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HomeMy WebLinkAbout2821 UNICORNIO ST; ; CB994315; Permitlqo(V City of Carlsbad 11/18/1999 Plumbing Permit Permit No:CB994315 Building Inspection Request Line (760) 438-3101 Job Address: Permit Type: 2821 UNICORNIO ST CBAD PLUM Status: ISSUED Parcel No: 2153602711 Lot#: 0 Applied: 11 /18/1999 Construction Type: NEW Entered By: MOP Reference #: Plan Approv~ 11 /18/1999 lsstM:f:7 l.U.&'81~~01 01 02 Project Title: WHITE RESIDENCE Inspect Area: C-PRHT 27 .oo WATER HEATER REPLACEMENT Applicant: WADELL PLUMBING 1931 RECHE RD FALLBROOK CA 92028 760-728-2911 Total Fees: $27.00 Plumbing Issue Fee Fixture or Trap Bu ilding 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 TOTAL PERMIT FEES Owner: WHITE MARLIN L&LAURIE 2821 UNICORNIO ST CARLSBAD CA 92009 Total Payments To Date: $0.00 0 0 0 0 1 0 0 Balance Due: $20.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 $27.00 FINAL APPROVAL Date: lf-.._ 2 2..-CQ::s 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 d~te this permtt 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 capactiy changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any fees/exactions of which ou have reviousl been iven a NOTICE similar to this or as to which the statute of limitations has reviousl otherwise ex ired. CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161 ·'ERMIT APPLICATION FOR OFFICE USE ON~ PLAN CHECK NO. 1 'r . CITY OF CARLSBAD BUILDING DEPARTMENT 207'.5 Las Palmas Dr., Carlsbad CA 92009 EST. VAL. _________ _ Plan Ck. Deposit ________ _ (760) 438-1 161 Validated By __________ _ Date ______________ _ Address (include Bldg/Suite II Business Name lat this address) Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units Existing Use Proposed Use SO. FT. lof Stories I of Bedrooms I of Bathrooms Name Address City State/Zip Telep ~.. . • "'·• -'"". . Name [s~."i::tiNTRACTOR'._:COMPANv;NAME~~l:~'":t'•'·~.~ -~."i'.~'."~1:~•~,;., ·" '' ' "'"111'""''" ·;';''•:i1\" •r•~;l1llffi.'::~~~~f,;~~~-tftmt f~;•:,7 • • • '· (See. 7031.5 Business and Professions Code: Any City or County which requlrH a permit to construct, alter, Improve, demollih or repelr any structure, prior to Its Issuance, also requires the epplicant 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 exemptlo Any_ vlolatio of Section 7031 5 by any eppllcant for a permit ubje ts the• pl'cant to• civil penalt of not more than fiv"'1un '!,d;:!ollar ($5 )I. I I • e__✓ . t. . ~ "/b'/J, City State/Zip Tele11hone I State License,--~~~~~---License Class _ _._._ ........... ._____ City Business License, /.1 od,, I r:F Designer Name Address City State/Zip Telephone State License I _________ _ ·e: • WORKERS' .COMPENSATION . . ., '°I' ..... ,-~ ... ~~"'rr-• ·-~~ -i,-~~;, .... 4 •. , • Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: D I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Lebor Code, for the performance ~ the work for which this permit Is Issued. FJ_ I have end ·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 co?pensation Insurance carrier and policy number are: _ J/ J / Insurance Company '?/ af e< Ellvbi.. Polley No. a;,5d cl 'i ':1... Expiration Date O1,L0Jr/) () (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100I OR LESS) D 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 10 ■s to become subject to the Workers' Compensation Laws of California. WARNING: Fallure to 11cura workers' compena■tlon coveraga 11 unlawful, and shall subject en employer to criminal penaltlH and civil finH up to one hundred thousand dollar ($100,0 , In a ltlon to the coat of companutlon, damages H provided for In Section 3706 of the Laborf#.c, int;1Ht and attorney's feea. SIGNATURE • DATE J//J_ff/(j I • •·· .