HomeMy WebLinkAbout2471 UNICORNIO ST; ; 80-535; 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
0 1 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 penmit subjects the applicant to a
civil penally of not more than five hundred dollars
($500).
~ 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•
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 ••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 reaso,,._ ___________ _
D•teL.; r ,ua Owner s;W ~ Cf4.;.. I
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of con-
sent to self-Insure, o, a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO ____________ _ COMPANY ___________ _
□Copy Is flied with the city.
□Certified copy Is hereby furnished.
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 subject to
tbe Workers' Compensation Laws of Ca11fornia.
NOTICE TO APPLICANT: If, after making this Cer•
tlflcate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Code, you must forthwith comply with such
p:ovlsions Qr this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
"1>y affirm that there Is a construction len-
'<:y for th1r perform_ance of the wo!k for
,CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENU E (714) 438-5525 A
NO.
f1.litlii1c101~M/;01
JOB ADDRESS
tR~T-IDte trr f(ff ION 2 1L/17 f / 1 I iSrr-.1 I I I I I I I I I I j
OWNEC,_. ,1,.. • • -~E~ PR;;;;;;e/1-/ ~J<:~ ~ ~ -2. 7/S TeJ:r-E~oN .sr. ~ .,...,. :i
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
BUS. LICENSE PERMIT NUMeER
STATE LICENSE go-S3S
·.,:i J _J . ~
OWNER'S MAILING ADDRESS / ,r•·v "') ) CONTRACTOR'S ADDRj'§S CONTRACTOR'S I '1/d/ -r, Ir~, C /M.l.f,Jf!>W I
PHONE CI"/-. </ZOOR 7 s;f-4 S71>3 t~ BLOCK I sr.Dc.lSM/M. *' I ASSESSOR'S PARCEL NO. DESIGNER STATE LICENSE 1~ I I I I I I I I I I I
DESCRIPls01½/w;i/ E F Jl/,-,44 /Lu /Jz::e..,/JAIAA'!,C" ¥-DESIGNER'S ADDRESS DESIGNER'S PHONE
/
CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PARKING SPACE # I NUMBER OF STORIES /<..-/ !';CT . ft. r-; b Not V1/id Un/ass M11chin11 Cartifild
BLOG SO, FT. BLOG USE occ. GP I STANDARD PLAN# 1 PLAN ID# I TYPE CONST I occ. LOAD I 3oSS-
QTY. PLUMBING PERMIT AMT. QTY. MECHANICA L PERMIT AMT. -,, -, ' .
./ V. EACH FIXTURE TRAP ~h __ _. l INSTALL FURN. DUCTS UP TO 100,000 BTU 4-,.. -·r EACH BUILDING SEWER .(. -OVER 100,00().BTU -·
I EACH WATER HEATER ANO/OR VENT '►. ..,,, I BOILER/COMPRESSOR UPTO 3 HP ,fV' _ 3-t-
EACH GAS SYSTEM 1 TO 4 0 UTLETS BOILER/COMPRESSOR 3-15 HP
I EACH GAS SYSTEM 5 0 R MORE ~--I BOILER/COMPRESSOR 16-30 HP -·
EACH INSTAL., ALTER, REPAIR WATER PIPE [J,,-VENT FAN Sl~!GLE OUCT K / J ?i_L~ ?-f-v EACH LAWN SPRINKLER SYSTEM I MECH EXHAUST -HOOD/DUCTS VALUAT I ON :
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . ~11J.rv. .JT o
ISSUE 3 .00 I SSUE 3 r 00 SIGN PER!fff-,.,./ ~ -,I' -30 ------I . I I
TOTAL PLUMBING tf-1_~ TOTAL MECHANICAL /½,/ PLAN CH~i /b o. JS-°P 1iY..?J J I 1/i afitJ .
