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Home My WebLink About2824 UNICORNIO ST; D; CB940237; PermitB U I L D I N G 03/07/94 16:35 1 Page 1 of 1 Job Address: 2824 UNICORNIO Permit Type: PLUMBING ST P E R M I T Suite: D Lot#: Permit No: CB940237 Project No: A9400346 Development No: Parcel No: 215-360-25-0ljf Valuation: • o Construction Type: NEW Occupancy Group: Reference#: Status: ISSUED 03/07/94 03/07/94 DC Description: GAS REPAIR Appl/Ownr : GERSON, TERRY 2824 UNICORNIO STREET CARLSBAD, CA 92009 *** Fees Required Fees: Adjustments: Total Fees: Fee description *** 27,00 ,00 27 .00 Enter "Y" for Plumbing Issue Fee Gas Piping System * PLUMBING TOTAL *** Applied: Apr/Issue: 619 Entered By: 438-9409 Fees Collected & Credits Total Credits: Total Payments: Balance Due: .00 .00 27.00 *** Units Fee/Unit Ext fee Data 7 .00 20.00 Y 7.00 27 .00 FINAUPPROVAL ,INSP. ~DATE 34/4✓ CL EARANCE 3-?-rel-'>,...L CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 PERMIT APPLICATION ~ '7:3 PLAN CHECK NO. Cf/-R1 ~ J City of Carlsbad Building Departaent 2075 Las Palais Dr .• Carlsbad, CA 92009 (619) 438-1161 FSf.VAL,.._ __________ _ PLAN CK DEPOSIT _______ _ VAUD. BY ___________ _ 1. P£RMt I IYP£ DATE. _____________ _ A . U Commercial O New Building U l'enant Improvement B • D Industrial □ New Building D Tenant Improvement C • U Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex U Demolition U Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical □ Pool □ Spa D Retaining Wall □ Solar □ Other ____ _ 2. PRQJECT INFORMATION Address Building or Suite No. FOR OFFICE USE ONLY CHECK BEWW IF SOBMII 1£0: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D I Addressed Envelope ASSESSOR'S PARCEL PROPOSED USE DESCRIPTION OF WORK # OF STORIES NAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPUCANI NAME LI CUN I RACIOR □ AGEN I FOR CUN I RACIOR □ OWNER □ AGEN I FOR OWNER ADDRESS CITY STATE ZIP CODE DAY TELEPHONE s. PlloP£1UY OWN£R NAME Te.rV''r L Ge1rso~ ADDRESS CITY STATE ZIP CODE DAY TELEPHONE NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# LICENSE CI.ASS CITY BUSINESS UC. # DESIGNER NAME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WOI0<£1tS' wMP£NsA:11ON Workers' Compensauon Oeclara11on: I hereby alhrm that I have a ceruhcate of consent to sell-insure issued by the 01rectoroi Industnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcace of Exempuon: I cerufy that in the performance of ihe work for which this permit 1s issued, I shall not employ any person in any manner so as co become subject to the Workers' Compensation Laws of California. SIGNATIJRE DATE 8. dWN£R-80fID£R o™110N Owner-Builder Oeclarauon: I hereby all1rm that I am exempt from the Contracto?s License Law for the following reason: □ X 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.). 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). □ I am exempt under Section ________ Business and Professions Code for this reason: (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 Con tr pt r 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exem erefrom, and the sis the alleged exemption. Any violation of Section 031.5 y any applicant for a permit subjects the appli nt co a civil penalty of not ore th five hundred dollars [$500)). SIGNATIJRE DATE Is the applicant or future building pant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OP TIIE ANSWERS ARE YES, A FINAL CER11FICATE OF CXIlJPANCY MAY NOf BE ISSUED AFI'ER JULY 1, 1989 UNLF.sS Tim APPUCANT HAS Mirr OR IS MEJmNG nm REQUlREME.NTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POIJ.lfl10N OON11lOL DISTRICT. 9. 00Nsm0Cl1ON LENDING AGENC:V I hereby athrm ihat there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1Y1l Code). LENDER'S NAME LENDER'S ADDRESS to. APPi1cAN't c£1t'm:1cA'i10N I cerufy ihat I have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply w1ih all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I Al.SO AGREE TO SAVE INDEMNIFY AND KEEP IIARMLF.SS TI-IE crrY OF CARLSBAD AGAINST AU. UABWTJES, JUDGMENTS, CX>STS AND EXPENSES WIDCH MAY IN ANY WAY ACX:IUJE AGAINST SAID crrY IN OONSF.QUENCE OP nm GRANTING OF nns PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. • Fmance DATE UNSCHEDULED INSPECTION ~/?Ire/ INSPECTOR -,,.....___ ________ _ PERMIT # __ f"---+-Z::--~~~;B_7-... PLANCK # ~ 8; ~ 1/ ------ JOB ADDRESS_--=~:;_a,J"-1J:-'-?_.,'-« __ t,,,_ 1_J-_,, _1 _;c;;.......:..o_;R..=/v..=.../""""'D---s_T.,__ __ ....,$~___:::,'--7)...t.---,,::;. ___ _ ,, OA ~ I.S I, ~ 4 d,/l4'LU TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION ACT COMMENTS il..