HomeMy WebLinkAbout2442 UNICORNIO ST; ; CB881196; Permit.,, z 0 .::: C a:: C _,
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0 I h«eby affirm that I am licensed under
pn,.,lalon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Pfofaa1lon1 Coda, and my llcenu is In
full force and affect.
I hereby alfirm tl\at I am exempl lrom tne Conlrac·
!or's license Law tor the lollow1ng reason (Sec 7031 5
Business anc:i Pfotesst0ns COOt Any city°' county wh1tt, re· quires a perm,1 to consuuc1 aiter ,mpiove demolish. or rtJa•r any strucrure Pf'IOf 10 ,ts issuance atso requites ~he ap-
ptant IOC' such ~rrrut to hie a StQned statement 11\at he ,s hcensea pursuant to the prOV1s10ns ot the LonlrKtor s
license law (Chapter 9 commencing with Section 7000 ol
Olv1st0n 3 ot lhe Business and Profess,ons Code, Of that Is ex
empt thtfelrom and the t,a54 fDf the a11egeO exempt,on Any
"101.Jt,on ot Secl,on 7031 5 by an appIan1 !01 • pe1111<t S<Jb )Kts the apphc.ant to a c1v,I penalty ot not more 11\an hve nun
dre<l dollars {$500)
I, as owner ot 1ne P,oPerlY. or my employees w,n, waQ6
as lht11 sote compenYhon "w•II 00 the wDfk ano lhe struc lure 1s not 1ntendec:J o, offered tor sale (Sec 7044 Business
ano Processions Code The Contractor s License Law does
nol apply to an owner of property who butlds or improves
thereon and whO does such work n,msetl or lhrougn his own
tmo'Oyees provtOed 1na1 such .mprovemenls are not ,ntend~ td or oHertd to, saIe It noweve, lhe bu1td1ng Of wnprove-
men1 Is $Old w1tnm one year of complehon. the o.ner -bu1tder
wtll have the burden of proving lhal he did no! bu1kl or im-
prove for !he purpose ol saileJ
I. as owner of the property am e-xc'us,vety conlrach~
wirh licensed contractors to constfuct lhe prOJ«I (Sec 7044
Busmess aoo Protess10ns Code The Conlraclor s license law does not apply 10 an owner of property wflO builds or im-
proves thereon. and whO contracls lo, eattl proiec1s with a
conlractor(sl lanse pursuant lo lhe Con1racto,·s Ucense Law)
As a hOmeOwner I am ,mprov,ng my home. and 1ne tCNlow .ng cond1t10ns e,11s1
1 The work ,s being per1ormed pr.or to sate
2 I have lwed in my h<:me lor rwetve months
pnor 10 complthM ot this wo,lt
I have not claimed 1h1s exempt1011 aunng the lasl three years
'J I am exempt under Sec ______ B & P C
for this ru son
I ne,eby attum lhat I ha"e a cenihcate ct consent 10
self-insure or a certiltcate of Workers Compensation In-
surance or a ce<t1l1ed copy 1hereol tSec 3800 Labor Code)
POLICY NO
COMPANY
-Copy 1$ hied 'l'lllh lhe city
C Cer11hed copy 1s nereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE
1Th1s section need not be eomPleted if the permit
I'S for one nundred dollars tS 1()()) or IHSl
:::J I cen,ry that 1n the performance ol the ¥ioork for which
1h1s permit Is issued. I shall not employ any person in any
manner so as 10 beeome $Ubje<::I lo the Workers Com pen•
sa1t0n Laws of Cahlorn,a
NOTICE TO APPLICANT. If. after making ttus Certificate
of Exempt,on. you snould beeome subJect to lhe Workers
Compensa11on pt'0"111sions of the Labor Code you must
lor1hw1lh comply w,tn such P,O"ll1sIons or this permit shaiU
De deemeo revoked
0 I hereby aillirm that there Is ai construe1,on lending
agency tor the performance ol lhe work tor wt11ctt 1h1s Pef·
mil tS ISSued t5ec 3097. Civil Code)
Lender s Name ----_-_ -
Lenders Address ----~--
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORM ATION W ITHIN SHADED AREA AN D DECLARATIONS. -----------~---
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV ST RO THOMAS BROS NO. l1EliaI'~I BUSINESS LICENSE • i:.z1Cf PERMIT NUMBER
r=:14 4::2 I./P7,;_/1rYJ1n ~ J+ ~
~dBLOCI( I sueo vIsI0N I ASSESSOR PARCEL NO CONTRACTOR . -CONTRACTORS PHONE • ZONE f Z>~/L'i'-Al.~-)i50 -o~ IJ~IM kc01,i< Gnc..l-rur ;.,;,,, /9'-1-6'-f;;. ~ OWNE Fl'S NAME OWNE R'S PHONE
'"'-C---~ a /4c,,,,i 1//1 _ l ~ .li-nr 471-°t4s:o CONTRACTOR'S AOOREls STATE LICENSE NO ~17¥f.TAGE 9'-//,.., 6,. y" ,::,,.,.. n /', ~7!3o LPB OWNER'S MA Llf,G ADDRESS . I
h~f3°( r:,_.., __ "n ~~,c_ f.,,,,.aP'ZO DESIGNER • -.J DESIGNER'S PHONE 1833 09/13/88 0001 01 02 ' OESCR1PT1QN OF WORK /lto_C/r,, .A A .5.!5c'<_ I 440 •3&-;}.3 ' BldPat 150.()1 I Ot~IGNER'S ~RESS STATE LICENSE NO l I< e +-t:J.A."" ,,.,._ ->le.Al Sc/l ~ //d-11,, 'A~l'JA,.,.. I /~,. ...
