HomeMy WebLinkAbout2466 UNICORNIO ST; ; 83-454; PermitCl) z 0 ~ < a: < ... u w 0
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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
lull force and effect. Lie No ______ Cliss
I hereby atftrm thal I am exempt lrom the Conuac•
tor's license Law for the lollowmg reason (Sec 7031 5 Business and ProlesStt>ns Code Any city or county which re-
quires a permit ta construct. alter improve. demolish, or repair any struc1ure. pnor 10 its tssuance also requires !heap·
pbcanl tor such oermn to hie a ~Qned stalement that he is ttcensed pursuant to the provIsIons of the COntracttr·s License Law (Chapter 9 commencing w1lh Section 7000 of
ChV1s1on Jot the Business and Profess100s Code)°' that 1s ex-empt therefrom and the oasis lor the atlegeu e,empI1on Any
vIo1a110n al secuon 7031.5 by an apphcant lor a permrt sub-iects the apphcant to a c,v,I penalty DI not mofe than five hun-
dre<I dollars ($500).
n I, as O"Nner ot the property, or my employees wuh wages
as !heir 5°'e compensation. wm do the work. and the strut·
ture is not intended or offered tor sale (Sec. 70414. Business and Professwns Code· The Contractor's License Law does
not apply to an owner of property who butlds or Impr0Yes
thereon and who does such wock h1msen or through his own employees, provKSed that such improvements are not intend•
ed or offered for sale. If. however. the bwidmg or improve-ment IS sold within one year of completion. the owner·bu1tder
will have the burden of proving that he did not build or im· prove 10< lhe purpose of sale).
D I, as owner of the property. am exclus1Vely contracting wi1h licensed contractors 10 construct the prOiecl (Sec. 70◄4. Business and Profess,ons Code; The Contractor's License Law does not apply to an OWnM of property who builds or im-proves thereon. and who contracts for each protects wi1h a contrac1or{s) license pursuant to the Contractor's Ucense law)
D As a homeowner I am improving my home, and the '°'low·
ing conditions exist: 1. The work is being performed pflor to sale 2. I have IIYed in my home tor twelve months
3. r:v~o :rp~:,i:: ::,i: :~~ptK>O during !he last three years.
~r :h~:,~:i' under Sec. ______ , B & pc -------------
D 1 hereby affirm tha1 I na ... e a cert1hcate ot consent
10 setl-msu,e. or a cerut,cate ol Workers
Compensation Insurance. or a cert,1,ed copy thereof
(Sec 3800, ut,o, Code>
POLICY NO
COMPANY
~
,s llled with lhe city
1ed copy ,s hereby lurn1shecJ
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 ll'le oerm,1 1s tor one hundred dollars {S 1()0) or less)
0 t certify that m tne per1onnance of the wo~ lor ~1~,~~s :;rr;~~~:~s 1t~':c~ee;:~~:c~~H
lhe Wor11.ers Compensa11on Laws of Caltforn1a f
NOTICE TO APPLICANT If, alter mak1n;1 lh1s Cer11 I hcaite ot Exemphon. you should be-Come subJecl t? )
ttle W()O(ers· Compensation prov1s.ans of the LabOf i cooe. you must forth"''" comply w11h such
prov1s,ons o, 1h15 perm11 shall be deemed re•o•ea .
