HomeMy WebLinkAbout2840 UNICORNIO ST; ; 86-101-B1; PermitU) z 0 ;:::
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O I hereby affirm that I am licensed under
pro•lalona of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Proleealons Code, and my license Is In
lull force and effect.
Lie No ______ Class
I hereby alf1rm lhal I am exempt lrom the Contrac·
tor's license Law tor lhe lollowmg reason (Set 7031 5
Business and Pro1ess1ons Code Any Ctty or county which re• quires a permit to conslruct. alter. improve. demohsh. or
repair any structure, poor to 11s issuance also requires the ap-phcant tor such permit 10 hie a signed statement that he 1s
hcensed pursuanl 10 lhe prov,st0ns or the Contractor s Lteense Law (Chapter 9 commenc,ng with Sect,on 7000 of
Oivis10n 3 ol tne Business and Professions Code) or that 1s ex· empl lherelrom and the basis for the allegeo exemphon Any
vlOlat10n 01 Section 7031.5 by an apphcant !or a permit sub-
Jetts lhe apphcanl lo a c1v1l penalty ot nol more than hve hun• dred dollars {$500)
r I, as owner ol the property. or my employees wtth wages as their sole compensation. will do the work. and the struc-
ture 1s not in1ended or otlered 10f sale (Sec 7044 Busmess and ProfesSfOns COde The COnlractor's License Law does not apply to an owner of property who builds or improves
lhereon and who does such work himself Of through his own employees provided !hat such improvements are not mtend-
ed or olfered !Of sale If, hoYlever_ the bu11dmg Of improve-
ment is sok:I w11h1n one year ol compleuon. !he owner-builder will have the burden ol provmg that he did nol build or un-
pro¥e for the purpose of sale)
l, as owner of the property, am exclusively contractmg
win, ltcensed contractors lo construct the prOJecl (Sec 7044. Susmess and Prolessions Code The Conlractor' s license
Law does no! apply to an owner of properly who builds or im-proves thereon, and wno contracts for each proiects with a contractOf(s) license pursuant to lhe Contractor's license Law)
D As a homeowner I am ,mproving my home, and the follow
mg cond1tt0ns exist 1 The work Is being pertormeo pr,or 10 sale
2. I have hved m my home !Of twelve months prlOf' to complet10n ol lhlS WO{k.
3 I have nol claimed this exemption during lhe
lasl three years
D I am exempt undM Sec. ______ , B & P C
fO{ lh1s reason ____________ _
0 I hereby atltrm that I have a cen,ticate ol consenl to
self-insure. or a certificate ot Workers Compensation In-
surance. or a certified copy thereof (Sec. 3800. Lat>or Code)
POLICY NO
COMPANY
D Copy is filed with the city
0 Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need no1 be completed it the permit
1s lor one hundred dollars tS 1001 OI less)
0 I certify that 1n tne performance of the wOfk tor which
this permit is issued. I shall not employ any person in any
manner so as 10 become subJect to the WCM"kers· Compen-
sation Laws of California
NOTICE TO APPLICANT If, after making this Certificate
of Exemption. you shOuld become sub1ect to the Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked
0 I hereby alhrm that there 1s a construction lending
agency for lhe performance of the work for which lhls pet'-
m1t is issued 1sec. 3097. C1v1I Code)
Lender's Name _____ _
Lender s Address
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
Cl)
JOB ADDRESS l Qft";
AV. ST. RO. NEAREST CROSS ST.
.A~~
IATE OF APPLICATION! BUSINESS LICENSE #
dB4o
LOT I BLOCK SVBO!VISION A~SESSOR PARCEL NO •• ~ -~(o0-0
CONTRACTORS PHONE •
"'""•o• I ...... """"'" LL
>-;;; zoU \ i O;)'-± 6&-to 1-~\ 0 a.
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OWNER'S NJ>,ME OWNER'S PHONE
<" l Ct nC< ) n c.... f </ t./--Yll' S' .__
OW;R\5 3L5 \k~:J ~ /\ V DESIGNER'S P80~
-LICENSE NO.
t-PLAN 1.0. # I BUILDING so. FOOTAGE I I
I ~0~ ~ 0
OESCRIPT·ON OF WORK
..__ "2i.. I== D vJ \ ~"-('.f-
-, v\Xo-<--\
CENSUS TRACT I GP LAND use I PA~+~CE
QTY. PLUMBING PERMIT -ISSUE
l.5 l
EACH F1xTuRE TRAP(;) ::i.... s-n
EACH BUILDING SEWER
_j
1..
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS ➔
EACH GAS SYSTEM 5 OR MORE -EACH INSTAl . ALTER, REPAIR WATER PIPE ------.w.
I
EACH VACUUM BREAKER
WATER SOFTNE'R
I
I EACH ROOF DRAIN IINSIDEI
I
I.
1
TOTAL PLUMBIN1i J
:IQTY. ELECTRICAL PERMIT -ISSUE
{
I NEW CONST EA AMP SWT BKR \ r,t) A
I 1 PH 3 PH
I EXIST BLOG EA AMPISWT BKR I
I I PH 3 PH
I REMODEL AL HR PER CIRCUIT
I
I TEMP PO LE 200 AMPS
I OVER 200 AMPS
I
I TEMP OCCUPANCY 130 DAYS)
{
I
I
1
TOTAL ELEC1RICAL l
RES ti TS l
7~~
:;-, 5.Q -fi .,sn
_') . 51)
4 .5t
:J .so
5C/ -
cY-
d-S'"-
'3f)~=
DESIGNER'S ADDRESS
F/P F LR ELEV .
vO NO
GRADING PERMIT ISSUED I REDEVELOPMENT
AREA
QTY.
~ 5"
\
QTY.
YO ND(. vO ~
MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3 15 HP
METAL FIREPLACEQ._ ~
VENT FAN SINGLE OUCT~_, .;2._
MECHE XHAUST HODO DUCTS
RELOCATION OF EA FURNACE/HEATER
t-.:r) ->-'-"'1 e,.>-. u ..a c::::::::,.o
ToiJJ.'MECHANICAL
COLL)
STORA
ROCK
PUMP
PLAN f -,
J l
5~
;l. ~ ~ U0'1C.Og,£),O
foR-fr'()W
J~O
TOTAL SOLAR
i
NO tCCGP STORIES _ /
-3.IM-\
EDU
I
5/137668786 2954.70
TYPE
CONST
v'-k)
3-'1+
-r;;
1 0
,..'1 . -~
occ'LOAD FIRE SPA
YO N\ef Not Valid Unless Milchine Cert1/1ed
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 001-810-00~00-8220 I 4h~-
SIGN PERMlT
PLAN CHECK ~-Al~0.9$"
TOTAL PLUMBING ~10·00·00·8222 L 5 q -I
ELECTRICAL< ') 001·8!~10-8223 ?,,r) -
MECHAN1€1►\ .1 oo,-81b-oo-oo-~~':>· .::::2 ~ -~ 1, MOBILEHOME 001-810·00-0Q'82g5(-'
MOBILEHOME PARK INSP
. ' ,
SOLAR ·001-810-00·00-8226
STRONG MOTION 88□-519-92-33 I __"'"]_. -,7 (.._
...:)5". ~ FIRE SPRINKLERS 001-810-00-00-8227
PU8UC FACIUTIES FEE 332-810-00-00-8930
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Oieguito
San Marcos L-Tl<:
-LICENSE TAX 001-810·00-00-8162 :.2 :J_ .1_ 0 I 48
MFF ~ \"~\..J...'.)°D 880-519·92-57
CREDIT DEPOSIT ( \S \. S __QJ
TOTAL FEES PAYABLE I -:::>
:2. 9stf. -z Q
I r· AND DO uEREBY E,cpiratton Every permit issued by the Bu,ld,ng Otftc1al under the pro..,,s1ons of this HAVE CAREFULLY EXAMINED THE COMPLETED' APPLICATION AND PERM! ro Code shall expire by lom1tat,on and become null and void If the bu1ldong or work
I CERTrFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE authorized by such permit ,snot commenced within 180 days from the date ot soch
