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Home My WebLink About2732 UNICORNIO ST; ; CB141217; Permit06-03-2014 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: CB141217 Building Inspection Request Line (760) 602-2725 2732 UNICORNIO ST CBAD PME 2153505600 Lot#: 0 SZCZOTKA: GAS & ELECTRIC TO BBQ, FIRPIT 2 OUTLETS Owner: Status: Applied: Entered By: Plan Approved: Issued: Inspect Area: ISSUED 06/03/2014 JMA 06/03/2014 06/03/2014 SZCZOTKA FAMILY TRUST 06-25-99 SZCZOTKA FAMILY TRUST 06-25-99 2732 UNICORNIO ST CARLSBAD CA 92009 760-533-5392 Plumbing Fees Electrical Fees Mechanical Fees Other PME Fees TOTAL PERMIT FEES 2732 UNICORNIO ST CARLSBAD CA 92009 $158.00 $33.00 $0.00 $0.00 $191.00 Total Fees: $191.00 Total Payments To Date: $191.00 Balance Due: FINAL APPROVAL Inspector: Date: Clearance: $0.00 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 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 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 fees/ex lions f which have r vi usl een iven a N TICE similar to this or a to which the tat le f limit lions h s r vie sl therwis ex ire . THE FOLLOWING APPROVALS REQUIRED PRIOR TO PERMIT ISSUANCE: □PLANNING □ENGINEERING □BUILDING □FIRE □HEALTH □HAZMATIAPCD I ~ .. Building Permit Application Plan Check No. ("',~ / Lf . (2-17 «-'~"' 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value ~ C I TY OF Ph: 760-602-2719 Fax: 760-602-8558 CARLSBAD email: building@carlsbadca.gov Plan Ck. Deposit www.carlsbadca.gov Date t,/ 3 { I Lf lswPPP )Nl~\D SUITEI/SPACEI/UNITI r PN ---JOB ADD2-l ~2 CT/PROJECT # LOT# I PHASE# I# OF UNITS I# BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP Du~~w:z;~sq6~ttffect~~~~ ~ ~~ ,::;((6,_()r. n5o & ortL~ EXISTING USE FIREPLACE I PROPOSED USE I GARAGE (Sf) PATIOS (Sf) I DECKS (SF) YES[]# IAIR CONDITIONING IFIRE SPRINKLERS NoCJ m □No□ YES□No□ APPLICANT NAME \01--\ $2-GZo"f1CA. PROPERTY OWNER Prima ry Contact ADDRESS '21?72, Ui-J.\u:>~lo ADDRESS CITY G.6. STATE ~ ZIP CITY STATE ZIP PHONt1&:o,CS 37:,. S 39 z._ IFAX PHONE Y AX EMAIL EMAIL DESIGN PROFESSIONAL CONTRACTOR BUS. NAME Mk"t' ~ ,A -7 lfCV\~ ADDRESS ADDRESS3,lt;,i U4 \[191--f!ti'K-- CITY STATE ZIP CITY'S, tf. STATE qlP ~-(1.),... '20,8 PHONE I FAX PGNE 3 71o-'\ C;, ':3, "Z) ~ 0 \ f FAX EMAIL EMAIL STATE LIC.# 15TATE LIC. # G, 17 Slf: I ' CLASS (~27 I CITY BUS. LIC.# (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 1031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)) . • Workers' Compensation Declaration: I hereby affinn under penally of pe,ju,y one of the following declaraUons: D I have and will maintain a certificate of consent to self-Insure for workers' compensation as provided by Section 3700 or the Labor Code, for the pertormance of the work for Which this permit is issued. D I have and will maintain workers' compensation, as reQuired bv Section 3700 of the Labor Code, for the performance or the work for Which this permit is issued. My workers' compensation insurance carrier and policy number are: Insurance Co. PolK:y No._______________ Expiration Date _________ _ ~section need not be completed ij the permit is /or one hundred dollars ($Hl0) or less. LJ Certificate of Exemption: I certify that in the performance or the 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 Calilomia. 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, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees, Ji:S CONTRACTOR SIGNATURE □AGENT DATE I hereby affinn that I am exempt from Contractor's Ucense 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 (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 himse~ 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). ~ner of the property, am exclusively contracting with licensed contractors to oonstruct 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 sueh projects with contractor(s) licensed pursuant to 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. O 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 I phone/ contractors' license number): 4. I plan 10 provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address I phone / contractors' license number): 5. I will provide some of the work, but I have contracted (hired he f llowing persons to provide the work indicated (include name / address I phone / type of work): .Ji:S 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 Acri Yes No Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air Quality management districrl 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 . • 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 Lende~s Address I certify that I have read the application and state that the above infonmation Is conectand that the lnfonmation on the plans is accurate. I agree to comply with all City ordinances and State law.; relating to building conslruction. I hereby authorize representative of the City of Carlsbad to enter upon the aoove mentioned property for inspeclion purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN NM WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA AA OSHA peITTin is requred for excavations over 5'0' deep and demolitoo ()( construction of structures over 3 stories in height. EXPIRATION: Every peITTiit issued by the Building Offi::ial under the provisions of this Code shall expire by limitation and become null and voo ff the building or v.orll authorized by such peITTiit is not commenced 111thin 180 days from the date of such peITTiit ()( if the building orv.orll authorized by such peITTin is suspended or abandoned at any time after the v.orll is commenced for a period of 180 days (Section 100.4.4 Uniform Building Code). _,g 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. CEl?TIFICATE OF OCCUPANCY /Commcrc,al Pro1ccts On I y I Fax (760) 602-8560, Email building@car1sbadca.gov or Mail the completed form to City of Carlsbad, Building Division 1635 Faraday Avenue, Carlsbad, California 92008. l CO#: (Office Use Only) CONTACT NAME OCCUPANT NAME ADDRESS BUILDING ADDRESS CITY STATE ZIP CITY STATE ZIP Carlsbad CA PHONE I FAX EMAIL OCCUPANT'S BUS. UC. No. DELIVERY OPTIONS PICK UP: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.) ASSOCIATED CB# MAIL TO: CONTACT (Listed above) OCCUPANT (Listed above) CONTRACTOR (On Pg. 1.) NO CHANGE IN USE/ NO CONSTRUCTION MAIL/ FAX TO OTHER: CHANGE OF USE/ NO CONSTRUCTION A/S APPLICANT'S SIGNATURE DATE Inspection List Permit#: CB141217 Date Inspection Item 07/09/2014 29 Final Plumbing 07/09/2014 29 Final Plumbing 07/09/2014 39 Final Electrical 07/09/2014 39 Final Electrical Type: PME 06/04/2014 21 Underground/Under Floor 06/04/2014 23 Gas/TesURepairs 06/04/2014 31 Underground/Conduit-Wirin Thursday, July 10, 2014 Inspector PB PB PB PB PB Act RI AP RI AP AP AP AP SZCZOTKA: GAS & ELECTRIC TO BBQ, FIRPIT 2 OUTLETS Comments UNDERGROUND GAS/ELECTRIC BBQ/FIREPIT UNDERGROUND GAS/ELECTRIC BBQ/FIREPIT Page 1 of 1