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HomeMy WebLinkAbout2786 UNICORNIO ST; ; CB160646; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 Plumbing/Mechanical/Electrical (PME) Permit 02-18-2016 Permit No: CB 160646 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: Reference #: PC#: Project Title: Applicant: 2786 UNICORNIO ST CBAD PME 2153506600 REMSEN: NEW A/C & COIL SHERLOCK HEATING & AIR CONDITIONING INC STE 104 2880 SCOTT ST VISTA CA 92081-8560 760-295-5014 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES Lot#: 0 Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 02/18/2016 SLE 02/18/2016 02/18/2016 REMSEN DOUGLAS 8 JR TRUST 02-14-06 2786 UNICORNIO ST CARLSBAD CA 92009 $0.00 $0.00 $163.00 $0.00 $163.00 Total Fees: $163.00 Total Payments To Date: $163.00 Balance Due: Inspector: Clearance: ------ $0.00 NOTlCE Aea':i8 la<e NOTlCE that ~ d ~ ptjed irdudes Ire "lrqxsitioo'' d fees, derlcaticrs, resavatia,s, ex dha" exa:ticrs rereafta-cdlectivay referred to as "fees'exa::.ticrs." Yoo t-ave ro days fran tre date tns pemit = issued to prdest irqxsiticn d these fees'exa::.ticrs. If~ prdest trem, ~ rrust fdlo.v the J)'ctest ~ set forth in ~ Code Sedicn 6002'.l(a), a--d file tre prdest a--d 'i!n/ dha" req.ired irt01T0ticn wth tre Oty ~ fex f)'OC85Sing in oo:x:mrce wth Ca1sba:J MJ"idpa Code Sedicn 3.32. 000. Faih.re to tirrely fcilo.v ti-a p-oced.re wll ba-'i!n/ sutmcµrt I~ octicn to att.rl. reiifNI, set aside, 1.0d, ex .nu tJ-eir irqxsiticn. Yoo a-e herooj F\.RTl-ER NOTlRED that ~ rig-t to p-dest tre sp3dfied fees'exa::.ticrs IXES NOT />PPL Y to vaa-a--d &Mf:f cxmedicn fees ard ~ty cn:riges, ncx plaTing, zcring, gocing ex dha" sirrila-cW!icaticn f)'OC85Sing ex service fees in cxniecticn wth Ins ptject. t--rn IXES IT />PPL Y to 'i!n/ f ·cnsdW'ich bea"1 ·vena CE ·m1a-n .ex t W'ichthestatutecllirritati res THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMAT/APCD - C_cicyof Building Permit Application Plan Check No.(\~ I lOD l n YU 1635 Faraday A ve., Carlsbad, C A 92008 Est. Value Carlsbad Ph: 760-602-2719 Fax : 760-602-8558 Plan Ck. Deposit email: building @carlsbadca.gov www.carlsbadca.gov Date 7 -15< -J ( () lswPPP JOB ADDRESS s;. SUITEf/SPACEf /UNITI l APN Z78to l )n✓nm,o --- CT/PROJECT# I LOT # I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I DCC. GROUP DESCRIPTION OF WORK: Include Square Feet of Affected Area(s) ..l"' ~-\-e..\\ N e.w S'to"' Al c... ~ Co·, I EXISTING USE I PROPOSED USE I GARAGE (SF) PATIOS (SF) I DECKS (SF) FIREPLACE I AIR CONDITIONING I FIRE SPRINKLERS vEso,i_ No[] vEs O No D vEsO NoO APPLICANT NAME ~h n; e.~,. r I ~~RTY OWNER Primary Contact n e.vc..Y', ,,..,,., c. R~~,.-r""\ ADDRESS ADDRESS 3 t-z. 2..5 Lo-.. l=>a--...i o.. b f" ~2.\3 2.7~ Un, corn;o St CITY STATE ZIP CITY STATE ZIP L. ~e. ... :\-1 Cl. ~c. '\[; \\ ,.., ~ e. CA 9 13\o 2 Cos\<b~ C.A 92.009 PHONE -I FAX PHONE lFAX ~l~-735-1'21\.,;, '7<.:c-o-1-.\t<o-qD~ EMAIL EMAIL DESIGN PROFESSIONAL C~TRACTOR BUS. NAU ~-~ Ale:.. ___ , __ \.. ec.: \~(' ADDRESS ADDRESS '2%2 0 s:-c:...o-\\ s:"'~-"I:¼-)0 r.\- CITY STATE ZIP CITY STATE ZIP v ~~+c. CA r-~-z_oS?,. l PHONE IFAX PHONE I FAX 7bt'\-20 c:: -~Ill EMAIL EMAIL I STATE UC.# STATE LIC.# l e~ l CI~ ~~~8'+ 8"~~38 (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct. alter, improve, demolish or repair anl 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 fhat he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 1031.5 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 lollowi~ declarations: 0 have and will maintain a certificate of consent to self-insure for 1',1Jrkers' compensation as provided by Section 3700 of the Labor Code, for the performance of the \',llrk tor which this permit is issued. ve and will maintain workers' co~p~n~atlon, as required by Section 3700 of the Labor Code, for the performance of the \',l)rk for which this