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HomeMy WebLinkAbout2839 UNICORNIO ST; ; 80-468; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license Is In full force and ef- fect. OWNER-BUILDER DECLARATION 0 1 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 provl• 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). □ 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· slons 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 of 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 sell-insure. or a certificate of vt<,r~ers' Compensation Insurance, or a certlfl thereof (Sec. 3800, Labor Code). POLICY NO ~ ~ f COMPANY --------+t ' 0 Copy Is flied with the city. 0 Certified copy Is hereby furnished. 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). I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any man~ so as to become subject to the Workers' Comper,satlon Laws of Catifomla. NOTl~TO APPLICANT: If, alter making this Cer· tlllcate f Exemption, you should become subject to the orkers' Com,nsatlon provisions of the Labor t;,de, you mus orthwith comply with such provlsl.,-s or this pe ,t 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 (7 14) 438-5525 At't'Ll'-..Al'I I I u r1LL 1i, 11,, v"' - MATION WITHIN RED LINES. ---- N-._..... -~-'-d" T .5 ,n,o ;~ 1 s AV. sT. ,~ATE or APPLICATION eus. LICENSE PERMIT NUMIIER ~ /.)1,2,,:1r~r1n1~A1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 IR~ _i;--/'/ ,,,-i?n ::J r)'7 '3 7 -,/ i' "'g}~O/ llO C(J ,., p ;f_ -,_rJ~~-/ .---.I~, '~-'f-,~,-, ~~::ii~S ~;~ ;;:E/p~~{T',0 P~l<::: STATE LICENSE I rrJ!t?-'/U ,;~:~ ~ l.::i-y ~r,9r; ;;~~;;)Lr~~~~/? ~ f'i . ...Son mar,,..-1 CONTRACTOR'S ADDRESS - ~ CONTn --. _ ~ /_,,,,; 'J'h,/°,I /2 f:')/'i Tnr/o_Jfl'u P. :.3 -7~ 0 .JfJdBL':locK 1su_~so1v1sroN .-,/~ ~ .. 2ESSOR'S f AR~CEL NO. ~ ua~-v STATE LICENSE ·-'J?to/'J _ e. 111 /i '11-I -b" -r I r-... ~ T~IPTION OF WORK ~L/,,,( 17 IP~/ DESIGNER'S ADDRESS DESIGNER'S PHONE 7 ff. _-,;;; a _,,,,.,.., CENSUS TR~CT GP LANO ,SE ZONING I RES. UNITS I P;RKING SPACE sf I HUMBER OF STORIES Not V1/id Unlttss Machin• c.rtifi«J IILDG SO. FT. BLOG USE occ. GP I STANDARD PLAN# I PJi, ;;.;,? I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU / EACH WATER HEATER ANO/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP / EACH GAS SYSTEM 1 TO 4 OUTLETS " • -BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 DR MORE 7 BOILER/COMPRESSOR 16-30 HP / EACH INSTAL., ALTER, REPAIR WATER PIPE ),-.'dt? VENT FAN SINGLE DUCT ~73,r~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION : WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . Tc::c::no 3.. oc Issue 3 -. () () SIGN PERMIT rJIO I . TOTAL PLUMBING 9~ TOTAL MECHANICAL PLAN CHECK~~(..('f"" l~rrK'° I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT . QTY. ELECTRICAL PERMIT AMT. QTY. AMT. TOTAL PLUMBING MOBILE HOME PERMIT ELECTRICAL / NEW CONST EA AMP/SWT /BKR ...s ""7H) AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLDG EA AMP/SWT/BKR SET-UP SOLAR I . 1 PH .25 3 PH RAMADA, CABANA I . REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I . OVER 200 AMPS I ' TEMP OCCUPANCY (30 DAYS} ::i'l'.KUNu MU'l'.lUN: I . Tc::c::110 2.00 I . TOTAL ELECTRICAL 71:!-TOTAL FEES PAYABLE ' I CONTRACTOR I I . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF SCHOOL FEES: FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPL Y 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- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT-S SIGNATURE• OWNiRO CONTRACTOR□ 11:;::.oveD BY &. , C) ,...,., '.;A I ~A.------AGENT~ BY PHONED -1 :A,.,( .;)l'L - --. --V 7 /'\ 7 7 L~-~ I I I I I I I I I I Q.,Mf) I C 7 . .<4-V I I I I I I I I I I I I I I I I I I I I I I I I I I ,Li.,P,~ DATE ! ~ ~ ~ i== ~ 0.. ..,, ~ ,J .v:=»-" SITE ADDRESS: ► .. INSPECTION WOOD FLOOR FOUNDATION• FORMS • SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER & STEEL .·, PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME • PAN FINAL INSP BY BLOG DEPT OTHER DEPT'S REQ COMPLETED ELEC METER-PERM-TEMP G AS METER-PERM-TEMP I I C ERT OF OCCUPANCY ISSUED OWNER: . FIELD INSPECTION RECORD DATE INSPECTOR . -1. ' ' ' . ' . . .,., Iv lt"l.,,d I I • PERMIT NO: INSPECTOR'S NOTES ~ --' a ' ~o -l/_ r/}<rs -. . . . ,-- I \ •• / INTERDEPARTMENTAL INFORMATION SHEET BUILDING ◄DEPARTMENT BUILDING ADDRESS: ,l©;;/i221 PLANNING DEPARTMENT DATE : --------- RECEIVED MAY 141980 .CITY OF CARLSBAD Bulldlng Department ZONE LOT SIZE LOT WIDTH ---------------------------- ,· UNITS ALLOWED UNITS PROVIDED ------------------------ ... PARKING SPACES REQUIRED __________ PROVIDED __________ _ PROVIDED -------------% COVERAGE ALLOWED BUILDING HEIGHT ALLOWED PROVIDED ---------- FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ------- PROVIDED ------- INTRUSIONS LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: SCHOOL FEES: $ Rt A i7 ADDITIONAL COMMENTS: 'f-~ ~ P. F. FEES: OK TO ISSUE: J' o OK TO FI NAL DATE ------------- ENGINEERING DEPARTMENT p4-.1 ~-1, 73f t2- R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS --------------- SEWER CONNECTION DRIVEWAY LOCATION S --------------------- GRADING PERMIT __ -..-____ EASEMENTS _________ DRAINAGE ____ _ LEGAL DESCRIPTIONM//fl-//.y..:i,Z ;7_(7,/f';~ 4 ..s ADDITIONAL COMME;TS / ----------------------------- p. F. FEES : $ OK TO ISSUE: !1'. PWI OK TO FINAL DATE ------------ FIRE DEPARTMENT SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. -------- FIRE ALARMS EXITS ---------------- FIRE HYDRANTS LOCATION ---------------------------- •. ADD IT ION AL COMMENTS ►•OK TO ISSUE : DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _ .,., 1 00 ELM AV NUE CARLSBAD, CALIFORNIA 92008 TEU!PHc»fE! (714) 729-1181 ht. lt nd ust hav 75% -p k #3