HomeMy WebLinkAbout2621 UNICORNIO ST; ; 82-251; Permit.,, z 0 ~ CIC C ~ u ... Q
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0 I he,~.,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 eff~!_, n
Lie No 'Y12. ~ # Class -~C7 ___ _
1 hereby affirm Iha! I am exempt lrom the Con1rac-1or·s License Law lor the following reason (Sec. 7031.5 Business and Protesslons Code: Any city or county which re-quires a permit to construct, alter, Improve, demolish, or repair any structure, pr;or to its issuance also requires the ap-
plicant lor such penmt to file a signed statement that he is licensed pursuant to the provisions ol the Contractor's License Law (Chapter 9 commenc,~ with Secll011 7000 ol
0lvis1on 3 of the Business and PrDIOSSIOnS Code) or that Is BX· empt therefrom and the basis for the alleged exemption Any
v,ola11on of Secl!Oll 7031_ .5 by an applicant lor a permil sub-iects the applicant to a Civil penalty o! nol more than fr,e hun· dred dollars ($500).
O I, as owner of the property, or my employees with wages
as !heir sole compensation, wfll do the WCN'k, and the struc·
ture Is not intended or offered for sale (Sec 7044, Business and Protess10ns Code: The Conlractof' s License Law does
rho~:ggi~o :~ ~:s:t::kil.:~t :i:~~~~~r;:~
employees, provkled that such improvements are not intend·
ed or ottered for sale. If, however, the building or lmj)rove-ment is sold within one year o1 comp}etiOf'I, the owner-builder
will have the burden of proving that he did not build or Im· prove lor !he purpose of sale).
0 I, as owner of lhe property, am oxciusiv.tv contracting with licensed contractors 10 construe! !he project (Sec. 7044,
Business and Professions Code: The Conlractor's License Law does not apply to an owner of property who builds or Im-proves thereon, and who contracts few each projects with a
contractOf(s) license pursuant to the Contractor's Lk:ense Law),
0 As a homeowner I am Improving my home, and the follow·
Ing conditions exist: t l~~:.r::;ii ;1:::1 r:-:~1ernonlhs
3. rr:v: ::'Pc':~t /~;~ :plion during the
last three years.
D I am exempt under Sec. ______ , 8 & P.C. for this reason ____________ _
D I hereby athrm that I have a cen1t,cate ot consent to self-insure, or a cert1hcate of Wor1(ers·
Compensation Insurance. or a cen,t1ed copy thereof
(Sec. 3800. Labo< Code)
POLICY NO ______ _
COMPANY
C!J Copy IS f1le<l w1lh lhe c,ly
0 Cer1,fted copy ,s hereby lurn1shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the germI1
Is tor one hundred dollars (S tOO) Of less)
D I cer11ty that In the perlormance ot the wor1( tor
which this permit Is issued. I shall not emptoy any
person m any manner so as to become sub1ecI to
the Wonters· Compensation Laws ol Cahlornia
NOTICE TO APPLICANT II, after makm~ this Cer11 hcate of E.,.empt1on, you shoukJ t>ecome subIecI I?
lhe Wo~ers· Compensation provIs,ons ol lhe Labor
Code, you must forthwith comply with sucri
provisions or this permit shall be deemed revoked
0 I hereby atfum InaI there Is a cons1ructIon
Iend1no aoency for the performance ot the wortt lo, which lh•s permit Is ,ssue<l (Sec 3097 C1v1I Codef
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD _ APPLICANT TC'-:ILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD .JILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (714) 438-5525 A\ . llCAT~ PERMIT
JOB AOORESS
12~:JI q~ e AV, ST. DATE OF APPLICATION BUSIW-# PERMIT NUMBER
~
OWNER'S NAME
~-i-&4 ~-1 OWNER'S PHONE
OWNER'S MA LING AOORESS
2~:JI ct,/~ I°~~~ t:_
RD, /3/',i 7/f:t>
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CONTRACT.OR'S ADDRESS
l-'f (J 'f tt -cfr-
I ;;;c:~;;,
LICENSE NO.
"7
ZONE a, --1.<'
D'Y"
I PLAN 1,0, # I BLOG USE CODE
LOT I BLOCK
f a_t.f_
l SUBO)VISION
DESCRIPTION OF WORK
l
l ASSESSOR PARCEL NO. .2r-F-2iV,.. :J'"I
DESIGNER LICENSE# I STANDARD PLAN# I BUILD!&/ i TAGE
DESIGNER'S ADDRESS I DESIGNER'S PHONE
~ ~e;;..,J ''JG-a.,.., J> Li a ~j "' """'" I I .. ;~.. I °!-~ I '00 '
IO ~£~ . _ ______. YO NO -'/
CENSUS TRACT GP LAND USE PARK ING SPACE RES UNITS GRADING ~ERMIT ISSUED
YO H □ l REDEVELOPMENT AREA
vO NO ,~ ace LOAD FIRE SPR
vO NO
I DI a
Not Valid Unwss Machine Certifi«i
QTY.I PLUMBING PERMIT· ISSUE -LI. 7,so QTY. MECHANICAL PERMIT· ISSUE d~ SUMMARY/ACCOUNT NUMBER J>J A
-"2.kicH FIXTURE TRAP J ; ~ INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU ~ACH BUILDING SEWER
EACH WATER HEATER ANO/OR VENT
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH lNSTAl .. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE --+-----_. __ -4-
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS -------+---------+---
WATER SOFTNER REL O CA Tl ON OF EA FURNACE/HEATER
'-1:--BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
01 ·00·00·8220
01·00·00-8221
01 ·00·00·B806
01 ·00·00·8222
01 ·00·00·8223
01·00·00·8224
Ol·OO·OO·B225
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EACH ROOF DRAIN (INSIDE)
TOT,t;L MECHANICAL
1 /1,/'...\( 7·4
SOLAB
STRONG MOTION
01-00-00-A??R
80·92·33-0519
01·00·00·8227
~~
TOTAL PLUMBING
QTY. ELECTRICAL PERMIT· ISSUE o?,od QTY. SOLAR • ISSUE
NEW CONST EA AMP/SWT /BKR COLLECTORS
1 PH 3 PH STORAGE TANKS
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL/AL TEA PER CIRCUIT J . -PLAN CHECK FEE
TE MP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI --+ --
..
TOTAL ELECTRICAL 7 -7~ TOTAL SOLAR
7
-
FIRE SPRINKLERS
PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
SCHOOL FEE • DISTRICT
Carlsbad 80·92·21·0519
Encinitas 80·92·22·0519
San Dieguito 80·92·23-0519
San Marcos ' 80-92-24·0519
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C Cl> ~ (!) Jl~_s,.., I l 7J..:~-►Cr1\
.Sl 9-0~L I1~0
TOTAL FEES PAYABLE = L,,£)!£q] -* AN OSHA PERMIT IS REOUIAEO FOR EXCAVATIONS OYER
~· O" DEEP AND DEMOl fTlON OR CONSTRUCTION OF
. -, I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY E<p,rat1on Every permit issued by lheBuild1ng Off1c111 under the provis1onsofth1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmite11on ■nd become null and void If tt>e bu11d1ng or work
STORIES IN HEIGH'r-DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 15 not commenced w,th,n 180 days from the date of such ----· • -·------· • -
ISSUED· TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON· permit. or if the boildiJ or work authonzed by such permit IS suspended or STRUCT\JR£S OYER l
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandoned 11 an t,ms I er the wor~ IS commenced for I nod of l80 da E.
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~APP.LIC .. A. N .. T'S SIGNA~TURE Jf, OWNER O CONTRACTORJii. • :i:
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ .._ ff
GRANTING OF THIS PERMIT _, fr_;; ,z,P' BY PHONE 0 ...,
,,~ ..... --··-·~ ... ---~""---~;._--·~-
BUILDING • ,g-;,✓~ I # ~ ~
, FIELD INSPECTION RECORD •
FOUNDATION , -" .. .!!f 1NFORCED STEEL "'--/~J-J.J!J. 11' • REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES •
IVl~SONRY / INSPECTION REQ. IF INSPECTOR'S D .:..:,~ CHECKED APPROVAL ATE •
G•UNITE OR GROUT SOILS COMPLIANCE .-.:::..... -...,,,,. • • , r. • •· ' --• •,~ ·, _ .. "
FLOOR & CEILING SUB FRAME I PRIOR TO ft•~~~~.__..!l.j!!~4~~'/a._~:__ _____________ --,-____ _j
FOUNDATION INSP -' • 1 , • •
SHEATH I NG 1--::,=-=-=----=-----+----l------!-.----: • • • _ ' • • •
-'~ ,_ STRUCTURAL CONCRETE
FRAME I 11...·'2.t?·v~ .-.....-..-.. "\ ~ OVER 2000 PSI l-::-===~----l----~-----1------J
EXTERIOR LATH lNSULATION '-. ,..,. ,.-,1/J_QJ ~ ~-. ~~~s;::J:ED
INTERIOR LATH & DRYWALL ( -u,w "' -r---:::P~os:::-:T:-:T=-:E::-:N:::-s1:-=o::-:N-=ED::----._,_----+------+-----I t------------------------------l
CONCRETE
PLUMBING / FIELD WELDING
SEWER AND BL/CO ' / ~HC"::IG:--,-H,-:S:-::Tc=-R-::-EN_G_T_H---~---+-------4-------1 t--:----------------------------~
PLUMBING UNDERGROUND V BOLTS , t----'-------:------------------_j
PLUMBING TOP OUT I ' ,/ SPECIAL MASONRY -· • ,.
