HomeMy WebLinkAbout2446 UNICORNIO ST; ; CB003756; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
10/10/2000 Plumbing Permit Permit No:CB003756
Job Address:
Permit Type:
Parcel No:
Reference #:
Project Title:
Applicant:
Building Inspection Request Line (760) 602-2725
2446 UNICORNIO ST CBAD
PLUM
2152500100 Lot#: 0
Construction Type: NEW
THEODOSAKIS RES-GAS & ELECT TO
BBQ
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
10/10/2000
RMA
10/10/2000
10/10/2000
ALLSCAPE INC
PMB 403
THEODOSAKIS FAMILY TRUST 11-23-99
629 S RANCHO SANTA FE RD
SAN MARCOS CA 92069
760 480-4041
Total Fees: $47.00
Plumbing Issue Fee
Fixture or Trap
Building Sewer
Roof Drain
Install/Repair Water Line
Water Heater and/or Vent
Gas Piping System
Vacu um Breaker
Other Plumbing Fees
Master Drainage Fee
Sewer Fee
TOTAL PERMIT FEES
Inspector:
2446 UNICORNIO ST
CARLSBAD CA 92009
Total Payments To Date: $0.00
0
0
0
0
0
1
0
Clearance:
$20.00
$0.00
$0.00
$0.00
$0.00
$0.00
$7.00
$0.00
$20.00
$0.00
$0.00
$47.00
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 capacliy
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 ou have reviousl been iven a NOTICE similar to this, or as to which the statute of limitations has reviousl otherwise ex ired.
PERMl:Y-APf>LICA TION
FOR OFFICE USE ONLY
PLAN cHEcK No. Goo 375 G
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
EST. VAL. _________ _
Plan Ck. Deposit _________ _
1. PROJECT INFORMA Tl~
2446 TTnicoroia , Carlsbad, CA 92009
Validated By I ~ 4¥
Date f c2T10 ISE ) • I I
Addre~s (include Bldg/Suite #) Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Ass11ssor's Parcel II Existing Use Proposed Use
Gas Jjne to barbeque;
D~sc11pt1on of Work llOu 011:tlet fr:om €lXisting outl9t; SO. FT. I/of 229~f ~0,!sor Sp,!!.. # of Bathrooms
2. CONTACT PERSON hf d1lleront from 11pplic11nt)
Name Address City State/Zip Telephone# Fax#
3. APPLICANT :xlContractor O Agent for Contractor O Owner O Agent for Owner
Name Address City State/Zip Telephone#
4. PROPERTY OWNER
Pam and Beaver Theodosakis, 2446 Unicornio, Carlsbad, CA 92009, 760 .431.9129
Name Address City State/Zip Telephone II
5. CONTRACTOR -COMPANY NAME
(S~c. 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
,ssuance, 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 live hundred dollars ($5001).
Mm< A. $:nith. Al )::aJP? Tard9;:aµ: & D=sign, Ire . 629 S Rar:d:n Smf·a Fe ru lliB 403, Sau M=ro:rs, CA 92069,260 480 ,
Name Address City State/Zip Telephone II
State L,c~nse // 7 1 4 0 0 4 License Class C-2 7 City Business License II 12 0 3 1 1 4
Designer Name Address City State/Zip Telephone
State Lic~nse // _________ _
6. WORKERS' COMPENSATION
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
O I have and will maintain a certificate of con•ent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, tor the performance
of the work for which this permit is issued.
IZJ 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
,ssued. My worker's componsdtion insurance carrier and policy number are:
Insurance Company fl'.RMER ' S TNSUBt,NCE Policy No. N2008-79-65 Expiration Date 7/28/Q 1
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS)
O 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 lines up to one hundred
thousund dollars ($100,000) 'n addition to the co t of c mpensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees.
SIGNATURE'-A--~~Ll...4c::<.,,!,d..!:..£.~=.-..,--------------DATE / D -I (J,. ct-a
7. OWNER-BUILDER DECLARATION
I hereby affirm that I am exompt lrom the Contractor's License Law for the following reason:
O 1, dS 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 propeny who builds or improves thereon, and who does
such wo,k himself or through hos 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
Contr.ctor'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 (hova / have not) s,oned an application for a building permit for the proposed work.
3. 1 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. 1 will provide some of the work, but I have contracted (hiredl the following persons to provide the work indicated (include name/ address I phone number / type
of work): ____________________________________________________________ _
PROPERTY OWNER SIGNATURE ________________________ _ DATE _________ _
COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY
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 Suctions 25505, 25533 or 25534 of the Presley-Tanner Hazardous f.ubstance Account Act7 0 YES O NO
Is the •PPlicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? 0 YES O NO
Is the facility to be con~tructad within 1,000 feet of the outer boundary of a school site? 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(il 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 accu,ate. I agree to comply with all
Coty ordinances and State laws relating to buildin(l construction. I hereby authorize representatives of the Cit\' of Carlsbad to enter upon the above mentioned
propuny tor inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL 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 peIm1t is required for excavations over 5'0" deep and demolition or construction ol 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 Iha building or work
authOnzed by such pPrm,t ,s no1 commenced within 180 days from lhe date of such permit or if the building or work authorized by such permit is suspended or abandoned
al any 1,me aher Iha work ,s,c,Jmme ed tor a p eriod ol 180 Saeli n 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
PINK: Finance
City of Carlsbad Bldg Inspection Request
For: 11/7/2000
Permit# CB003756
Title: THEODOSAKIS RES-GAS & ELECT TO
Description: BBQ
Type:PLUM Sub Type:
Job Address: 2446 UNICORNIO ST
Suite: Lot 0
Location:
APPLICANT ALLSCAPE INC
Owner: THEODOSAKIS JEFF&PAM
Remarks:
Total Time:
CD Description
29 Final Plumbing
39 Final Electrical
l Comments
Associated PCRs
lnsQection History
Date Description Act lnsp Comments
10/12/2000 23 Gas/TesURepairs AP TL
Inspector Assignment: TL ---
Phone: 7604804041
Inspector: 1L,
Requested By: N/A
Entered By: ROBIN
10/12/2000 31 Underground/Conduit-Wiring AP TL CONDUIT ONLY
10/11/2000 21 Underground/Under Floor NR TL
10/11/2000 23 Gas/TesURepairs NR TL
10/11/2000 31 Underground/Conduit-Wiring NR TL
10/11/2000 34 Rough Electric NR TL