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Home My WebLink About2646 UNICORNIO ST; ; CB930157; PermitPLAN CHECK NO. ?#-/7 7 City of Carlsbad Building Departaent 2075 Las Pal.is Dr., carlsbad, CA 92009 (619) 438-1161 I. PIDtMl I IYPE A -U Commercial LI New Building O Tenant Improvement B -□ Industrial □ New Building D Tenant Improvement C -D Residential □ Apartment □ Condo □ Single Family Dwelling □Addition/Alteration □ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing □ Mechanical D Pool □ Spa □ Retaining Wall D Solar D Other ____ _ 2. PROJECT INFORMATION CfiECR BEWW IF SUBMI I 1£0: FST. VAL'--~-o-....,c,.....,,.,.._c) __ _ PLAN CK DEPOSIT 2f2' VAIID.BY DC' __ ........,..._ ___ _ DATE --c:9-=-/-./_Z___,,<,...,.,..._,.,3.,..-- nil o. U99 02111 97 ooo• 01 FOR OFFICE USE ONLY D 2 Energy Cales □ 2 Structural Cales D 2 Soils Report □ 1 Addressed Envelope ASsEssoa·s PARCEL. a 1s ~ .P o ?ii;a, FSJ]NG u~s.1-cAi;G , r~oros~ WN IACI PERSON (1f dulerenl from apphcan[) AME ADDRESS CITY STATE ZIP CODE DAY TELEPHONE IQ_ ADDRESS Jlo l./-; U. r.. I c.o-.,-V\, ~ C 6. OON'l1W.:'lult NAME STATE GJ~{ ZIP CODE 9 ~Q('.)'7 DAY TELEPHONE ~ -(J~ C, )... CITY DESIGNER NAME CITY STATE STATE UC.# STATE 1. WOIOO!ltS' WMPENSAliON ADDRESS ZIP CODE LICENSE Cl.ASS ADDRESS ZIP CODE DAY TELEPHONE CITY BUSINESS UC. # DAY TELEPHONE STATE UC.# Workers' Compensation beclarauon: I hereby allirm that I have a certificate of consent to sell-insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof cenified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE 4 . Cerulicate of Exempuon: I cerufy that in the performance of the work for which this permit 1s issued, I shall not employ any person many manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. dWNER-ll0IIDER Ott:tAJtA110N owner-Builder Declarauon: I hereby atllrm that I am exempt from the Contractor's License Law for the following reason: X 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 offered for sale (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 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.). □ D I, as owner of the property, am exclusively 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 Contractor's License Law). I am exempt under Section _______ Business and Professions Code for this reason: (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, commencing 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)). SIGNATURE DATE COMPLETE 11-11s 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 Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? C YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCX:UPANCY MAY NCJJ" BE ISSUED AFrnR JULY 1, 1989 UNLESS nm APPUCANT HAS MET OR IS MEIITING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POlllJTION CX>NTROL DISl1UCT. 9. WNS I R0CliON i..ENDLNC AGENCY I hereby afhrm that there 1s a construcuon lending agency for the performance of the work lor which this permit 1s issued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APl'OCANT CEllffl'ICA'lidN I cenify that I have read the apphcauon and state that the above mformauon 1s correct. f agree to comply w1lll au city ordinances ano State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE lNDEMND'Y AND KEEP IIARMLF.SS 11m CTIY OF CARLSBAD AGAINST AU. UABIIIllES, JUDGMENTS, CDSfS AND EXPENSES WI-DCII MAY [N ANY WAY ACDUJE AGAINST SAID CTIY [N CX>NSEQUENCE OF nm GRANTING OF nos PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of 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 the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Un~o 7 rm/,uildig Code). APPUCANl'S~_j ~ DATE cx.;d-(13 WHITE: File YEU.OW: Applicant PINK: Finance ;· ?L\.:IC!( • ------- .:8 !J ,\DCfl.£S s_2-_~_Y ___ I.R __ l/'-"-n........__,· c..e"2./Yl ___ t-o ______ Cfrnar-.:....<.L.+-+)------ :': :~.;:: ,\..!",Itrn: : ______ T I?U: LEAVE: ______ _ CD L'•iL DESCRI?TIOU P Eit.i TI 'r 3 G/l!J/09 .. -.~ . - {lr«J i\CT CCZUlEHTS ~ PLANNING/ENGIN EERI NG APPROVALS PERMIT NUMBER CB 9.,f}-Ii 7 DATE --~-'d.~7.~/2_p_.3 ___ _ ADDRESS _~_7t_//i_6_V_#-_~_C!_o~ __ ~_o_5' __ -_7 __________ _ RESIDENTIAL RESIDENTIAL ADDITION MINOR ( < $10,000.00) PLANNER 0 :..J L-.:__ TENANT IMPROVEMENT PLAZA CAMINO REAL VILLAGE FAIRE COMPLETE OFFICE BUILDING DATE_-'-2_--'-/?_-~V __ ENGINEER -~A---~-~-----DATE --~-A~~-9_3 __ _ C:\WP51 \FILES\BLDG.FRM Rev 11 /15/90