HomeMy WebLinkAbout2827 UNICORNIO ST; ; CB042661; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
07-08-2004 Plumbing Permit Permit No: CB042661
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
2827 UNICORNIO ST CBAD
PLUM Status: ISSUED
07/07/2004
FM
07/08/2004
07/08/2004
Parcel No: 2153602714 Lot#: 0 Applied:
Construction Type: NEW Entered By:
Reference #: Plan Approved:
Project Title: MENES RES-REPLACE H20 HEATER
Applicant:
A&J FOSTER, INC.
STE B
13706 HWY 8 BUS
EL CAJON CA 92021
619-390-44 77
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
Total Fees: $27.00
Inspector:
0
0
0
0
1
0
0
Owner:
MENES ARIE
2827 UNICORNIO ST
CARLSBAD CA 92009
Total Payments To Date: $0 .00
Date:
Issued:
Inspect Area:
6151 07/08/04 0002 01
CGP
$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
Balance Due: $27.00
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
fe /exactions of which ou h red.
)2
27 --00
PERMIT APPLICATBON
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Name Address
#of Stories
City •
FOR OFFICE USE ONLY
PLAN CHECK NO. (!A OCf-lfoC.p I
EST. VAL. __________ _
Plan Ck. Deposit ________ _
Validated By __________ _
Date ______________ _
Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
S.tate/Zip Telephone#
1 s. ·:!tr.:;~coNTR~G!r.OR11~r.cprv,RAN:Yi~.NAM~ dlij ;,,ti}ritWll]~r~tz:1~:~Iii1&sJ,rtr,1.rt.;lti~?.r~~"1~~-lm~tN!r~1~.ars~12i,.-afil]'.t:;cr~r,~~J!~~tltitt£i~~1f.
(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
(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
:-eB~e..,mL:g_,PL~.:sJ'"'n'--. _A_FC5Ln__,.v,.io~l-a<l..t:tLo->er:so:cfLS_e~J,TI-=t~io:..in1--.,7i,,l_.,3'-1''-. 5_,\c...:S~a':;nfyl,..,ap._pkl:..i:__a.,.'-f-o(.u,"-p"'e"-rm.:. tit_s_u_b.;ijLc-t-l.Lt~hc.,e_aL-p.z.li_ca~n~t::'tLo_a.i.....c;.,.·v ... il:,..piern""a:,,.lt...,y,_o_f-;n~o-JQmyo,...re-j~a!::n::!aofi!!.vo::e=:h~u
7
nl,,d-!i;e.J,dl.LJd_o~I ..,ar!...sLl...5~0~) .:___r__J -n
Name t'r'-.?../'...._ \'"1 Q Address
State License # _,1..Y=--"'~""'-='----'--(.,)."---'----License Class --="-->-.c...~""----City Business License # '2. \('.)& (:)
Designer Name Address City State/Zip Telephone
State License# __________ _
; 6~'. ':Sf,WOJ\KEBS!.~¢0 MltEN"SA:fJQ_ij•Jiti;Tii5~~~ ~~f~d !l~ti~~~1:kt.~l~~Ji~h~l~~U~t~3i.~it~~itl~lf!?Ji&l~;~;x1~fi:~~;~~~m£1I~!~~Tfr$~~;}D~:~[~L4)l;;~jrr :iJ:1:it ··i~-':i
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 workers' compensation as provided by Section 3700 of the Labor Code, for the performance
~e work for which this permit is issued.
~ 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 permit is
issued. My worker's~ ~ens_ tion insura e carrier a policy number are: . • -1 ·2_ ~7/ --(·,U. . . 4 ·1/'-t:=,._
Insurance Company _!...L......U"'""'--Jc..,,...,,:_-l._..._.~__,c,,,:c..,________ Polley No. j / J.O J ~ vr -l Expiration Date__,_ V .....J
(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 covera e Is lawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
thousand dollars ($100,000). in the cos ompe on, d ages as provided for in Section 3706 of the Lapar cod• lnteres;d attorney's fees.
, ~~.~-~~-:~~~_-......... i'i!l .. ,,,.............. . ... -0 ··, .,jji :lIC'""'-.,-, ,:"l!"r.l ,.,,, .. , .... ,.-, ..... .,,.:1:!'t';';I'"'"""~"•"'i'•"""'-"'"""'='l"'l·;.,,~~:!~ ('2,,, ?,D,,,S,,, ,,i "' :,-,,,.11::llf" .," ~ .. " • 117.. S,1h~~ OWN~fhB. .111D,~R,!.Q E. ·~RA]J:I N '.~,. J'1 j ' ,.J:l,;,; ~ -~~ ' ,;d'.;.. tJa-r,:,,~~~~ ... ~~...l;~~,,:ttii;t;~,.~~~tl~l!'t'!%~~1:~~ ... M.i~•r-<;!~-s~!ilZf•"~~lJ~~l ~r.~e~!::~t t ~di"f 'II,.,,~ :rJ: I 'li-J! < ~· rlli!":'f; ~ ~' ;jl r. i -~ ~~i ' n
I hereby affirm that I am exempt from the Contractor's cense Law for the following reason:
0 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 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).
