HomeMy WebLinkAbout2446 UNICORNIO ST; ; CB921247; PermitCllLck ti C/1'j
PERMIT APPUCATION PLAN CHECK NO.
City of Carlsbad Building Depart111ent
2075 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161
t. P£RMI I IYPE
A -LI Commercial D New Building LI Tenant Improvement
B -D Industrial LI New Building D Tenant Improvement
C -LI Residential D Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex LI Demolition LI Relocation □ Mobile Home □ Electrical □ Plumbing
0308 12/03/92 0001 01
C-PRMT
□ Mechanical D Pool D Spa D Retaining Wall D Solar □ Other ____ _
2. PROJECT INFURMATION FOR OFFICE USE ONLY
Address Z44(p ()f\\W-t4\C) Building or Su1le No.
Nearest Cross Street
LEGAL DESCRIPTION Lor No.
45 CHECK BEtbW IF SOBMI 11 W :
Su&l1V1s1on Name/Number
LA CO;,tA ttW-Ow::z
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
Umt No. Phase No.
ASSESSOR'S PARCEL EXISTING USE
DESCRJPTION OF WORK ;2-t\"'\OPtL ?.JBD\2rot1-.APD ~C,Lose,T. '2-eMODBL I 0ft£N
SQ. FT. # OF STORIES
3. ~~~afrffl~pm applicant) ADDRESS '=?4\ ~ . C,,ED?-0"7 A.Vt;=. <::;,"ff£. F
4. ,gvrZ2rM"C~R s~1t£':0R J!iN?~1d20o1aiNENAYZ;Mi~?~~R l~J-(.o ll (pf-
NAME ALS->-r¥-\~r ADDREss ?+1 0 . c..£P~ ;,.ve.. -s,ie,. •
CITY 00!-ZIP CODE 92015 DAY TELEPHONE 192.-(oJI
ADDRESS 14-°?~ t,\ eti° ,A\Jf=-.'
CITY Jp,.. ..\o L,l..,_A, STATE ~ ZIP CODE 9 2,,0'2;, 1 DAY TELEPHONE
6' ~~~ GC>N'::>WUCii"I~ ¼OEvELJf~nDRESS f· o. e,ox -z-Sl\
CITY ~ ..JO L-\.....~ STATE 0 ZIP CODE 92o7::>8 DAY TELEPHONE 4-59-Sc;cl 0
STATE UC. # 6f "? 14-1 LICENSE CLASS 'E:, \ CITY BUSINESS UC. #
D£SIGN£R NAM£ JS(..e,)<. fF-\ffi.N.Jf ADD1{£SS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC. #
1. WOllkllitS' tnMPENSAJ10N
02
Workers' Compensation Oeclarauon: I hereby affirm lhat I have a cerulicate of consent to self-insure issued by the Director oI Jndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
1NsuRANcE co~T!V-~~E:.t-\~~N roucv No.I :,ol l~ -W<PIRATION DATE ~ -U -9?
11-.re
e per ormance ts permit ts 1ssu , s a not emp oy any person m any manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
A. oWNEk-BUIIDER OECOJtA11oN
Owner-Builder beclaratton: I hereby affirm that I am exempt lrom the Contracto?s License Lawlor the following reason:
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
offered for sale (Sec. 7044, Business and Professions 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 offered for sale. If, however, the building or improvement 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.).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
□ I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
SIGNA1URE DATE
COMPLETE ffils sEciloN FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□ YES □ NO
IF ANY OF THE ANSWERS ARE YFS, A FINAL CERTIFICATE OF oa::uPANCY MAY NOf BE l5.5UED AFTER JULY 1, 1989 UNLF.SS TIIE APPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CX>N1ROL D1511UCT.
9. tnNSlk0CIION ffiNOlNC AGENCY
I hereby affirm that there ts a construcuon lendmg agency for the performance of the work for which this permit 1s issued (Sec 3097(1) C1vtl Code).
LENDER'S NAME LENDER'S ADDRESS
to. Ai'PUCAN"I CER'm1cA'MON
I certify that I have read the application and stale that ihe above inlormauon ts correct. I agree to comply w1ih all Ctty ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AISO AGREE TO SAVE INDEMNIFY AND KEEP I !ARMLESS TIIE QTY OF CARISBAD AGAINST AIL UABIII11ES, JUDGMENTS, CDSfS
AND EXPENSF.S WID□I MAY IN ANY WAY AO::RUE AGAINSf SAID QTY IN OONSF.QUENCE OF TI-IE GRANTING OF TI-US PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the dare of such permit or if the building or work authorized by
such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLICANTS SIGNATUR DATE: \'2 -? -9 -2-
DATE_....c"}~/~~).....,~.._J __ _
PERMIT# ______ _ PLANCK # f,,:)..-1).1/1
JOB AOORESS ___ ___.2.;-.,;,;4Ll~C__,u~JV.~t~?@1.-Nra..c.u.GJ.a.. ____________ _
TIME ARRIVE: _____ TIME LEAVE: _____ _
CD LVL DESCRIPTION
81
PERMITS
6/15/89
............
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ACT COMMENTS