HomeMy WebLinkAbout2824 UNICORNIO ST; E; CB901208; Permit07/20/90 ~0{52
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B U I L D I N G
Job Address : 2824 UNICORNIO ST
Permit Type: PLUMBING
Parcel No: 215-360-25-0'J>
Valuation: O
P E R M I T
Str:
Permit No : CB901208
Project No: A9001321
Development No:
Fl: Ste :
6906 07 V ~ ~ 1 1
e,k_ L/~ 7 Construction Type: NEW
Occupancy Group: Class Code : Status : ISSUE:D
Description: UNITE -RALSTON
OWNER : RALSTON, ROBERT
*** Fees Required ***
Fees:
Adjustments:
Total Fees :
Fee description
10.00
.00
10.00
Enter "Y" for Plumbing Issue Fee
Gas Piping System
* PLUMBING TOTAL
***
Applied 07/20/90
Apr/Issue 07/20/90
Validated By : DC
Lie. OWNER
Fees Collected & Credits ***
Total Credits:
Total Payments:
Balance Due:
Units Fee/Unit
.00
.00
10.00
Ext fee Data
7 .50 Y
2 .50
10 .00
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION 11\ •
City of Carlsbad Building Department
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
EST. VAL. ______________ _
1.
A
B
C
2.
PERMIT
COMMERCIAL
D INDUSTRIAL
D RESIDENT JAL
□DUPLEX
ONEIi
□APARTMENT
D DEMOLITION
D ME CHAN I CAL D POOL
PRO
Address
Nearest Cross Streets
PLAN CIC DEPOSIT ___________ _
VALID. BY, ______________ _
DATE ______________ _
TENANT IMPROVEMENT
0 TENANT IMPROVEMENT
□CONDO □SINGLE FAMILY DIIELLING OADDITION/ALTERATION
□RELOCATION □MOBILE HOME □ELECTRICAL ~NG
OSPA □RETAINING IIALL □SOLAR □OTHER. _____ _
No.
Bu1 ld1ng or Suite No.
LEGAL DESCRIPTION Lot No. Subd1 vis ion Name/NU!t>er Unit No. Phase Mo.
CHECK BELOII IF SIAIMITTED: D 2 Energy Cales 02 Structural Cales D 2 Soi ls Report D 1 Addressed Envelope
Yfii'::":: .. & AS /elif'A-1 ,G
EXISTING USE PROPOSED USE
BLOG. SQ. FTG. # OF STORIES
~-CONTACT PERSON
NAME ADDRESS
ZIP COOE CITY STATE DAY TELEPHONE
SIGNATURE
4. APPLICANT D CONTRACTOR 0 AGENT FOR CONTRACTOR
ADDRESS
OOIINER D AGENT FOR O\INER
NAME
CITY STATE ZIP COOE DAY TELEPHONE
O\INER ..,02111',c" QLESSEE
ADDRESS ~ -,-c;., /,(rJ/(bRµ/0 □TENANT R9fE_R!_Y_ OWN~
~T,Q,<..SU>t.l
CITY C4RL~
6. CONTRACTOR
STATE ZIP COOE 4Zt2P9
ADDRESS
ZIP COOE
DAY TELEPHONE
7.
8.
NAME
Cl TY STATE DAY TELEPHONE
STATE LIC. #. ____ _ LICENSE CLASS _____ _ CITY BUSI NESS LIC. #
SIGNATURE TITLE DATE
DESIGNER NAME
CITY STATE
ADDRESS
ZIP COOE DAY TELEPHONE STATE LIC. #
WORKERS' COMPENSATION Workers• C~nsat1on Declaration: hereby affirm that I have a cert1ficate of consent to self·insure issued by the Director of lndustr1al R.elat1ons,
or a certificate of workers' Coq:>ensat ion Insurance by an aaTli tted insurer, or an exact copy or duplicate thereof certified by the Di rector of the
insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DATE
Certificate of Exeq:,tion: I certify that in the performance of the work for which this permit is issued, I shall not efl1)loy any person in any manner
so as to become subject to the \Jorkers• COfll)ensation Laws of California.
SIGNATURE DATE
OWNER-BUILDER DECLARATION 0wner-Bu1lder Declaration: I hereby affirm that I am ex~t from the Contractor1s llcense Lew for the following reason:
O I as owner of the property or my employees with wages as their sole c~nsation, wi ll do the worlc and the structure is not intended or offered for sale
c Sec. 7044, Business and Professions Code: The Contractor I s License Law does not apply to an owner of property who builds or i"l)roves thereon,, and who
does such work himself or through his own employees, provided that such inl)rovements are not intended or offered for sale. If, however, the building
or i"1)rovement is sold within one year of COOl)l et ion, the owner· bui lder will have the burden of proving that he did not build or i"1)rove for the purpose
of sale.).
O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code:
The Contractor1s License Law does not apply to an owner of property who builds or i"l)roves thereon, end contracts for such projects with contractor(s)
licensed pursuant to the Contractor's License Law).
O l am exefll)t under Section ___________ Business and Profess ions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, inl)rove, demolish, or repair any structure,
prior to its issuance, also requires the applicant for such permit to file a s;gned statement that he is licensed pursuant to the provisions of the
Contractor's License Law (Chapter 9, corrmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exeq,t therefrOffl,
and the basis for the alleged exen-ption. 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 [S500]).
SIGNATURE DATE
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
t s 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?
□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?
OYES
Is the facility to be constructed within 1,000 feet of the outer boundary of• school site?
OYES
IF AMY OF THE AMSWERS ARE YES, A FINAL CERTIFICATE OF OClll'ANCY NAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS NET OR IS MEETING THE REQUIRENENTS
OF THE OFFICE OF ENERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
9. CONSTRUCTION LENDING AGENCY
hereby affirm that there is a construct ion 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
10 . APPLICANT'S SIGNATURE t certify that I have read the application end state that the above ,nformation is correct. I agree to cOOl)ly w1th all City ordinances and State laws relating
to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO
AGREE TO SAVE INOENNIFY ANO KEEP HARNLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JlllGIIENTS, COSTS ANO EXPENSES IIHI CH NAY IN ANY IIAY ACCRUE AGAINST SAID
CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERNIT.
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 authorized by such permit is not coomenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time afte e work is corrmenced for a period of 180 days (Section 303(d) Uniform Building Code).
D O\INER □ CONTRACTOR OBY PHONE APPROVED BY: _______ _
DATE: _________ _
WHITE: File YELLOW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB901208 FOR 07/30/90
DESCRIPTION: UNITE -RALSTON
TYPE: PLUM
JOB ADDRESS: 2824 U.NlCORNIQ Sl'
APPLICANT: RALSTON, ROBERT
CONTRACTOR:
OWNER: RALSTON, ROBERT
REMARKS: T2/MH/ROBERT/438-5403/598-3491
SPECIAL INSTRUCT:
TOTAL TIME:
LVL DESCRIPTION
PHONE: 619
PHONE:
PHONE:
ACT COMMENTS
INSPECTOR AREA TP
PLANCK# CB901208
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
4~
CD
23 PL Gas/Test/Repairs .IJ./!_ ------------
------------------
DATE
072590
072490
DESCRIPTION
Gas/Test/Repairs
Gas/Test/Repairs
***** INSPECTION HISTORY*****
ACT INSP
CA TP
CA TP
COMMENTS