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Home My WebLink About2527 UNICORNIO ST; ; 80-263; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under prov!• slons 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 D I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5 ,Business 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). D 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. 7(),14, 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• tractlng with licensed contractors to construct the project (Sec. 7(),14, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ,.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. tor this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARA I hereby affirm that I have a certlflcat'l sent to self-Insure, or a certificate of Wo Compensation Insurance, or a c • thereof (Sec. 3800, Labor Cod POLICY NO \\: :J l • ~,. COMPANY~ \ \) \ □Copy is flied with the city. □Certified copy Is hereby furni 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, I shall not employ any person irl' any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject t&'the Workers· Compensation provisions of the Clbor 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 permit Is Issued (Sec. 3097, Clvll Code). CITY OF CARL SBAD-BUILD ING D E P ARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. NO. // Al II ♦ JOB ADDRESS o<S ~ /i I {( j I 11 C.,J!J1 tli / q I I I I I I I I I I !& C!/JlltAm-s OWNER'S MAILtNG ADDRESS .... OWJjER'S PHONE ZCOIVUI n I ~J/ I BLOCK lSUBDIV I SIO N v~ .t, C ./Yl~tLJi r J.~SIEs;-R•:J:lfpN~;_ ~? I I DESCRIPTIO~_;.;."i__ !<11 -f;;l,,: A~ h ;..,, fZ{' ~ol ii:} CENSUS TRACT GP LAND USE I PERMIT NUMBER AYR~T. IDA~PLICATl01BUS •. LICE.NSE , 1 , 1 1 1 3 <rb . ~.P~/, PRIME CONTRACTOR , I • I STATE L ICENSE ls-</-1,vG A1~6/V N+Ou:t-A ~ sti:. tfr-J-£ .3 CONTRACTOR'S ADDRESS 7 11,"2.r-2 F@CJm LN -:::J;;.v C. r DESIGNER DESIGNER'S ADDRESS sf CONTRACTOR'S PHONE "']q3--01 )-y"" STATE LICENSE DESIGNER'S PHONE ZONl'G I RES. UNITS I PA;KING SPACE l NUMBER Of STORIES Not V,HiJ UnltlSs Machin, c.rtifild ~~j BLOG SQ. FT. eLOG USE occ. GP I STANDARD PLAN# I ~ ::¼ .s I TYPE CONST l occ. LOAD J QTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER AND/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE ~ EACH INSTAL., ALTER, REPAIR WATs,PRfPE EACH LAWN SPRINKLER s¢M WATER SOFT~ -f-s~OTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLDG EA AMP/SWT/BKR 1 PH .25 3PH L REMODEL/ALTER PER CIRCUIT / TEMP PO LE 200 AMPS 7 OVER 200 AMPS / TEMP OCCUPANCY (3~Sl Issn~ TOTALE~AL CONTRACTOR AMT. ------------ 3~00 AMT. / 7 2-. 00 ~ QTY. MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU --OVER 100,000 BTU BOILER/COMPRESSOR UPTO 3 HP __,--- BOILER/COMPRESSOR 3-15 HP__,--- BOILER/COMPRESSOR~ HP VENT FAN SIN~DUCT MECH ~UST -HOOD/DUCTS -~CATION OF EA FURNACE/HEATER Issue TOTAL MECHANICAL CONTRACTOR QTY.I ---MOBILE HOME PERMIT ~ AWNING PORCH AMT. --- T.m AMT. -----dlz SET-UP ::::::r 117 RAMADA, CABANA ./ FENCE OVER 6' / TOTAL MOBILE HOM,V z / 7 y •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION DA CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT L A V'A T.TT'A'T'T()N. ¥°$2;' ~ BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE PERMIT TOTAL PLUMBING ---ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO-FILM STRONG MOTION : TOTAL FEES PAYABLE SCHOOL FEES: I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITV 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. ,~SIG~ OWNER□ AGENT D CONTRACT~APPAo/'~~B"_ j BY PHONlc},l ~ -v 7 7 I I I I J ...1 J l l I l l I I I • ~ ~ > ~~ I-' ~ 0.. z J_J-1 - J-1 . I J I . I I I I I I l J_J I I I I _ii I I I I I I I I I •.SjV Jr.A 1,- DATE - ~--'d 1-"' SITE 8'0 '~3 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 HEATING ' ~ '• OK TO INSTALL SUB FLOOR -·-C :, -- 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 FIREPLACE •' . DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY . ' ,, OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENC E PREPLASTER SHOWN • FRAME ~ • PAN FIN.A,L INSP BY BLOG DEPT ·r-d OTH~R DEPT'S REQ COMPLETED '(}/ '"n 'J-.I ../ ELEC METER-PERM-TEMP I f /'ti /V - GAS METER-PERM-TEMP ' 1 CERT OF OCCUPANCY ISSUED . ' . - ;.-:-\ INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT DATE: R E..........,.C..,.........E ____ I __ V_E ___ Dc--- ' I I \_ ._ CITY OF CARLSBAD Building Department ZONE __________ LOT SIZE _________ LOT WIDTH _________ _ UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PROVIDED PARKING SPACES REQUIRED ---------------------- ------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS ---------- SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: PROVIDED PROVIDED REAR SETBACK : OK TO ISSUE: ~)ge___ DATE 3.-;) O-7l>oK TO FINA1 DATE -------------- ENGINEERING DEPARTMENT 56/J:,,,-- R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION GRADING PERMIT ________ DRIVEWAY LOCATIONS ____________ _ ______ EASEMENTS _________ DRAINAGE ____ _ LEGAL DESCRIPTION _____________________________ _ ADDITIONAL COMMENTS ____________________________ _ OK TO ISSUE ~ DATE 3~0 ~ t;1J PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRINKLING 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 ________ _