TUB AND !:?HOWER PAN I ,/ 1-----------l----~-----I------J ••►-·,._ ••
GAS TEST / • PILES CAISSONS i-----------;-:---------:.:-------:,--------------_J
ELECTRICAL
'C,
TEMPORARY POWER , 1----------+----l------l---__J ..
1
,.
ELECTRIC UNDERGROUND I r--------+---+-----+-----l r ___________ __:__ _____ __:____ , ~ ~ ' "'
ROUGH ELECTRIC , ~ {1,-10fh u--n,.f-' • -' • •• ; ' I • •
ELECTRIC SERVICE ; • .:") ,.. • . ,-,;;: .
BONDING I ,:-r--,· ; " ' . .
G )' F. I. -SMOKE DETECTOR I ' -1-----------l----.__------l----l -• •
-I ~--• ~ -
MECHANICAL _ i----------1---+-------i--~ r-----:--,---''!....
1
____________ _
rtj !JCT & PLEM., REF. PIPING i'J_t1.lh0)u-~ t--'-----'----+----+-----1-----1 , -,' , .. ., --------~
HEAT -AIR COND. -SOLAR SYSTEMS t----:;:-;------:-----:-~+----+-:------+-----1 ', '. VENTILATING SYSTEMS . ; -~ ' . I i-----------:--. -----------------~
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABO VE HA VE BEEN APPROVED. 1--------,---+--~f-----i---...J r--------------------,., "' ••
' JOB SITE FINAL r--------+---+--------J----1 ~
PLUMBING .. ~~~ ELECTRICAL v,~~ 1---------l----~----.J_---l r------------------------------1
MECHANICAL ~ •~"',u r---------+---._,_ ____ .J_ __ !--------------------------·-; _______ __
GAS 1 I\I _ \.Y",..-~ -----'-----+---+-----+---~ • ~ , • ~ 1 __ BUILDING f: i'.Y't\ .YJ• ✓ ~ • '· ' ' .,
SPECIAL CONDITIONS 'J)"'. t---------+----+------'------< r------------·-•-:----=:-----------------1
CERT OF orr.uPANCY ISSUED ..,. r --~-----· ________________ __J
•
1
INFORMATION S~Etf E ~
. J LI 1AT. 10_1~? B.UlLDING DEPARTMENT n ~----
BUILPING ADDRESS: c2L,p,2/ (n:.L~ CITY QI' ?.~~8~t.l'----
; ~: ~: ::!. ;;:, ::: :::. *: ,';f;. • •::: ~ • • • * * t • * • * ~ :::l:~7. • ::::~:: * * * * H * * •
PLANNIN~Er.8RTMENT
ZONE: [.~= SCHOOL FEES: SAN DIEGUITO _____ SAN MARCOS __ _
ENCINITAS _____ CARLSBAD _____ _
·UNITS REQ'D: PROVIDED: ----------------------% COVERAGE ALLOWED: _PROVIDED:
PARKING SPACES REQ'D: J7 PROVIDED:_-_-_-_----'a--:================
BUILDING HEIGHT REQ'D: PROVIDED: ------------------
FRONT SETBACK
ALLOWED:
PROVIDED-:--~-""'¥= ___ _
INTRUSIONS:_~-----
SIDE SETBACK REAR SETBACK
RE-DEVELOPMENT AP PROVAL REQ ID: N ~
LANDSCAPE & IRRIGATION PLAN CO-M~-lE_N...;.T_S_:==..L-N.:...._-'-_~===~~~----------
ENV r RONMENT AL PRO TE CT I ON REQ: ___.l; .......... '/---=€.....,M~P"-----'x:'-------------
ADDITIONAL COMMENTS: --------------------------
OK TO ISSUE: ~ DATE:
ENGJN.E.E.Rillli_D.EEARTMENT
R.O.W: _____ _ IMPROVEMENTS: -'-----------------
PUBLIC FACILITIES FEE:· SEWER CONNECTION: --------------
DRIVEWAY LOCATION(S) : ___________ .;..... _______ _
GRADING PEmHT: --------------------------
EASEMENTS: _______ DRAINAGE: _____________ _
LEGAL CESCRIPTION: _______________________ _
ADDITIONAL COMMENTS: -----------------------
*CHECK IP ENG:u ERING INSPECTION REQ'D. ON FINAL:
OK TO ISSUE: ~ 1Jf..L-1JATE: 7--/4 .. !J,2 PWI:. OK TO FINAL: ___ _
DATE: ----
J:JJ;,;i * * * * * * ik ii ;~ * * * * :Ii * * * * :li £..m * * * * icl· * * t. milllilll.:k.K:illl.Ji.:££ll3: :t * * * * * * * tD:i.L'd
* IF TIIIS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL M1\KE
FINAL INSPECTION.
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