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Home My WebLink About2646 UNICORNIO ST; ; 80-951; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of DiYlslon 3 of the Business and Profes• sions Code, and my license Is In full force and ef• feel. OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con• struct, alter, improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state- ment that he Is licensed pursuant to the provl· slons of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 or the Business and Professions Code) or that Is ex• empt therefrom and the basis for the alleged ex· emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S5001, D I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or of• fered for sale (Sec. 70-44, Business and Profes- sions Code: The Contractor's License Law does not 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 of· fered for sale. If, however. the building or Improve- ment 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). ':ll, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 70-44. Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ••ho builds or Im• proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. _____ . B. & P.C. for this reaSO•<L------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con• sent to self-Insure, o, a certificate of Workers· Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY __________ _ □Copy Is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per• mlt Is for one hundred dollars ($100) or less). •1 cert\fy that In the performance ol 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 Calllornla. NC,i'ICE TO APPLICANT: If, after making this Cer• tlflcate ol Exemption, you should become subject to the Workers' Compensation provisions or the Labor COde, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereb/ affirm that there Is a construction len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAO-BUILOING OEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 I ~of.e-I tr: (f I I I (I • ~ JOB AA/f #iss {,t I / I ,&, //.J-, I I I I I I I I tRr· 1,v1;:rs~ON OWNER OWNER'S PHONE PRIME CONTRACTOR BIL I. P~/t9 PPP ll ~ i ?t.'. ' . L ~ --e P '/ < , . - OWNER'S MAILING ADDRESS / -.. lltONTRACTOR'S ADDRESS ~ (,, ll t, II h .,--e:. ,.., /? /I/ J /9 (; c; L), I?° /?,r, I ,~ ,'t; M I., a~ BLOtk 12':B~V~ION "# ljASSE~~SSOR'S PAR~;:L C NO. .. s:, DESIGN~ • :.:? ' I ,. ., t I ~ I DESCRIPF-TIO:~IF ;,cORK .. )1 £ ._ /J.> ._ j I #1 ,'~ .,;-.,) ,IJ, // DESIGNER'S ADDRESS I ( '. r..; I c... 13-s\ :t... ~I\"::£/ ~ ol.801':1 CENSUS TRACT GP LAND USE \} ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES . ~wEh PERMIT NUMBER STATE LICENSE go -qtJ! ,,q ?tiff/,, co,l'l<~RA(TO. 117i) PHON ~,, ... 7~u1 S~LICENlJEI DESIGNER'S PHONE j t./u.J/l•( ).0. •,• O'H I!>,' , '•f.J:41 !JJL/9 ::Jb .,, . I . • : • . i . I I l RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not V•lid Unlttss lbchin, CMtifi.i BLDG SQ, FT. BLDG USE OCC. GP I STANDARD PLAN II lplo~ 1..r-1 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT v~ >-c:?-~u. -EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS / W~ER SOFTNER RELOCATION OF EA FURNACE/HEATER BUI LOING PER"fllT I . i'JAU.-.+,-v.,,, ,, . 0 -~ _t>'O __ ~.,, (1 -~-~ SIGN PER~/7l ' I I I I -. -TOTAL PLUMBING TOTAL MECHANICAL PLAN CHe/K /~c()-0 #../t 'fie/ I I -· CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMPISWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMPISWT/BKR SET-UP SOLAR I . I I I 1 PH .25 3 PH RAMADA, CABANA 0-L LA-/ I I I I REMOOEUAL TER PER CIRCUIT FENCE OVER 6' ~ /I{~ I . I I ./ii.I- TEMP POLE 200 AMPS TOTAL MOBILE HOME MI0'.3-FILM I . I I IT OVER 200 AMPS I . I I ; I TEMP OCCUPANCY (30 DAYS) I . I I I \J-i.,, / , tJ ~ ~ . I . I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I rk'-h I I J. ~ CONTRACTOR . I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER ~~ -fa, HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'•0" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM 1--v? LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO .. EXPENSES WHICH MAV IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ~ LICANT'S SIGNATURE• a OWNERQ CONTRACTOR□ IAPP'TJEO BY 17¾n _,,,., .-/.~.P '~ .A ,/JD A.A AGENT.Ji:! BY PHONED __. ,,. • ..... • .. • ~ ./ -I . L1 V .:, 7 ! < 0 ~ > ~ i= l:rl n. V) ~ . SITE ADDRESS: -' INSPECTION WOOD FLOOR FOUNDATION• FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE TARE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL• STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP GAS METER-PERM-TEMP C ERT OF OCCUPANCY ISSUED . OWNER: FIELD INSPECTION RECORD DATE INSPECTOR I I ,I . 'II // J/ I //7/fJ/ l{A1 , I V, l _,,,,,,.,,,,- INSPECTOR'S NOTES ' ,. ' - PERMIT NO: . . an-9~ I - . -' .. INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT ~~f;CEIVED BUILDING ADDRESS: DEC i 1980 CITY OF CARLSBAD Building Department PLANNING DEPARTMENT ZONE LOT SIZE LOT WIDTH ---------------------------- UNITS ALLOWED UNITS PROVIDED ------------------------ PROVIDED PARKING SPACES REQUIRED ---------------------- -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS ---------- SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: PROVIDED PROVIDED ---------ENGINEERING DEPARTMENT ~ 2,µ~ REAR SETBACK: R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS I -------- SEWER CONNECTION £=O U.I DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT _______ EASEMENTS ~ {~,bRAINAGE ____ _ LEGAL DESCRIPTION .M Y=2 t-t:2t,gu £1tu1.,a t:t 3 ADDITIONAL COMMENTS ~~a~---1~----------- OK TO ISSUE: J.W,.c__ DATE (d-3 &) PWI ____ OK TO FINAL ____ DATE ___ _ C,b-vtµM f liA/ r.) 3 -t u FIRE DEPARTMENT SPRiliKLING SYSTEM FIRE PROTECTION EQUIP. ------------------- FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _