HomeMy WebLinkAbout2845 UNICORNIO ST; ; CB971132; PermitV
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CLEARANCE ____ _
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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PERMIT APPLICATION (!) . . PI.AN CHECK NO.
City of Carlsbad Building Department
F.Sf. vAL.__.!:_~~~----2075 Las PallES Dr .• carlsbad, CA 92009 (619) 438-1161
i. PERMl'I IYPE PLAN CK D
VAIJD.BY_-=--.----++,A-----
DATE. __ -"',.__//-=:..--.i:....,::,-1--~----From List I (see back) give code of Permit-Type: __ S~_FD_-________ _
For Residential Projects Only: From List 2 (see back) give
Code of Structure-Type: ___ s_ ....... F __ D ______________ _
Net Loss/Gain of Dwelling Units __________________ _
2. PRQJECT INFORMA'IlON FOR OFFICE USE ONLY
Address 2..tc>Y 'S l.)~\ c.ol'<"-'\.C) s-f!u1Iding or suite No.
Nearest Cross Street V(lo\1-.) DA (_'I
LEGAL DESCRIPTION Lot No. subd1v1S1on Name/Number Unit No. Phase No.
CHECK BEIDW IF sOBMI I I Eb:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ I Addressed Envelope
ASSESSOR'S PARCEL EXISJJ~1, USE ~~QSED USE DESCRIPTION OF WORK I t.J ~ "t~L.. ""ti u t...) 0>-,F' C., ~ "1.-~o-.) i,\. /c_ S I/ _,
a.~Pi<-.Ac.t,... ,~.o~c::> ~ X) ~c..>, '-IO .O.n,.~ c...u~•T
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATIIROOMS
3. WN IACI PERSON (1f dmerent from apphcanf)
NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPilCANI ~CONIRACIOR DAGEN! FOR CONIRACIOR LI OWNER LI ACEN I FOR OWNER
NAME (last name first) ~,t?.ve_ ~I t..L... ADDRESS , "1-':!,. ~ K t....;5 ~u2.-c..u "'"'
CITY V, ~ r,o.. STATE CA ZIP CODE '7we, ~ DAY TELEPHONE ~ t'Z.7-'-/tSZ-
• ~C'-,J t-,...tQ._
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NAME (last name first) ADDRESS \ ~~"L K~y$'7"c:, "-JL uJPV
q1_0 ~ DAY TELEPHONE 7 2.... l -1./ I s-2_ CITY 1/?e;,?A STATE C. {:!,.. ZIP CODE
. cbN'i'ltAcluk &i::. ,<"t/4 . ~
NAME (last name first) ~ ~~ ADDRESS .2...~YCS° Uf\J\C-C>l'<?"-llO
CITY L 'A c::..o-::. T""A STATE ~A ZIP CODE DAY TELEPHONE t../ P 'o -1../ 'f S~
STATELlC.#S~eQS UCENSECIASS c.~2.0 CITY BUSINESS UC.# j ( 9ex:,o
DESIGNER NAME (last name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WORKERS' cbMPENsA'MON
Workers' Compensauon Oeclarauon: I hereby alhrm that I have a ceruhcate of consent to sell-insure issued by the Director of Industrial
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY c ALI f:' Co4P POIJCY NO.~ q, \ n ~'\ ~I/ EXPIRATION DATE I ,. I -'i 9
Ceruhcate of Exemption: I certify that in the performance of the work for which this permit 1s issued, I shall not employ any person many manner
so as 10 become subject to the Workers' Compensation Laws of California.
SIGNATUREJi,~ DATE --5-5 -C,7
8. OWNER-B
□
LI
□
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Contractor's License Law for the lollowmg reason:
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
offered for sale (Sec. 7044, Business and Professions 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 offered for sale. If, however, the building or improvement 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.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicanl for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
SIGNATIJRE DATE
COMPLETE tAls SECl'ION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupanl required 10 submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□ YES □ NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO
lF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTm.CATE OF OCDJPANCY MAY Nar BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPUCANT
HAS MET OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm Am. POIJ.UTION OONlllOL DISl1llCT.
9. OONS'llt0cllON U'.NDING ACENL-Y
I hereby affirm that there 1s a construction lending agency for the performance of the work for which this permit 1s JSSued (Sec 3097(1) CIVIi Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPUCAN I Clill.11FICAl10N
I cerufy iliac I have read the application and stale that the above mlormauon 1s correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I AlSO AGREE 10 SAVE INDEMNIFY AND KEEP HARMLFSS nm CTIY OF CARISBAD AGAINST AIL UABIUITF.S, JUDGMENTS, CDS"l'S
AND EXPENSES WI-OCH MAY [N ANY WAY AOCRUE AGAINST SAID CTlY [N CDNSF.QUENCE OF TIIB GRANTING OF nus PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandon any ti after the rk is ommenced for a period of 180 days (Section 303(d) Uniform Building Codeh-
APPIJCANTS SIGNATURE DATE: 5-S::-::z /
PINK: Finance
0
PERMIT# CB971132
DESCRIPTION: INSTALL 31/2 TON
TYPE: MECH
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/19/97
A/C W/ELECTR
JOB ADDRESS: 2845 UNICORNIO ST
APPLICANT: ACCURATE COMFORT SYSTEMS INC
CONTRACTOR:
PHONE: 760
PHONE:
OWNER: PHONE:
STE:
INSPECTOR AREA
PLANCK# CB971132
OCC GRP
CONSTR. TYPE NEW
LOT:
REMARKS: R/WESLEY/438-4958
SPECIAL INSTRUCT:
INSPECTOill~.:c...._ __________ _
TOTAL TIME:
CD LVL DESCRIPTION ACT COMMENTS
43 ME AirCond/Furnace Set Ji ___ _
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS