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Home My WebLink About2415 UNICORNIO ST; ; 81-92; PermitLICENSED 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 ef- fect. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5.Business 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 provi- sions 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). □ 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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 lhrough his own employees, provided that such Improvements are not inlended or of- fered for sale. II, however, !he building or improve- menl is sold within one year of completion, the owner-builder will have the burden of proving thal he did nol build or improve for the purpose of sale). :JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the 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 DECI I hereby affirm that I have a certlfi, sent to self-Insure, ot a certificate Compensation insurance, or a cert\1' thereof (Sec. 3800, Labor Code). POLICY NO. 'ft' \_ ~ COMPANY " ~ □Copy is filed with the city. □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 !hat In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject lo the Workers' Compensation Laws of California. NOTICE TO APPLICANT: 11, after making this Cer- tificate of Exemption, you should become subject to the Workers· Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY l hereby affirm that there Is a construction len• , CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS AV.ST. !DATE OF APPLICATION .;l.r-\ " 1,6; ,~N, \ ,C..,0 1~1N 1, 10 1 RO I I t I I I I I I I I I I I I I , 3-\0-8\ OWNER OWNER'S PHONE PRIME CONTRACTOR APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. ~ PERMIT NUMBER STATE LICENSE PJ-r;~ .:r ~,. ""'' ' C' c:.. ~<?--~R,\S. 4?e-\O.S'2 To~\... ~IA.o ~L ~~'?-lDIB '3713,817200 OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS 11,JR S ~ . D ~'-\.\S \.)i-J I C:..°'2N\0 C.O.RL.SeAt> 9-Z..OOB '(\; t"'\. 1-., ~'71.-~\\0 000 17200 J/13/ 8'1 ~i..;.s~ -=,~:in a-no---;-~ ~,ci~ ..w-6ll• ~ ~ ;& I BLOCK I SUBDIVISION '-""ff"#-/ I ASSESSOR'S PARCEL NO. DESIGNER ' ' -....!._TATE LICENSE -- ,•--~ • -,. -16.1\ 1':i,-1'2.i5.01-1\ 101 DESCRIPTION OF WORK -~~.jO.Q._( ~002\ ,so.....,..a ~ -o.~vt=_ :,u.11..:..-.~,,..-?t:oL 4 DESIGNER'S ADDRESS DESIGNER'S PHONE " CENSUS TRACT GP LAND USE ZONING I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not Valid Unless Machin, CNtifilld BLOG SO, FT. BLDG USE occ. GP I STANDARD PLAN# IPLA~J-9£ I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU / EACH WATER HEATER AND/OR VENT yZ'-0 BOILER/COMPRESSOR UP TO 3 HP . EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP ,, / EACH GAS SYSTEM 5 OR MORE i.,..-0-( BOILER/COMPRESSOR 16-30 HP -" EACH INSTAL., ALTER, REPAIR WATER PIPE ~~ VENT FAN SINGLE DUCT \(;/~ ;?S'IH EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SDFTNER . .Al RELOCATION OF EA FURNACE/HEATER BUILDING P__. () ----· -~ SIGN.KJ!MIT " ~-, TOTAL PLUMBING tJ":/ TOTAL MECHANICAL Py(N CHECIV'?/' ,o,l ¼chJ:=tf, / / ~ CONTRACTOR CONTRACTOR A\.,_L INCL~E PERMIT ./ ELECTRICAL PERMIT AMT. TOT~ft• .... ft,O>ft QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR 1 PH .25 3 PH -. RAMADA, CABANA / " REMODEL/ALTER PER CIRCUIT~ . -5" V V FENCE OVER 6' • < TEMP POLE 200 AMPS V TOTALAIOBILE HOME ~ MICO·FILM OVER 200 AMPS .,r .n~ --/.,-~~/., ~. / TEMP OCCUPANCY (30 DAYS) --~~-! ,,-,vo,; F r(..., -- () -. -l----:' II TOTAL ELECTRICAL 7~ -TOTAL FEES PAYABLE I CONTRACTOR ' I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FDR 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 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ~G~E• ~ -() __ p -OWNER □ CONTRACTOR□ IAPPR~VED y VVt. ~-. -AGE~ 7 1// -BY PHONE O .., ·--:,,,,- r I ' I ' I ' I ' I I ' I ' I I ' I ' I ' _r() 11-A-f. 1 ( I I I I I I I • I lo/," •• I 1~/-f(1 I (. -I I I I I I I I I I I I I I I I I I ,~,:, I I I I I I ! < 0 ~ ~ i= ~ 0.. V) ~ L-'- lf.~---, DATE 1 1J"--.?.2--." le' SITE AD.PRESS: .::-~~---=-· -' " INSPECTION DATE INSPECTOR WOOD FLOOR FOUNDATION• FORMS • SET BACK• TOILET 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 ...... ,. wt. ' FIREPLACE I(.,·-- DAMPER & 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 FINAL INSP BY BLDG DEPT ,I OTHER DEPT'S REQ COMPLETED /JI J ELEC METER-PERM-TEMP Viti!, A',J GAS METER-PERM-TEMP , -J nl //' / I ' v CERT OF OCCUPANCY ISSUED OWNER: FIELD INSPECTION RECORD ·- ·-., ··-.· r j -,'";- .. _..,,,.,"\. ' , . --• - ' - - ' . . • ---'I.·• ' INSPECTOR'S NOTES • ' > t ;-. -- . •' .,. "-. . ~ ; - ' , . . " -: ... ,, - --~ ·-•. -PERMIT NO: gJ-q-z_.., ... --• '.' .. ., l -• ------.. , . I - .. ~ \. . ..... ' .