CONTRACTOR CONTRACTOR ALL INCLUS~RMIT .h,f; HI ~ I } I
I TOTAL PLUMBING iLJ ~ .n10
QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL ,;:ii 1,C (_fl I) J -
NEW CONST EA AMP/SWT/BKR I..JnA-'"'"~, .Jo AWNING MECHANICAL 1 ·1 ~ ~ ~PI/J
1 PH .25 3 PH -I 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 CIRCUIT 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) I . I I I I
ISSUE 2 .. 00 I SSUE 5.0 0 stro na motio n I . I 1lt.,,ff9-"
TOTAL ELECTRICAL ~q.r~ TOTAL FEES PAYABLE I
I
CONTRACTOR I I . 4t l,, q I). /).
I
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL F . : JI I &'><~1/J . I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO 00
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF ~ ~~
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY,
STRUCT12:i 3:;l;;,:~GHT ~ JQ'~'~ COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITV OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICANf•s SIGNATUF{E • I OWNEAJiO CONTRACTOR□ l:Jpp' OVED BV ,~/2 ~ AGENT D BY PHONED ,,. • -:. ~ .l
~
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SITE 5snt£~C::: ('.DDRESS: OWNER: .. P!eRMIT NO: . . . FIELD INSPECTION RECORD . -. . ·---. "' .. . . • ), . \ •·· •. . ' INSPECTOR'S NbTES -. • ' . . . INSPECTION DATE INSPECTOR . ... > 4, •
WOOD FLOOR ·. -... ... . ..,....,,. ..... ,.._
J -• ' . \ . ~ ... ~ .....
FOUNDATION • FORMS• SET BACK • TOILET . ' ·~ •• ~"ij. :., -~· ..... I UNDER FLOOR PLUMBING ·,··\\ ~ ,,,\ ... ,• •. ". . ~~ <\
UNDER FLOOR HEATING ~ :-i..":• i • -' \. ''. '\•:'\. i,.· _-;:-, ~\ .. \ ~)_\.;,', : .. "'~ .. ~, ,--.. __ ·, OK TO INSTALL SUB FLOOR ' .. \
SLAB FLOOR ' 1 •. ,, UNDER SLAB PLUMBING -·
FOOTING o FORMS• SETBACK • TOILET ·----=-....,, ... ' • t •
OK TO POUR CONCRETE ~,.,,,. ...
FRAME
ROUGH ELECTRICAL r
ROUGH PLUMBING
ROUGH HEATING/VENTILATING .. I
FRAME OK o PLACE INSULATION
INSULATION OK • PLACE WALLBOARD . i
WALLBOARD OK • PLACE TAPE
EXTERIOR 1,-ATH OK • PLACE stucco
FIREPLACE ' .
DAMPER 6 STEEL
J
PLATE Tl Es/HEIGHT OF CHIMNEY .. '
OTHER •• ~ .
TEMP POWER (POLE) ,. ~ ...
SEWER
GAS TEST
SWIM POOL • STEEL BONDING .
• PRE DECK
• FENCE PREPLASTER ( ~
SHOWN • FRAME \ I
• PAN ' \ .. ~ 1'. r...l
FINAL INSP BY BLDG DEPT l .,\JV\~ '-ri ..
OTHER DEPT'S ~EQ COMPLETED -\ \' \ V ' ' ELEC METER.:.PERM-TEMP \ I
GAS METER-PERM-TEMP t ...
-•.
CERT OF OCCUPANCY ISSUED a ' ..