-..... ,-...... 1 •••• ··-· r ,-,."1 .... ••·or""'"'"•··"" 7.-OWNER-BUii! ERDEClARATION ··"' ·"',''.''•'/ • . ..,., • ., -·· ·' ••-,,.:·"'~""-'"'""'''ti' ..... ,,,.,1~• •••• w• I hereby affirm that I am exempt from the Contractor'■ License Law for the following reason: D 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 ISec. 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). D I, es owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business end 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 contractorlsl licensed pursuant td'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 property improvement. 0 YES ONO 2. I lhave / have notl 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 linclude name / address / phone number / contracto11 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 _________ _ COMPLETE THIS SECTION FOR NON-RES/DEthtU'IIOllbiNO-PERMITS ·oNL '/.;W;:•~·,,r_;: or ~:•~'!1 :wn~ ,.:~~?,"~mr1;-;],1};'.~~:,""~ ~ ::'71""'";ryc};:-~f; Is the applicant or future building occupant required to eubmit a business plan, •cutely hazerdous 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 bl,llding occupant required to obtain a permit from the elr pollution control district or air quality management district? D YES D 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 JS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES ,ANO THE AIR POLLUTION CONTROL DISTRICT . . liiw .CONSTRlfcTfoffLENOING\AGENC~'!;"t'f':i;,'.:r'?'-:"f'':i1 ,·~·r.:-,.~~-'.~'"~:~~~ll'~'""''': "''""•~:'.""r~r,,~,1"'"" ~:'":"'._ ""r;' :!'1':t'.C:,l":',:'t~~-i""•'" ' ··-~ ''."I ' "'\" ", C I hereby affirm that there is a construction lending egency for the performance of the work for which th)s permit is issued ISae. 3097111 Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS _______________________ _ ,,: ·.::r...-APPOCANTr cERTJFJCAtiON;1f,r:-.~~,r:~ on,,/'?Ji:f~l;+!!'-~·.~ i· -:.-. r;".:T=:t?-'P~~,~~::.:. ·~s .. ~?_ .. ,.}i-rrf'!J:i•:,.::;:;i.L.,----;::rrr:~~--:~~~:'~ ~;:I'.' ··:.r ;..":-~?.:--; ~-•lrf::.· • .... ~1. :•; I certify that I have read the application and state that th• ebove Information is correct ind that the information on the plans 11 accurate. J agree to comply with all City ordinences ind Stete lew1 relating to building construction. I hereby authorize representatives of the Cltt of Carlsbad to enter upon the above mentioned • property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS ANO 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 s·o· doep end demolition or construction of structures over 3 stories In height. EXPIRATIO~:-Every permit ls~u.ed by the Building Official under the provisions of this Code shell expire by limitation and become null and void if the building or work euthonzed by such permit os not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after t work Is co en ed for a period of 180 days (Section 106.4.4 Uniform Building Code). APPLICANT'S SIGNATURE -"'7't--'-+<.ot....1:....e><~i_....:.------------DATE ///; 1/; (/tf r I! ~ ~ City of Carlsbad Bldg Inspection Request For: 8/22/2000 Permit# CB994315 Title: WHITE RESIDENCE Description: WATER HEATER REPLACEMENT Type:PLUM Sub Type: Job Address: Suite: Location: 2821 UNICORNIO ST Lot APPLICANT WADELL PLUMBING Owner: WHITE MARLIN L&LAURIE Remarks: Total Time: 0 CD Description Act Comments Inspector Assignment: '5'° L Phone: Inspector: t'72: Requested By: HOMEOWNER Entered By: CHRISTINE 25 Water HeaterNents ~ Z7Hs:: fk-r1-1c. Associated PCRs Inspection History Date Description Act lnsp Comments