HomeMy WebLinkAbout2572 UNICORNIO ST; ; 86-56; Permitu, z 0 ;::: < a:: < _,
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O I hereby 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 effect.
Lie No ______ Class
I hereby athrm lhat I am e.:empt from the Contrac· !or's license Law for lhe lollowmg reason {Sec 7031 5
Business and Professions Code Any city or county wh1cti re· quires a perm11 10 construc1. alter. improve, demolish. or repair any structure prior 1011s issuance also requires !heap-
phcanl lor such perm11 10 file a signed statement that he 1s iicensed pursuant to lhe prov1st0ns ol lhe Con1rac10l s
License Law (Chapter 9 commencing with Sec1t0n 7000 of Oiv1s10n 3 of rhe Business and Protesswns Code) oc that 1s ex· empt therefrom and lhe basis lor the allegeo exempllon Any
v1ola1100 ol SechOn 7031.5 by an appbcant IOf a permil sub
1ec1s the apphcant lo a civft penalty of 001 more than fwe hun-
dred dol~rs ($500)
I, as owner of lhe properly, or my employees wI1h wages
as their sole compensa1ton, will do the work. and the slruc-lure 1s nol ,ntended or ollered tOf sale (Sec 7044_ Busmess and ProlessiOns COde The Contraclor's Ucense Law does
not apply 10 an owner of property who bu1fds Of Improves
!hereon and who ck>es such work himself or through his ow-n
employees. provided that such improvements are nol intend·
ed or ottered'°' sale 11. haw-ever. the bu1ld1ng or 1mprove-ment Is sold w11h1n one year ol comple1ion. the owner-t>utlder
will have the burden ol provmg that he did not butld or im-
prove tor the purpose of saleJ
□ I, as owner ol the properly, am exclus1Vely con1rac1mg
wI1h lteensed con1rac1ors to conslruct lhe pro1ect (Sec 7044,
Buslness and Proless,ons Code The Cont,actor·s lteense
Law does not apply lo an owner ol property who builds or im-
proves !hereon, and who conlracts lor each protetts w1lh a
conlract04'(S) license pursuan1 to lhe Con1ractof's Lteense Uwl
0 As a homeowner I am 1mprov1ng my home. and lhe lollow
lng cond1t1ons exist 1 ihe work ,s being performed pnor to sale
2. I have hved m my home for twelve monlhs
pnor to compte1ion o1 this work
I have not claimed this exempttOn during the last three years
u I am exempl under Set ______ , B &PC
!or this reason ____________ _
LJ I hereby atltrm lhal I have a certificate of consent to
self-insure. or a cefllhcate of Workers Compensation In•
surance. or a certified copy thereof (Sec 3800. labof Code)
POLICY NO
COMPANY = Copy is filed Wllh the city
~ Cert1l1ed copy ls hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section neeo not be compte1ed If the permit
Is for one hundred dollars ($100) or less)
0 I certify 1hat in !he performance of the WOfk for which
this penmt ,s issued. I shall not employ any person 1n any
manner so as to become subject to the Workers Compen-
satton Laws of Cahforn,a.
NOTICE TO APPLICANT. If. after making lh•s Certihcate
of Exemption. you should become sub1ec1 to the Workers·
Compensation PfOV1sions of the labor Code. you must
torthwlth comply w1lh such p(ovIsIons or lh1s permit shall
be deemed revoked.
D I hereby affirm thal there Is a construction lending
agency f<>f the performance of the work !Of which this per·
mI1 is Issued (Sec. 3097. C1vII Code)
Lender"s Name ____________ _
Lender's Address, ________ .
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USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ---
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525
~
JOB ADDRESS AV ST.AO. NEAREST CROSS ST
!
DATE OF APPLICATIONII BUSINESS LICENSE " VALUATION PERMIT NUMBER
.JS7J. Lt ,1 c'C.Olt_A}1 'o $, J:>e~SA-1-31 .f,t,-7o,~O it-st, LOT BLOCK I SUBDIVISION I ASSESS~R PAJJ.CEL NO CONTRACTOR CONTRACTORS PHONE• ZONE -
I ~ :),.'ef() 3u oo ..
OWNEA·s NAME
A.Jole.THLI/J ' OWNE A"S PHONE Ji..,.,, 11) ,4 /t AJ~ /l.
