HomeMy WebLinkAbout2831 UNICORNIO ST; ; CB121399; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
07-24-2012 Permit No: CB121399
Building Inspection Request Line (760) 602-2725
Job Address·
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
2831 UNICORNIO ST CBAD
PME
2153602716
MAEDA:REPLACEFURNACE
ASPEN COOLING&HEATING INC.
STE 207
3720 OCEANIC WY
OCEANSIDE CA 92054
760-754-2625
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Status:
Lot#: 0 Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
MAEDA CRAIG H&LISA A
1331 W GARDENA BLVD
GARDENA CA 90247
ISSUED
07/24/2012
JMA
07/24/2012
07/24/2012
$0.00
$0.00
$150.00
$0.00
$150.00
Total Fees: $150.00 Total Payments To Date: $150.00 Balance Due:
Inspector:
FINAL APPROVAL
Date: 7 ,ZJ -/Z.,,, Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the 'Imposition· of fees, dedications, reservations, or other exactions hereafter collectively
referred to as ·tees/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
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH O HAZMAT/APCD
«~~ Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
760-602-2717 / 2718/ 2719
Plan Check No.c.,.e, l 2. l 3> ~
~ CITY OF
CARLSBAD
JOB ADDRESS
LOT#
Fax: 760-602-8558
www.carlsbadca.gov
# OF UNITS # BEDR M
DESCRIPTION OF WORK: Include Square Feet of Affected Area(s)
EXISTING USE GARAGE (SF)
ADORES
CITY .,..._,.._. l.t"' ,,.--t)C. ~f'TT\,P l (}t;;
STATE
CA-
ZIP
Z>Y
ARCH/DESIGNER NAME & ADDRESS STATE UC.#
SUITE#/SPACE#/UNIT# -# BATHR OM
PATIOS (SF) DECKS (SF)
Est. Value
Plan Ck. Deposit
Date ~ 2.J.f
APN
FIREPLACE
YES □#_ NOD
APPLICANT NAME (S&condary Contact)
ADDRESS
CITY STATE
PHONE FAX
A
CONTRACTOR
ADDRESS
CITY
WPP
AIR CONDITIONING
YES O NO D
ZIP
FIRE SPRINKLERS
YES D NO 0
(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 o 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 {Char_ter 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 103 .5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)).
Workers' Compensation Declaration:/ hereby affinn under penalty of perjury one of the following declaraffons:
lD I hav. e and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 of (he Labor Code, for the pertormance of the work for which this permit is issued.
I have and will maintain workers' compens tio , as uire by ~n 3 00 of the Labor Code, for the pertormance of the work for which this ~rmit is issued. My workers' compensation ins nee carrier and policy
number are: Insurance Co. ~rr-'-u -.,-,;,, Policy No. S? /)J~L.1)£... 'f 3Z(,, Expiration Date _,__-..L,.,._,.._ ___ _
This section need not be compleled if the permil is for one hundred dollars ($ 100) or less. D Certificate of Exemption: I certify that in the pertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to beccme subject to the Workers' Compensation Laws of
California. WARNING: Failure to secure workers' co pensation coverage Is unf~wfuf, 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 rovided for in Section 3706 of the Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE □AGENT DATE
I, as owner of the properly or my employees with wages as their sole compensation, will do the work and lhe 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 !hereon, and who does such work himself or through his own employees, provided that such improvements are nol inlended or offered for
sale. If, however, the building or improvemenl is sold within one year of complelion, 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 thereon, and contracts for such projects with contractor(s) licensed pursuant lo 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 proi;erty improvement. D Yes D No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have conlracted 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, bul I have hired the following person to coordinate, supervise and provide the major work (include name / address/ phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name I address / phone I type of work):
~ PROPERTY OWNER SIGNATURE □AGENT DATE
r
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 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? D Yes 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.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
I certify thatl 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 all City onlinances and State laws relating to building construction.
I hereby authorize represenlative of the City of Carlsbad to enter uJX)n the above mentioned property br inspection pufJX)SeS, I ALSO AGREE TO SA VE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permtt is required for excavations over 5'0' deep and demolruon or construction of structures over 3 slories in height
EXPIRATION: Every permit issued by the Building Offcial under lhe provisions of this Code shall expire by limitation and become null and void ~ the building or work authorized by such permit is not commenced within
180days from lhe date of such permit or if lhe building or authorized by such permtt is suspended or abandoned at any time after lhe work is commenced bra pe • of 180d (Section 106.4.4 Uniform Building Code).
~ 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.
CERTIFICATE OF OCCUPANCY (Commercial Pr0JCCtS 0 n ly I
Fax (760) 602-8560, Email www.building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, 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
□PICKUP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
□ MAIL TO: o CONTACT (Listed above) o OCCUPANT (Listed above) o ASSOCIATED CB#
o CONTRACTOR (On Pg. 1) o NO CHANGE IN USE/ NO CONSTRUCTION
□ MAIL/ FAX TO OTHER:
o CHANGE OF USE / NO CONSTRUCTION
,LS APPLICANT'S SIGNATURE DATE
Inspection List
Permit#: CB121399 Type: PME
Date Inspection Item
07/26/2012 43 AirCond/Furnace Set
07/26/2012 43 AirCond/Furnace Set
07/26/2012 49 Final Mechanical
07/26/2012 49 Final Mechanical
Inspector
PB
PB
MAEDA:REPLACEFURNACE
Act Comments
RI CALL W/ETA
AP
RI
AP
Friday, July 27, 2012 Page 1 of 1