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Home My WebLink About2845 UNICORNIO ST; ; 80-38; 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• slons Code, and my license ls In lull 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 uiw (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 ls not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License uiw 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 of the property, am exclusively con· tracllng 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 1•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). 1 am exempt under Sec _____ B. & P.C. for this reason ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION 1 hereby affirm that 1 have a certificate of con- sent to self-Insure, o, a cert~icate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Co~ POLICY NO 'ft ,I.. COMPANY r CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed II the per• mlt Is for one hundred dollars ($1()0) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not employ a(!Y person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer• tlflcate 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). USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 MATION WITHIN RED LINES. 2._ 175r4; <-I JOB ADDRESS AV. ST. IDATE OF APPLICATION BUS. LICENSE PERMIT NUMBER 1U1/v 1 l I C1CJ 1'21N I 1C1 1.51ft I RD <i> . ~ :J.()2~l> I I I I I I I I I I I 1 • 20--'.:J 37 OWNER OWNER'S PHONE f E ANT,RAC;:i~~-y STATE LICENSE fo .,s..k- 3 47t3J C, ,t __ {) v I LI-E +t-+2-J OWNER'S MAILING ADJl.llESS =z,...,:,y-1 CONTRACTOR'S ADDRESS CONTRACTOR'S A'L<: < ~/7/2 INC. S"--L~ }'Jle/t-LA-!fiJ11 ... 11s1 LOT BLOCK I SUBDIVISION I ASSESSOR'S PARC EL NO. OE SIGNER ST ATE LICENSE I I I I f I I I I I I u /Etl/ll1Jc:79 r .~ q£SfRIPTION OF WORK .k ~\. Ve. t '\' $;,t..h~ fl r I~ ~.l S''Y<;;-~ DESIGNER'S ADDRESS DESIGNER'S PHONE CENSUS TRACT GP LAND USE ZONING I RES. UNITS I P4RKING SP4CE I NUMBER OF STORIES Not V•lid Unlm Machin, CMtifi,d BLOG SO, FT. 8LDG USE occ. GP I ST AND ARD PLAN ,. I PPDD; 11 I TYPE CONST I occ. L04D I UTY. PLUMBING PERMIT AMT. UTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP C 6LL-e or~~$" 4 .(/0 INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT --2. . '1b 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 EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT Sirrl u EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUI LO ING PERMIT , I . I I I -:;:,;-(" < I J>,, ~-DD SIGN PERMIT I . I I I TOTAL PLUMBING r . or:, TOTAL MECHANICAL PLAN CHECK I I 1.2-SI 0 . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I AMT. TOTAL PLUMBING I 1.lf-DI V UTY. ELECTRICAL PERMIT AMT. UTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLDG 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 OVER 200 AMPS I I I ; I - TEMP OCCUPANCY (30 DAYS) I . I I I I I I I_ TOTAL ELECTRICAL -· TOTAL FEES PAYABLE I I /ID .51 D CONTRACTOR . I I . -\ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT, ANO DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5"·0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM· ~ A LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND ~ A EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE -,r:;J_fip_ OF THE GRANTING OF THIS PERMIT. ~Tc SIGNNo/T URE• OWNER CONTRACTOR□ J~"R l y ~ ¢ \ .,, -AGENT D BY PHONED ,. .ILJ,r ..... ~,... -. -J 7 ~ ~ 0 ~ > ~ g a.. </) ~ . '-, ' , SITE ADDRESS: ' . OWNER: PERMIT NO: ~--3Y' 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 I UNDER SLAB PLUMBING «:' I' r~>· FOOTING• FORMS • SETBACK • TOILET \ -i, OK TO POUR CONCRETE FRAME ----.. ;.., '( • ., .1 ) . •' ROUGH ELECTRICAL ROUGH PLUMBING . . .. ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE, WALLBOARD WALLBOARD OK • PLACE TAP E . EXTERIOR LATH OK • PLACE STUCCO 'I::::.. -.. , . .. ·-FIREPLACE DAMPER & STEEL '., .. '· " . PLATE TIES/HEIGHT OF CHIMNEY - OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK / 1--..... \ .. ,.,J,, .,."t • FENCE PREPLASTER ......... SHOWN • FRAME \ '-• PAN FINAL INSP BY BLDG DEPT /"/ A ' 1//L ~, I\ OTHER DEPT'S REQ COMF>LETEO V /ff/ ~ I ELEC METER-PERM-TEMF> GASMETER-F>ERM-TEMp I . J / / CERT OF OCCUPANCY ISSUED / . . ... \ /