HomeMy WebLinkAbout2425 UNICORNIO ST; ; 88-1729; PermitIll z 0 ~ II: <C ... (.) "' 0
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O I lle<eby affirm that I am licensed under
provlalona ol Chapter 9 (commencing with
Section 7000) ol Division 3 ol the Business
and ProlHalona Code, and my license Is In
lull lore• and ellact.
1 hereby athrm lhat I am e,cempt from ll'le Con1rac-
tol"s license Law IOt lhe tonow,ng reason (Sec 7031 5
Business and Protess10ns COde Any City or county whict, re-quires a pe,mtl to construe! alter. Improve, demolish. or repair any s1ruc1ure pr10r to its issuance also requires !heap·
pI1can1 for sucn perrmt to hie a signed s1a1ement lhal he Is
lt<:ensed pursuant to the prtw,slOl'ls ot me <.on1rac11x s L,conse Law (Chapter 9 commencmg with Se<t!Of1 7000 ot
01v1s1on J ol the Business and Protesssons Coc:leJ °' lhi1 rs ex mpt therefrom anc the basis !Of lhe allegeo eil:emphon Any
v1<>'auon ol Sechon 7031 5 by an applican1 lor a pem»1 sub· Iects u,e apphtant 10 a cIvll penalty of not more than t,ve hun
dred dOllars ($500)
I as owner ot lhe property Of my empk>yees w11n wages
as num sole compensat10n will do the work and the slruc-lure Is not mtended or ollerecl tor sale (Sec 7044 Busmess
and Protess10ns Code The Contraclor"s l,cense Law does
no1 a~y 10 an owner ot property who builds or improves thereon and who does such wock himself or through his own
employees, provided that such ,mprovemenls are no1 mtend· ed or olfered tor sate 11, h&#ever. the Du1I01og Of ,mprove-ment Is sold within one year o1 complel!on, lhe owner-bo110er
wrll have the burden of prov,ng lhal he did n01 butld or ,m•
prove lor the purpose of sale)
1. as owner ot lhe property, am exclussvety conlfacllng w1tn hcensed contractors to construct lhe protect (Sec 7044
Busmess and Proless1ons Code The Contraclor's Utense Law does nol apply to an owner of property who builds or tm·
proves thereon, and who contracis tor each pro,ects with a conuactoc(s) lteense pursuan1 lo !he ConuactCM''s License Law)
{ ·1 As a homeowner I am ,mprovIng my nome. and the folk>w mg conditions ex1s1
1 The WOfk ,s bemg per1ormed prior to sale
2 I nave lived m my home !or twelve monlhs prlOI' to completion of lhts WOik
3 I have noI ctamled this exemption during lhe
last three years
0 I am u empl under Sec. ______ . 8 & P C
fOf th,s reason ____________ _
0 I hereby alhrm that I have a cert,hcale ol consent to
selt.,nsure or a cer11hcate ol Workers Compensa1,on In-
surance. or a cert1hec:1 copy thereof (Sec 3800. LabOr Code)
POLICY NO
CO MPANY = Copy ts hied w1lh the city
0 Certified copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need nol be comP'eted if tne perm,1
IS lo, one hundred dollars (S100) Of less)
:::J I certity that in the performance of the work for wh,ch
1h1s permit Is issued. I Shall not employ any persoo In any
manner so as to become sub1ect to the Workers· Compen-
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NOTICE TO APPLICANT: If. after making this Certificate (
of Ex.emption. yoo should become subJect to the Workers"
Compensation ptovisions of the labor Code. you must c.
fonhw,lh comply with such provIsIons or this permit shall
sation Laws ol California
be deemed revoked
0 I hereby affirm that there Is a c:onstructIon lending
agency for the performance ol lhe work forwh,ch this pe1•
m1t ,s issued (Sec 3097. Ci¥1I Code)
Lender 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 , 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS A\/. ST, RO. THOMAS BROS NO.
q:i]Li"'i!NI
BUSINESS LICENSE # 111° ('~ PERMIT NUMBER
2-l.f-L5 ~,v /C. O ~ NI 0 8"~-
'r.°l I BLOCK I suB0I v 1sI0N I ASSESr.R. L; PARCEL NO CONTRACTOR ,, CONTRACTORS PHONE • ZONE ('72-Cf "2... 2-sc--I ~
OWNE R"S NAME
,~3R0 WSER~q ~ C ..J/l lAJ t-/ CONTRACTOR'S ADDRESS STATE LICENSE NO BUILDING SO. FOOTAGE
~,'r L-/ /
OWNE R·s MA1 L. NG ADDRESS
2...~L $ ~ N I (. 0 I< 1\1 I d ,57' DEStGl';f R DESIGl\fER'S PHONE
DESCC~IPTfioON OF WORK c..~ ~ G-An A f-I=-
/ AL-/ r C SriLA) H
A z...-DESIGNER·s ADDRESS STATE LICENSE NO 3898 12/30/88 0001 01 02
¥~o J1' . ./1.... ... _..;---=. d~ (J.. A ii't:":!-..·, BldPmt 164-0~
--. , F p FLA ELEV NO OCC GP EDU
STORIES
vO f'<O I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED
I
REOE\/ELOPMENT T YPE OCC LOAD FIRE SPR
~ C AREA CONST
y D N D vO f'<O vO NO Nor Valid Un~s Machine Ce,11h"1
QTY. PLUMBING PERMIT • ISSUE 7 .sa QTY. MECHA N ICAL PERMIT · ISSUE ~ SUMMARY~CCOUNT NUMBER ~
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TD 100it)00.I\TIJ L,,I '-•• BUILDING ~tKMI 1 uu 1 ·ij lO·OO·UU·oau 9¥
EACH BUILDING SEWER OVER 100.0UO BTU (;'\ SIGN PERMIT 001·810·00·00·8221 .