* AM OSHA PERMlT IS REQUIRED FOR EXCAVATIONS OVER
5 O" DEEP AND DEMOUTIOM OR CONSTRUCTION OF
STAUCl\JRES OVER 3 STORIES IN HEIGHT I DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS perm,1 or ,t the bu,ld1n9 or work aulhorized by such permit ,s suspended or
I ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON ~•~b!•n~d~o~n~e<l~•~tJ&!_!'.n!l'.jt[t.!1m!).e!_!a!'.!ft!e~r!!th~ei..:w!!2.0r!_!k,_:l~S.,!C:!,O~mc!!m~enc!!c:!e!c:d~f~o!!_r_,!a~~r:_11 ~o~f!.._1!,!8!!,0!,.!deJ•!.l'.l!----:::-r:~~~~~:----:-------'""'.;::":'~------,
I STRUCTION, WHETHER SPECIFIED HEREIN. OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND~PP ICANTS SJZXNAT E ,. OWNE J CONTRACTOR[.] OA±{TE I I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LiABILITIES. JUDGMENTS. COSTS AND (
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ,-. /1 ✓ ,/) BY PHONE , I 0 c / _
I GRANTING OF THIS PERMIT ~ ~ 0 _?, 'C) I L:=.:.:..:..:=_:,;;.:,;_ ______________ ..;.,:;.~-;;;;_n,;._...;.~-+---------'-..!:l:t:~==.:..~~U!::U."'!!!=....:::=-_;__i._~--=~
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TYPE I DATE INSPECTOR ,.
BUILDING .
' ~&,,..10 1
FOUNDATION '----' /") FIELD INSPECTION RECORD
REINFORCED STEEL
,), " ~//t,/l't ~
MASON~¥-S'~A8 ~#1/l'lr, / , /
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEII.J.ING ......
SHEATHING D ROOF D SHjEAR 7//4/Ji, y.,.,
FRAME I "7 jj;/c/;,, t 17' " EXTERIOR LA TH ~1· ( L .....
. -. I \ SOILS COMPL,ANCE . ' C PRIOR TO
FOUNDATION INSP ' . '· STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION ;"' 71/~/r✓ -r_
INTERIOR LATH & DRYWALL I " ~• I-:.A ,LA 17 / l.l'-11•, , . I
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I
I FIELD WELDING .
□ SEWER AND BUCO □ Pl/CO /)
UNDERGROUND D WASTE D WATER i~t>/)'t ~
TOP OUT D WASTE D '/{ATER 17/4#;( lr--"
HIGH STRENGTH
BOLTS
SPECIAL MASONRY· ~ -
TUB AND SHOWER PAN I I' ., . .-..
GAS TEST I 7//-,/,, ~
D WATER HEATER D SOLAR W~TER
PILES CAISSONS
-
I ~ -
ELECTRICAL I ... . -... --D ELECTRIC UNDERGROUND o;uFFER -; .. -,. -
ROUGH ELECTRIC I 17.fi,fl./~/ ~
D ELECTRIC SERVICE D TEMPORARY I ' ~
' . -., .. .
D BONDING D POOL I
I
.
I
MECHANICAL I /I
-· j. . '/ ' ' '
D DUCT & PLEM., D REF. PIPl)'JG 7/1/4//( 17'"' 1 ,\ f I t
HEAT -AIR COND. SYSTEMS I' / V -I
VENTILATING SYSTEMS I
I . • ' • n l2 'T ,. \"
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ I_TEMS ABOVE HA VE BEEN APPROVED.
FINAL I
I
' ~ ' .
► PLUMBING I
ELECTRICAL "" I I}
MECHANICAL "': ,~ rf ~
.. . -' ) , GAS :, 1 fr,Z,1/ I • II ~ '
BUILDING I ' If ! '
SPECIAL CONDITIONS I "' I
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