HomeMy WebLinkAbout2482 UNICORNIO ST; ; 80-859; 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
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 Ille a signed state-
ment that he is licensed pursuant to the prov!•
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).
0 I, as owner of the proper,y, 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. 7044. Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of proper1y 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).
::11. as owner of the proper1y, am exclusively con•
tractlng with licensed contractors to construct
the pro]ect (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of proper1y ••ho builds or Im·
proves thereon, and who contracts for such pro•
]acts with a contractor(s) license pursuant to the
contractor's License Law).
I am exempt under Sec _____ B. & P.C.
for this reaso,._ ___________ _
Date Owner
WORKERS' COMPENSATION DECLARATI
I hereby affirm that I have a cer1illcate of
sent to self-Insure, or a cerilficate of Wor1<1r
Compensation Insurance, or a cer1Ifled c
thereof (Sec. 3800, Labor Code).
POLICY NO \f '\.~ COMPANY ___________ -\\.\-1---,r'
□Copy Is filed with the city.
□Certified copy Is hereby furnished.
11
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 In any.manner so as to become sub]ect to
tlte Workers' Compensation Laws of California.
NOTICE TO APPLICA'rff: If, after making this Cer•
tlficate of Exemption, you should become sub]ect
to the Workers' Compensation provisions of the
Lat,sr COde, -you must forthwith comply with such
provisions o~ this permit ,:hall be deemed revoked.
CONSTRUCTION LENDING AGENCY
.. I he!eb~-af~lrm .. tha~ !~~r~~-8:.:°.~s)~~c~I-~~ • .'~~;
CITY OF CARLSBAD-BUILDING DEPARTMENT
~Ull.L.~~•~~f-""'"T7,-,-
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES. USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. Joa ADDRESS AV. ST. IDATE oFtfj:/CATIONI eus. LICENSE
1,, '2J/1V'1"2.t 1 1Ut'\1\1G:101'&WI\ 101 SJ-1 ~~4~181A-i2R~ Jo ,P_ 2-aC.BJ
PERMIT NUMBER
OrnE~ 1 VY\~. c.~;;· -~%A\lu~ OWNER'z~ONE PR~:;;t;OR C r\s+ ~ ~E Le~
1
--~.;RqqR•sw_~ Ur\ t ~r.S. IL. D OWNER'S MAILl~G ADDRESS
,,,-.,5 Deh~~
DESIGNER I I
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CENSUS TRACT v GP LAND USE ·,;,,-
8L~:/1/-d BLDGSvch
QTY. PLUMBING PERMIT
/
[ 11/f EACH FIXTURE TRAP
/ I EACH BUILDING SEWER 7 I EACH WATER HEATER AND/DR VENT / I EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER SOFTNER --c--
J ,A _.;"'I ,;,_',...L,e,.."'------
TDT AL PLUMBING
CONTRACTOR
QTY. ELECTRICAL PERMIT
NEW CONST EA AMPISWT/BKR Ve?()
1 PH .25 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH .25 3 PH
REMOOEUALTER PER CIRCUIT
TEMP PO LE 200 AMPS
~;;~•<R~v~~ -~P D;;;.'~;7;
ZONING I RES. u7s I J6aPACE
occ. GP I STANDARD PLAN # I p]d ::!Sf -I TYVli_
,=j'()-11
MECHANICAL PERMIT
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP-,;
BOILER/CnNPRESSQR 116 11,....
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATI~ OF EA FURNACE/HEATER
.,/.A.A~
TOTAL MECHANICAL
I NUMBER i STORIES
AMT.
1
1 OCC. LOAD
. Cf-.---,
..r..
lf-~
~.,-, , .
1
{;, -/1;-d_, /f'--c ~
BUILDING PERMIT
Not V•lid Unlffl lllad,in, c.rtifi-,
#"°-,,<j.r z ).--
_; ~ 7tt5_..-/
"/ I .. ~I/Jg: Ji" 0
~o SIGN PERMIT Ot> • • "
¼. .,--11 CONTRACTOR
PLAN CHECK , / ~ . {J 8
1..,,0. -ALL INCLUSIVE PERMIT I .I . (
AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING iZ.'i7. _,_
ELECTRICAL :rr-, ·" i,,,
.._fl).,.,,.. AWNING MECHANICAL -rifo ._OJC,
PORCH MOBILE HOME 1 I • l
SET-UP SOLAR l 1 I _ _._l
RAMADA. CABANA ........ '
A7';r°..m-,~
I
FENCE OVER 6'
.... T.o .l
TOTAL MOBILE HOME MICO-..FI):!(/ l ~ I _l • t
I,
OVER 200 AMPS ~ '?:7 .-,_ ...L...!L...1. -l _ · I , ( ,fl..£fi1"C~ ~£.-i ·/Zi62.aiD D TEMP OCCUPANCY (30 DAYS) ... ,.,,,,,,. _,,,,,~,p
! < 0 ~
~ j:::
~
Q. V)
~
TOTAL ELECT RI CAL
CONTRACTOR
~
.f7~ TOTALFEESPAYABLE
2 7~ J.7L",,
] I
L~ 1 I . I '
.1Jtl?tt1.~.ly
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. ANO 00
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIEO HEREIN OR NOT l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIAB ILITIES, JUDGMENTS. COSTS ANO
-V-'-"~7 -T7
"AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER (/ C~
5°-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF IL.a I
STRUCTURES OVER 3 STORIES IN HEIGHT ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. ~-~,-,, •~•7._,,_~~.,-,~ OWNER□
AGENT D
.,,,
/t11;(¼;~ /J{f~
SITE--
ADDRESS:
WOOD FLOOR
INSPECTION
~ l
DATE INSPECTOR
FOUNDATION• FORMS • SET BACK • TOILET!
UNDER FLOOR PLUMBING
UNDER F LOOR HEATING
OK TO INSTALL SUB FLOOR
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• !?LACE 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
• FENCE PREPLASTER
SHOWN • FRAME
• PAN
FINAL INSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
ELEC METER-PERM-TEMP
GAS METER-PERM-TEMP
~ -•' I -
CERT OF OCCUPANCY ISSUED
'
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OWNER:
FIELD INSPECTION RECORD
,.
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INSPECTOR'S NOTES
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C PERMIT NO:(l8; ~D8~ ...,,.
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9 ~ {'_ ~ ild_ : Sf~ -f/-/ ll
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iUBuf~VORKS
llR£
WATER
BUILDING
£NGINEERING
REDEVELOPMENT
PARKS & REC.
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Q ~~ ~ffi -'O ~ E~ Ca::: ~ ~ Date and § ~ 8: ~ g \ *SEE NOTES ff & lilleciets 8 ~ o:: ~ ON SHEET NO. Q.l.&.I
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~ CITY OF CJ\RLSBAD .-. ~
~ a' ~ ~ This Certificate issued pursuant to the requirements of Section 306 •-:;,· v,,. ~
~ of the Uniform Building Code certifies that at the time of issuance ~
~ this structure complies with applicable ordinances of the City ~ j regulating building con_struction _use . ~
~ U Cl .f. . Single Family Dwelling Bid P . N 80 -859 ~ "" se oss11cot1on ____________ _.:;._____ g. enn1t o._______ -:, :::,~
Group _____ Type Construction _____ Fire Zone ______ Use Zone _____ ~
« Occupant Load ______________________________ ~;-;.
~ Owner of Buildin~ .George Hos callas AddreH 7 59 5 De hes a. Drive ?: ... A , . >' ~ ~-' 2482 U • • • S C "l ,,. ~ Bui lding Address , ' , nicornio t,. Locality a r sbad ..--:----p-
t ,... ., ~ ~ -··. -,!t---r ~ ~ ~ _________________ By~-_:_~~~~::::::::_.fk,'1--(!.~~----~
~ -----------------~---------------~ j HOTE: Alto,otions, chanv••• odditions or chonves of occupanc t ~ ( ~ ~ Post in conspicuous place) ;:>-
){_'r/WWW~~'WWWffW~o//o//~~~~~ V);f..
INTERDEPARTMENTAL INFORMATION SHEET RECEIVED
BUILDING DEPARTMENT \ DATE: C:EP 7197CJ
BUILDING ADDRESS: \d ~g J. ~~
~~(j_~o ~tL~-((7..._..... .. ~~~--~--Pl c~RJ,----P,F:'-F"--lr:-A+-f'~~~"-9-A-J~~D~
PLANNING DEPARTMENT
ZONE ~.,,, LOT SIZE LOT WIDTH --------E::.---'-----------------------
U~ITS ALLOWED ___ --+-________ UNITS PROVIDED _____________ _
PARKING SPACES REQUIRED .
,% COVERAGE ALLOWED
BUILDING HEIGHT ALLOWED
,Z,.. PROVIDED
---~,:-:0----PROVIDED ____ e_:/i;,+-----
---_-_-_-_-_-_-,:_-_-~ss:::::~~~~~~~~~PROVIDED
\
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED
PROVIDED ____ ~~tt--~=--
INTRUSIONS
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
)3CB0QT.-f:'EES : . . ~+S 'J.'RICT: .$a,I\ ~ AMOUNT: \ 18 <i'
ADDITIONAL COMMENTS:
' OK TO ISSUE:
ENGINEERING DEPARrMENT
~tM IT /u.-01 b ,
R. 0. W •foL "]#_\IJ6JAj INDUSTRIAL WASTE
SEWER CONNECTION V--DRIVEWAY LJ9A
1
T
1
IONS
~£¢11). IF l!,'t/t.t-NI.JOit.t<-
GRADING PERMIT cxcee)~ l([l) ct EASEMENTS _________ DRAINAGE S~
LEGAL DESCRIPTION_~_o--<--___ a....o_~-~~----------------------
ADDITIONAL COMMENTS:51Msf:7<17"'. LvoC/L<) >RA:1N tfeT?G.'2 IF NOUS~ t,ll!'~e" rQ ,4t/r!;f'
OK TO ISSUE: ----~
FIRE DEPARTMENT
SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS _______________ EXITS _____________ --1,--+.---
FIRE HYDRANTS
• ~AD DITIONAL COMMENTS FIRE RETA~ffAN'f
•
OK TO ISSUE ~~.RM~:::::.DATE SEP 18 1979 DATE -----------
WATER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _
\ .
• I < '
1200 ELM /\VENUE
CARLSBAD, CALIFORNII\ 92008
Building Department
'1:itp of QCurLsbab
_BES_J]ENr I 81.._ENf:EGl.DI.sJG~JEBlifLCfillOJ:L
Permit No.
TELEPHONE:
(714) 729-1181
---------
··,.•.• Issue Date. --------
CERTIFICC\1E .OF .ca~1eLINJCE ~II.nl EtlERGY CO!:ISrR\'l\IION 'DE.SIGH 8EQUif-f:11cNTS
CONTAIN[]) IN ARTICLE 1, PART 6, TillE 2Lf, O\LIF0RNI!\ /-\ll1. CODE
I , ------------, hereby certify that I am familiar
wi th the .state energy~co nserva tion standar d~ mandated in
CA C Titl e 24, Section Tl0-1401 t hrough T20~1406 , and that the
p l a n s a n d o t h er d o c urn e n t s s u b mi t t e d i n s u p p o r t o f t h e a p p 1 i c a t ·i o n
for a building permit at
Address
-=-----:----=-----=------:--:-----' Assessor's Parcel No . Dated
co mp ly with a ll current requirements of these reg ulations.
Signature
State Li cense or Certificate No. ---------------
Date ------------
Submit t o the Bui l ding Department with permit appl ication.
J:"nrm 7P.-l 01
.;;v11r9-:1-,,'f /Y ~
t,' v ~ BENTON ENGINEERING, INC.
P'HILII' Hl!NKINQ ■11:NTON
l'tftC810CHT • CtVtL KNGIN&CII
Plumb Construction
6394 Roc:khurst Drive
Son Diego, California 92120
Al'l"Lll!:O SOIL Ml!:CHANICS -,.OUNOATIONa
111140 IIU ,.,.,N IIOAO
SAN DIEGO, CALl,.OIINIA 9212:S
November 21, 1980
SubJect: Project No. 80-11-l?M
Gentlemen:
Moisture Contents in Subgrade Soi Is
Lot 40 of La Costa Meadows Unit No.
Carlsbad, California
Thia la to report the rflsul ts of tflsts to determine tha moisture contents of the 10111 In the
upper three feet below finished grade In the proposed building area at the subject site ln
Carlsbad, California.
The soil samples were obtained on November 20, 1980 and the results of the moisture
determlnaHons ore prosentod as fol lows:
Approximate
Location of
Samples
Northeosterly portion of proposed buildlng area
Southwesterly portion of proposed building area
Depth Below
Existing Grade
(in feet)
1.0
2.0
3.0
l.0
2.0
Too rocky to
excavate
Molsture
Content
(% dry wt)
15. 1
l 8.2
9.5
17. 1
16.3
lt is concluded from the field observations of the various soil types and the final results of
the moisture d eterminations that the soils in the upper two to three feet below finished grade dt
the locations sampled have been sufficiently moiitened to minimize the potential expansion of
the soils, as recommended in our report under Pr<>ject No. 70-10-28D dated October 12, 1971.
It is recommended that positive drainage, 6 inch13s of vertical fol I in 6 feet horizontally,
should be provided around the perimeter of the h1puse. Drainage systems should also be provided
.. Plumb Construction
•Proj~it No. 80-l l-17M
-2-November 21 , 1980
-to col le ct al I rur,off from roofs a nd conduct the water in watertight pipes either into the streets
or storm drains. All surface drainage should be prevented from ponding adjacent to or running
over the tops of slopes. lnle t boxes and watertight pipes should be ins ta I led when necessary to
comply with the a bove requi rements.
Respectfully submitted,
BENT ON ENGINEERING, INC.
Rovt(lwod by c:;s'4~c.c__.
.H. Shu, Civil Engineer
RCE No. 19913
Distribution: (3) A::ldressee
RCR/SHS/jr
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7-21-77
LEUCADIA COUNTY WATER DISTRICT
APPLICATION . FOR SEWER SERVICE
Owner's Name Harold Harrison Phone No. ·,65-,S.:3L:,
Mailing Address 429 s. Sierra . #141 SEWER PERMIT ISSUED UPON
j --'· S=oe..:l..=a.:.:..n a=-=B=e=a-=ch..:...;,'--'=.C::::,.:a .. __::.9..=.00::::.,;7:....,5:__ ____ RECEIPT OF CUILDING PERMIT.
Service Address: ( UILDING PERMIT MUST BE .
Tract Description: __ l,...,,o<..:t'-4-'-'0:c.-__________ APPLIED FOR BY, B-J9-eD-_.
Assessor's Parcel No.
Type of Building _ _,s<-"._,_f _____ -:·_ No. Units 1 Connection Fee $600.00
Lateral Size: 411 611 811 Saddle Easement Connectionpre-pd (200.00)
Extra Footage: __ @ $ __ _
Amoun t Rec'd $~co-OD
Ck. No/C.ash ·.:ll:.4 e,g
Date -Rec'd By
Extra Depth: ___ @ $ __ _
)
,1 l t
(:·
Lateral Fee
Prorated Sewer
Service Fee
Total
400.t)D
$ J..aOO .(0
J
The application must be signed by t~e owner (or his authorized representative) of
the property to be served. 'The total charges must be paid to the District at the
time the application is submitted.·
''.. A
if a service lateral is required, it will be installed by the Leucac\ia County Water
District. The service lateral is that part of the sewer system that ei tends from
the main collection line in the street (or easement) to the point in the street (at
or near the applicant's property line) where the service lateral is connected to
the applicant 's building sewer . The applicant is responsibl e for the construction,
at the applicant's expense, of the sewer pipeline (building sewer) from the appl i-
cant's plumbing to the point in the street (or easement) where a connection i s made to the service lateral.
The connection of the applicant's building sewer to the service lateral shall be
made by the applicant at his expense. The connection must be made in conformity
wi t h the District's specifications, rules and regulations; and IT MUST BE INSPECTED
AND APPROVED BY THE DISTRICT BEFORE THE SEWER SYSTEM MAY BE USED BY THE APPLICANT.
THE APPLICANT, OR HIS AUTHORIZED REPRESENTATIVE, MUST NOTIFY THE DISTRICT AT THE
TIME INSPECTION IS DESIRED . ANY CONNECTION MADE TO THE SERVICE LATERAL OR COLLEC-
TION LINE WITHOUT PRIOR APPROVAL AND INSPECTION BY THE DISTRICT WILL BE CONSIDERED INVALID AND WILL NOT BE ACKNOWLEDGED .
The prorated sewer service fee is based upon the date the District estimates that
service will begin and covers the balance of the fiscal year. There·will be no
addit;onal fee or refund if service actually corrmences on a different date. For
succe~ding fiscal years, the sewer service fee will be collected on the tax roll
in the same manner as property taxes.
The undersigned hereby agrees that the above information given is correct and agree~ to the conditions as stated.
ti 1//JJ ~ 9 J::Z \.~ Account N(
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CITY O,. CA,.LS■AD-■UILOIHCJ OC~A,.TMIINT -·-·· -___ .,,,,. ....
P!RMITS m:,, AIDJIRED
°'"""' Controclor
R11ll.-h"Q ------
Plumblnr, ____ -:..-:..-:..-:..:..:..:..:.:.=
Flectrlcol
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:~:~'""·la·::ndtc:ape:;::=----
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8ulldlng ... -. ... ng--::_:...-_-:..-:..:..:.:.:.:.:.= r ·'-le """"'· wiho:ii:11s:-:. ell:.:::-_-_-_-_-_--= __ =_
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