Eb ,iJ LA/ Nlf.Je' '/31·9st,o CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SO. FOOTAGE
/~451~ rid#!;, .. ·A-'-i Ell OWNE A"S MAILING ADDRESS ,)Ut
d57~ l/,,, l'C. l)llt. A JJ 'O <,-t1~1u..ssA >. " ~ 9~ DESIGNER I "ESIGNER"S PHONE
Stm WJ4.1'AJEA ¥,J~~ ~, ,1.411 OEE~RIPTION OF WORK
l~L..U DESIGNER'S ADDRESS LICENSE NO. .,
~~7:2 111'1/ -~~ i,)) £i-. -
--SPt+ -'11'9l~861DB1' r~e,1e F/P FLA ELEV. NO OCC GP EDU 0.P~.!J o~-r,·· Jl'~_ll 9g STORIES r!a;1 vO NO --
CENSUS TAACl I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REDEVELOPMENT TYPE OCC LOAD FIAESPR
AREA CONST
,□ ND vO "-0 vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE SUMMAR~ACCOUNTNUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS uP TO 100.000 BTU BUILDING PERMIT 001 ·810·00·00·8220 -..s.t. <:D
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00·00·8221 ---~, .'I., EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS l-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00·8222 ~ -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
~
EACH INSTA~. ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 001 ·810·00·00·8224 ----
EACH VACUUM BR EAKER MECH EXHAUST HODO DUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN ilNSIOEi SOLAR ___QQ_!_:810 ·00· 00·8226
TOT la MECHANICAL STRONG MOTION 880·519·92·33 --'-.5·lJ -I -TOTAL PLUMBING FIRE SPRINKLERS 001·810·00·00·8227 .
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE 332·810·00·00·8930 _
SP~ t'Lr; F-AB -75 .{)O
NEW CONST EA AMP'SWT HKR COLLECTORS SCHOOL FEE • DISTRICT . -
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP SWT BKR ' ROCK STORAGE Encm1tas
I PH 3 PH PUMP San Diegu1to
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS -
OVER 200 AMPS LICENSE TAX 001 ·810·00·00·8162
TEMP OCCUPANCY 130 DAYSI MFF 880·519·92·57
CREDIT DEPOSIT
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r /~2: TOTAL E LELTRICAL TOTAi. SOLAR TOT AL FEES PAY ABLE 75' I
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT'" AND DO HEREBY Expirahon Every permit issued by the Bu1ld1ng Ott1c11f under the provIs1ons of this
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~PEAM:T IS REQUIRED FO~CAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l1m1tatton and become null and void If the building or work ,_ND ,)EMOt.JTION OR C RUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permll 1s not commenced within 180 days from the dale of such Es 1' ER J sr:~1es "/ HT ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :~'::~n°e'ci
1
~1 l=~y ~~~l~~ei~h:~~,:~!h~~:1e~le~~~~ r~r::~·~,sr:rd~~ or
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND OWNE~CONTR,.CTOR 0 f'~R E Y / ._. 40' / DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND APPLICANTS S;l:s;G TURE Jf-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THI~ I BY PHONE 0 ~ -;;kJ [.(..J 1,3/-8'b GRANTING OF THIS PERMIT • _, ,.,. J , .....
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I C
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEl~I NG
SHEATHING D ROOF D SH1EAR
FRAME I
EXTERIOR LA TH ' I
INSULATION I
INTERIOR LATH & DRYWALL I
' I
PLUMBING I
D SEWER AND BUCO D PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I '· •.
I ,·
CALL FOR FINAL INSPECtlON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED. • '
FINAL I
PLUMBING I
ELECTRICAL ' -I
MECHANICAL I
GAS I ... -~
BUILDING I
SPECIAL CONDITIONS I
I
.-
FIELD INSPECTION RECORD
\ "
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTORS 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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INSPECTOR'S NOTES -. ·, ' DATE -. ~ \, -· -
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PLAN CHECK l!IJffBER '6?--__r, ADDREss2-9la , C-oJU,{, o DATE //2/
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PLANNING: TYPE OF STRUCTURE ~ -µ (E""c_/t:__ ZONE: -----
IX ..... 3 ..... -..... > I-..... < a:: Q
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SCHOOL FEES: SAN DI EGUITO ENCINITAS
CARLSBAD SAN MARCOS
% COVERAGE REQU-IRED S
BUILDING HEIGHT fONt
FENCES/WALLS (' SIDE
TWO CAR GARAGE \ \ REAR '
COMMENTS:
REDEVELOPP1ENT AtPROVAL REQUIRED: ______________ __,; __ _
LANDSCAPE PLAN COMMENTS: ---------------------
ENV rner:r:.nlTAL REQUIREp: ---------------------
ADDITIONAL COMMENTS: -----------------------
OK TO ISSUE: DATE: 3( ~ OK TO FINAL: DATE: ......_____ ---------
ENGINEERING LEGAL DESCRIPTION VERIFIED? A.P.N. CHECKED?_ ----
P.F.F. ______ PARK IN LIEU _______________ _
R.O.l~: IMPROVEMENTS: ______________ _
_______________ E.D.U: ___________ _
SEWER: _________________________ _
LATERAL: DRIVEWAY: ----------------------
G RAO ING PERMIT: _____________________ _
DRAINAGE:
EASEMENTS: __ ....,cQ."'. "--1~"-~---------AOOITIONAL COMMENTS: _____ _
* ENGINEERING INSPECTION REQUIRED: ________ -+---------
PUBLIC ~ORKS INSPECTOR: ____________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)