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Home My WebLink About2427 UNICORNIO ST; ; 79-5298; Permit/ ;-u,/7 LICENSED 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 el• feet. OWNER-BUILDER DECLARATION 0 1 hereby afflrm that I am exempt from the Con• tractor's License Law for the following reason (Sec. 7031.5,Buslness 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 prov!• slons 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, 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• slons 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 lhe 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 reason. ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby alfirm that I have a certificate of con- sent to self-Insure, or a certiflc,te of Workers' Compensation Insurance, or a J:ert\li19 copy thereof (Sec. 3800, Labor -• • POLICY NO If \I ~ COMPANY_______ t D Copy is filed with the city. D 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 pars.on In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: II, after making this Cer• tlflcate of Exemption, you should become subject to t!ift Workers' Compensation provisions of the Labl!'r Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction !en- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (7 14) 438-5525 NO. JOB ACOR ESS AY~,DATE OF APPLICATION 2.ft 12..J"?i ; u, ~ ,}c.10 1 R /Ji l t 01 I I I I I I I I I I I I I I I I 7 / 2 · 3 -,°, OWNER OWNER'S PHONE PRIME CONTRACTOR ,J.Ac:K J: 11R1~ .. )£. JAcK,<:o tJ ~ 36-13-g., Sr.:;.A~~p,c, f:>ool s--OWNER'S MAILING ADDRESS CO~TRACTOR'S ADDRESS V•l'l._j_ (.)1-JILol'l.Nlo S-r-.£,.Gc-r /<M JJ SL r_AfVl,Al<J R~Al _/ LOT BLOCK ~ SUBDIVISION ~ff ASSESSOR'S PARCEL NO. DESIGNER ( !62.. ,,t C0$1"A MGA0oW5 J l I I I I I I l l J DESCRIPTION OF WORK ' 'tzo cb _G • Aiil}'l;'l4A.Je,_, Pt1dl J: ~ DESIGNER'S ADDRESS ... r APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. L ICENSE '1J_ PERMIT Ns1t<P 17 '-I'-{ '-/ ~ STATE L ICENSE ~11~ Z1.SS63 !, CONT"' ~3N6 S't64 ~ STATE~ I 2/07 /79BJ 64 00018164 1~/07/79 DESIGNER'S PHONE &9:Bd CENSUS TRACT GP LANO USE ZONING l RES, UNITS I PARKING SPACE I NUMBER OF STORIES Not V•lid Unklss M•chin• c.rtifi«J BLOG SQ. FT, BLDG USE occ. GP I ST AN0ARD PLAN II I PLAN IO 11 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT . QTY. MECHANICAL PERMIT AMT. .J< ~ ff~ L/ EACH FIXTURE TRAP ta v::;..--rr.vv INSTALL FURN. DUCTS UP TO 100,000 BTU ' EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ~ EACH INSTAL., ALTER. REPAIR WATER PIPE VENT FAN si,!GLE DUCT J/~ ~ --.5~ 1/ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS /..> WATER SOFTNER -RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . 1L.it).tJTD -.I ~-:v-SIGN PERMIT I I -I I I I TOTAL PLUMBING /I~ TOTAL MECHANICAL PLAN CHECK,.;1_o7°jZA "f "I, 1tlf 1~ I I I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING 1/1/.1]-f(J QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I '7 .n-i""D / NEW CONST EA AMP/SWT/BKR(d J 5 '(/'f.) AWNING MECHANICAL l II . I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR l I I I 1 PH .25 3 PH RAMADA, CABANA I I I I REMOOEUALTER PER CIRCUIT FENCE OVER 6' I . I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO -FI LM I . J I I OVER 200 AMPS I . I I ; I TEMP OCCUPANCY (30 DAYS) ,.. ~ I . I I I \lA-~ ~ ycr I J I I -. TOTAL ELECTRICAL ? V'" ,_ TOTAL FEES PAYABLE I 1.-sr.P.~ .. CONTRACTOR . I I . ,I,- I HAVE CAREFUL LY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. AND DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER a ~L,.~ -SPECIFIED HEREIN OR NOT. I.ALSO AGREE TD SAVE INDEMNIFY AND KEEP HARM-~-1-LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITV IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE' OWNER□ CONTRACTOR□ ,A~EDBY L.?: :,,./4ATE/_ ~ AGENT ijY"'"" SYPHONE D ~.,,............,./~ ~D tf -/ •1 / ~ / / • w ~ ~ > ~ j::: ~ 0.. V) ~ SITE PERMIJ NO: /7'r .<"'~ r ADDRESS: : ,. .. OWNER: .. , .. -~~, :!\;. • FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET -I . UNDER FLOOR PLUMBING : -~ _:::. -~ . - UNDER FLOOR HEATING ~ ., ' . OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME - ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE . ' EXTERIOR LATH OK• PLACE STUCCO FIREPLACE .... DAMPER 8: STEEL ,. ' PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER - GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME ' • PAN ' . -I ,I /' ' '-~ FINAL INSP BY BLDG DEPT ~ . OTHER DEPT'S REQ COMPL ETED 4~'/!)0 .// ,I~ - ELEC METER-PERM-TEMP ~ . I rv , - GAS METER-PERM-TEMP - CERT OF OCCUPANCY ISSUED \ . ,,.~"( ). )_ / f ,~-t/36-b~L-/ P1/-· r · · INTERDEPARTMENTAL INFORMATION SHEET ' BUILDING DEPARTMENT DATE: --------- BUILDING ADDRESS: ...?ff?~ ~ECEIVED PLANNING DEPARTMENT \i'{ OF CARLSBAD zoNE ________ LoT srzE _______ LoT wrD~ISu\\ding Department UNITS ALLOWED UNITS PROVIDED ------------------------ PROVIDED PARKING SPACES REQUIRED ---------------------- PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED __________ PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED PROVIDED ------- INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECT! ADDITIONAL COMMENTS: OK TO ISSUE : DATE ------------- ENGINEERING DEPARTMENT R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS --------------- SEWER CONNECTION DRIVEWAY LOCATIONS --------------------- GRADING PERMIT _______ EASEMENTS lj~ DRAINAGE ----- LEGAL DESCRIPTION ____________________________ _ ADDITIONAL COMMENTS ---------------------- OK TO ISSUEdfll2 DATE /J ---~)1 PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRiliKLING SYSTEM FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS __________ LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- 1 WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ 1200 ELM AVENUE CARLSBAD, CALIFORNIA 92008 <tr:itp of QCarlsbab TELEPHONE: (714) 729-1181 This document will certify that I am aware of the provisions of the California Administrative Code, Title 24, Section T20-1406(c), "Swimming Pool Heating", as shown on form DPL #297. I understand that neither a swimming pool building permit using a fossil~fueled heater nor a plumbing/electrical permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located a t z </ :1 rz f.: /YI (a A --11, a C r, (site address) I certify that all of the fo lowing requirements for fossil-fueled (or electric) swimming pool heaters will be met: 1. Outdoor pools shall _be equipped with a pool cover. 2. ON-OFF switch on outside of heater to allow shutdown without adjusting thermostat and start-up without relighting pilot light. 3. 36" minimum length of plumbing provided between filter ind heater to allow future solar installation. 4. After January 1, 1982, new heaters installed must have 75% thermal efficiency. 5. Time clocks installed to allow pump operation during off-peak demand periods (unless pump used for active solar). 6. Directional water inlets in pool for good mixing. Print Owners Name: Owners Signature: Print Contractors f,d~ ~£~ Name~~~i:r ~ -~ Date: 1/~rb j} . , Contractors Signature: c Date: Address: