HomeMy WebLinkAbout2821 UNICORNIO ST; ; CB162060; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
05-25-2016 Miscellaneous Permit Permit No: CB162060
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
2821 UNICORNIO ST CBAD
MISC
2153602711
$5,000.00
Subtype: REPAIR Status:
Lot#: 0 Applied:
Entered By:
Reference #: Plan Approved:
PC#: Issued:
Inspect Area:
Project Title: WHITE: REPAIR/REPLACE 6 X 8
WINDOW SECTION DUE TO DAMAGE FROM VEHICLE -
Applicant: Owner:
IC INTEGRITY CONSTRUCTION INC.
4656 BRIAR RIDGE RD
WHITE FAMILY TRUST 08-10-10
OCEANSIDE
CA 92056
760-497-5039
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
2821 UNICORNIO ST
CARLSBAD CA 92009
PERMIT/ INSPECTION
ISSUED
05/25/2016
SLE
05/25/2016
05/25/2016
$137.00
$0.00
$0.00
$137.00
Total Fees: $137.00 Total Payments To Date: $137.00 Balance Due:
Inspector: Clearance: ------
$0.00
t-OTICE: Aease ta<e t-OTICE u-a ~ d yo.r ~ed irdudes Ire "lrrp:stion" d fees, dedcations. reservaions, a-ctra" ex.dions oo-ealla-cdledivay
re'erre:J to as "fee&'exa:::ticrs." Yoo l"0ve 00 days frcm Ire date tlis pemit v..es issued to pctest irrp:stion d trese fee&'exa::.tions. If ,w pctest !rem ,w rrust
fdlwtt-e pctest p-rorl.res sa fcrth in G>.emm Cooe Section 00'.l20(a}, and file Ire pctest and any ctra-l"Eq.ired infcmaion wth Ire Oty tv\n:g3r fCY
~rg in axmm:e wth Caista:t Mridi:;el Cooe Section 3.32.COO. Fall.re to tirrely fdlw thct f:tOOrl.re wll ta-any sttsecµrt legal oction to attrl,
rEMew, sa aside, vcid, a-crnJ thar irrp:stion.
Yoo a-e ha'et7y FlR1rER t-OTIRED that yo.r rigt to pctest Ire spedfioo fee&'ex.dions IXES t\OT APPLY to Wei.er and -cxmectirn fees and~
c:ha7gl5, ru plmrg, :zairg, goorg ex ctra-sirrila-~icaion ~rg ex service fees in CXJ'Yledion wth tns ~ed. N:'R IXES IT APPLY to any
fee&' CE sirrila-to tns ex as to wi red.
•
THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING
-C City of
Carlsbad
Building Permit Application
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
SUITEt/SPACEt/UNITf
□BUILDING □FIRE □HEALTH OHAZMAT/APCD
Plan Check No.C-e) l u,2D.!J.D
Est. Value 5 CXX]
Plan Ck. Deposit
SWPPP
PHASE# # OF UNITS # BEOROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR. TYPE OCC. GROUP
• ~--1!>-~~=:..!..!~--¥c~~-=~~=----LV--11-~.1...!::....!::....-5'~}<....:__~=.r-,_.....:t,~J::...!'/....:./-....:.l.=::tZ,-=..::...W:....._~==::.:.77.....:.,,.!!::~:!:,.....:.:_.....4Q:::::"""'-~=..s.....!:.( __ ---I
APPLICANT NAME
EMAIL fL/.LA.1'7L.
DESIGN PROFESSIONAL
ADDRESS
CITY STATE
PHONE FAX
EMAIL
"c -& J~
GARAGE (SF) PATIOS (SF)
ZIP
STATE LIC. #
AIR CONDITIONING
YES 0 N00
l.5 ~ STATt:?..&
FAX
FIRE SPRINKLERS
YES0 N00
(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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500}).
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declaralions:
D I have and will maintain a certificate of consent to self-insure for wor1<ers' compensation as provided by Section 3700 of the Labor Code, for the performance of the wor1< for which this permit is issued. D I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the wor1< for which this permit is issued. My wor1<ers' compensation insurance carrier and policy
number are: Insurance Co. Policy No.______________ Expiration Date _________ _
tion need not be completed ~ the permit is for one hundred dollars ($100) or less.
