HomeMy WebLinkAbout2724 UNICORNIO ST; ; CB993605; PermitCity of Carlsbad
. 09/30/1999 Miscellaneous Permit Permit No:CB993605
Building Inspection Request Line (760) 438-3101
Job Address: 2724 UNICORNIO ST CBAD
Permit Type: MISC Subtype: OTHER
0
Status:
Parcel No: 2153505500 Lot#: Applied:
Valuation:
Reference #:
Project Title:
Applicant:
$0.00
BRODEEN RESIDENCE
GAS/ELECTRICAUTRAP
BRODEEN DAVID M&ROBIN H
2724 UNICORNIO ST
CARLSBAD CA
92009
Entered By:
Plan Approved:
Issued:
Inspect Area:
Owner:
BRODEEN DAVID M&ROBIN H
2724 UNICORNIO ST
CARLSBAD CA
92009
ISSUED
09/30/1999
GMF
09/30/1999
09/30/1.999
Total Fees: $54.00 Total Payments To Date: $0.00 Balance Due: $54.00
Miscelaneous Fee #1
Miscelaneous Fee #2
TOTAL PERMIT FEES
Inspector: -1¥" ....... ......_ __ _
ELECTRIC
PLUMBING
FINAL APPROVAL
Date: Y,...-\'tiD Clearance:
$20.00
$34.00
$54.00
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 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 vou have oreviouslv been aiven a NOTICE similar to this or as to which the statute of limitations has oreviouslv otherwise exoired.
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (760) 438-1161
PERMIT APPLICATION
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
A
A s~arcel# %
/4,!;> -€-'fu,f (k,y~ -544fa1/1
Existing Use
u«d
Description of Work SO. FT.
2. CONTACT PERSON (If different from epplicent)
Name Address
'3. APPLICANT O Contractor O Agent for Contractor Q Owner
Name Address
#of Stories
City
0 Agent for Owner
City
4. i'?O~E?Y O'J{NER ~
LD\J) Q ~RD~0.J Name
-i):J't Un ,Cb£n1D il·
Address
Cflf}Sf111()
City
6. CONTRACTOR • COMPANY NAME
FOR OFFICE USE ONLY
PLAN CHECK NO. i_q~~QS
EST. VAL. _________ _
Plan Ck. Deposit--::--------
Validated BJ ~ 1=
Date vf t-?,6 [~ '.J
Phase No. Total # of units
Proposed Use
# of Bedrooms # of Bathrooms
• State/Zip Telephone# Fax#
State/Zip Telephone#
ill f2/Jo9 71Po.J/51~~>6
State/Zip Telephone # •
(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 1$5001).
Name Address City State/Zip Telephone#
State License # __________ _ License Class _________ _ City Business License # _______ _
Designer Name Address City State/Zip Telephone
State License # __________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will mainta;'n 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 compensation insurance carrier and policy number are:
Insurance Company _____________________ _ Policy No. ____________ _ Expiration Date. _______ _
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS·l$100] OR LESS)
0 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 so es
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, damages as provided for in Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE _______________________________ _ DATE _________ _
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following reason: '2J" 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 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}.
0 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(sl licensed
pursuant to the Contractor's License Law}.
0 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 (have/ have not> signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firml to provide the proposed construction (include name / address / phone number / 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 work (include name / address / phone
number/ contractors license number>: _________________________________________________ _
5. I will provide some of the work, but I have contracted~(hiredl tbe following persons t o provide the work indicated (Include name / address / phone number / type
of workl: ~ e,J ,
PROPERTY OWNER SIGNATURE A ~J ~ DATE 1/2fl!/1t'J
COMPLETE THIS SECTION FOR NON-RESl 77A~~LDING PERMITS ONL y -T
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? 0 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? O YES O NO
Is the facility to be const,·ucted within 1,000 feet of thti outer boundary of a school site 7 0 YES O 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 ANO THE AIR POLLUTION CONTROL DISTRICT.
8. CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME _______________ _ LENDER'S ADDRESS ________________________ _
9. APPLICANT CERTIFICATION
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 comply wtth all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND 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 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work aJthorized by such permit is not commenced within 365 days from the date of such permit or if the building or w ork authorized by such permit is suspended
or abandoned at any time after the work is commenced for a period of 1 80 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE __________________________ _ DATE
WHITE: File YELLOW: Aoolicant PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 4 /14/2000
Permit# CB993605
Title: BRODEEN RESIDENCE
Description: GAS/ELECTRICAUTRAP
Type:MISC Sub Type: OTHER
Job Address:
Suite:
Location:
2724 UNICORNIO ST
Lot 0
APPLICANT BRODEEN DAVID M&ROBIN H
Owner: BRODEEN DAVID M&ROBIN H
Remarks:
Total Time:
CD Description
29 Final Plumbing
39 Final Electrical
-M2--Comments
Associated PCRs
lnsgection History
Date Description Act lnsp Comments
Inspector Assignment: DA ---
Phone:
Inspector: S?/1
Requested By: NA
Entered By: CHRISTINE
3/15/2000 29 Final Plumbing co DA SEE NOTICE ATTACHED
3/15/2000 39 Final Electrical co DA
10/5/1999 21 Underground/Under Floor NR DA
10/5/1999 23 Gas/Test/Repairs AP DA
10/5/1999 31 Underground/Conduit-Wiring NR DA