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Home My WebLink About2824 UNICORNIO ST; B; CB052752; PermitCity of Carlsbad 1635 Faraday Av Carlsbad, CA 92008 07-25-2005 Plumbing Permit Permit No: CB052752 Building Inspection Request Line (760) 602-2725 Job Address: Permit Type: Parcel No: 2824 UNICORNIO ST CBAD St: B PLUM Status: Lot#: 0 Applied: 215360250j:.., Construction Type: NEW Entered By: Reference #: Project Title: SUGINE RES RPLACE H2O HEATER Applicant: CALIFORNIA DELTA MECHANICAL SUITE# 27 12440 OAK KNOLL RD 92064 866-898-0008 Plumbing Issue Fee Fixture or Trap Building Sewer Roof Drain Install/Repair Water Line Water Heater and/or Vent Gas Piping System Vacuum Breaker Other Plumbing Fees Master Drainage Fee Sewer Fee Additional Fees TOTAL PERMIT FEES 0 0 0 0 0 1 0 Plan Approved: Issued: Inspect Area: Owner: .StlGINE:SmvtS&PAlfl:::INE- ,---t-7 4-&N-0ttt0N Sf--' -LOS ANGELES CA 90026 ISSUED 07/25/2005 KG 07/25/2005 07/25/2005 $20.00 $0.00 $0.00 $0.00 $0.00 $0.00 $7.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.00 Total Fees: $27.00 Total Payments To Date: $0.00 Balance Due: r-xp-~ I Rr-·o nr-t~' '} 1it'T' c. 1 c r cfi .... ~\l~i * $27.00 Pi:RMIT HAS EXPIRED tN~J'.tJl .... N}~.r:t!e,· 8:=:\:flON iOG.4.4 AS AMEIIIJB)B'Y L .... , ... 1~,.J,..t,~ OAT£ s-\ ~~1GNA"I\J£ cw.""-·' c.:.. •• :.:= 4532 08/11/05 0002 01 CGP FINAL APPROVAL Inspector: Date: _____ _ Clearance: 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 capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any f x i n f w i h v r vi I iv n N T imil r hi • h f Ii • i h rwi 02 27 -00 PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 1. PROJECTINFORMATION 2824 ~IIOR:eN ST UNIT B CARLSBAD, CA 92009 FOR OFFICE USE)=?_~~{fj,,,--'r7f'""' / PLAN cHEcK NoC=-=-CJ...c..c:;___r_-'---1 ~:.;_ ,7 EST. VAL. __________ _ Plan Ck. Deposit ~ Validated By ----==----~.......,,c---- Date f" ?<"-ocs; Address (indud~ Bld9P~#)' Business Name (at this address) t/f111C.Or-LI-I 0 Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units Assessor's Parcel# Existing Use Proposed Use Repl ace standard water heater like for like 40 GAL ELC Description of Work SQ. FT. # of Stories # of Bedrooms # of Bathrooms 2. CONTACT PERSON (If different from applicant) California Delta mechanical, Inc. 2500 S. Power Rd. Suite t 120 Mesa AZ 85209 (480) 898-0007 ( 480) 898-0005 Name Address City State/Zip Telephone# Fax# 3. APPLICANT 1B] Contractor □ Agent for Contractor □ ONner D Agent for Owner Name Address City State/Zip Telephone# 4. PROPERTY OWNER DAVID PALMER 2824 UNICRON ST UNIT B CARLSBAD, CA 92009 Name Address City State/Zip TelephOne# 5. CONTRACTOR • COMPANY NAME (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 ($500]). 85209 ( 480) 898-0007 California Delta Mech anical, Inc. 2500 S. Power Rd. Suite # 120 Mesa Name Address City State/Zip Telephone # City Business License# -=l-=2c.:1:...4c.:2::..8.::..::.l _____ _ State License# _8::'..!..l l:...!1:...!1....:4 ____ _ License Class __;C::;.-..:3...:6:__ ______ _ Designer Name Address City State/Zip Telephone# State License# _______ _ 8. WORKER'S COMPENSA llON Workers' Compensation Dedaration: I hereby affirm under penalty of perjury one of the following declarations: □ 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. ~ I have and will maintain worker's 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 State Compensation Insurance Fund Policy No. 1697823 Expiration Date . ...,0...,7.,_/0=l/_,,0"'6 ______ _ (THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($100) OR LESS) □ 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 secure workers' compensation coYerage ,-.rn1awful, shall subject an employer to criminal penalties and civil fines up to one hundred thousand dollars(S100,000), in addition to the cost of compensa ·(!