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Home My WebLink About2835 UNICORNIO ST; A | B; 80-37; 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 0 1 hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5,Buslness 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 Ille 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). 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• 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 build Ing 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). :11, 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 self-Insure, o< a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800~, ~ Code). POLICY NO. ~ ,,- COMPANY _ ___,<-=---------- OCopy is filed with the city. D 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 (SHlO) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not e.!')_ploy any person In any manner so as to become subject to the Workers' Compensation Laws of Calllomla. 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, Clvll Code). USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (71 4) 438-5525 :2-A,3Sil1,~ s , JOB ADDRESS tR~T. (A~2~N I I 1/,Aft, e..uR. ,M 1 ~A ( ,J.'1f1 I I I I I eile {J) °!L£ #="~2./ OWNER'S PHONE p;?_ ?!JPP e. y 45 /SNG 3if J!;AIG s/-)A /V)e.£/J CONTRACTOR'S ADORys LOT BLOCK SU9D1VISION I ASSESSOR'S PARCEL NO. DESIGNER I I 1/1 I I I I I I I ~ ~R:TIONo;~ (~w ( ,,A ,I~~ ~?z/V-C.L_ DESIGNER'S ADDRESS I "-"--' ,. if/ CENSUS TRACT GP LANO USE ZONING APPLICANT TO FILL IN INt-U~- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER .:2.ois-o ()() -37 STATE LICENSE 31/7£.sf CONTRACTOR'S !JJJi/-JJ~7 ST ATE LICENSE DESIGNER'S PHONE ,n,J I RES. UNITS I PARKING SPACE I NUMBER Of STORIES Not V•lid Unlffs fbchiM c.rtifilld BLDG SO. FT. BLDG USE occ. GP I STANDARD PLAN II I PLA~:. 71 I TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. 2-EACH FIXTURE TRAP -,,,, "·--) Z-./'d) INSTALL FURN. DUCTS UP TO 100,000 BTU r EACH BUILDING SEWER-OVER 100,000 BTU z. EACH WATER HEATER ANO/OR VENT 1 .rm BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS , BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 0 R MORE BOILER/COMPRESSOR 16-30 HP I EACH lNSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT --B l'D ,, EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS l . !, WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING RMIT l . I I I 7 -r.C" ~, J'l", ~A7'> SIGN PERMIT I . I I I -. TOTAL PLUMBING TOTAL MECHANICAL ~~) /3 .(Jl) PLAN CHECK I . I I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT II-AMT. TOTAL PLUMBING k"' I • QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT ELECTRICAL 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 -FI LM ! ' 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 CONTRACTOR . I I . 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 ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF Jj"p't, FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO "" ,, A 1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. A~T'S~N~~TUR OWN?l:Sl.,._ CONTRACTOR□ ~ [;U_ ?fvj JATE -r---.:...-~ • -~ AGENT D BY PHONED ~ -. -, , /1 --' J 7 ! < 0 ~ > 5 ;::: ~ 0. V) ~ SITE ADDRESS: INSPECTION DATE 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 WALLBO.ARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPL_ACE DAMPE~ 8:STEEL PLATE Tl Es/HEIGHT OF CHIMNEY -.. OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTH,ER D_Ef;'T'S REQ COMPLETED ELEC METER-PERM-TEMP GAS.MET~...PERM-TEMP CERT OF'OCCUPANCY ISSUED -'. .... ,~ / -- ...... ...;.,. ,~. _, .i- f . J 1//? I 'i/ff I IV T ' . OWNER: PERMIT NO: io---31 FIELD INSP ECTION RECORD INSPECTOR INSPECTOR'S NOTES : . •. . ·~ • i . ' ~"· ~ \., -·-. \ I ., ;--•C .., ~ ,. 0 .( ~,' I? I vi'- -