE ZIP
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PHONE
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FAX PHONE !FAX 71.Do -2 .:tD -fr~.2. r 7(,.fJ -2.t:J # • i°!>JO 8511 -750-°t I >L.
dAIL
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EMAIL
DESIGN PROFESSIONA CONTRACTOR BUShNAME \nc.., Pt~ \-\ e_&; "'1 'l (00\1\r-\"\
ADDRESS ADDRESS , , ,,~s--Llvtd-"\. \/,'>~ ~r,ve. ~ \\";>
CITY STATE ZIP CITY STATE ZIP
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PHONE I FAX PHONE I.FAX "?eoo rz._eto, cs~z--r ,1oo-2qo -is-s~o
EMAIL EMAIL
d, ">~-Ire...'-\ ~'\C..""'~' C.C:\C ~<\~'-"t.C,.C..v\ J ~c,<2>\ ~h. q • (' 0 t
!STATE UC.# STATE UC.# ICIASS
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~ , / n I ~ q t"f €$ lo c., CZ-o -(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 1ts issuance, also requires the applicant for such permit to file a signed statement ttiat 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 703:1:.5 by any applicant for a permit subJects the applicant to a civil penalty of not more than five hundred dollars {$500)).
Wor1<ers' Compensation Declaration: I hereby aff,rm under penoWy of perjury one of the following declarations:
~e and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of lhe Labor Code, for the performance of the work for which this permit is issued.
tel I have and will maintain workers' compGsation, as reQuired by Section 3700 of the Labor Code, for the performance o~e work fOf which this permit is issued. Wrt worl<ers' compensation insurance earner and policy
number are: Insurance Co. N O ,,.. ::i...., "'-.r-d Policy No. A.\\ I.:.. -z_ 1 '-I 2. ~ "" Expiration Date _g_/ 2.. \ r
This section need not be completed ff the permit is for one hundred dollars ($100) or less. 0 Certificate of Exemption: I certify thal 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 Worl<ers' Compensation Laws of
California. WARNING: Failure to secure wovr1<ers' 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 ama s a provided for In Section 3706 of the Labor code, Interest and attorney's fees.
£f CONTRACTOR SIGNATURE v<.A. 0 AGENT DATE ::3 / -z. f [ \ 7
I hereby affirm that I am exempt from Contrac!or's License Law for the following roason:
□
□
□
I, as owner of the property°' my employees with wages as their sole compensation, will do the worl< and the structure is nol intended or offered for sale (Sec. 7044, Business and Professions Code: The Contracto(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 improvemenls 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 lhe purpose of sale}.
I, as owner of the property, am exclusively conlracling with licensed conlractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contracto(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 Cootracto(s License Law).
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 O o
2. I (have/ have not) signed an applicalion for a building permit for the proposed won<.
3. I have contracted with the following person (firm} to provide the proposed construction (include name address /phone/ contractors' license number):
4. I plan lo provide portions of the won<, but I have hired the following person lo 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 C011tracted (hired} the following persons to provide lhe won< indicated (include name/ address/ phone / type of worl<):
£f PROPERTY OWNER SIGNATURE (3AGENT DATE
I
I
Is the applicant or futuro building occupant required to submit a business plan, acutely hazardous malerials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
ts the applicanlor 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.
I certify that I have read the application and state that the above Information Is correct and that the Information on the plans ls accurate. I agree to comply with all City ordinances and State laws relating to building construction.
I hereby authorize represenlawe of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CfTY OF CARLSBAD
AGAINST ALL LIABILfTIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFTHE GRANTING OFTHIS PERMIT.
OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolition or construction of structures CNer 3 stories in height
EXPIRATION: Every permtt issued by the Building Official under the provisions of this Code shall expi'e by imitation and become nuD and voi1 if the building or wcx1< authorized by such permit is not commenced within
180 days from the date of such permit or if the build, orF authorized by such permtt is suspended or abandoned at any time after the wcx1< is commenced for a period of 180 days (Section 106.4.4 Unifoon Buildilg Code).
A$ APPLICANT'S SIGNATURE ""'-V ~ DATE ~ 2--, \
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CO#: (Office Use Only)
CONTACT NAME OCCUPANT NAME
ADDRESS BUILDING ADDRESS
CITY STATE ZIP CITY STATE
Carlsbad CA
PHONE FAX
EMAIL OCCUPANT'S BUS. UC. No.
DELIVERY OPTIONS
□ PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
□MAIL /FAX TO OTHER: ________________ _
Af APPLICANT'S SIGNATURE
o ASSOCIATED CB#------------
0 NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE / NO CONSTRUCTION
DATE
ZIP
I '
PERMIT INSPECTION HISTORY REPORT (CBR2017-0601)
Permit lype: BLDG-Residential Application Date: 03/27/2017 Owner: MARK AMENT
Work Class. P/M/E Issue Date: 03/27/2017 Subdivision:
Status: Closed -Finaled Expiration Date: 11/20/2017 Address: 2833 Unicornio St, 8
Carlsbad, CA 92009
IVR Number: 2756
Scheduled Actual
Date Start Date Inspection Type Inspection No. Inspection Status Primary Inspector Re inspection Complete
05/22/2017 05/22/2017 BL0G-43 Air 024008-2017 Passed Jonathan West Complete
Cond./Furnace Set
BLDG-Final 024011-2017 Passed Jonathan West Complete
Inspection
Checklist ltom COMMENTS Passed
BLDG-Building Deficiency Yes
BLDG-Mechanical Final Yes
May 22, 2017 Page 1 of 1