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Home My WebLink About2843 UNICORNIO ST; A | B; 80-35; 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 lull force and el· feet. OWNER-BUILDER DECLARATION O 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 prov!• slons 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). D 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 through his own employees. provided that such improvements are not Intended or of• fered for sale. If, however, the building or improve- ment 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). '.JI, as owner oi 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 DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO. ' COMPANY 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). f certify that 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 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 I hereby affirm that there Is a construction len- ding agency for the performance of the work for which this permit is Issued (Sec. 3097, Civil Code). APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 2 1~31W I J08 ADDRESS AVRtT. 1 DAA~E APPLICAnl I I 1U/.J1 / 1C..10 1!f!...1N 1 / .(1 I .S111 I I I I I I I 1 ,-;i_ 0 - 0ae' tJ (fl lK, -~ 42.1 OWNER'S PHONE ~:,r:tPe.y OWNER'S MAIL ING ADORESS . s_/ . --<A-/11~ CONTRACTOR'S ADDRESf 451.q 5-p~~ LOT BLOCK I SUBOIVIS:N (j . I ASSESSOR'S PARCEL NO. OE SIGNER I I I I I I I I I I I ~IPA~IO: o;;,-.z.; r ;__ a . (' -(/2 J #d ,, 9A..h-/ DESIGNER'S ADDRESS tf CENSUS TRACT GP L ANO USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES . SUS. LICENSE PERMIT NUMBER .......... ~ ·2 o 2-~-z) STATE LICENSE ,fj .. J 0 347&3?{ CONTRACTOR'S 17421--/337 ST ATE LICENSE B/20/B::i3n9 OESIGNER•s PHONE j~.c l I RES. UNITS I PA;KING SPACE s I I NUMBER OF STORIES Not V•lid Unless Machin, CKtified 8LDG SQ. FT. 8LDG USE occ. GP I STANDARD PLAN II rLA~;11 I TYPE CONST I occ. LOAD I , I ClTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP ,,,N/ -~~.c a. -~I) INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER .. OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT A...d'O BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS • BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP isCI/J/) EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT . ,,,- EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION : WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I TC:C:TTP ~ n T C:C:T IF ~ .. oo SIGN PERMIT I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I I £.~(J CONTRACTOR /R,~ CONTRACTOR ALL INCLUSIVE PERMIT I I . I AMT. TOTAL PLUMBING 1AK.1i/J QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 11 . I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT /BKR SET-UP SOLAR I , I I I 1 PH .25 3 PH RAMADA, CABANA I , I I • I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I , I I I OVER 200 AMPS I I I ; I TEMP OCCUPANCY (30 DAYSI I . I I I T C:C::.TTJ.-: 2-()() STRONG MOTION: I . I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I 111!/At:J CONTRACTOR . I I . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT. ANO 00 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'·0" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;T0 COMPLY WITH ALL CITY. STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION. WHETHER SCHOOL FEE: J SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM• 0,. LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO A EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. A'pPLY:_A~l~l~TUR • OWNE~ CONTRACTOR□ ~ ~i,B'l (!Jlft> ./ '..--<~ AGENT 0 BY PHONED ,,_ , -7 ....... .,. J 77 • ... < 0 ~ > ~ g 0. V) ~ SITE ADDRESS: OWNER: PERMIT NO: 'i?O ~s:::, - FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER °FLOOR PLUMBING UNDER FLOOR HEATING -,. --. -r OK TO INSTALL SUB FLOOR .. - SLAB FLOOR UNDER SLAB PLUMBING . \~. ·-FOOTING• FORMS• SETBACK • TOILET ' r ,. \ \ .... OK TO POUR CONCRETE . FRAME ROUGH ELECTRICAL ROUGH PLUMBING r ,, .. .., .. ,.~ ' r . ~\. . ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD , ' WALLBOARD OK• PLACET~PE EXTERIOR LATH OK• PLACE STUCCO FIRE£'LAC_!:: DAMPER &S'fEEL .. ,·~\ t :::. \ PLATE T~ES/HEIGHT OF CHIMNEY . ~ ~ ... • ' OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN . FRAME . PAN A FINAL INSP BY BLDG DEPT \ I\ \ I ,\ OTl"/ER_OEe,T'S REQ COMPLETED \ \~It I '-f /IV ELEC METER-PERM-TEMP \ \" -GAS METER-PERM T EMp \ ~ CERT OP OCCUPANCY ISSUED