HomeMy WebLinkAbout2605 UNICORNIO ST; ; 86-501; PermitCl) z 0 ;:: < a: < ..., u Ill 0
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O I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe11lons Code, and my license is In
full fo1J and effect. C 'l-41
L,c N7'11'¥.5J Class ~-.-_,=:_~--=----=;__
t 11ereby aflirm that I am exempt lrom 1he Conuac•
IO(S License Law tor lhe following reason !Sec 7031 5 Bus,ness and Proless,ons Code Any city or count)' whic.n re• quires a permit to conslrucl alter improve demohsh. or
repair any struclure, pnor lo its issuance also requires !heap·
phcant fa< such perm11 10 '11e a s,qnect s1atement 1ha1 he 1s licensed pursuant lo the pravIs100s ol the t:oniractor s license La..., fChapler 9 commencing w,th Sec110n 7000 of
Otvrsl(Jn 3 ol lhe Business and Prot~st0ns Code;°' that 1s ex·
empl therefrom and the basis IO< !he anegeo e11:emption Any VlOlation of Section 7031. 5 by an applicanl for a permII sub
1ects the applicant to a ctv1I penalty ot not more lnan 1, ... e hun·
dred dollars ($500)
I, as owner of lhe propeny. or my employees with wages
as !heir soJe tompensation_ will oo the work. alld lhe struc-ture Is no1 ,nlended or ottered tor sale (Sec 7044. Business
and Proless1ons Code The Con1rac1or·s Lanse Law does
:r::trn!io :;o ~'i's~~t::t~,::i, ~l~~~h~:':~
employees. provJded thal such improvements are not intend-ed or offered for sale It, however the bu1khng or improve-
ment ,s sold w1lh1n one year of completJon. the owner-builder will have the burden of provmg !hat he did not build Of lm-
prCMl tor Ille purpose ot sale)
r I, as owner of the property, am exclusively contracimg
with licensed contractors to consttuci the proiect (Sec 7044. Business and Professions COde The Contraclor's L,cense Law does not app~ to an owner ol property who builds or ,m--proves !hereon, and who contracts for each protects w1lt1 a contractor(s) license pursuanl to the Contractor·s License
Law) /
O As a homeowner I am improving my home_ and 1tj? 1o11ow
ing condillons exist 1 The work Is betng performed pnor to
2 I have hved 1n my home !or twell months pnor to completion ol 1h,s work 1 have not claimed lhIs exemphon nng the
las! lhree years
D I am exempt under Sec t · B &P C
for this reason-----------,-~--
0 I hereby at firm !hat I have a certillcate ~onsenl lo
sell•msure. or a ceruticale of Workers Com nsalioo In-
surance. or a cert1t1ed copy thereof tSec. 3800. a.bar COde)
POLICY NO 6 p 3 6 >'7 -r-~ y fra.::Ze._F~
::J Copy IS hied with the City
D Certified copy is hereby lurmshed
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sect10n need nol be completed it lhe perm11
1s for one hundred dollars tSH)0) or less)
D I certify 1hat 1n the perf()(mance ol the work for which
this permit iS issued. I shall not employ any person in any
manner so as to become sub1ect to the Workers' Compen-
sa11on laws o1 Cahlorma.
NOTICE TO APPLICANT It. alter making ltHs Certificate
of Exemption. you shauld t>ecome subject to the Workers·
COmpensat,on provisions of the Labor Code. you must
lorthw1th comply with such provisions or this permit shall
be deemed revoked
0 I hereby a1!1rm ttlat there i.s a construction lending
agency tor the performance of the work for which th,s per•
mil IS issued iSeC. 3097, Civil Code)
Lender's Name
Lender's Address
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFOljMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATU & PERMIT ;lb/2_
JOB ADDRESS
~~oS:-
AV ST RD
OT BLOCK
ll," /C-o~ n ,'O ();-.,
NEAREST CROSS ST
/1~~ IDr;;;.:;~IONI o ~/~N~ ;c;;SE #
VALUA~
l SUBDI V SION l ASSESSOR PARCEL NO ., CONTRACTOR
~,-tea-C-/1/2_~
CONTRAt TORS PHONE •
,£/~-76r/
ZONE cj;~i"'"
lWNf R'S 'JAME
.i'obe r"r l ~3 °i2~R~;; CONT RAC TOR S ADORE~ LICENSE NO PLAN 1.0. # BUILDING SO. FOOT AGE R-/~ fL.•e...
