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Home My WebLink About2415 UNICORNIO ST; ; 81-142; Permit' LICENSED CONTRACTOR'S OECLARATION I hereby affirm that I am llcensed under prov!• 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 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 appllcanl for such permit to file a signed state- ment that he is licensed pursuant lo 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 (S500). □ I, as owner of the property. or my employees with wages as their sole compensation, will do the work, and the structure is nol intended or of• fered for sale (Sec. 7044, Business and Profes• sions Code: The Contractor's License Law does nol 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, lhe building or improve· menl Is sold within one year of completion, lhe owner-builder will have the burden of proving thal 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 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 ,1or such pro- jects with a contraclor(s) license P~tsuJnt lo the contractor's License Law). I am exempt under Se" / f ,JY for lhls reason i-Z ~ l 11 1 JZO Date WORKERS' COMPENSATION OECLARAl'ION I hereby affirm thal I have a certificate of con• sent lo self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY ___________ _ □Copy is filed with the city. □ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need nol be completed If the per• mil is for one hundred dollars (StOO) or less). I certify lhal 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 to. the Workers' Compensation Laws of California. NOTICE~O APPLICANT: If, after making lhls Cer• llflcato of Exemption, you should become subject 10 the· Workers' Compensation provisions of the Labor Code, you must forthwith comply wilh such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that th_ere Is a co~structlon_ i!n• C I T Y OF C ARLSBAD-B U ILDING D E P ARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (7 14) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE o<5'o9o PERMIT NUMBER I NO. JOB ADDRESS :21'1 1/S, 1U1AJd 1C 10 1~1Nd 10 1 I I I I I I 1 I I I I I I I I tRr• IDAT~7;;J;7N ---'W/f,Z, OWNER OWNER'S PHONE f3rV'i~ . ~c&u&s OWNER'S i.A\ol1NG AOORESi/ 1.38 -1~~ .;;2 9/ s-' U ,<J I Co~ I -o ~BLOCK ASSESSOR'S PARCEL NO. noa.~~1101-,~~p,-d ,a , P~~CT~~ CONTRACTOR 'S ADDRESS 7 3-70 D.,,,...,,, DESIGNER T7 ~. "t ... ::t --v I DESCRIPTION OF WORK <S::,~ d ~ I DESIGNER'S AODR:.,E,.,s'-'s'---- CENSUS TRACT GP LAND USE ST ATE LICENSE ~I~ CONTRACTOR'S ~:tr7 1Je. ST Al°E LICENSE DESIGNER'S PHONE -3/i?~/6l7~EI. >J • ~Cl e;i -~1 ... ZONING 1 RES. UNITS 1 PARKING SPACE 1 NUMBER OF STORIES Not Valid Unless Machin, Cartifild BLOG SQ. FT. BLOG USE QTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER l'»il,~C17Hl( " EACH WATER HEATER ANO /ORV~ EACH GAS SYSTEM 1 TO 4 OUTLETS ~ occ. GP I ST AN OARD PLAN It I PLAN ID It 1 TYPE CONST AMT. QTY. :J .trD '1 .§1::> ~ MECHANICAL PERMIT INSTALL FURN. DUCTS UP .To 100,000 BTU OVE~00,000 BTU BOILER/COMPRESSOR UP TO 3 tlf\. BOILER/COMPRESSOR 3-15 HP ' I occ. LOAD j AMT. ~ 0 . ~ ~ u A-Lu ~Tt t)A) r/,>711 > EACH GAS SYSTEM 5 OR MORE X1 BOILER/COMPRESSOR 16-30 HP ' EACH INSTAL., ALTER, REPAIR WA~E ts-.. VENT FAN SINGLE DUCT "' EACH LAWN SPRINKLER.,SY,S'(EM " Ifl ~ MECH EXHAUST -HOOD/DUCTS a I 7 BUI LOING PERMIT I I • I I I I 1'. • I I • I SIGN PERMIT I I . I • • ' ~ PLAN CHECK , • , • ' Y. WATER~h7# I~ S u .. :e. RELOCATION OF EA FURNACE/HEATER I ;ssu...e. ..,~ _01:1. I I I • I TOTAL PLUMBING TOTAL MECHANICAL CONTRACTOR / ~ . CONTRACTOR ALL INCLUSIVE PERMIT TOTAL PLUMBING QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL NEW CONST EA AMP/SWT /BKR 1 PH .25 EXIST BLOG EA AMP/SWT/BKR 1 PH .25 REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) 3 PH 3 PH I~~ u..e_ . < . ~ II I AWNING I II MECHANICAL PORCH _ I II MOBILE HOME SET-UP ~ I II SOLAR RAMADA, CABANA ~ FENCE OVER 6' ' . ~ TRGI\JG;; \1'\. o"TI 6 fl..) MICO-FILM ~ '\ i\. 3 ~ .;;;_ .o u /'/.✓->-"~J ~~ 7 TOTAL FEES PAYABLE TOTAL ELECTRICAL CONTRACTOR 7,n:, 11 I '?---hi4-~ _ I ~ T ._ I I HAVE CAREFULLY EXAMINED THE COMPLETED .,APPLICATION ANO PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I,ALSO AGREE TO SAVE INDEMNIFY ANO 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. C7 ~ .. •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0,. DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT Sc .. J~C>~ L -:p-e..-,e_ APPr1:Na.SIGNA1T-~ OWNER□ CONTRACTOR□ 1 APPROVEO BY AGENT~ BY PHONE O / ~ _&"- ~s-10 -~ ---~ I Iz-0I0 I I • I :1;S I I I • I I I • I I I I I I • I I I , I I I I i,14.810 'o/YY/tl DATE 15•/3-~/ " SITE . . ff l -I 'f-;;l ADDRESS: OWNER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES 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 ,, ' ~ ? _, . --_ ,) ;, l , FIREPLACE l . -I ' . ' DAMPER ti.STEEL PLATE Tl Es/HEIGHT OF CHIMNEY - OTHER TEMP POWER (POLE) SEWER GAS TEST , . . SWIM POOL • STEEL BONDING • PRE DECK .-• FENCE PREPLASTER J ' . SHOWN FRAME f \ I A I. .,) ~, , .. • , ~\'1K. l\ Y' , . . _, • PAN . ' FINAL INSP BY BLDG DEPT \ J ;v \ ~-/. OTHER DE~T'S REQ COMPLETED \ ' . ~ . ELEC METER-l"ERM-TEMP ......_-~ - GAS METER-PERM-TEMP " I CERT OF OCCUPANCY ISSUED .., ....._