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Home My WebLink About2833 UNICORNIO ST; A | B; 80-36; 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 full force and ef- fect. OWNER-BUILDER DECLARATION D t 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 lhe 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 of the property, am exclusively con• tracting with licensed contractors to construct the project (Sec. 7044, Business e.nd 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, o, a certificate of Workers' Compensation Insurance, '" a certified copy thereof (Sec. 3800, Labo~ POLICY NO (:L """ 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). I 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: If, 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. -.::ONSTRUCTION LENDING AGENCY affirm that there Is a construction len- ~ for the performance of the work for ..,,It Is Issued (Sec. 3097, Civil Code). ...... l"'lr,,.L.~g,,..1,,1--U■--■l,_ --..---1"'11'-I l"f'I_I,. I USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS AV. ST. ~ATIE OF APPLICATION 2. I~ s I 5 I A1a g I u, Ni , I LIL) I RJ N1 l...1 I') 1S1ri RO i I I I I I I I I I I I 1 -20-o OW NERI t T I OWNER'S PHONE f: A-T~ACrs I<-# CJ RD\/ I L./_.£2 #---4-1---1 ~i?1 N~PE~, N lL Sr L ~ W\l='-s I\ CONTRACTOR'S ADDRESS LOT I BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER I I I I I I I I I I I DE~IP£Y":..i~~K/ i"1\ ~-t-A« ~Y-STP.W\ /~r~ -~ DESIGNER'S ADDRESS .... CENSUS TRACT GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERM IT NUMBER ~()2..~c> r; j ✓Jf= STATE LICENSE -:?'17,3 i' CONTRACTOR'S !Jvv .. 11.17 STATE LICENSE DESIGNER'S PHONE '70 I RES. UNITS I P;RKING SPACE sf l NUMBER OF STORIES Nut V•lid Unless Machin, C.rtifitld BLOG SO. FT. BLOG USE occ. GP I STANDARD PLAN# '"'' PL~O ::..11 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. ~ . ., M ANICAL PERMIT AMT. EACH FIXTURE TRAP _p,._.,., __ ~-rl.! fl>. /(f) INSTALL FURN. fXJCTS UP TO 100,000 BTU EACH BUI LO ING SEWER -'\.. OVER 100,000 BTU - EACH WATER HEATER ANO/OR VENT "'--.dD BOILER/COMPRESSOR~ TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS I BOILER/COMPRESSOR 3·15°'xP ' EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 H'I\. EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE OUCT '\... VALUATION: N(l}II) EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS " WATER SOFTNER RELOCATION OF EA FURNACE/HEATER'\... BUILOING PERMIT I . I I I TC::C::TTF ~ .o 0 ISSUE '\. 3 .00 SIGN PERMIT I . I I I TOTAL PLUMBING /$.IV TOTAL MECHANICAL PLAN CHECK I I I ~'IJ'j ~ CONTR~R . CONTRACTOR ALL INCLUSIVE PERMIT I . I ~CTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I)~ QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I' -. I NEW CONST ~MP/SWT/BKR AWNING '\.. MECHANICAL I I I 1 PH .25 ' 3 PH PORCH '\... MOBILE HOME I I I EXIST BLOG EA AMP~BKR SET-UP " SOLAR I . I I I 1 PH .25 ~ 3 PH RAMADA, CABANA ' I . I I I REMODEL/ALTER PER CIRC~ 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 DAYS) '\.... '\.... I . I I I TC' C'Tl"C '\.... 2.00 " STRC1NC:: MOTION: I . I I I TOTAL ELECT RI CAL ""' I'> TOTAL FEES PAYABLE I CONTRACTOR . I I ' -._1 .. /r-Db 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 AND CORRECT ANO I 5'-0 .. DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND 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-SCHOOL FEE: LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND --JI EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIC CIT Y IN CONSEQUENCE . .. OF THE GRANTING OF THIS PERMIT. flUU..~S~NA~ OWNER~ CONTRACTOR□ ll~ED if_f_ ,/,J'fbTE ,c;;z:: ~ ./_... -AGENT □ BYPHONE0 -~I ·• :-,..__ ,, , -. 1 1 I - . • ~ ~ ~ 5 j::: ~ Q. V) ~ SITE ADDRESS: .· ~-. -'-- OWNER: , FIELD INSPECTION RECORD PERMIT NO: ?ff} ~(A ""'"~ INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOIL ET - UNDER FLOOR PLUMBING ' ' .. UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR ...... ... ' , ' ; ' . -_,,, ' , . , ... -.. \ ' SLAB FLOOR I UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK• TOILET i> r· . ; - OK TO POUR CONCRETE \\ - FRAME .. ROUGH ELECTRICAL ' .... .;.: .. .. -· ~ ROUGH PLUMBING i ROUGH HEATING/VENTILATING . .., .. FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD •· ,, WALLBOARD OK• PLACE-TA~E...-·•• EXTERIOR LATH OK• PLACE STUCCO ,• . FIREP ACE . D~PE~_a: STEEL P1::,ATE Tl Es/HEIGHT OF CHIMNEY ,., ~ } :-' . OTHER .- TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK ~- • FENCE PREPLASTER ,, SHOWN • FRAME I • PAN FINAL INSP BY BLDG DEPT . OT~.!;JiT'S RE0 COMPLETED //,,4 ti:'/ ELEC M!!TER-:.PERM-TEMP r/<./D (4(__~ GASMETER-~ERM-TEMP ' /,. CERT OF OCCUPANCY ISSUED . "": ,~ \' --~·--..:, ' ·-~·;, ~ -'Ji ' .. -,,.r \ • l -