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Home My WebLink About2482 UNICORNIO ST; ; 80-930; 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 lull force and ef- fect. OWNER-BUILDER DECLARATION 0 1 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 Ille 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. 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• fared for sale. II, 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 ••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 WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con· sent to sell-insure, o, a certificate of Workers' Compensation Insurance, or a certified ,.copy thereof (Sec. ~ Labor Cgij'!J.. _ POLICY NO. ::;1--,~ Ob COMPANY [1Gopy is filed with the city. D Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed II the per• mil is for one hundred dollars ($100) or less). I certify that In lhe performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to lhe Wtrkers' Compensation Laws of California. NOTICE TO APPLICANT: If, alter making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor C.~e. y($, must forthwith comply with such provisions or :his permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby amrJ, that there Is a construction len• ding agency for the performance of the work for whlcli. this permit Is Issued (Sec. 3097, Civil Code). APPLICATION & PERMIT 1200 ELM AVENUE APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. Q<i'5 Po.'r r0 -~ .. -.!P~:-~ l"l!:'= USE BALL POINT PEN ONLY (714) 438-5525 NO. rz_ 14 18i"2..·1 I JOB ADDRESS l ~~l 1~0 1f..U1l I~ I I I I I I I I I I I I I I tRrT~iit;:r~IONI :;l l1~.3 OWNER 6l.uMP.:> ~~TI00 OWNER'S PHONE 56'2-4.llk, PRIME CONTRACTOR ,~~ 1 'bo0> STATE LICENSE liOr-.'1..,, PERMIT NUMBER fr-1.JIJ OWNER'S MAILING ADDRESS ~~q 4 ~~~ua..s-r ~ t)(~ ~ BLOCK 1 SUBDIVISION [..;i.:SSESSOR'S PARCEL NO. ,:'- / I s I 2 7 <"n I ri1 u) I CONTRACTOR'S ADDRESS 503 ~ R::!UtC..tT~ rGNER _/~R'S D e:~ 1-;·qr-t~q) ~TATE LICENS~ I a D I I DESCRIPTION OF WORK ~L.,. ~ ~lM()'\lt-.)~ DESIGNER'S ADDRESS l/SO ¢'} CENSUS TRACT GP LANO USE ZONING 1 RES. UNITS I PARKING SPACE BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN II ~I :llr3o I TYPE CONST QTY. L j '/ , PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT EACH FIXTURE TRAP I II I INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER I II I OVER 100,000 BTU EACH WATER HEATER AND/OR VENT I ...,~ II I BOILER/COMPRESSOR UP TD 3 HP _.. EACH GAS SYSTEM 1 TO 4 0 UTLETS EACH GAS SYSTEM 5 0 R MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM MECH EXHAUS WATER SOFTNER ,l'JA:n<.,._~ RELOCATI OF EA FURNACE/HEATER TOTAL PL'ffMSING TOTAL MECHANICAL CONTRACTOR OESIGNER•s PHONE l NUMBER OF STORIES Not V•lid Unlffs M•chin1 c.rtifi«J I occ. LOAD 1 AMT. ..... ,: ..... TOTAL PLUMBING QTY. ELECTRICAL PERMIT AMT. QT~., MOBILE HOME PERMIT I '"'"". II ELECTRICAL I I (7.A-rt} 1-AMT / NEW CONST EA AMP/SWT/BKR 1 :z--~ I AWNING I II MECHANICAL I 1 1 .-r 1 PH .25 3 PH I -II I PORCH 1.-II MOBILE HOME I I I . I EXIST BLDG EA AMP/SWT/BKR I II I SET-UP ~ I II SOLAR I I . I I . I 1 PH .25 3 PH I II I RAMADA, CABANA ./"' I II I I , I I . I REMODEL/ALTER PER CIRCUIT I II I FENCE OVER 6' ./"' I II I I , I J . 1 TEMP POLE 200 AMPS OVER 200 AMPS _ TEMP OCCUPANCY (30 DAYS} -~~ I 11 I c.,,TOTAL ELECTRICAL CONTRACTOR ? ~11 I I II TOTALFEESPAYABLE l . 1 1 • ~tJ ~ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT. ANO 00 HEREBY CERTIFV THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MA'( IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT 1 OWNER□ AGENT D J/ll~/11 CONTRACToRCJCf APPR.OVED BY BY PHONED I 7"' ~L- 7 7 DATE 1#4.&' SITE <..,((;9~ 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 - 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 8: STEEL -. . PLATE Tl Es/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-P.ERM-TEMP I I ,... ) GAS METER-PERM-TEMP l I A IJYY/ (I /Lfr;/ ,, /"/ I -, U I y ... I ' CERT OF OCCUPANCY ISSUED