lllO -' F1 P FLRELEV OCC GP EDU
STORIES
vO "'O --I CENSUS TRACT I PAP K ING SPACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPP
AREA CONST
y D ND vO "10 vO NO Not Valid Un~r Machin~ C~rtrlied
QTY. PLUMBING PERMIT · ISSUE ~ QTY. MECHANICAL PERMIT. ISSUE /S !IE-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP . INSTALL FURN DUCTS UP TO 100 000 BTU llUILUINl, ~tNMI I UU I 810·00·00·~UU 7(J -
EACH BUILDING SEWER OVER 100 000 BTU SIGN PERMlT 001·810·00·00·8221
EACH WA TEA HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00·8891 Of...f-
EACH GAS SYSTEM l TO 4 OUTLETS BOILER COMPRESSOR 3 lS HP TOTAL PLUMBING 001·810-00-00·8222
EACH GAS SYSTEMS OR MORE MET Al Fl REPLACE ELECTRICAL 001·810-00·00·8223
EACH INSTAL . ALIER. REPAIR WATER PIPE VENT FAN SINGLE 0UCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOO0 DUCTS MOBILE HOME 001 ·810-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACErHEATER SOLAR 001·810-00·00·8226
EACH ROOF DRAIN 1'11SIOE l DRYER VENT STRONG M0Tl0N 880-519·92·33 I -TOT l:.l MECHANICAL FIRE SPRINi<LERS 001·810-00·00·8227
T0l AL PL UMBINL I PUBLIC FACILITIES FEE 320·810·00·00·8740
~ BRIDGE FEE 360·8 l 0-00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE QTY. MOBILE H OME SETUP PARK-IN-LIEU (AREA l
NEW CONST EA AMP SW I IIK R CAR PORT TIF 312·810·00·00·8835
l PH 3 PH AWNING LA COSTA TIF 311·810·00·00·8835
EXIST BLOG EA AMP SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 00) ·810·00·00·8162
REMODEL Al HR PE R CIRCUIT MFF 880-519-92·57
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT I
JOTAL ELELIRILAL I TOTAL TOTAL FEES PAYABLE I <%-Jqo:3..-
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT AND DO HEREBY Exp,r1t1on Ew,ry permtt issued by tt\e Budding Offtc11I under the prov,s1ons of this * AN OSHA PEMtl:T IS AEOUIAEO FOA U CAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by 11m,t1t1on and become null and void It the building or •001 S O DEEP ""O OElltlOt.lTl()fj 0A CONSTRUCTION Of
DECLARATIONS ARE TRUE ANO CORRECT AND l FURTHER CERTIFY AND AGREE IF A PERMIT I~ authorized by such permit 1s not commenced within 180 days ffom the date of suct1 STAUCTVAtS OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON ::~n':c. '!, '=~~ ~,=i~x:~h:c:~,:~!hi~~~.:l.:~~~ ro:r:;~'~,'r:rd~~ 0' .
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A p I T CONTRACTOR [J APPROVED BY P1 1ft:/W KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO p ~IN S SIGNATURE •~ ~R 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE '-Ji U. ~'L :_.a BY PHONE fJ GRANTING OF THIS PERMIT ·~ ·~ ~ w -~ , , c7
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL 9 I :i. /J _/"" ,,,,~ -~ ,, .... -,
MASONRY I ,
/)
GUNITE OR GROUT /o/4/ yr
/ /
/
SUB FRAME D FLOOR D CEILING I
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING ~
0 SEWER AND BUCO □ PU CO I . I ~
7/l"'Jl rr r /1
UNDERGROUND □ WASTE □ WATER J / I I /./
7 //7 / yr 1
TOP OUT □ WASTE □ WATER I I
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ' . .. .
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL -
PLUMBING I )
ELECTRICAL .I ,)\ /
MECHANICAL JI 111'
GAS . . \ ., I
BUILDING \
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL .
SOILS COMPLIANCE
PRIOR TO ' FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
I
PILES CAISSONS
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