HomeMy WebLinkAbout2875 UNICORNIO ST; B; 84-628; PermitIll z 0 ~ CIC C ~ u "' 0
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O I hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaslons Code, and my license is in
lull force and effect.
Lie No ______ Clas~
I hereby athrm !hat I am e,cempl lrom lhe Conuac·
!or's lcense law tor !he toltowmg reason (Sec 7031 5
Business and Professions Code Any c11y or coun1y which re-
quires a perm11 10 construct, alter rmprove, detnollsh. or
repair any structure. prior 10 its issuance also requires !heap· pl.cant fDI' such perm11 to Ille a s.gned statement that he Is
licensed pursuant to !he provIsIons of the ContracIo(s license Law (Chapter 9 commencing with Section 7000 ot
01v1s1on 3 ol lhe Business and ProfesstOns Code} or that ,sex· empt therefrom and the basis ror the allegeo exempllon Any
v,c»aMn ol Section 7031.5 ny an applicant tor a permil sub-Jetts the apphcant to a CiVJI penally ot not more than l111e hun-
dred dollars (S500I
I, as owner ot Ihe property. or my employees wtlh wages
as their sate compensation. will do the work, and the struc·
lure Is not mtended or oflered tor sale (Sec 7044. Business and Profess10ns. Code The ConUaclor's Ltcense law does
not apply 10 an owner of property who bullds Of' improves
!hereon and who does such work h1mseI1 or through his own
employees, prOVJded lhal such Improvemenls are no1 intend· ed or olfered lor sale II, however !he buIkjtng or 1mprove-
menl 1s sold w1Ihm one year of complehon, the owner-builder
will have the burden ol proving that tle did nol build or im-
prove IOf the purpose of sale}
D I. as owner ol the property, am excluSJVety tonlractmg with IU:ensed contractors to construe! !he prOject (Sec 7044, Business and Professions COde· The Contractor's Lteense
La~does not apply to an owner ol property who builds or tm• pr s thereon, and who contracts lor each prOjecls with a e~ actor(s) license pursuant to lhe ContractOf's License
O s a homeowner I am Improvmg my home, and lhe follow-i\ ondI11ons exist 1. The work Is being performed pnor to sale 2. I have hved In my home for twelve monlhs
prior lo comp1etl0n ol this work 3. I have not clauned this exemption dunng the last three years
□ I am exempt under Sec. ______ . 8 & P C.
for this reason ____________ _
D I hereby af11rm that I ha-1e a cen,ticate of consent
to sell-insure, or a cer11f,ca1e of Workers
Compensation Insurance. or a cemf1ed cooy thereof
(Sec 3800 Labor CO<le1
POLICY NO
COMPANY
0 Copy ,s hied wItn me cuy
0 Cen1f1ed CoPy ,s hereby lurn,shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no1 be complete<J ,t ine perm,t
1s !or one nundre<J OOllars (S HX)l or less)
D I cen,ty that In 1he performance of lhe wol'). ror
which this permit •S issued I shall no1 employ any
person In any manner so as 10 become sut>Iec1 h> the Wo<kers Compensa1,on Laws of Cahlorn,a
NOTICE TO APPLICANT If, after mak.tnJ this Cem
ticate of Exemp110n you should become sub1ect t?
1ne Workers Compensation pro ... ,s1ons ol !he L.abO,
COde. you mus I I011h"" 1th c.omply with such provIs,ons or this permit shall be cseemeo revoke<J
O I hereby athrm mat mere ,s a cons1tuc11on
Iend1ng agency to, the performance ol the wono. tor
wn,ch this perm,, ,s ,ssueo ,sec 3097 C1..,,I CocJeJ
Lenc,e, s Name ___________ _
Lenoer s AdcJress __________ _
U.JL U"LL. f Vin I I Ll't U111L I Ilia I nL"" unnu
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
AV. ST.RO. NEAREST CROSS ST
---'-' "IV
~'" A-u
CENSUS TRACT GP LANO USE
APPLICATION & PERMIT
03EciifilON
F/P FLA ELEV.
