The URL can be used to link to this page

Home My WebLink About2710 UNICORNIO ST; ; CB012875; PermitCity of Carlsbad 1635 Faraday Av Carlsbad , CA 92008 09-04-2001 Miscellaneous Permit Permit No:CB012875 Job Address: Permit Type: Parcel No: Valuation: Reference #: Project Title: Building Inspection Request Line (760) 602-2725 2710 UNICORNIO ST CBAD MISC Subtype: OTHER Status: 2153505300 Lot #: 0 Applied: $4,000.00 Entered By: Plan Approved: Issued: JOHNSTON RES/REMOVE WOOD Inspect Area: SIDING, INSTALL STUCO & RE-PLACE WINDOW Owner: ISSUED 09/04/2001 CB 09/04/2001 09/04/2001 Applicant: JOHNSTON MARTIN P&ANDREA J JOHNSTON MARTIN P&ANDREA J 2710 UNICORNIO ST CARLSBAD CA 92009 Total Fees: $60.00 Miscelaneous Fee #1 Miscelaneous Fee #2 Additional Fees TOTAL PERMIT FEES 2710 UNICORNIO ST CARLSBAD CA 92009 Total Payments To Date: $0.00 PERMIT FEE 9065 09/04/01 0002 01 02 Balance Due: $60.00 $0.00 $0.00 $60.00 CGP 60-00 $60.00 ,-- 0:-l~-z>,,\ --\,._L-=(!_~------- ( PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad, CA 92008 1. PROJECT INFORMATlpN ?-'7. l o l) f\..J , C.o r vv , o FOR OFFICE USE ONLY PLAN CHECK NO LP;t){2-f>75 EST. VAL. _________ _ Plan Ck. Deposit ,,.....-------- Validat~e y_~___,,,...::;._--r------- Date _-/ I ~dress (include Bldg/Suite I ) Business Name (at this address) ...........-c."v" ts (,o~ Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total I of units (!) '( A~.:: Pare~:> eeA_ /escription of Work Existing Use 1 1 v CGo -f-,,va.> SO. FT. Proposed Use '-f I 2-/L I of Bedrooms If of Bathrooms 2. CONTACT PERSON (If different from applicent) Name Address City State/Zip Telephone , Fax# APPLICANT O Contractor o,..r +: -.J ?. ::Sz::>L-t. L;'\.11> Name ~ner O Agent for Owner (.) .v t' C,.:> (' v\) I -0 5 T ~ City Lc..CD~h C/vt-91009 7~o-l{3l-9oS1 State/Zip Telephone II .A-,v-,PROPERTY OWNER / I 10..r+:1-J ?. Name 0D l-t 1rv s-fo ~ Address 5. CONTRACTOR • COMPANY NAME Telephone II (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 tor 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 I State License I _________ _ License Class _________ _ City Business License I _______ _ 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 maintain 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 1$1001 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 as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to aecure workers' compenaatlon coverage ia unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars ($100,000), In addition to the coat of compensation, damages aa provided for in Section 3706 of the Labor code, interest and attomey'a faea. SIGNATURE _____________________________ _ DATE -----------7. OWNER-BUILDER DECLARATION ,.....1 hereby affirm that I am exempt from the Contractor's License Law for the following reason: 0 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(s) 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 (firm) 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 llowing persons to provide the work indicated (include name / address / phone number / type of work): __ -:-------------:;.-1'7'-.,.';'h~--,.----,H-'-,,'t-~'-<::::----------------=--,---,-------------- Is the applicant or future building occupant reQuired to sub ess plan, acutely hazardous materials registration form or risk management and prevention er 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 district7 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site7 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 AND 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 ___ b ____ ,'_+_e_c._~--------LENDER'S ADDRESS __________________________ _ s. 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 with 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 ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUDGMENTS, COSTS ANO 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 ov s•o• deep and demolition or construction of structures over 3 stories in height. EXPIRATION: Every permit issued i I under the provisions of this Code shall expire by limitation and become null and void ii the building or work authorized by such permit is not c ys tr date of such permit or it the building or work authorized by such permit is suspended or abandoned at any time after the work is co Section 106.4.4 Uniform Building Code). YELLOW: Applicant PINK: Finance DATI _r_f-~-(-0~/ ___ _ UNSCHEDULED BUILDING INSPECTION INSPECTOR _-~T:.....:ic __ _ PERMIT # CB0/n2f'.2£' PLAN CHECK# ____ _ JOB ADDRESS ~ril:...,r;.2..a:..V..;;...O_...._l/,_._/.l......,/C-..a"'"""R'-"-,_~t,t.,._.'/ 12 ____ <.Y.;;....,T~----.------- DESCRIPTION __________________ _ . . CODE DESCRIPTION ACT Lt:E :SL.TE -'7ll#flro WrTII /faNk0'4fUER Inspection List Permit#: CB012875 Type: MISC OTHER JOHNSTON RES/REMOVE WOOD SIDING, INSTALL STUCO & RE-PLACE WI Date Inspection Item Inspector Act Comments 10/25/2001 17 Interior Lath/Drywall JC WC 10/25/2001 18 Exterior Lath/Drywall JC AP 10/15/2001 14 Frame/Steel/Bolting/Weldin JC AP Monday, March 04, 2002 Page 1 of 1