OWNER'S 'VIA NG ADDRESS &,;-d,e,Yl fl~J -~
5~.--,P.. DESIGNER tf?'fC...,, DESIGNER'S PHONE
I DESCR PTIQN OF WORI<
:,:;a f,"u...,e.,R.. 1/c.. :7l? e-x ,'--rr,'o/ I DESIGNER'S ADDRESS LICENSE NO.
F=~Rri ~
CENSUS TRACT I GP LAND use f PARKING SPACE
1
RES UNITS
QTY.I PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
2~
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
GRADING PERMIT ISSUED
YO N □
F,P F LR ELEV
v□ NO
l REDEVELOPMENT
AREA
vO NO
QTY.I MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS UP TO 100.000 BTU
--m'>
STORIES
TYPE
CONST
3---
occ GP I EDU
6/l41/B6SB77
occ LOAD I FIRE SPA oo · (e!-77 ed41 B6
vO NO Not Valid Unless Machine Certtlted
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001 ·810-00-00-8220
OVER 100,000 BTU I I -·-··. -····.
BOILER/COMPRESSOR UP TO 3 HP j,/ ~ SIGN PERMIT 001-810-00-00-8221
PLAN CHECK 001-810-00-00-8806
'117~0 J
'I 7~01.
..
EACH GAS SYSTEM I TO 4 OUTLETS ___ i
EACH GAS SYSTEM 5 OR MORE
BOILER/COMPRESSOR 3 15 HP I 7
METAL FIREPLACE
TOTAL PLUMBING 001-810-00-00·8222
ELECTRICAL 001-810-00·00-8223 ~,,,.. ~
EACH INSTAl ALTER. REPAIR WATER PIPE --
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN !INSIDE)
TOTAL PLUMBING
IQTY.I ELECTRICAL PERMIT -ISSUE
NEW CONST EA AMP SWT BK R
6-
I PH 3 PH
EXIST BLOG EA AMP.<SWT BKR
I PH 3 PH
-/-REMODEL ALTER PER CIRCUIT 7,.-
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
10TAL EU:LTRICAL 1 /0
,,-
QTY.
VENT FAN SINGLE DUCT
MECH EXHAUST HOOD DUCTS
RELOCATION OF EA FURNACE /HEATER
TOTr..LMECHAN~ / ~I-
soL;?:ssuE / ]\
COLLECTOR$/ c:: I I
sr~RA£E. u/JKs ri3/
ROCK STOefAGE ( p j
PUMP / -0
/AlS)
7 7 7
PLAN CH~K FEE
VI ' 7 ~ z
TOTAL SOLAR
I V
MECHANICAL 001·810-00-00·8224 -7_~
MOBILEHOME 001-810-00-00-8225 I'
M0BILEH0ME PARK INSP
SOLAR 001 ·810-00-00-8226
STRONG MOTION 880-519-92-33 -
FIRE SPRINKLERS 001-810-00-00-8227
PUBLIC FACILITIES FEE 332-810-00-00-8930
SCHOOL FEE -DISTRICT
Carlsbad
Enc1mlas
San Oiegu1to
San Marcos
LICENSE TAX 001-810-00-00-8162
MFF 880·519-92-57
CREDIT DEPOSIT
TOTAL FEES PAYABLE 1 17~
I HAVE CAREFULLY EXAM1NEO THE COMPLETED APPLICAT ON ANO PERMIT" AND DO HEREBY Exptratoon Every permit issued byth• Bu11d,ng Offoc,ao undertne provis,onsofth•s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp.re by limitation aod beeome "1/11 and void If lhe bu,ld,ng or work ~-0 .. DEEP ANO DEMOLITION OR CONSTRUCTION OF aun,onzed by such permit 1s not commenced w1th1n 180 days from the date ot such DECLARATIONS ARE TRUE AND CORRECT AND I FURT!-1ER CERTIFY ANO AGREE IF A PERMIT IS perm,t. or ,t the building or work author,zed by suet, perm,! ,s suspended o, STRUCT\JRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUN1Y .AND STATE LAWS GOVERNING BUILDING CON abandoned at on time after the work 1s commenced for a nOd of 180 da s
smuc110N WHETHER sPEC1F1.E.o HERE1N OR NOT I ALSO AGREE ro SAVE 1NDEMNIFY AND h .PP .. AN .. r·s SIGNATURE • [l T ~ APPROVED Bv/v KEEP HARMLESS THE CITY OF CARLSBAD AGA1NST ALL L,ABILITlES. JUDGMENTS COSTS ANO ~ OWNER CONTRAC 0'£,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -, :Z _ ,n/) BY PHONE fJ
GRANTING OF THIS PERM'T ~ '
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