HomeMy WebLinkAbout2646 UNICORNIO ST; ; 82-76; PermitCl) z 0 ;:::
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0 I IMM\. . attlrm 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 he<eby ofhrm lhol I om 8'8fflpl lrom the Con-~:~·~:= ~W ~f=l~~~~I~ county which requires a permit to construct
aner, improve, demolish, or repair any structure. pnor to ,ts issuance also requires the apphcant for such pemut to Me a s,gned statement that he 1s
licensed porsuont lo the P,OYISIOOS of lhe Con-
tracto,'s license Law (Chapter 9 commencing with Secteon 10CX) of 01v1st00 3 of the Business and Pro-
less10ns Code) o, '""' 11 exempt tllenlfrom ond the basis tor the alleged exemptK>n Any vsolatK>n of Sectoon 7031 5 by an apphcant tor a permit sut>ie<:ts tne applicant to• civil penalty of not more than five hundred dollars (S500t.
C I, as owne< ol the property, o, my employees
Vttfh wages as their sofe compensation, w,11 do the
WC>fk, and the structuAt ,snot intended or offered for sale (Sec 7'044, Business and Professions Code The Conlractor's license Law does not apply to an
ownef of prop,erty who builds or improves thereon
and who does such work himself or through his own
employees, provtded that such 1mpr0Yemeitts are
not intende1 or ottered for sale. If, howeve,, the
building or improvement ,s sok:S within one yea, of
comptet10n. lhe owner-builder will have the burden ::~t~f :~r did not buikt or improve tor the
□ I, as owner of the ptoperty, am exclus,.,ely
contracting with hcensed contr~tors to construct
the protect (Sec. 7044. Business and Profess10ns Code: The Conttactor's Ltcense Law does not apply
to an owner of property who builds or improves
~=l~ ~~C:~:!~ ~~t!r~~~.:::.: License Law).
0 lamexemptunde<Sec ______ 8 &PC
tor th,sreason ___________ _
□ I hereby att,rm that I ha~ a cet11hcate ot consent to self-insure. or a certificate or Workers·
Compensation Insurance. or a cert,hed copy thereof
(Sec 3800, labor Cod•~
POLICYNO __
COMPANY
□ Copy Is hied with the city
D Cert,hed CoPY Is hereby furnished
0 CERTIFICA Tl OF EXEMPTION FROM O WORKERS" COMPENSATION INSURANCE ~ ~section need not be completed ,f the permit w s for one hundred dollars {$100) or fess)
~ I cert,ty that in the performance ot lhe work tor 0 w this pemut 1s issued, I shall not employ any ~ person ,n any ~ner so as to become sub1ect to the Woncers· Compensation Laws of Calltorma
if
NOTICE TO APPLICANT 11, ofter maktn~ lhIs Cert,.
hcate or E.xemp11on, you shoukt t>ecome subject I?
the Worke<s' Compens.ait1on provIs;ons of the labof
Code. you must f0t1hw1lh comply with such
provIs,ons or Irus permtl shall be deemed re'IOked
~ I hereby affirm lhal lhere Is a construction lending agency for the performance of the wof1l for
wruch lht3 ~rmIt ,s issued (Sec 3097. C1.,,I Code>
Lenders Name ___________ _
lenders Address __________ _
USE BALL POINT PEN ONLY & PRE§S HARO , .. , APPLICANT TC ••1LL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ,' -.,
AP~t..~CATrON & PERMIT CARLSBA[l.. lJILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-6525
JOB AODRESS
0 n. t-\~ b. nA AV.ST.,DATE OF APPLICATIONII BUSINESS LICENSE ti rn PERMIT NUMBER ~4~ \\. ~ kli !':' : .. .tr,~\..-
RD.
