HomeMy WebLinkAbout2709 UNICORNIO ST; ; 82-229; PermitIll z 0 ~ C IIC C ..,
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0 I heret,y affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code. and my license Is In
full force and effect.
Lie No _______ Class
I hereby affirm that I .am exempt from the Con-
~:o;•~~,::: ~ ,!,~t~':i~,~~~~i~
county which requires a permit to construct
aJter, improve, demohsh. Of repair any structure,
poor to its ,nuance also requires the applicant tor such permit to hie a signed statement that he Is
hc&nsed pursuant to the prOYISJOOS ot the Con· tractor's License Law (Chapt&r 9 commencing with Section 7000 of 01Y1Sion 3 of the Business and Pro-
tesst<>ns Code) or that Is exempt therefrom and the bas•S> for the ajleged exemption. Any vt0t.ltion of
Section 7031 ~ by an applicant 10< a permit subjects
tne apphcant to a cIvII penalty of not more than five
hundred dollalS (S5()0).
D I, as owner of the property, "' my employees ..,1th wages a.s their sole compensation. will do the
wM. and the structure 1s not intended or offered tor sale (Sec 7044. Business and Professions Code The Contract0<'s License Law does not apply to an
owner of property who builds or improves thereon and who does such wOfk himself or through h,s own
employees. provided that such ,mproveme:its a,e not mtende1 or offered tot' sale. If, however, the
bu1td1ng or improvement Is sold within one year of
completlOO, the o-Nner-OUilder will have the burden of proving that he dtd not build or ,mprOYe fOf' the
~
ofsaleJ.
s owner of the property. am exclusively ini with licensed contr~tors to construct
the proJect (Sec 70U, Business and Professions
Code. The Contractor's License Law does not apply to an owner of property who builds or improves
thereon. and who contracts tor each proJects with a
contracto,(s) hcense pursuant to the Contr.cto<'s License law).
□ I am exempt under Sec ___ ,B&PC
for th,sreason ___________ _
□ I hereby affirm that I ha·te a certificate of consent to sell-insure. or a cert1hcate of Workers·
Compensation Insurance, or a certified copy thereof
{Sec 3800. Labor Code!
POUCYNO __ _
COMPANY __
□ Copy IS filed With the City
D Cen1fted copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This section need nol be completed 1f the perm,t
Is t01 one hundred dollars ($1()0) or less)
0 I cen1ty that in the performance of the wortl IOt'
wh,ch this permit ,s issued. I shall not employ any
person m any manner so as to become sub1ect lo
the Wor1ilers' Compensation Laws of Callf0t'n1a
NOTICE TO APPLICANT II. ofter makin1 this Cert,-
hcate of E11emphon, you should become sub1ect l?
the Wooers· CompenQtlon provIsIons of the Labor
Code, you must forthwith comply with such
provisions or this perm,1 shall be deemed revoked
0 I hereby affirm that there ,s a construction
lending agency to, the performance ot lhe wont tor
wtuch this permit Is ,ssued (Sec. 3097, C1v1I Code)
Lender's Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TQ r .lL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD.-. ...,.-blLDING DEPARTMENT • -
APF-LiCATION & PERMIT 1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525
J2Ar/oq A~-i.Tr,;~~ ~psz::1 BUSINEi'i:..ENSE # VALUATION PERMIT NUMBER
(A. A/IUJIIU/0, ~ LS $11-.t:> \ll-ef) g;)-' \.al.,, .. .,,----
OWNER'S NAME '
1
OWNER'S PHONE PRIME CONTRACTOR CONTRAC'tORS PHONE • ZONE 1,,2-tJr L. ~ff J;.J-//E:$~Pn/r ~'r.D t)4)1,/e;tt
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN I.D. # BLDG USE CODE
.311~ eerca ~7i~,~~~~ I/.J4'!i_
~,d BLOCK r;~IVISIDN J ASSESSOR PARCEL NO. DESIGNER STATE LICENSE# STANDARO PLAN # BUILDING SO. FOOTAGE J(.---... k'e,.J Wt~,-DESCRIPTION OF WORK ~_,.