0 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 to the Contractor's License Law).
0 I am exempt under Section _______ Business and Professions Code for this reason:
1. I personally plan t o provide the major labor and materials for construction of the proposed property improvement. 0 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 following person (firm) to provide the proposed construction (include name I 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 (include name I address / phone
number/ contractors license number):. ____________________________________________________ _
5. I will provide some of the work, but I have contracted (hired I the following persons to provide the work indicated (include name / address / phone number / type
of work):. ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ______________________ _ DATE _________ _
icoMP.Lei'rE:tr ,i:l1s;~~cfio~L~dil1ll(i;l'fJ/iJ'Es,oi&,ff4ttBi:i1iJ>Lr-ii31~~flM1f.ii~glM~Y~t~lii.i~~~i~;~·;1f~~~~,=iii.1.1I•£1~,~i;JiJ:lTif1?tiJ~7:l~~Jki~:'~2EI~ :,;,,;
Is the applicant or future building occupant required to submit a business plan, acutely halardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hal ardous Substance Account Act? 0 YES O NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be constructed w ithin 1 .000 feet of the outer boundary of a school site? 0 YES O 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 .
. ~~,.~ti;~Q:O,fJ~.J'Rtt~li.Q~ij:1'.i{~NPtN&l~G ENCYi:m~:j1t1~l~i~lf~f:f01~rili!~ij~~W~!fflWJ~~~!mi~f!!S~'m~i1fil~fit1~~~,;f~~'t~~!i!@l¥c!/1ilki,M\~~lt;~;:~;;if~;L~t;};:q;;'.:;~JVi~;':~::i;~;•.;:;;:
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _
·91:iJ;t~fAPi~l1tAN~~C-~R'tlFiCA!f~Or;I·:~1r::Ffi!t· ~1~~ff!H'tfi'.(~~!f~~mi·~t~tifj!~&l~m~~~~~~lll~~~~l~~titm~_m~w11,y~~~lJli[~~=r:~t!~::~t]ffiffJ::JWFi::~i~c:~~
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 egree to comply with all
City ordinances and State laws relating to building construction. I hereby authorile representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I A LSO AGREE TO SAVE, 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 permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EJCPIRATfON: Every permil issued by the building Official under the provisions of this ode shall expire by limllatlon and become null and void if the building or work
authorized by such permil is not commenced .within 1 BO from th~dat f sue the building or work authorized by such permll/1s susprrnde or abandoned
al any time afler the work is commenced fofi! pen 18 ys e :06.4.4 g Code). _:}/. 1 • o
APPLICANT'S SIGNATURE f DATE . --''------
WHITE: File PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 08/06/2004
Permit# CB042661
Title: MENES RES-REPLACE H20 HEATER
Description:
Type: PLUM Sub Type:
Job Address: 2827 UNICORNIO ST
Suite: Lot
Location:
APPLICANT A&J FOSTER, INC.
Owner: MENES ARIE
Remarks: EARL¥ AM PLEASE
Total Time:
CD
25
Description
Water HeaterNents
0
Act Comment
~ .Alo
Associated PCRs/CVs
Inspection History
Date Description Act lnsp Comments
Inspector Assignment:
Phone: 7605193045
Inspector: ✓ \,/\/'-..,
Requested By: ARIE
Entered By: CHRISTINE
I!:;\ .
\1rl
City of Carlsbad Bldg Inspection Request
For: 10/01/2004
Permit# CB042661 Inspector Assignment: PD ---
Title: MENES RES-REPLACE H20 HEATER
Description:
Type: PLUM Sub Type:
Job Address:
Suite:
Location:
2827 UNICORNIO ST
Lot
APPLICANT A&J FOSTER, INC.
Owner: MENES ARIE
Remarks: SCHEDULED FOR 8:1'5AM
Total Time:
0
Phone:~00000
lnspecv~
Requested By: HOMEOWNER
Entered By: CHRISTINE
CD
25
Description ~ct Comment
Water HeaterNents
----------------------
----------------------Associated PCRs/CVs
lnsr2ection Histo[Y
Date Description Act lnsp Comments
09/29/2004 25 Water HeaterNents CA PD RESET FROM WED. TO FRIDAY.
08/12/2004 25 Water HeaterNents co PD ELEC. CONDUIT LOOSE
08/10/2004 25 Water HeaterNents CA JM BY HOMEOWNER NEEDS EARLY AM
08/06/2004 25 Water HeaterNents AP JM