~ f,<,1, o~~ ~.S)t {)._~11 I , ~;:~~~:i PRIME CONTRACTOR CONTRACTORS PHONE • ZONFf r:... '-"' c.,., .l N(C. . ,,,_ -z .J '1
OWNER"S MAILl"9, ADDRESS ,
COl'ITRACTOR"S ADDRESS LICENSE NO. p, i:-1~ BLOG USE COOE
~~n C'\...~ C'\ ~ 11.-1.1 <-' LOT BLOCK I SUBDIVl~"I I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE#
STANOARd1fo~ei~
BUILDING SO. FOOTAGE /-----o,G, ., DESCRIPTION OF WORK 1/. JZ-1 .. 3/f~J,..,.. •• L-' OESIGl'IER'S ADDRESS DESIGNER"S PHONE ...... !1 I
-1)..., Lt:-~ -b~
-~~~' ~ ------~ ~----..-----~ -:':""_ --F/P FLA ELEV. NO OCCGP EDU -:::2.r: < ,r'IA ,..., ••r--STORIES -' ..._ I I -• • 111,A I vO NO
CENSUS TRACT °<I LANO USE I PARKING"f'ACE I RES UNITS GRADING f'.ERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO N 0 v O NO vO NO Not Valid Unwss Ahchine fArtifi«I
QTY. PLUMBING PERMIT -ISSUE 7.50 QTY. MECHANICAL PERMIT • ISSUE 3.00 SUMMARY/ACCOUNT NU~~BERfi)
J • , -,--EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000-4220 4 t:1---~I
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·000·4221 I ~,Cl.f --
01 ·000-4B06-t,. ~ •.,,;;---,?,,V, '" EACH WATER HEATER AND/!W. VENi BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK
EACH GAS SYS1i(.l 1 TO 4 O"UT~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000-4222
EACH GAS~TEM 5 OR~E ' y METAL FIREPLACE ELECTRICAL OHl00-4223
EACH l~A~ .. _ALTf/1, "f Pl'IIKWATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACW\V~UM 11lfEAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000·4225
WATER ~O~R RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH RO!JF DRAIN (INSIDE) SOLAR 01-000·4226
TOTJ;L MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-000-42?7
QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25·000-4933 QTY. ELECTRICAL PERMIT -ISSUE 2.00 BRIDGE FEE ...
NEW CONST EA AMP/SWT/BKR /7 COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3~) STORAGE TANKS Carlsbad 65-623-0519
EXIST BLDG E~P/SWT/'lta. \ ROCK STORAGE Encinitas 65-624-0519
1 PH ./ L \ ,.:::rpH PUMP San Oieguito 65·625-0519
AEMOe'El.lA~ '1'" i ,RCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP P9rt\ 200 ~
OVER200~
TEMP OCCUPANCY 130 DAYS)
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I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON-
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT 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.
TOTAL FEES PAYABLE w.~ ~ ,
ExpiratJon E-.y pe,mot -by th■ Building Off1c,aI under the provts,ons ofth,s * AN 06HA PERMIT IS AE0U1AEO FOR EXCAVATIONS OVER Coda sllall exp,re by Nmrtat,on and become null and v0td If the building or wort. ~-o~ DEEP ANO DEMOUTION OR CONSTRUC110N ~ authorized by such permit II not commenced within 180 days from lhe date of such
ST~'l'UA£S OVER 3 STORIES IN HEIGHT =.:i '!t ':v ~=~:' tt1eWC:;'t!"::'~[~~~~ ::;:~1~,•~:r.;i.~ or ~
APPLICANT"S SIGl'IATURE lf. OWNER□ CONTRACTOR 0 APPROVE""'"
BY PHONE 0
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INSPECTION TYPE ! DATE INSPECTOR .. -· --
• BUILDING I
FOUNDATION ! -
~ • REINFORCED STEEL I
MASONRY I
I
• { GUNITE OR GROUT
FLOOR & CEILING SUB FRAME \ I
SHEATHING I -'
I
FRAME I -\c-
EXTERIOR LATH lNSULATION ' ~ I
I '
I INTERIOR LATH & DRYWALL J
PLUMBING I -
SEWER AND BL/CO I
PLUMBING UNDERGROUND I
I
PLUMBING TOP OUT I •
TUB AND $HOWER PAN I
GAS TEST I
I .
ELECTRICAL ! ... ' I .. .. ~ TEMPORARY POWER I •;
ELECTRIC UNDERGROUND I ..
ROUGH ELECTRIC !
ELECTRIC SERVICE I
BONDING A I
G. F. I. -SMOKE DETECTOR I
MECHANICAL I
DUCT & PLEM., REF. PIPING l -".~,; ~~ \~r-_!
HEAT -AIR COND. -SOLAR SYSTEMS I
VENTILATING SYSTEMS 1' I •
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBIN-G
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS ,
CERT OF OC, ,ANCY ISSUED I I
.
~ '.f' -IJ .... ,.. -=,_ -~~~-~~ ---· ---
FIELD INSPECTION RECORD ~1-7/A ,
' REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .
