HomeMy WebLinkAbout2824 UNICORNIO ST; C; CB070178; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
01 -22-2007 Plumbing Permit Permit No: CB070178
Building Inspection Request Line (760) 602-2725
Job Address: 2824 UNICORNIO ST CBAD St: C
PLUM Status: Permit Type:
Parcel No: 21536025($ Lot #: 0 Applied:
Entered By: Construction Type: NEW
Reference #:
Project Title: OASIS HOA-REMOVE & REPLACE
GAS LINES
Applicant:
C&R DRAINS AND PLUMBING
299 GARRARD DRIVE
VISTA CA
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
0
1
0
Plan Approved:
Issued:
Inspect Area:
Owner:
~OGll'JFs-.A:M-S&fl A l::IL tN E
~74B N DILLON sr
-t ers-ANGELES CA 90026
ISSUED
01 /22/2007
LSM
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$0.00
$0.00
$0.00
$0.00
$27.00
Total Fees: $27.00 Total Payments To Date: $27.00 Balance Due:
Inspector: ( 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 "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
FOR OFFICE USE ONL V
PERMIT APPLICATION PLAN CHECK NO. {JB670j :if!
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit k7'9
Validated By _ __;;~~r-.::::c......;. _____ _
Date I / ,;ztjv-i
1.
Legal Description Lot No. Unit No. Phase No. Total # of units
Assessor's Parcel I Existing Use
~scr::! ;k ,'7~ ~•
~ C:t.nBl!)lt lll!fflnot.fmm l!Pl!ILcwitl
City
r OwnJr )
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City
Proposed Use
State/Zip Telephone# Fax#
~P9L:8m&s 1-+o rt· c:2fdh t/,i,'o?lll'rto
l /tat ip Telephone#
llc;;ti. i!!;£ Pto<t-Zo4%-:Jt:v;
ame Address City State/Zip Telephone #
JM~T08•CQM.l'ANY~
(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
exemption. Any violation of Section 7031 .5 by any applicant for a parmit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
Name t: I lj_
State License I 2SL ~ (,.:> ...... f Address
License Class _________ _
City State/Zip
City Business License #
Telephone#
I :)..::)..11 '-IS-
Design~r Name #A/ , 4U
tate License I ... ~....,."--='f.?"--~L,.._...,./-f---
Address City State/Zip Telephone
&,--.,,.uu:u,~Q.M~AMN .
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
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3 700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's c°?4'8?5'ti9:!:~ carrier and policy number are: . •3 Fv-ar7 . . ?~m / 7
Insurance Company 2/;..,..c.~ Pohcy No. 7/ ==2 i--CKJ/ ... ~ Expiration Date ,'.}: V ~ Q ~
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1.001 OR LESS)
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject t he Workers' Compensation Laws of California.
WARNING: Failure ecure workers' compenaatlon coverage 11 unlawful, and ,hall subject an employer to criminal penaltle1 and civil fines up to one hundred
O!!_Hlld dollars ($ ,000), In ad t e coat of compenaatlon, damagea as provided for In Section 3706 of th~ ,l,~e, lnte~nd attorney's fee,.
SIGNATURE. _ __,_~--f----e.....,.';/--=..-----------------DATE /~ -C; -/--
7.
ctor's License 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(sl licensed
pursuant to the Contractor's License Lawl.
0 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 ONO
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 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 / address / phone number / contractors license number):. ______________________________________________ _
6. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
of work):. _________________________________________________________ _
PROPERTY OWNER SIGNATURE _______________________ _ DATE _________ _
@MNJ:g..tltli.Jfcm.Q.Nl'Qll.tm~1141....IYI.I.QIN9.ff!JM1lll.9fll,"-J..--
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 26605, 26633 or 26634 of the Presley-Tanner Hazardous 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 within 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
™~ LENDJNG...AGENC
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sac. 3097(il Civil Code).
LENDER'S NAME ______________ _ LENDER'S ADDRESS. _______________________ _
lll,,,-t!,£1'1,j~~~TI9.!L
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 all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad 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,
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 over3 stories in height.
EXPIRATION: Every permit issued y the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work
authorized by such permil is not co enced within 180 d m the date of such permit or If the building or work authorized by such permit Is suspended or abandoned N ~~anytime after the work is comm c for a period of d ys (Section 106.4.4 Uniform Building Code).
v~PLICANT'S SIGNATURE -4:..,L...$-___;~-4----=-~..c...--------------DATE /·..;2,,J...-a :Jc
YELLOW: Applicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 01/29/2007
Permit# CB070178
Title: OASIS HOA-REMOVE & REPLACE
Description: GAS LINES
Type: PLUM Sub Type:
Job Address: 2824 UNICORNIO ST
Suite: C Lot 0
Location:
APPLICANT C&R DRAINS AND PLUMBING
Owner:
Remarks: EARLY AM
Total Time:
Inspector Assignment ~-
Phone:
Inspector: ----
CD Description
23 Gas/Test/Repairs
Requested By: GREG
Entered By: CHRISTINE
~CommenMJ
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act lnsp Comments