vO "'O
REOEVELOPMENT
AREA
BUSINESS LICENSE #
LICENSE NO. PLAN 1.0. #
LICENSE# STANDARD PLAN#
OESIGNER'S PHONE '?,"?/ Ji/-)
OCC GP EDU
occ LOAO I FIRE SPA
PERMIT NUMBER
',).✓ {p-,A; r
BLOG USE cooe
•
• GRADING PERMIT ISSUED
y D ND vO ,-.□ vO NO Not Valid Unless Machine Certified
Q:rY.I PLUMBING PERMIT -ISSUE QTY.I MECHANICAL PERMIT -ISSUE 3---SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALLFURN. DUCTS UP TO 100.000 8_1 BUILDING PERMIT 01-00-00-8220
EACH BUILDING SEWER i lTU SIGN PERMIT --•-~ .'~ 01-00-00-8221
EACH WATER HEATER AND,OR VENT PLAN CHECK/ ii~ Er°t!!!-"'r 01-00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
TOTAL PLUMBING 01-00-00-8222 'I I I __ ,_, .. ,__ .... ···----,.... .. ... I . I
, ··--·· ----· ---7 ....-::. -----_,._T_, __ , 01-00-00-8223
EACH INSTAl, ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER MEC~XHAUSl HOOD/DUCTS
01-00-00-8224 1---------1
01-00-00-8225
WATER SOFTNtR RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN I INSIO"l:1
TOTAL {'LUMB ING --TOTt;L MECHANICAL lTION
KLEAS
80-92-33-0519 I -, -~
O t -00-00-8227
QTY. QTY. I SOLAR· ISSUE :lllllES FEE 32-00-00·89Jl
NEW CONST EA AMP SWl BKR COLLECTORS 1T
1 PH 3 PH STORAGE TANKS 80-92-21-0519
EXIST llLOGJA AMP SWT BKR Encinitas 80-92·22-0519
1 PH 3 PH San Dieguito 80-92-23-0519
REMODEL ALTER PER CIRCUIT San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00
TEMP OCCUPANCY~JO DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT -TOTAL ELELTRICAL TOTAL FEES PAYABLE
I HAVE CARE!:ULL Y EXAMINED THE COMPLETED ·APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER'.PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER C ATIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH A. UNTV WS GOVERNING BUILDING CON
STRUCTION. WHETHE SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE TY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Explfat,on Every permit issued by the Budding Off1c1a1 under the prov1s1ons of this
Code shal x e by llm,tahon and become null and void If the bu1ld1ng or work
author•z bys h permit 1s not commenced within 180 days from the date of sucn
permit r tf th bu1ldIn or work authonzed by such perm11 1s suspended or
* AN OSHA PERMIT IS REOUIRED ~ EXCAVATIONS OVER
5' O" DEEP AND DEMOLITION OR CONSTRUCTION Of
STRUCT1.IRES OVER 3 STORIES IN HEIGHT
aban ~ at y time a r the work 1s commenced for a nod of 180 da s
MT m~ .. ~ .. rRACTOR
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TYPE I DATE INSPECTOR
.l
' .. ·" ~
1'9'
\ . -~ _:._..!::_
BUILDING I '8 4.:. !, .,).8 ~ ·, ··, \ .. \
FOUNDATION ~I /) FIELD INSPECTION RECORD '
REINFORCED STEEL /J~ /1/6'//t T
~4ASOtaU:~~ 7~ _Jff'J.,O ~ I f I
GUNITE OR GROUT ' I
FLOOR & CEILING SUB FRAME I /)
SHEATHING □ ROOF □ SH~AR :z./t'/rt l7L1
FRAME I V~/rt rr
EXTERIOR LA TH '"' I /
INSULATION 1 , /J
INTERIOR LATH & DRYWALL I
....._. 3//1/;~ IT
I ,
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES .. ,. . , "'· REO IF INSPECTOR S ' . INSPECTION DATE ,.... .. CHECK!,[ • ~'tPMO'»-_AlJot 'f --.. '· i....J.,t.J..« ~>.J 111...1. v ---~ SOILS COMPLIANCE "' I 1,-. ....._"' PRIOR TO ,. .. I / ~ . ~OUNDATION INSP ... _ •. ,,fv1 ,, ,,,, .. , .