□ I hereby altum lhal !here IS a COO!ltuCl 1on 1enc11no agency to, the pertOf'mance 01 lhe wotk to,
which tn,s permit •S issued (Sec J097 C1v1I Code1
Lenoer s Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -----------· --------
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438,5525
JOB ADDRESS AV ST AD. NEAREST CROSS ST. I D;E_O; ;:L:;:31
BUSINESS LICENSE # 1;;;:il PERMIT NUMBER
2-'-f/,,ti LJ,Jt1rr Alto ~ ~;,
LOT BLOCK I SUBD,v1s10N I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE lj4v
~L.N<-t=-~.,,JC., ,'Js--ois-~ OWNER'S NAME
I t13i:,~~ ('j 1rr1= CONTRACTOR'S ADDRESS I LICENSE NO. PLAN 1.0. # BLOG USE CODE
'163'=, M. p" ~".l\tC. ftt>. ~3331., I OWNER'S MA•L•NG ADDRESS
<A. ........... -A-S ~ DESIGNER LICENSE " STANDARD PLAN # BUILDING SO FOOTAGE . -
OESCR1P~o1,o~:}/I( ~,.;:srtC !.!.... , ""-'th...~-,C OEStGNER"S ADDRESS DESIGNER"S PHONE --
~~'Tl=""-1 ~ssr ~no ,J ___ ---------f /P F LR ELEV. NO OCC GP EDU
STORIES
vO NO --,1121sa~~; CENSUS TRACT I GP LANO use I PARK ING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD Fl RE SPA 125,0! AREA CONST
TD ND vO NO vO NO I.,~ • •• --:_ IMS ,~,.,_ f ~rtified ,F r'
QTY. PLUMBING PERMIT · ISSUE ~Sa QTY. MECHANICAL PERMIT· ISSUE .:l,oc; SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS uP TO 100,000 BTU BUILDING PERMIT 01 ·90·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 ·-
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223 1/f'J. --EACH INSTAL. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-ROO~ /.~--
TOTt.L MECHANICAL STRONG MOTION 80·92·33·0519
TO r AL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE ,0/P QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·8933 ., BRIDGE FEE
NEW CONST EA AMP 'SWT BK R -COLLECTORS \ f"::7 , .-SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS \ ~'v' -----· Carlsbad 80·92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE \ ... \~' ~ Encinitas -80·92·22-0519
I PH 3 PH PUMP ,.. \. )I ./" San D1egu1to 80·92· 23·0519
I REMODEL ALTER PER CIRCUIT t:::---PLAN CHECK ~"'--"\V / San Marcos 80-92·24·0519 ,
TEMP PO LE 200 AMPS '\.I.,/""
OVER 200 AMPS ,, LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI _/ ..,. CREDIT DEPOSIT
TOTAL ELEC:l RICAL I ff}_. TOTAL SOLAR /6--TOTAL FEES PAYABLE I 1.b.__,
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT· ANO OOHEREBY Exper1tton Every permit JSSued by the Butldtng Ott1c111 under the prov1s1ons of this * AN OSHA PEIWIT IS RE0UtAEO F0A EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by hm,tat,on and become null and void If the bu1fd1ng Of work 5' 0" DEEP AND DEMOllTION OR CONSTRUCTION or
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 11 not commenced w,th,n 180 days from the date "f sucl'I STRUCT\JA£S OVER 3 STORIES IN HEIGHT permit. or ,t the bulld1:;g or work 1u1hor;~z such perm11 1s suspended or ISSUED, TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GO\IERNING BUILDING CON abandoned at anv bme a er fha work ,s co d for a oenod of 180 ri•u• •
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPL~CANT S $ A /• / ClwNER0 CONT RAC rrJffJ;. APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS, COSTS ANO 'j. -t1:RE \Al ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TliE ¥ I BY PHONE 0 ........ ---~ I tl-Jt~~ GRANTING oF rnrs PERMIT M l. .a.. j \
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TYPE " DATE INSPECTOR
BUILDING ·• ~~-04'9-r r
\. \
FOUNDATION FIELD INSPECTION RECORD
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
GUNITE OR GROUT
-
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME. . SOILS COMPLIANCE
SHEATHING □ ROOF D SHEAR PRIOR TO
FOUNDATION INSP
FRAME
EXTERIOR LATH I
I
STRUCTURAL CONCRETE /~ OVER 2000 PSI
INSULATION I PRESTRESSED ~
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING -
SEWER AND BUCO □IPUCO I
I
UNDERGROUND □ WASTE D VfATER
TOP OUT □ WASTE □ W4TER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN : ' -.
GAS TEST I PILES CAISSONS
□ WATER HEATER □ SOLAR WATER
I
I .
ELECTRICAL I '
.
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC I
I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I ' ' \ . --., I
I
MECHANICAL I rf•:"::: ~ B~ i~ ' F"' ~--
□ DUCT & PLEM., □ REF. PIPING i\ t~ '"~s.,.:.;-= f--, ..
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I . ,., . .~ --• -0
I ... -I.
CALL FOR FINAL INSPECT/ N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
FINAL I A I
PLUMBING s◄---~ i~
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ELECTRICAL I I -· . ..,.~' I , . ....
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MECHANICAL I l" '
GAS ~ V ' ..
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BUILDING I V ~·
SPECIAL CONDITIONS I
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