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Home My WebLink About2821 UNICORNIO ST | 2823 UNICORNIO ST; ; CB031146; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 04-21-2003 Miscellaneous Permit Permit No: CB031146 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Applicant: 2821 UNICORNIO ST CBAD MISC Subtype: REROOF 2153602711 Lot#: 0 $6,327.00 HESCON HEGHTS HOA-5700 SF COMP 2821 & 2823 UNICORNIO Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 04/21/2003 RMA 04/21/2003 04/21/2003 EBERHARD BENTON ROOFING WHITE MARLIN L&LAURIE 3240 04/21/03 0002 ◊1 CGP 3691 HANCOCK ST SAN DIEGO CA 92110 619-291-6340 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES Total Fees: $128.00 Inspector: lli PERMIT FEE 2821 UNICORNIO ST CARLSBAD CA 92009 Total Payments To Date: $0.00 $128.00 $0.00 $0.00 $128.00 Balance Due: Clearance: $128.00 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 Cartsbad 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 te of limitations ha 02 :28 00 'PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 ~ PrQ.JE_CT INFQRMATION 2. 0 '2. 2: 'l7 2 ~ 0 N •, C OC" N ~ O S f C o.r lsA-l CA Address (include Bldg/Suite #I Legal Description Lot No. Subdivision Name/Number Assessor's Parcel # Existing Use Description of Work c::: "" e:w"'f SQ. FT. 5" 700 Tec.c.1t. &>'Ff S-~o.~ -~t.,clt -~,R i Ii 2ee #of Stories I ( z.. CONTACT PE13.SQN (If different from applicant) Name Address ~ APPLICANT L. A.......,.e-v Name ~ Contra,ct9r O Agen\ for Contractor O Owner ~ ,. ~ ~ '-1. T 3 ' 1 I Ei c:iwYcc»e le. Address City 0 Agent for Owner Sr S:0 City I" COf'NI O ST, 6. CONTRACTOR • COMPA NY NAME FOR OFFICE USE ONLY PLAN CHECK No.03 o..J 1 1 L( ~ EST. VAL. __________ _ Plan Ck. Deposit ______ .....,.,---- Validat ed By , ,~ Date l~/2 ! / __ !Cf-r I-, Unit No. Phase No. Total II of units Proposed Use # of Bedrooms # of Bathrooms 3 2- State/Zip Telephone # Fax II State/Zip Telephone# Telephone# (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 v~ola~n of Section 7031. 5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [ $ 500]). F-~erl,/\,0.r~-o~A.>TON .(; e.e ~,O C~ctzuo /ct -'l-J4o Name Addr s City State/Zip Telephone # License Class __ C_-_3_7~----State License # 7 317 '-f L. City Business License # _______ _ Designer Name Address City State/Zip Telephone State License # _________ _ 6. WOR,CERS' @MPENSATION 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. ~ 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 compensation insurance carrier and policy number are: Insurance Company S: '{ o...] C f v /U (l Policy No. l L. 7 2 7 Cj S" -200°"!:, Expiration Date f -I '04 (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS) 0 CERTIFICATE OF EXEMPTION: I certify that in the performance of t he 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 aacure workers' compensation coverage la unlawful, and shall subject an employer to criminal penalties and civil fines up to ona hundred thousand dollars ($1 0,000), In addition to the cost of ompensatlon, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees. W, • DATE 11-21•-.o 3 I heieby affirm that I am exempt from the Contractor's License Law for the following reason: O 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 to 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 / 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): ______________________________________________ _ 5. 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 _________ _ ,COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY 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 Act7 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? O 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 AND THE AIR POLLUTION CONTROL DISTRICT. 8,. 9J)NSTRUCTION·LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code). LENDER'S NAME ______________ _ LENDER'S ADDRESS ________________________ _ 9. APPI._ICANT CERTIFICATION 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 CA RLSBAD 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. EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authoriwd by such -permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any tir , after the work is commenced for a period of 180:~s (Secti n 106.4.4 Uniform Building Code). APPLIC/ r s SIGNATURE ~ P &2~ DATE 4 -'2. t -o 3 , WHITE: File YELLOW: Applicant PINK: Finance . • City of Carlsbad Bldg Inspection Request I For: 05/30/2003 . Permit# CB031146 Title: HESCON HEGHTS HOA-5700 SF COMP Description: 2821 & 2823 UNICORNIO Type: MISC Sub Type: REROOF Job Address: Suite: 2821 UNICORNIO ST Lot 0 Location: APPLICANT EBERHARD BENTON ROOFING Owner: WHITE MARLIN L&LAURIE Remarks: Total Time: CD Description 19 Final Structural ff Comment Associated PCRs/CVs Inspection History Date Description Act lnsp Comments Inspector Assignment: JM --- Phone: 6197198135 Inspector: J vV\ Requested By: LOREN Entered By: ROBIN 05/19/2003 15 Roof/Reroof 05/15/2003 15 Roof/Reroof AP JM OK TO COVER 2ND STORY PA JM OK TO COVER 1ST STORY