The URL can be used to link to this page

Home My WebLink About2618 UNICORNIO ST; ; 80-846; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license Is in lull force and ef- fect. OWNER-BUILDER DECLARATION O I hereby affirm that I am exempt from the Con- tractor's License Law for the following rea.son (Sec. 7031.5,Buslness 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 provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of 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 penally of not more than live hundred dollars ($500). □ 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. 7044, 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. II, 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). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property t•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 reason : Date ______ Owner 'I n..,u .17 WORKERS' COMPEN •~ I hereby affirm that /fa!~o: c.!tilificate sent to self-Insure, or a certificate of WoM<ers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO, ___________ _ COMPANY ___________ _ □Copy Is fifed with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per- mit Is for one hundred dollars ($100) or less). I certify that In the perfonmance of the work for which this permit ls Issued, I shall not employ any person In any manner so as to become subject to the Work,y,s' Compensation Laws of California. NOTICE Tb APPLICANT: If, after making this Cer- till~ate of Exemption, you should become subject to fhe Wo•kers' Compensation provisions of the Labor C:C..U,, you must forthwith comply with such provisions or this penmit shall be deemed revoked. ·coNSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency for the performance of the worlt for •tiich this oermll Is lssuA<I IS"" 1097 r.Iv11 C".ruiAl C IT Y OF CARL SBAD-BUILDING DEPA RTM E N T USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. iG<1b1/ 181 JOO ADDRESS tRr· l0 9}3;79~TION I I I I I I I I I 1U1N1 I 1 ~ 0 1te,111 /101 I I I I I OWNER OWNER' 5 PHONE PRIME CONTRACTOR T,L. t,o JJ.r-r12uc<1·tn ,t.) '//_.(1 ~/1,,.J7ZbC::.,,, a)v OWNER'S MAIL ING ADDRESS CONTRACTOR'S ADDRESS /'/2-/1/ C--eD/r!..DS , So1-.<'.3c11 q}-0--xr /'12---N, Q,ef),eo S ,StJJ.-/!£/1 LOT I BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER I I I I I I I I I I I OES<=l!lf>TIOJI OF ;f.ORK ~i'l)nf u);t.t. v DESIGNER'S ADDRESS , / /~5 Sf,7r CENSUS TRACT GP LANO USE ZaNING APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER ;t. t?nP3 ?t-1'% ST ATE LICENSE 3.3,2 ---~ ~l)j;~~ ;~ r) ~TE LIC~ - DESIGNER'S PHONE . 4•·· ,, 1.r =' ~ r I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not Valid Unless Machin, Clrtifi«J BLOG SQ. FT. BLOG USE occ. GP I STANDARD PLAN II I PR~:.:~yl 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 UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BO I LE R/COMPRESSO R 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Slf!GLE DUCT V~, _., g'd'O. ----- ~.) EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . J~~-~ SIGN PERMIT -~ I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHEC~ ,' v ' I 1L!K:':.f... . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA I , I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I . I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME _ .MICO·FILM_. ; I I . . I I OVER 200 AMPS ~, .,,...:; /r;o,n,.,v-v I . I I : ._!)ll TEMP OCCUPANCY (30 DAYS) I , I I I I I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 1~Y.~ CONTRACTOR . I I . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~a7,a/4 ~ ~~/cro SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-A)/r,J~ LESS 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. APPLICANT'S S~TURE• V' OWNER□ CONTRACTOR□ ~ROVEO 8P.I () • • DATE AGENT'fil' I /d-.3· SY PHONE O • _ -., ! ~ ~ > ~ j::: u w c.. V) ~ ~ ~ SITE 9.n-1( 4-l, ADDRESS: ~ OWNER: \ • ' \ \ . PERMIT NO: - FIELD INSPECTION RECORD ,, - INSPECTION DATE • ••• INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING - UNDER FLOOR H EATING ,: ~--ac . -Cs -~ 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 TAPE EXTERIOR LATH OK • PLACE STUCCO FIREP,1-ACE -, DAIIIPER & STEEL - ~ ~ PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME " \r . ' • PAN \ \ ' r J FINAL INSP BY BLDG DEPT 'Il \n \~ " \ IT' OTHER DEPT'S REQ COMPLETED \, \ \\\ I \ J' ELEC METER-PERM-TEMP GAS METER-PERM-TEMP L ,.; _,._ ~ \' .,\,'-' -CERT OF OCCUPANCY ISSUED ... ,. ' .c • .. -- ...,._,, '\