permit is issued. My workers' compensation irsur[nc: carrier and policy number are: Insurance Co. Vc;.c., ¼, c Policy No. LJA 0 1:)2 0Y q OC> Expiration Date I _ 1 _) / ~ seclion need not be completed tt the permit is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify that in the performance of the \',llrk 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 secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars (&100,000), In addition to the cost of compensation, dam a es as provided for In Section 3706,pf the Labor code, Interest and attorney's fees. JiS CONTRACTOR SIGNATURE ..--: ~------DATE I hereby affirm that I am exempt from Contractor's License Law for the following reason: □ □ □ I, as owner ot the property or my employees with wages as their sole compensation, will do the 1',1Jrk and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Uoense 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 inlended 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: 1.1 personally plan to provide the major labor and materials for construction of the proposed property improvement. □Yes O No 2. I (have / have not) signed an application for a building permit for the proposed 1',1Jrk. 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 work, but I have hired the following person to coordinate, supervise and provide the major 1',1Jrk (include name/ address I phone / 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 I address/ phone/ type of work): .JiS 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 Presley-Tanner Hazardous Substance Account Act? O 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? □ Yes □ No Is the facility to be constructed within 1,000 feet of the outer boundary 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 OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. is permit is issued (Sec. 3097 (i) Civil Code). I certify that I have read the application and state that the above infonmation ls correct and that the information on the plans is accurate. I agree to comptywith all City ordinances and State law.; relating to building construction. I hereby authorize representative of the City of Carlsbad to enter upon the aoove mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBA.D AGi\lNST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUEAGi\lNST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA perm~ is required for excavations over 5'0' deep and demolttioo or oonstructioo of structures over 3 stones in height. • EXPIRATION: Every pennrt issued by lhe Building Offcial under the provisioos of this Code shall expire by limitation and berome null and voo ~ the building orv.ofk authorized by such permit is notcoovnenced v.ithin 180 days from the date of such permit or if the building or v.ofk authorized by such permrt is suspended or abandoned at any time after the 'Mll1I is commenced for a period of 180 days (Sectioo 100.4.4 Unimn Building Code) . .N5 APPLICANT'S SIGNATURE ~ ~ DATE z 18 I c_, 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. CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE Carlsbad CA PHONE FAX EMAIL OCCUPANT'S BUS. LIC. No. DELIVERY OPTIONS PICK UP: □ CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL TO: o CONTACT (Listed above) □ OCCUPANT (Listed above) o CONTRACTOR (On Pg. 1) MAIL/ FAX TO OTHER: _________________ _ ..IS APPLICANT'S SIGNATURE □ ASSOCIATED CB#·------------- □ NO CHANGE IN USE/ NO CONSTRUCTION o CHANGE OF USE / NO CONSTRUCTION DATE ZIP .. Inspection List Permit#: CB160646 Type: PME Date Inspection Item 03/16/2016 43 AirCond/Furnace Set 03/16/2016 49 Final Mechanical 03/15/2016 34 Rough Electric 03/15/2016 39 Final Electrical 03/15/2016 49 Final Mechanical Wednesday, March 16, 2016 Inspector Act PD PD PD RI RI AP AP AP REMSEN: NEW A/C & COIL Comments AM PLEASE BEFORE 11 AM PLEASE BEFORE 11 Page 1 of 1