STRUCTURAL CONCRETE
OVER 2000 PSI M,· A ".'.:A ~.,., • ..,, ,. ~·-PRESTRESSED -~ ~-----. ~---CONCRETE 1 •• ) .. ~} ~1U?.:00jq r~ IN;40J:iV I< ...... ,~ t
POST TENSIONED
~ CONCRETE --
PLUMBING I /J ~
SEWER AND BUCO □IPUCO I ///. ~}'{. IT /J
UNDERGROUND □ WASTE □ WATER //J 'rln T/1
TOP OUT D WASTE D WATER ~V~/r~ IT
.F\~l,_D WE{0,1flG ~ ......... 1./j .
/_ » ..;•~I
HIGH STRENGTH j '.· \.
BOLTS f_ ~ • t·1 -~--C . SPECIAL M~SONRY
I • ~ \ c:-
TUB AND SHOWER PAN ' .
I ,....,.
GAS TEST I 1:2/~/r~ /
D WATER HEATER D SOLAR WATER . I'
I
~ \ ' . 1 • ::,
't
-~/ PILES CAISSO"-<' ,~
I' J-Y/ ,~"--,n"l\/ --ELECTRICAL I
D ELECTRIC UNDERGROUND D l!JFFER /I
ROUGH ELECTRIC . ~/# tr I '
~ -. ' ,, .1
-· \ ..... ---· '. " .. ', . \· ~
\~,--,~ ·--,,,,,,. ..
·-":;: .
D ELECTRIC SERVICE D TEMPORAl;tl( , I ' 4 -..\-~', \ • I ' D BONDING D POOL I
.
I I .
MECHANICAL I ,,..
D DUCT & PLEM., D REF. PIPING l:J./~/h-l7""'
,, ,, "• . \ . '-. ' ' \
HEAT -AIR COND. SYSTEMS , f ' -• I I
. ...
VENTILATING SYSTEMS I ' ' \ , ' --1 --· -■---
.
~~-.:. "~ ... \ t ~ ...._
I . e l
' . " CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOYE HA Ve BEEN APPROVED. • ' I
.. \ ' ."' ~-
.. ' '
FINAL
PLUMBING
ELECTRICAL ,·
MECHANICAL .~
GAS j
BUILDING
' \ ; ' . ' t. ' -... .... \ ..... -~ ..... l -
\ \ • -.. .. ,·
SPECIAL CONDITIONS ..
City of Carlsbad
CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
VALIDATION
1200 ELM 438-5525 You are required by law to complete and return this form to our office.
Address where Business---,. <1'
will be conducted Y O
Name of Occupant
Address of Home Office of
Occupant if different from above
Owner of Building
Type of Business
12.Ec.
Address~ /A
U I\.) IT
Describe exact use of all portions of each building and lot L ,.L} /,) ,ll..,I /;:? 12 F;,c I i-1
Previous use of Building
Type of flammable or explosive liquids to be used, if any
Building
Permit No.
Business
Phone
r1 crs
I certify that I have read the statements contained in this application; that they are true and correct. and that I make this statement under penalty of perjury.
Dated this :2,--
Signature of Applicant
Use Zone
Planning Department
Engineering
Department
Fire
Prevention
Health Department
Building
Department
Date
Date
FOR DEPARTMENTAL USE ONLY
Type of Construction
Approved By
Approved By
Approved By
Approved By
Approved By
Signature of Building Official
White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.
