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Home My WebLink About2572 UNICORNIO ST; ; CB961308; Permit~ B U I L D I N G P E R M I T Pernit No: C8Ybl ProJ ct No: A96 1 tr Development No: ,/9h 1v:21 Page 1 of 1 Job A1dresD: 2572 UNICORNIO ST Permit Type : MISCELLANEOUS Pa1cel No: 215-280-30-00 Valuation: o Suite: Lot#: 8567 07/17/96 0001 01 C . C-,HT c,nstruct, on Yype: C2 NEW 5. Occupancy Group: Reference#: Description: RE-ROOF-3800 SF COMPOSITION Appl/Owni : R~BLE, JESSE 1089 BROADWAY , STE #b CHULA VISTA CA 9191~1;;---~- Fees Required Fees: AdJustments: Total Fees: Fee descr1pt1on Miscellaneous Fee * MISCELLANEOUS T CITY OF CARLSBAD Status: Applied: Apr/Issue: Enterel By: 619-'198 0914 & Credits ISSUE .. > 07/17/9b 07/17/Yt, RMA .00 .oo 105.00 Ext fee Data 105,00 PERMI fc 105. 0 ~NAL APPROVAL I NSP. _Q_ DATE 11 <f-ft r.LEARANCE _____ , 2(175 Las Palmas Dr., Carlsbad, CA 920()C) (619) 438-1161 ----------·--------------------------- PERMIT APPLICATION PLAN OIECK NO. l rJo9 Cit'/ of Carlsbad Buildi~ Departa!nt EST. VAL. __ ....,:0~'-Y...14f~- 2075 Las Pal-Or .• Carlsbad, CA 92009 (619) 438-1161 ]. pERMJ"j j'yp£ PLAN CK DEPOSIT. _______ _ VALD>.BY __________ _ DATE From List 1 (see back) give code of Permit-Type: ____________ _ For Residential Projects Only: From List 2 (see back) give Code of Structure-Type: _____________________ _ Net Loss/Gain of Dwelling Units __________________ _ 2. PROJF.Cr INFORMATION FOR OFFICE USE ONLY Address Building or SutCe No. nit o. cAl::cR 81::WW IF s08MI 11 l::D: □ 2 Energy calcs □ 2 Structural calcs □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL EXISTING USE DESCRIPTION OF WORK {_ ){)r,-y1 tJ0/ T / bt.,..__ PRQPQSEQ USE SQ. IT. J cft:,C) # OF SI'ORIES / # OF BEDROOMS 3. WN IACI PERSON (11 duterent from applicant) # OF BATHROOMS NAME (last name first) ADDRESS NAME (last name first) ((v.15,,,t,(/ ,:;?JT(<--/O.,P,7 .P'R'C>,'(J>~y· CITY M ./771 STATE ZIP CODE I // DAY TELEPHONE NAME (last name first) ,c'O ~ ~y ~/ k:'(<' ADDRESS ~ J7'_2 CITY l='ag.1..r.b?{P sTATEc:t( ZIP coDE DAY TELEPHONE Co J -cf-' 7? 2: 6 ' ~~~t name first) fv !Ji c7 7-?ffC ADDRESS /OJ:---'7 1>,eo.,,,r .J) vt4f y # b CITY c~ -v/ ~STATE Cl{' ZIP CODE 'JI 9' / I DAY TELEPHONE V? cf--' 0 9 / .l,L t/-l STATE UC.# £"'7..;y 7'7LICENSE CLASS C-J9 CITY BUSINESS UC.# DEslGNl::R NAME (last name ltrst) ADDRESS CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WoRXERS' OOMPENsATidN Workers' Compensauon beclarauon: I hereby all1rm that I have a cerulicate of consent to sell-insure issued by the Director ol lndusmal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DA TE □ □ D arauon: ere ya am exemp rom e w or e o owing reason: I, as owner 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.). 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]). SIGNA1URE DATE COMPLE l"E tAls sEciioN FOR NON-Ri::sibl::N liAt SOILOINC PERMI l's 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 Haz.ardous Substance Account Act? □ YES □ NO ls the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ 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 CER11FICATE OF OCDIPANCY MAY NOT BE ~ AFI'ER JULY 1, 1989 UNU:SS nm APPLICANT HAS MET OR IS MEETING nm RF.QUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POU.UTION OONiROL DISTRICT. 9. WNSl1t0Ci1ON J..£NDlNC AC£NCV I hereby affirm that ihere LS a construcuon lending agency tor ihe performance of ihe work tor which ihts permit 1s LSSued (Sec 3097(1) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN I CER itFICA 11ON I certify that I have read the appltcauon and state that the above mlormauon 1s correct. I agree to comply with all C1cy ordinances and 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 Al.SO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLESS nm Cl1Y OF CARISBAD AGAINST All. UABilIIlES, JUDGMENTS, CXlSTS AND EXPENSES W}DCH MAY IN ANY WAY ACX:RUE AGAINST SAID Cl1Y IN OONSF.QUENCE OF nm GRANTING OF nns PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep a_nd demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this e shall expire by limitation and become null and void if the building or work authorized by such permit • the date of such permit or if the building or work authorized by such permit is suspended or abandoned a for a period of 180 days (Section 303(d) Uniform Bui!~ Code).0 ,,..- APPLICANrS SIGNATURE DATE: c / 7-.?o PINK: Finance UNSCHEDULED BUILDING INSPECTION DATE INSPECTOR _j) --------- PERMIT#_____ PLAN CHECK# ____ _ JOB ADDRESS a f5 7 ~ V I'-, C.O 4e,,,-o DESCRIPTION ---------------------- TI:ME ARRIVE: TIME ---------- ACT COMMENTS AL p / 6/.,!J G