HomeMy WebLinkAbout2758 UNICORNIO ST; ; CB163279; Permit08-25-2016
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
Permit No: CB 163279
Building Inspection Request Line (760) 602-2725
2758 UNICORNIO ST CBAD
PME
2153507300
METTA:REPLACE AC
Lot#: 0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
08/25/2016
JMA
08/25/2016
08/25/2016
ACTION AIR CON□ & HEATING-SD METTA JOSEPH A TRUST 08-09-11
2750 S SANTA FE AV
SAN MARCOS CA 92069
760 727 4152
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
2758 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: ------
NO \ ~c_: ?i:_G-\\ a<\<;,
~o , (_~~CJ\~ tD
\CJ~
FINAL APPROVAL
Date: ------Clearance: ------
$0.00
NOTlCE: Aease ta<e NOTlCc that ~ a '.P)r ~ect irdooes the '"ln,=ition'' ci fees, dedcaticrs, reservatiCllS, or ether exocticrs rereciter coledively
referroo to as ''feesexa:iicrs." Yru rave ro days frcrn the date ths pemit = issued to pretest in,=itiai a these feesexa:iiais. If '.P-1 pretest tt-em, '.PJ m.st
fdlo.v the pretest ~ set forth in ~ Olde Sediai 60020(a), ard file the pretest ard arr/ ether ra::µred infooratia, wth the Oty tv'enage!" for
p-ocessing in axx:rdaul wth ca1sboo Mrid~ Olde Sectiai 3.32.000. Faih.re to tirrely fdlo.v that j'.10'.Bire wll ra-arr/ sull;a'.:µrt !Egli cdiai to attocx.
relliew, set aside, vdd, or an.I treir in,=iticn
Yru ere taet,; FlRll-ER NOTlRED that '.PJr rigt to pretest the specified feesexocticrs C(ES NOT APPLY to mer ard seM:1: oainecti01 fees ard ~ty
cta,g:s, ra planing, zaing, gcdng or ether sinilar ~icatiai p-ocessing or savice fees in cx:mediai wth ths ~ed. l'ffi lXES IT APPLY to arr/
f~exa:iicrs a w-ich ,..., , have .....,.,;OJSlv been civen a NCJTln= sinilar to ths or as to w-ich tre statue r:i linitatiais has ~-~ '""' c:trav.1se 0 vnred.
( City of
Carlsbad
Building Permit Application Plan Check No. Blh-3Z1 q
JOB ADDRESS
1635 Faraday Ave., Carlsbad, CA 92008
Ph: 760-602-2719 Fax: 760-602-8558
email: building@carlsbadca.gov
www.carlsbadca.gov
2758 UNICORNIO ST SUITEI/SPACEI/UNIU
Est. Value
Plan Ck. Deposi
Date ~ SWPPP
APN
CT/PROJECT # LOT# PHASE# # OF UNITS # BEDROOMS # BATHROOMS TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORK: lndude Squa,e Fut of Atremd Ar•a(•J
REPLACE 5 TON A/C UNIT LEFT SIDE YARD & REPLACE FURNACE ATTIC 90K BTU
EXISTING USE I PROPOsm usE I GARAGE (SF) PATIOS (SF) I DECKS (SF) !FIREPLACE IAIR CONDITIONING IFIRE SPRINKLERS
YESD _ Nc[J YES□No□ YES□Nc
APPLICANT NAME MITCH BLUMAN PROPERlY OWNER NAME JOEM~A ....,__,. __ .. -
ADDRESS 31225 LA BAVA OR. #213 ADDRESS 2758 UNICORNIO ST
CITY WESTLAKE VILLAGE STATE CA ZIP 91362 CITY CARLSBAD STATE CA ZIP 92009
PHONE 818-735-7876 !FAX PHONE (760) 419-4369 !FAX
EMAIL EMAIL
DESIGN PROFESSIONAL CONTRACTOR BUS. NAME ACTION A/C, HEATING, & SOLAR
ADDRESS ADDRESS 2750 S. SANTA FE AVE.