EACH WATER HEATER AND•OR VENT BOILER/COMPRESSOR UP TD 3 HP .:, PLAN CHECK 001-810-00·00·8891 (o o/
EACH GAS SYSTEM l 10 4 OUTLETS 80ILER/COMPRESSOR 3 15 HP ;-F'_ lU TOTAL PLUMBING 001 ·810·00·00·8222
EACH GAS SYSTEM 5 DR MORE METAL FIREPLACE .... ~ CP.•~ ~:::,,. rc.~i~CTRICAL 001 ·810·00·00·8223
EACH INSTAL . ALIER, REPAIR WATER PIPE VENT FAN SINGLE DUCT \,l•.J .-~• oi.OLt~.1 MECHANICAL 001·810·00·00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTt\'t-"t.\.Vr••'"·· MOBILEHOME 001·810·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACEtHEATER SOLAR 001·810-00·00·8226
EACH ROOF DRAIN il"JSIDEI DRYER VENT STRONG MOTION 880·519·92·33 I
TOTl<L MECHANICAL FIRE SPRINKLERS 001 ·810·00·00·8227
IO I AL PLUMBING I PUBLIC FACILITIES FEE 320·810-00·00·87 40
BRIDGE FEE 360-810-00·00·87 40
QTY. ELECTRICAL PERMIT -ISSUE 5 .0::, QTY. MOBILE HOME SETUP PARK·IN·LIEU (AREA l
NEW CONST EA AMP SW! HK R CAR PORT TIF 312·810-00-00·8835
l PH J PH AWNING LA COSTA TIF 311·810-00·00-8835
EXIST BLOG EA AMP1SWT BKR GARAGE FMF
I PH 3 PH LICENSE TAX 001 ·810·00·00-8162
REMODEL AL l fR PER CIRCUIT MFF 880-519-92·57
TEMP POLE 700 AMPS
OVE A 700 AMPS
TEMP OCCUPANCY 130-0AYSI ' .
' CREPIT DEPOSIT ' ~ ,-.
TOTAL ELELTRICAL I TOTAL TOTAL FEES PAYABLE I /u, 3/ (/'O
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exptrat,on Eyery perm,t issued by t''le Build,nv on,c,11 under lhe prov111ons ofth•s * AN OSHA PEMilIT IS AEQUIAE0 FOA EXCAVATIONS OVER
CERTIFY UNDER PENAL TV OF PERJURY THAT ALL INFORMATION HEREOIII INCLUDING THE Code shall e•pire by llm1ta11on and become null and void II the building or work ! o·· DEEP ANO DEIIIIOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGAEEJF A PERMIT lh authorized by such permit 11 not commenced w,th,n 180 days from the date l)f sucn STRUCT\IIIES OVER 3 STORIES IN HEIGHT permit. or 1f the buttdr~ or work 1uth0t1zed by such permit is suspended or ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON abandOned at any tune a •r the •ork ,, commenced to, a nar,od of 1an •• : ••
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND OWNER(l CONTR4CTOR 0 APPROVEQ BY 10;3/go/u KEEP HARMLESS THE C. ITV OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO y;;;;PPLIC Nrs ,:~IGNATURE. ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BV PHONE rJ GAANTIIIIG OF THIS PERMIT
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TYPE
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
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I
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I
' I
' I
SUB FRAMED FLOOR D CEl,ING
SHEATHING D ROOF D SHEAR
FRAME I
I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL '
' PLUMBING I
D SEWER AND BUCO o Pµco
UNDERGROUND D WASTE □;WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
I
D WATER HEATER D SOLAR WA. TEA
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC !
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I
' I
MECHANICAL I .
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
DATE INSPECTOR
J\
1/:;..1/;,-? T
I
......
1/J7/~ ~
3'/17'/ 11 ~
_'?/rfl~ I-? ,
n
"I/17/ ~ ,r (A)
' I V
,
CALL FOR FINAL INSPEcnoN WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED. • •
FINAL i I -PLUMBING -....._ I I )
ELECTRICAL .~ V
MECHANICAL ' i / 11\ Y1 "' -1v . GAS .,
BUILDING ;:~
SPECIAL CONDITIONS I •
I .
-0A g-e,, /7~ \ . .
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REQ IF INSPECTOR'S DATE /4J / I -~.rr "' n ... /J r "2-E:,x.-T I 1-rt,J,,lt. CHECKED APPROVAL ~/~_cr:..~vr1rr
s/,,£ I I SOILS COMPLIANCE
PRIOR TO I I FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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