• mia. WARNING: Failure to secure w ' . mpen align coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), in
Certificate of Exemption: I certify that in the ~!ance 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 Wor1<ers' Compensation Laws of
addition to the cost of compensation, da ge • ovide or In Section 3706 of the Labor code, interest and attorney's fees.
• ~H{::__'.:CO~N~TRA~C_'..'.TO;:R~S~IG~N~~e~:::::::i~-...:~ c-:r,-.,.-~-~----------_J□~A~GE::N~T---~D:AT~E'..!._~' ~~~....!~~'5~:;_;/~?::._ __ ~
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□
□
□
I, as owner of the property or my employees with wages as their sole compensation, will do the wor1< 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 wor1< 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:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. O Yes 0 No
2. I (have I have not) signed an application for a building permit for the proposed wor1<.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address/ phone I contractors' license number):
4. I plan to provide portions of the wor1<, but I have hired the following person to coordinate, supervise and provide the major wor1< (include name / address I phone/ contractors' license number):
5. I will provide some of the wor1<, but I have contracted (hired) the following persons to provide the wor1< indicated (include name I address I phone I type of wor1<):
HS PROPERTY OWNER SIGNATURE □AGENT DATE
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
Pre$y-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 bcundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET DR IS MEETING THE REQUIREMENTS OF THE OFFICE OF
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name Lender's Address
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 complyv.ith all City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the atxJve menooned property br inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBW
AGAINST All LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHl:iAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
EXPIRATION: Every perm rt issued by the Buikling Offcial u 7 visi:Jns o this'Code shall expire by limrtation and become null and voo ~ the buikling orv.o!i< authorized by such permit is not commenced v.ithin
OSHA: An OSHA perm rt is required for excavations over 5¥0' p a demol' • or oonstruction of structures over 3 stories il height.
180days from the date of such permrt or if the buiklng or a nzed by suai permit is suspended or abandoned at any time after the v.ork is commenced for a period of 180days (Section 1CX>.4.4 Uniform Buikling Code).
dS AS APPLICANT'S SIGNATURE_____ ~--✓ DATE ~ ,,,;;
STOP: THIS SECTION NOT REQUIRED FOR BUILDING PERMIT ISSUANCE.
Complete the following ONLY if a Certificate of Occupancy will be requested at final inspection.
Fax (760) 602-8560, Email building@carlsbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008.
CONTACT NAME
ADDRESS
CITY STATE ZIP
PHONE FAX
EMAIL
DELNERY OPTIONS
PICK UP: o CONTACT (Listed above) o OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL TO: □ CONTACT (Listed above) □ OCCUPANT (Listed above)
o CONTRACTOR (On Pg. 1)
MAIL/ FAX TO OTHER: ________________ _
.L$ APPLICANT'S SIGNATURE
CO#: (Office Use Only)
OCCUPANT NAME
BUILDING ADDRESS
CITY STATE
Carlsbad CA
OCCUPANT'S BUS. LIC. No.
o ASSOCIATED CB#-------------
□ NO CHANGE IN USE/ NO CONSTRUCTION
o CHANGE OF USE / NO CONSTRUCTION
DATE
ZIP
Inspection List
Permit#: CB162060 Type: MISC
Date Inspection Item
09/27/2016 19 Final Structural
09/27/2016 19 Final Structural
09/19/2016 19 Final Structural
09/19/2016 89 Final Combo
07/05/2016 82 Drywall/Ext Lath/Gas Test
06/29/2016 18 Exterior Lath/Drywall
06/27/2016 84 Rough Combo
Wednesday, September 28, 2016
REPAIR
Inspector Act
RI
AEK Fl
RI
AEK co
AEK AP
AEK AP
AEK AP
WHITE: REPAIR/REPLACE 6 X 8
WINDOW SECTION DUE TO DAMAGE FR
Comments
GFCIS@ LEFT OF SINK-OPEN
NUETRAU/NOT RESETTING
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