CITY STATE ZIP CITY SAN MARCOS STATE CA ZIP 92069
PHONE !FAX PHONE 760-727-4152 !FAX 760-727-0213
EMAIL EMAIL
I STATE LIC. # STATE UC.# I CC20/C46 j CITY BUS LIC #419800 509805
(Sec 7031 5 Business and Professions Code Any City or County which requires a permit to construct alter, improve, demolish or repair any structure, pnor 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 Contracto(s License Law !Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exem11.t 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 ooe of the following declarations· D I have and will maintain a certificate of consent to self-insure for v.ori<ern' compensation as provided by Sect,on 3700 of the Labor Code, for the performance of the v.or1< for which this permit ,s issued. 01 have and will maintain workers' compensation, as r:!!QUI~ by Sect.ion 3700 of the Labor Code, for the performance of the work tirwhich this ee.i:mit Is issued. My v.ori<ers' compensat,on insurMCe earner and policy
numberere Insurance Co INS. CO. OF THE WEST Poley No WSD5028465 Expiration Dale 12/31/2016
~section need oot be completed if the permrt is for one hundred dollars ($100) or less. LJ Certificate of Exemption: I certify lhal in lhe performance of lhe worl< for which lh,s permil ,s issued, I shall not employ any person ,n any manner so as lo become subjecl lo lhe Worl<ers' Compensatoon Laws of
Caifom,a WARNING: Failure to secure workers' com nsation coverage Is unlawfu~ 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, dama ded !Qi-i11),}IG1ion 3706 of the Labor code, interest and attorney's fees.
,85 CONTRACTOR SIGNATURE @AGENT DATE y }J) ( 6
I hereby sfflrrn thst I am exempt from Contracto(s License Lsw for the following f88son:
□ I, as owner of the property or my empbyees with wages as their sole compensation, will do the work and the structure is not inimded or offered for sale (Sec. 7044, Business and Professions Code· The Contractors
l.Jcense Law does not apply to an owner of property "'1o builds or improves thereon, and v.tlo does such work himse~ or through his own empbyees, provided tha1 such improvements are not intended or offered for
sale. If, however, the buiking or improvement is sold within one year of completion, the ov.ner-builder will have the burden of proving that he did not build or improve for the purpose of sale} D I, as owner of the property, am exclusively contracting with ioensed contractors to construct the proJ0<:I (Sec. 7044, Business and Professions Code The Contra:tor's License Law does not apply to an owner of
property v.tlo builds or improves thereon, and contracts for such projects with contracbr(s} icensed pursuant to the Cootra:tor's License Law)
□ I am exempt under Secbon ____ Business and Professions Code for this reason:
1 I personally plan to provide the major tailor and ma1enals for construct,on of the proposed property improvement. Ql'es D o
2 I (have/ have not) si!1)ed an appica1ion for a buiking pernit for the proposed work.
3. I have contra:ted v.,th the following person (firm) to provide the proposed construction (1ncklde name adaess I phone/ contra:tors' license number).
4 I plan to provide port,ons of the v.ori<, but I have hired the following person to coorcinale, supervise and provide the major v.or1< (include name I adaess I phone/ conlractors' icense nurrber)
5 I will provide some of the v.ori<, but I have contracted (hired) the following persons to provide the v.or1< indicated (1ncklde name I adaess/ phone /type of work).
Is the applicant or future butldng occupant required kl submit a business plan, acutely hazaroous materials regstra1ion form or nsk management and prevention progam under Sections 25505, 25533 or 25534 of the
Presley-Tanner Hazaroous Substanoe Account Act? □ Yes □ No
Is the applicant or f~ture bu11dng occupant required kl obtain a pennrt from the air pollution oontrol cistrict or airquaity management cistrict? □ Yes □ No
Is the fociity to be constructed within 1,000 feet of the outer boundafy of a school site? □ Yes □ No
IF ANY OF if"HE ANSWERS ARE YES, A FINAL CERTIFJCA TE 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.
I herooy affirm that there is a construction lending agency for the perfoonance of the work this permij ,s issued (Sec. ~7 (i) Civil Code).
Lender's Nane Lender's Acttess
7
I cet1lfy that I haw read tie applicaton and state thattheabolle lnbmaton Is com:aand flat the inbmatim m 1hepl-isl!CIUlm. lll#lletoconwv.ill all Otyonlinances and State 18\W relatir.i mlllildir1! conmicilon.
I hereby authooze rtlJ(eSenlahveof the City ct Carnboo to enter~ the a:)()/E! merfoned prqie-ty for i~ioo PLflX)SeS I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBA.D
AGO.INST ALL LIABILITIES, JUCX3MENTS, OOSTS ANO EXPENSES w-llCH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQt.B\ICE OF THE GRANTING OF THIS PERMIT
OSHA. An OSHA perm I IS r~red for excavations over 5'0' ooq> aid oorrdnioo or oonslrudion of l>1ructu-es over 3 stones in hegti
EXPIRATION Every permrt issued by the BuldngCfficial urwthe povisionsofthis Cooeshalle>1preby imitiion ard bearne nul ard vdd Wtheooibrg ocv.ak auhcxizedl:'f such permrt is nd COITIT1€l1a:l'. witt-in
100 cilys from the dcie ct such permn or W the buioog or 'M)l1( permn is ~ or arardooed a a~ tme i:tter the 'M)l1( is oocnmeoced for a penod of 100 cilys (Soooo 106 4 4 u,wocm Bu1krig Cooe)
..es' APPLICANT'S SIGNATURE DATE ~ 2 l /J