DESIGNER'S ADDRESS DESIGNER'S PHONE
/tJ~O/V o.;:-p~ -FAdAIC/1-nr./J 7S-S--eJ33/
----------------------------F/P FLA ELEV. NO OCC GP EDU
Sl'lr STORIES 6/09/826062 66,3( vO NO --0001"60~2 -670i?/ 8? CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPA 56.30
AREA CONST
YO ND vO NO vO NO Not Valid Unlf!ss Mlchine ~rtifi«I
QTY. PLUMBING PERMIT · ISSUE ~~ QTY. MECHANICAL PERMIT • ISSUE 6',tJd SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT ~ OHl00-4220 '--~. #ZJ
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01·000-4221 -
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 J"5.~
L EACH GAS SYSTEM I TO 4 OUTLETS '1.-4tl. , BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 ..ll2.~_!IP_ -
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·000-4223 7, cTf,'
EACH INSTAl .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL OHl00-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEH0ME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOTAL MECHANICAL STRONG MOTION 65-640·0519 ~,{)
TOTAL PLUMBING I /_/}._~ FIRE SPRINKLERS 01 ·000-4227 -PUBLIC FACILITIES FEE 25·000·4933 QTY. ELECTRICAL PERMIT -ISSUE £ .. ()() QTY. SOLAR • ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BK R COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH 2__11/J ~-a) STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ~ ROCK STORAGE Encinitas 65-624-0519
I PH 3 PH PUMP San 0ieguito 65-625-0519
REMODE L/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL I 47 _cf) TOTAL SOLAR TOTAL FEES PAYABLE I c:;(A~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT .. ANO DO HEREBY Elcpralion. ~permitlaM-«lbytheBuiklingOfliclat-theprovi11onaof1hia * AN OSHA P£AMIT IS IIEQUIAED FOR EXCAYAllONS OYEII
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code "'811 Ppi,9 by li111ttalion -beCome null and void If the building or won< 5' 0-DEEP ANO 0EIIOUTl0N 0111 CONSTAUCTlON OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auttlorind by IUCh permit ia not commenced within tllO days from the date ol such STAUCl'URES OYER 3 SlORES IN HEIGHT permit, or if Ille buildi~o, work authorized by IUCII permit IS -pended or ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-.....,.,_, at anv time Ille wor11 ia -for a _,.od of ,ao ........ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND OWNER□ CONTRACTOR 0 APPROVED BY r-" DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST AU LIABILITIES, JUOGMENTS, COSTS AND
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S SIGNATURE •
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EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 ,--l (;'"b~ GRANTING OF THIS PERMIT.
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~itp of ~arlgbab
REQUEST FOR INSPECTION RECORD
t
INSPECTOR 0 ..--::::::::::: PERMIT NO ---------~~~:: P/7 3
OWNER ____ ~_..c:::_ ______ ~---------------------
ADDRESS ____ --=:ci?:___7~;tt-~<:...e:=-•::....:....~..::_·=-------------·-----
REQUESTEDBY ~PHONE NO.
PERSON TAKING REPORT~/.....,~~---
BUILDING
D FOUNDATION
D REINFORCING STEEL
D MASONRY
D GROUT -GUNITE
D FLOOR AND CEILING SUB FRAME
D SHEATHING D ROOF D SHEAR
D FRAME
D EXTERIOR LATH
D INSULATION
D INTERIOR LATH OR DRYWALL
D FINAL
PLUMBING
D UNDERGROUND PLUMBING
D SEWER AND PL/CO
D TOP OUT PLUMBING
D TUB OR SHOWER PAN
D GAS TEST
D WATER HEATER
D SOLAR WATER
D FINAL
ELECTRICAL
D TEMPORARY SERVICE
□ UFFER GROUND
D ELECTRIC UNDERGROUND
D ROUGH ELECTRIC
D POOL BONDING
D ELECTRIC SERVICE /-~ -(I 3
D FINAL
,.V~ /,l,/j',/J~617~pj' j£//~/I( bl.;//).
~ ~~v1, ~ ,'l~/U~ Vµ,1)'5 L
&>/~~ f~, ~t.,,,(.t') µ0r
/A,1-n ~ '¥ 4':
D SOLAR HEAT
D PATIO~
D POOL SPA
D SIGN
D GRADING
D DRIVEWAY
D FINAL
SPECIAL INSTRUCTIQ"S~~ -~ a4_ ~ f/~
Ready For Inspection: D ::tt2' □ Tuesday D Wednesday D Thursday D Friday
D A.M. D P.M.