HomeMy WebLinkAbout2482 UNICORNIO ST; ; 81-260; PermitCl) z 0 ~ a: C .., u l&I C
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O I hereby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and ettact. L,c No _____ Class _____ _
I hereby attirm that I am exempt from the Con-tractor's LJCense Law for the following reason (Sec.
7031 ~ Business and Protess1ons Code: Any city or
county wh,ch requ,res a permit to construct alter, 1mpro..-e, demohsh. or repair any structure.
pnor to its issuance also requires the applicant f0< such pemut to fife a signed statement that he Is
hcensac! pursuant 10 the prov,soons of lhe Con-
tractOl'·s l.Jcense law (Chapter 9 commencing with Section 7000 of O1vIst00 3 of the Business and Pro-
fess,ons Code) or lhal ,s exempt then,from and the basis for the alleged exemptte>n Any vtQlattOf"I of
Section 7031.5 by an apphcanl t0< a perm,t subfects
rne applicant to a c1wil penalty of not more than five hundred dollars ($500).
□ I, as owne< of 1he praperty, o, my employees
._,,,n waoes as 1heir sole compensation, will do the won<. and the structure is no, intended or offered for sale (Sec. 7044, Business and Protess,ons Code:
The Contractor's License t.Aw does not apply to an owner of property who bu1kJs or improves lhefeon
and whO does such wont himsett or through his own employees, provided that such improyeme,1ts are
not intende1 or offered for sate. H, howeveJ, the building or improvement Is sold w1th1n one year of complehon, the owner-builder will have t.he burden
01 proving that he chd not build or improve for the
purpose of sale!.
C I, as owner of the property, am exclusively
contrachn; with licensed contr~tors to construct
the proiect (Sec. 70U. Business and Professions Code· The Contractor's License Law does not apply
to an owner of propeny who builds or improves thereon, and who contracts for each pro1ects with a
contractor(s) hceose pursuant to the Contractor's License Law)
□ I am exempl under Sec ____ , 8 & PC
lorth1s reason __________ _
D I hereby affirm that I have a certificate of consent to self-insure. or a cert1t1cate of Wor1ters·
Compensation Insurance, or a cert,f1eel coo t eof (Sec 3800. l.al>or Cocle) -
POLICY NO ----------
COMPANY
□ Copy IS l,le(I wilh lhe c,ly ~
D Cen1hed coPy Is hereby furn1s~
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sec11on ~ not be completed if the permit
Is tor one hundred dollars ($100} or less)
0 I cer11'1y tt'\at in the pertormance or the work fOf
which this perm11 ,s issued. I shall not emp1oy any person m any manner so as 10 become subJecl to
the Workers· Compensation Laws of Galltornia
NOTICE TO APPLICANT If, after makm~ 1h15 Cert,
llcate of Exemption. you should become sub1ec1 l'J
the Wol'kers· Compensation provIsIons ol the Labor Code. you must tor1hw1lh comp!)' with such
provIsIons or this perm,1 shall be deemed revoked
O I hereby affirm that there ,s a cons1tuctIon
lending agency tor tne perlormance of lhe wo~ IOf which lhIs permit Is issued tSec ~7. C1v1I Code)
Lender s Name __________ _
Lenoe.r·s Address _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (714) 438-5525 APPLICATION & PERMIT
JOBADOR27'J72-. c/1J1C f)/Y) 1/)
VALUATION ~ PERMIT NUMBER
.2, s-oo 0:.---i\ ~ /
OWNE?fd,;Mi' A/4-sef //4. ZONE /'{p 0
PLAN 1.0 , # BLDG USE CODE
STATE LICENSE 1' STAN OARD PLAN# BUILDING SO. FOOTAGE LOT I BLOCK I SUBDIVISION I ASSESSOR :ARCEL NO. DESIGNE& A /
lriiDEESCSCimR1PT;;:ii:1oiii:.."-;;;;;;;::~7~K----~---=--, ho ....... ~---,--I _-,,.,.-r-/.-~-v--,c.-./r-...,. ~,"Z'"'l--:-::-=-:-:✓:-:--::t;""=-=' '=C,:----'-Pt----'--¼_v_n...,;,.;:U)::;___----+-----1~-----'----------,
~----,,.......-IL.ln',q/'-"' rI..,.:r-~...__ ... ~ille.."-' /Ti:.....: 1,,,_.+-' 1r __ ---'~=-L..!-''CL..'-'=tVJ+--"r-C...::::....•:')..___ ,_,c::,,._,_.....::~1 DESIGNER"S ADDRESS DESIGNER'S PHONE
/2t1ff ~ ~~ _y~~ _: FLA ELEV.
vO NO
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED
YO ND
I REDEVELOPMENT
AREA
vO NO
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT • ISSUE
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR J.15 HP
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE 1----+-------------------+-------+---+-
E AC H INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS 1----+--------------------+-------+---+------
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE)
TOTla MECHANICAL
TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE
NEW CONST EA AMP/SWT /BK R COLLECTORS
1 PH 3 PH STORAGE TAN KS
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL I TOTAL SOLAR
NO
STORIES
TYPE
CONST
OCCGP EDU
OCC LOAO FIRE SPA
vO NO
6/2' I 12224
Qf'J..,( .., ~ /2c/Bi
Not Valid Unkn Ahchine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERM IT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRLNKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
~ . /Jt> SCHOOL FEE • DISTRICT
.:J . tf1> Carlsbad
Encinitas
.::J .t1?) San 01egu110
3 .t'?) San Marcos
TOTAL FEES PAYABLE I
13. 0
13• 0
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION ANO PERMIT" ANO DO HEREBY Expiration Every permit -.iad bytheBullcling Qffietatunclef tha pn)vl810fl8ofl1t,1
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Shafi expire by hm,tation and become null and vo,c! If Iha building or work * AN OSHA P£Nffl IS AEOUIRED FOA EXCAVATIONS O¥Efl
5" O" DEEP ANO DEM0U110N 0A COMSTAUCTIDN ~
STRUClUAES OVER 3 STORIES IN HEIGHT DECLARATIONS ARE TffUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS aulhorizac! by such permit 11 not commancad wlth,n t80 days from Iha data ol suc~ parmol or If the building or work aulhor~ec! by auch parm,t ,a suapenclac! or
ISSUED: TO COMPLY WITH All CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON• L.!aban!!!!~clo~nad~,11,..ua~n!}•v~c,!!!·ma!!!..!•fl!!Jer~-!!!,W?'~-.i;,-!._;CJ..j!!!.!!'menc!!!!:5!acl~fo!2!,.r!•.1!!!: ~!]•ode!!,_O!!!fLl!!!!IIO.i!I "•n_u•--~"""""""".,.1111111111 __________________ _
STRUCTION, WHETHER SPECIAEO HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~ rr::~~ (□ APPROVED BY KEEP HARMLESS THE CITY OF C1'RLSBAO AGAINST ALL LIABILITIES, JUOGMEN:S, COSTS ANO APPLI NT"S I NAT • O CONTRACTOA DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEOU~CC 0~ ltiE 4) BV PHON O ~~ /?. GRANTtNGOFTHISPERMIT. , l ~-;,~ $""-,22,-.,. /?
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