FINAL BUILDING INSPECTION
PLAN CHECK NUMBER: 84-628 DATE: 5-27-86
PROJECT NAME: -------------------------------
ADDRESS: _____ 2_8_5_5_U_n_i_c_o_r_n_i_o ____________________ _
PROJECT NO.: _______ UNIT NUMBER: _______ PHASE NO.: ______ _
TYPE OF UNIT: __ AP __ A_R_T_~_1E_N_T_::> _____ NUMBER OF UNITS: 8
CONTACTPERSON: ____ B_M ___ B_e_n_S_t _a_b_i _l_e _____ ~-'---------_.:_ __
CONTACT TELEPHONE: ______ 5_8_2_-_0_4_1_6 __________ ~---------
INSPECTED u ~ ~ BY: ___ ___,._£.._ _ __:_4_ I ....:__\_
INSPECTED
BY: _________ _
INSPECTED BY: _________ _
DATE "--/ / /IL 0-/::
INSPECTED: "=:I L ef ijd?O APPROVED ~ DISAPPROVED __ _
DATE
INSPECTED:
DATE
INSPECTED: ____ _
APPROVED DISAPPROVED __ _
APPROVED __ DISAPPROVED __ _
R.i::ADY FOP ALL oi;;PARTlll.1lTl:>
COMMENTS: ---------------------------------
Rev. 1186 WHITE: Suspense GREEN:'Engineering GOLD: Fire
. . FINAL BUllDlt,jG INSPECTION
•
PLAN CHECK NUMBER: 04-628 DATE: ~27-86
PROJECT NAME:---------------------------------
ADDRESS: _______ 2 __ 7_5_U_n_i_· c_o_r_n_i _o __________________ _
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.: _______ _
TYPE OF UNIT:
CONTACT PERSON: _____ e_n--:-S_t_a_b_i_l_e ____________________ _
CONTACT TELEPHONE: ____ :J_8_2_-_0_4_1_6 _____________________ _
INSPECTED l ~// /
BY: ___ _,_7'--"~~,e__ ___ _
INSPECTED
BY: _________ _
INSPECTED BY: _________ _
DATE
INSPECTED:
DATE
INSPECTED:
DATE
INSPECTED:
-~~-DISAPPROVED __ _
APPROVED DISAPPROVED __ _
APPROVED DISAPPROVED __ _
COMMENTS:----------------------------------
Rev. 1/86 WHITE: Suspense GREEN: Engineering CANARY: Utilities PINK: Pl~
FINAL BUILDING INSPECTION . ,.
PLAN CHECK NUMBER: 84-628 DATE: S!,27-86
PROJECT NAME: ---------------------------------
ADDRESS: 2875 Unicornio
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT: Fitness Center & Land~¥MBER OF UNITS:
CONTACT PERSON: _____ B_e_n_S_t_ab __ i_l_e _____________________ _
CONTACTTELEPHONE: ____ 5_8_2_-_0_4_1_6 _____________________ _
~y~PECT~ DATE cV¥ APPROVED L INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
READY FOR ALL D:t:;PARTMfa~TS
COMMENTS: ----------------------------------
Rev. 1186 g CANARY: Utilities PINK: Planning GOLD: Fire
FINAL BUILDING INSPECTION
i
PLAN CHECK NUMBER: 84-628 DATE: 5!127-86
PROJECT NAME: ---------------------------------
ADDRESS: 2875 Unicornio
PROJECT NO.: ________ UNIT NUMBER: ________ PHASE NO.:
TYPE OF UNIT:
CONTACT PERSON: _____ B_e_n __ s_t_a_b_i_l_e ____________________ _
CONTACTTELEPHONE: ____ 5_8_2_-_0_4_1_6 ____________________ _
INSPECTED C"':: DATE 3)tJ/~o APPROVEDX-BY: INSPECTED: DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
l FOR •r
COMMENTS:
Rev. 1/86 WHITE: Suspense GREEN: Engineering CANARY: Utilltl8$