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Home My WebLink About2544 UNICORNIO ST; ; 80-410; 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 full force and ef- fect. OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (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 penalty of not more than five hundred dollars ($500). O 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• fared 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. If, 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 1•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 hereby affirm that I have a certlflcat sent to sell-insure, or a certificate of Compensation Insurance, or a ~ertifi thereof (Sec. 3800, Labor Code). POLICY NO '{ ' 1 COMPANY • □Copy is filed with the city. □ Certified copy Is hereby furnished. ..J' CERTIFICATE OF EXEMPTION FROM (' WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per- mit Is for one hundred dollars ($100) or less). I certify that In the performance of the work for which this permit is Issued, t shall not employ any person in any manner so as to become subject t, the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Ce· tlflcate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for which this oermlt Is Issued (Sec. 3097. Civil Codel. CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 HO. JOB ADDRESS I I I I tRr-1°1/~~ISN l;t~ll.4, l/1/J J 1W1t!.1Af / 1AT-I I I 1l/.1Ji'l ~13n 1.::J OWNER OWNER'S PHONE PRIME CONTRACTOR APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. :stJitJtJ ,l ~ PERMIT NUMBER STATE LICENSE 't 0\C...\i( ~ Yh~ Q..LL.t (o. Q !JLmPrOfl. 3:.=:v-rnt4 ft/-~/} ' 1 ~?i,,, ~~ 38 O\otNER'S MAILING ADDRESS 0 Zis~;;i:msAm,~ CONTR ,,.._._ -• ----..... s~yr-0_ ~-~,;r D , ~11 BLOCK 'W1CISJf_,N·~. :ttv rA.3SS 1 ESSO.&R'S PA3RCE't0. ,2.~1 DESIGNER -~,,:rrv-,,~ r---JATE LICENSE "#I U • I / I I I •5 I -11E~t:N!JOAWORK ~ 0 r /)11-e...~ 1./'3-vdl DESIGNER'S ADDRESS DESIGNER'S PHONE I CENSUS TRACT GP LANO USE ZONING i RES. UNITS I P:RKING SPACE s f I NUMBER Of STORIES Not V•lid Unless Machin, C.rtifi«J BLOG SQ. FT. BLOG USE occ. GP I STANDARD PLAN II lpft:.110 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 BO I LE R/COMPRESSO R UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT Iii 9 -,A 11-fJ._ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS UZI. T.TTZl.'T'TnN • J /", =~ WATER SOFTNER RELOCATION OF EA FURNACE/HEATER T BUILDING PERMIT T I . ~-~ Issue 3~00 Issue .:S .• uu SIGN PERMIT I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I v10.~ . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT '1 I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I I I QTY. AMT. 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 BLOG 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 Cl RCUIT FENCE OVER 6' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO·FILM I , I I I OVER 200 AMPS I I I : I TEMP OCCUPANCY (30 DAYS) S'T'RON~ M('\TION: I , I I -~" Tc,c,110 ?,()() I , I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I .8(1)~ CONTRACTOR . I I . . 1 SCHOOL FEES: I HAVE CA REF ULL y 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 CONSTRU~2TI0/1 OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY. ~;;;:;;£Ea v __ ~P, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE • ~ 0 ~ > 5 i== hl a. V) ~ OF THE GRANTING OF THIS PERMIT. APPLICANT••s SIGNATURE• ., OWNERQ CONTRACTORQ:~PPROVEDD/?Y &mw-,°i-~E~~ AGENT 0 BY PHONE O • ~ INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT &ECEIVED BUILDING ADDRESS: APR 281980 PLANNING DEPARTMENT /) I d, C>/j , ZONE ___ (J(_·-______ LOT SIZE __ 8_0~v~O __ F ____ LOT WIDTH __ o_,v ______ _ UNITS ALLOWED UNITS PROVIDED J ____ _,________ ------------- ~ PROVIDED '")_ PARKING SPACES REQUIRED ---------------------- % COVERAGE ALLOWED BUILDING HEIGHT ALLOWED 1/ {) 7t? PROVIDED /t'55 /Jf~.v 1/C 71 --------~----) S / /I /'I J < / ~ PROVIDED .;1 ---------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ---~d_o_r __ If 7 , ") /'y /' PROVIDED ~ v -------- INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: mocL PUlt I ADD~L COMMENTS: /1//1 ENGINEERING DEPARTMEN~~ -/, ?2,.J"v:E.. R.O.W. INDUSTRIAL WASTE IMPROVEMENTS --------------------- SEWER CONNECTION DRIVEWAY LOCATIONS --------------------- _______ EASEMENTS _________ DRAINAGE ____ _ GRADING PERMIT LEGAL DESCRIPTION ----------------------------- ADD IT ION AL COMMENTS ---------------------- OK DATE 4~)-.4-PWI OK TO FINAL DATE ------------ FIRE DEPARTMENT SPRiliKLING SYSTEM ___________ ._FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _