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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