'
,, (,
LEUCADIA COUNTY WATER DISTRICT
APPLICATION FOR SEWER SERVICE
Owner's Name Herb Cohen --==-=-~=-=--------------Phone No. 729 498~
Mailing Address 2725 Jefferson SJli.tsL)...,..OB..._ ____ _
Add ) ti RECEIPT OF BUILDING ~r.:nMIT, Service ress: o<.. r 7 I unicorni o street n.;n
Tract Description: lot l5fl, Meadows #1 BUILDING PERMIT MUST BE
SEWER PERMIT JSStJl:O UPO.N
Carlsbad. CA 92008
-____,__...___..~'-'-'---------APPLIED FOR BY B -:"O ~ Assessor's Parcel No. 21s-260-11 -~-~
Type of Building _................_ _______ No. Units __. __ Connection Fee $ 600.00
Lateral Si.ze: 411 611 811 Saddle Easement Connection (pre-pd 200 -00>
Extra Footage: __ @$ ___ _ Extra Depth: @ $ ------400 00
Amount Rec'd $~0.00
Ck~ No/Cash _#1~0~3~-
Date • B-21-79
Rec• d By 6 ., uvrl62.zi~
Lateral Fee
Prorated Sewer
Service Fee
Total %00. oo
The application must be signed by the 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.
If a service lateral is required, it will be installed by the Leucadia County Water
District. The service lateral is that part of the sewer system that extends 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 responsible for the construction,
at the applicant's expense, of the sewer pipeline {building sewer) from the appli-
cant's plumbing to the point in the stree~ (or easement) where a connection is 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
with 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
additional fee or refund if service actually corrrnences on a different date. For
succeeding 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 agrees
to the conditions as stated.
Owner's Signature
8 -<Q \-7q Date ~ 9473 Account No.
BENTON ENGINEERING, INC.
AP'P'LIEO SOIL MECHANICS -P'OUNOATIONS
1111,10 RU ,-,..IN ROAD
SAN DIEGO, CALl,..ORNIA ,2123
October 2, 1980
P'HILIP HE:NKINQ ■E:NTON
P'Rl:alD.NT • CIVIL llHGIH&&"
Mr. Herbert Cohen
2725 Jefferson Street, Suite 15B
Carlsbad, California 92008
Subject:
Dear Mr. Cohen:
Project No. 80-10-2M ,:J. -'171
N\oisture Contents in Subgrade Soils
Lot 158 of La Costa Meadows Unit No.
Carlsbad, California
TllLU'HONll (714) 111111,191111
This is to report the results of tests to determine the moisture contents of the soils in the
upper three feet below finished grade in the proposed building area at the subject site in
Carlsbad, California.
The soil samples were obtained on October 1, 1980 and the results of the moisture determinations
are presented as fol lows:
Approximate
Location of
Samples
Southeasterly portion of proposed building area
Northwesterly portion of proposed building area
Depth Below
Existing Grode
(in Feet)
1.0
2.0
3.0
1.0
2.0
3.0
N\oisture
Content
(% dry wt)
25.6
21.2
21.8
19.7
23.4
22.3
It is concluded from the field observations of the various soil types and the final results of the
moisture determinations that the soils in the upper three feet below finished grade at the
locations sampled have been sufficiently moistened to minimize the potential expansion of the
soils, as recommended in our report under Project No. 70-10-28D dated October 12, 1971.
It is recommended that positive drainage, 6 inches of vertical fall in 6 feet horizontally, should
be provided around the perimeter of the house. Drainage systems should also be provided to
,.
.... ·Mr\ -Herbert Cohen
Protect No. 80-10-2M
-2-October 2, 1980
collect all runoff from roofs ond conduct the water in watertight pipes either into the streets or
stonn drains. All surface drainage should be prevented from ponding adjacent to or running
over the tops of slopes. Inlet boxes and watertight pipes should be installed when necessary to
comply with the above requirements.
Respectfully submitted,
BENTON ENGINEERING, INC.
By -R, 6, ~!~
R.C. Remer
Distribution: (3) Addressee
RCR/PHB/jr
BENTON ENGINEERING, INC.
-: _:-"'"'\ ETC., REQUIREDfil . .,,. ____ _
r .... r ___ _
I "~ r,.. • I •
"P,ol
NfllQYA!.S REQUIRED FOR FINAi.
~ R,t•rdont Roof C«tif~I• .---
BullJinq Dept.--------··· ·--
P\;)l'lnlng O.pt .. -----···-~···-···-
FiroOGpt. ________ _
w.1.,o.Jrt.------
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