. \ .. ("t-., ---REQ IF INSPECTOR'S DATE .,, -
INSPECTION CHECKED APPROVAL
_,
,
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
"
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0 I he, ,fl that I am licensed under
provlaloo• ,apter 9 (commencing with
Section 7000) of Division 3 of the Business
ar>d Professions Code, ar>d my license Is In
full force and effect.
lie No Cius
I he<el>y att,rm lhat I am exempt from the Con =:ere:!;:::~-~f~~:
1:~r~,\~
county wh.ch requires I penn1t to construe 1 alt8f, 1mp,0¥1, demohsh, Of repa.r any structure,
pno, to its issuance also reQu1res lhe apphcant fo,
such pe<m1t 10 hie a signed statement that he ,s hcensed pursuant to the pr0t1s1ons of the Con tracto,'s License Law (Chaoler 9 commencing with Sectaon 7(lX) of O.v1sK)t'I 3 of the Business and Pro-
tessK>ns Coc:te) Of that ,s exempt lhe<efrom and the
baS•S. lo, the alleged exemptK>n Any v1otat1on of Sect'°" 7031 5 by an applteant to, a pemut sut>,ects
tne 11pphcant 10 a c1v1I penalty ot not more than hve
hundnld doll= ($500)
O I. as owne< ot the propeny, o, my empl<>yees *•th wages as their ~• compensation, will do the
work, and the structure ,s not m1ended o, ottered tor sale (Sec 104,,C, Business and Protess.ons Code
The Contracto, s locense law doH not apply to an owner of property who bu1tds or ,mprO\l'e'S thereon and who does such woo himself o, through his own
employees. proY1ded tha1 such improvements are no1 1ntende1 Of oUered tor saie If, however lhe
bu1kitng or 1mp,owtrTMtnt 1s sokS w1th1n one yea, of
eompte:1ion. 1he owne, builder will have the burden
of provmg lhllt he d.O not bwld or improve for the
purpose ot sale)
O I. as owner of the property am exclusively
contractmi with hcensed contr.:tors to construct the P,OJ9CI (Sec 704'. Business and Professions Code The Con1ract0t's License Law does not apply to an owner of property who builds Ot improves
~=~ic!t~ 7.:nC:~!~ ~~~,!'~~~;;:: Lteense Law)
O I am exempt under Sec
tor this reason
.8 & PC
D I hereby athrm 1ha1 I ha~ a cert1hcai1e of con sen I
to self-insure. o, a cer11frca1e of Workers Compensation Insurance, Of a certified capy lhereot
{Sec 3800. ut>o< Code)
POLICY NO
COMPANY
□ Copy IS flied Wllh the Ctty
D Cen1fted copy 1s hereby furnished
CERTIFICATl OF EXEMF'TION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm,1 ,s tor one hundred dotlMS ($100, or Jess)
I certify that ,n the perlonnance ot tne wotk fOf ~n this perm,t ,s ,ssued, I shall nol employ any
Hsai-in any manner so as 10 become sub1ect to the WOtkers· CompensahOf'I Laws ol C,,1ttom,a
NOTICE TO APPLICANT 11. aflet m,a1,t,1n1 tr'IIS Cen1
ticate ot Exemption. you shOuld beeome sub1ec1 ti'.> tt,e WMers' Compens.at1on Pf'OVISIOMS of the Labot C<:Jde: you must tonnw11h come>fy w11h such
provisions o, lh1s perm,1 s~I be Geemed rhOke<S
0 I ~eby attum thal lhere 1s a cons1ruchon
lending agency t()f 1he perlormance ot the wof'tl l()f wn,ch ~tus permit 1s issued (Sec 3097 C1v11 Cooe1
le~ s Name ___________ _
Lendef s Address __________ _
USE BALL POINT PEN ONLY & PRESS HAP" ..--APPLICANT TO FILL IN INFORMATION WITHIN SHADF'l AREA AND DECLARATIONS
C SBAD BUILDING DEPARTMENT ( ~ APPLICATION & PERMIT • I
12, , Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS Av:sT IOATE OF APPL1CAT10N11 BUSINESS LICENSE • VALUATION PERMIT NUMBER
2~4{~ \ i ~ \ r r i" ~ l r. ~\, Ct,('\ -;--, ~ ,...,x RO. , '8 ~,-;:-~--I ~If OWNER'S NAME
_ U,..,.vr-P
' I OWNER'S PHONE PRIME CONTRACTOR
f(j.ur.~--1
CONTJl/lCTOOS PHONE • ZONE ~~~ (\ '< S-1 I \_ Jx ~~·~<u-1--Lh~~ (..
OWNER'S MAILING 1oo~ESS _ , CONTRACTOR'S ADDRESS \ / LICENSE NO PLAN 1.0. I< BLOG USE CODE
~ 4 l:-U f\ \ l'" RY Y\, n ~-<( {\~ ,r \ ~°' '-' r. ~
LOT I SLOCI< I SUSOIVISION I ASSESSOR PARCEL NO ' DESIGNER STATE LICENSE ii STANOA;r/P'S-,1PJ19<+9' BUILDING SO. F<f/!GE
DESCRIPTION OF WORK ~ <> \<-'r \...x, <"
. 0 ,~1.i92 I . I -..