\' da ~•• ide for in Section 3706 of the Labor Code, lnterast and attorney's fees. SIGNATURE Rome! Maru , DATE.__;;0-'-'7/c.:1..::.8c.:/0..::.5_-::::;:::::;=;::::;:=.-~ 7, OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contracto(. Li e'Lawfo th following reason: □ I, as owner of the property or my employees with wages as eir sole compensation, will d the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does t 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). □ I, as owner of the property, am exdusively 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 Contrador's License Law). □ 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. □ YES □ NO 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 (indude name / address I 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 (indude name / address / phone number I /ontractors license number): --------------------------------------------- 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (indude name / address/ phone number / type of work): PROPERTY OWNER SIGNATURE ____________________________ DATE ___________ _ WHITE: File YELLOW: Applicant PINK: Finance AUG-03-2005 WED 08 :51 AH CITY OF CARSLBAD PERMIT APPLICATION CITY OF CARLSBAD BUILDING DEPARTMENT 1635 Faraday Ave., Carlsbad CA 92008 Page 2 of 2 FAX NO. 760 602 8558 P. 01 WIJI l~~~fB'~~~,Hi 18 lhe apP4ican1 or Mu,., bulldlng occupant required lo soi>mh a buainesa p/1111, ~ulofy hazardout m~teri11la regiwar\on fOf or rislr. management and prevention program under Section, 25505, 25633 or 25534 "'tho Pnialey-Tanner Hazardous Subatance Accounl Ad? Cl VES CJ NO Is 11\8 applicant Of M\lre building occupant required 10 Obtain e permit from I1\e air pollution control dlBlrlel or air quality management dia~ 0 \/ES D NO Is the lflelfity lo be const/llded within 1,000 '""' of lhe QUIii( boundary Of a tqhool site? □ \/ES □ NO IF ANY OF lliE ANSWERS ARE YE&, A FINAL CERTIFICATI: OF OCCUPANCY MAY NQT BE ISSUED UNU:SS TttE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS Of' TttE OFFICE OF EMERGENCY SERVICES ANO THE AIR POLLUTION.CONTROL DISTRIC'I' . • -~'07~~·~ ~~~WIN:1'!;1.(~-..i-~-:M='ft.t~~'.i:'t'mn s,;.t,~~~ --• -~~~tailtm~~~~~~- 1 ~by effim1 tl'lll( them is a coii$11'udion lending 11goncy for IM porformanco Of the wOl1< for Wl'oidl thia permit le fesuod (Sec. 3097(1) Civ,l Cod9). LENDER'S NAME_________________ LENDER'S ADDRESS __________________ _ ~~~~~Jis~~~:~~~-'..... ·-~~~1..,, ~-... ,,..,...a··. ,:, ·~ ':.c":(·' ,., I Cllltlf'y ll1al I haw reed 1he eppllealion end etato Iha! the Ql)Q\/0 information Is correct and ltitl the information on the plans Is aca.rnlS. I agroe 1o comply with all City ordin.,,..cea and s1110 laws rotating to buildlng CONtflJCllon. I hen,by au1h0!1i11 repr115enIativee of the City or Car1sb!l4 10 enIer upon the llt>O\IO mentioned proporty for inepeci,on purpoeee. I ALSO AGREE TO SAVE, INDEMNIFY ANO KEEP HARf/11-ESS THE CITY OF CARLSBAD AGAIN9T ALL LIABILITIES, JUDGEMENTS, COSTS ANO EXPENSES WHICH MAY IN ANYWAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE Of THE GRANTING OF THIS PERMIT, OSHA: An OSHA permit ia requif'lld for excavations c;/ 6'0" d1111p and dom01ition or c:onstruczion ~ etrudwee 0\181 3 eloriea in heigh\. EXPIRATION: Ever; p■rmil issued by Iha building Officlaf under 1h11 provlaions of this C ahall expl10 by limitation and become null and void if lhe building or work autr,orizod by Such p,>nl'lil ia nDI commenced ..,Jthfn 180 days rrom the dale or such pe(l"llll JI ii the b fdlng 01 work autl'IO/ile(j by sudl permit is suspended or abandoned 81 any time after Iha wo<k Is commenced !or a pe!1od ~ 180 days (SOClion 106.4.4 f3'jld g_ Code). WHITE; FIie YELLOW: Applicant PINK; Finance