(_"\_ ''\ ~ (), v,,""' r, DESIGNER'S ADDRESS DESIGNER'S PHONE \ \ . \
-~ ~r~\'i~~~-~m-k_-ln ~ &~ (L;_ F/P FLR ELEV. NO OCC GP EDU
STORIES
\.. \ \ ,\-1 ,~,\,·· vO NO
CENSUS TRACT I GP LANO use PARKING SPACE I RES UNITS I GRADING f".ERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO NO vO NO Not Valid Unlffs Machin~ C#rtifi«J
QTY. PLUMBING PERMIT · ISSUE 7 ,~() QTY. MECHANICAL PERMIT -ISSUE 3 -0o SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100.000 BTU BUILDING PERMIT
EACH BUILDING SEWER DVE R 100.000 BTU SIGN PERMIT -------~------
EACH WA TEA HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ,,,,,0
EACH GAS SYSTEM 1 TO 4 0 UTLETS -BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING ..,.........,,, ::.---
/ EACH GAS SYSTEM 5 OR MORE _;i::----METAL FIREPLACE ELECTRICAL -/~ ------
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL f
EACH VACUUM BREAKER MECH EXHAUST HOODIDUCTS MOBILEHOME
-·
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR
TOT Al MECHANICAL STRONG MOTION r--------r. Lf) i,7);, TOTAL PLUMBING FIRE SPRINKLERS
-:J. ()I) PUBLIC FACILITIES FEE QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR· ISSUE BRIDGE FEE
/ NEW CONST EA AMPISWT BKR s-~ COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas
I PH 3 PH PUMP San D,egu,10
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS -OVER 200 AMPS -
TEMP OCCUPANCY (30 DAYSI -----·-----·------
?~~ -
TOTAL ELECTRICAL --1-TOTAL SOLAR TOTAL FEES PAYABLE I //~
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION ANO PERMIT" AND DO HEREBY E•p,rahon E .. ry perm,t issued by lhe Buoldtng Qlf,c,at uncle< the prov,s,ona of th,s * AN OSHA Pt:AMIT IS AEQUIREO FOR EXCAVATIONS 0YEII CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sP\all ••P•r• by lim,t■t1on and become null and void If the bu1fd1ng or •ork ~· o--DEEP ANO DlMOUTION OR CONS~TION OF author1Zed by 1uch pe,m11 11 not commenced within 180 days from the date of suet, DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, o, 11 Iha build,~ o, work autho,ozed by such r::.,:,.t••• 1u1pended or S~l\lMS OYER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNT)' ANO STATE LAWS GOVERNING BUILDING CON abandoned at anv tome a er the wo,k is commenced for r of 180 d••• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO . CONTRACTOR 0 APPROVED BY
~Yd/
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND ~Cl'JANT S SIGNATURIQ, OWNli\ ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT ~ 11 I'\.'\ c_ ..._
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INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT ,. ,
BUILDING ADDRESS:
PLANNING DEPARTMENT
ZONE LOT ---------
UNITS ALLOWED
SIZE
I
/\
l LOT
PROVIDED
DATE~ECEIVED
MAR 12 1982
CITY OF CARLSBAD
Btllltflog Oepartment
WIDTH
-----------g ITS
PARKING SPACES REQUIRED
% COVERAGE ALLOWED
.BUILDING HEIGHT ALLOWED
/RONT SETBACK:
1 LLOWED t
PROVIDED====t)=:t:-:====
INTRUSIONS
\ J t--PROVIDED 'V
PROVIDED
PROVIDED
SIDE SETBACK: REAR SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS: .~AJ~A-L-+----------------
ENVIRONMENTAL PROTECTION REQ: ~/VL-~l).;..._.._-'~::c...,L-=~=....L.~'--""''---------------
ADDITIONAL COMMENTS: ; -------------------------
OK TO ISSUE: fi/; DATE3l5'/%/4KTOFINAL _______ DATE ___ _
ENGINEERING DEPARTMENT~~~ -
R.o.w. ______ INDUSTR~ WASTE
SEWER CONNECTION
GRADING PERMIT
IMPROVEMENTS ---------------
DRIVEWAY LOCATIONS ---------------------
EASEMENTS DRAINAGE ---------------------
LEGAL DESCRIPTION ____________________________ _
ADDITIONAL COMMENTS ----------------------
OK TO ISSUE:Ji(; PWI OK TO FINAL DATE ------------
FIRE DEPARTMENT
SPRINKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS ----------------
FIRE HYDRANTS LOCATION ------------------
>ADD IT ION AL COMMENTS
'OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _
WATER DEPARTMENT Iii
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ~
1:1-1,
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'+ Uf.c""'t1'c,,J OF~ L-okl-~ ~ ,~£-. ,,,,