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Home My WebLink About2837 UNICORNIO ST; ; 80-39; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi• sions of Chapter 9 (commencing with Section 7000) ot Division 3 of the Business and Profes- sions Code, and my license Is In full force and et-/ feet. (\. _ ' ' OWNER-BUILDER DECLARATION 0 1 hereby affirm that I am exempt from the Con- tractor's License Law tor 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 tor such permit to file a signed state- ment that he Is licensed pursuant to the provi- sions 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 tor the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant tor 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 wllh 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). :Jt, 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 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). I am exempt under Sec. _____ B. & P.C. for this reaso,,_ ___________ _ 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, Labor Code) POLICY NO.~ ~~ COMPANY ~'-2/ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is tor 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. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- ding agency tor the performance of the work tor which this permit Is Issued (Sec. 3097, Civil Code). APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. 1.---' NO. 1 ,))1 JOB ADDRESS AV. ST -IDAAr-:E APPLICATION i,.,eus. LICENSE PERMIT NUMBER 12 ,~ 3 Lr;; I I I if 1,.N (1/CJ10 1R.1#i ( ,Ai ,Cr, I I I I I I 1 R~ -..2..o-Y, 17 .).D ~ ":') 0 to ✓3 7 OWNER'S PHONE Pp~RA;'re_y t<J£o U1!..l£ #(/21 ST ATE LICENSE 3-4"'. &31, OWNER'S MAILING ADDRESS .Jr i A/1~ CONTRACTOR'S ADDRESS/ CONTRACTOR'S i-4-SIS S/?r//J(J 7*-/331 LOT BLOCK I SUBDIVISION I :i-AS.SESDSOR'S PA;z;;,RCEL N 1 0_~. .c;' DESIGNER STATE LICENSE -i} I~ 0 ,f':I DZRIPTION O~F'f:JK \ 12. --..:,f~I ~ /IH" w~---/I . -,. __, DESIGNER'S ADDRESS DESIGNER'S PHONE '' -~ f 13/20/tiL13i79 CENSUS TRACT GP LAND USE ZONING .- I '1. f,, I RES. UNITS I PARKING SPACE I NUMBER OF STORIES Not Valid Unless Machin, Cartifi,d BLOG SQ. FT. BLOG USE occ. GP I ST AN OARD PLAN Ii I p~::,1 I TYPE CONST I occ. LOAD I QTY. PLU MBING PERMIT AMT. QTY. M ECHA N ICAL PE RMIT A MT. EACH FIXTURE TRAP lW'Jl,,I. • ~~-./')/) INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER -OVER 100,000 BTU EACH WATER HEATER A NO/OR VENT ,..,,. ,n BOILER/COMPRESSOR UP TO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSO R 3-15 HP EACH GAS SYSTEM 5 0 R MO RE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN smGLE DUCT 5, ,,rD EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HODO/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . -r.11n SIGN PERMIT I . TOTAL PLUMBING . TOTAL MECHANICAL f .a> PLAN CHECK I CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT ELECTRICAL PERMIT AMT. TOTAL PLUMBING QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL NEW CONST EA AMP/SWT /BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH ~ MOBILE HOME EXIST BLOG EA AMP/SWT/BKR .. SET-UP SOLAR I . 1 PH .25 3 PH RAMADA, CABANA a I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FI LM I . OVER 200 AMPS I . TEMP OCCUPANCY (30 DAYSI . . ' I I . TOTAL ELECTRICAL 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 AND CORRECT AND I 5"-0" OEEP 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-~ LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. ~~~~ OWN~ CONTRACTOR□ IAPP'):)\ ~,x,_/ AGENT D BY PHONED -., -~ \ \ I I I I I I I 14~ I I I I IP~IID 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 I I I I 1 /14'..d:l I • ~ ~ > ~ ~ ~ n. V, ~ D>~T ?" -I I 7~ 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 TAPF EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAM}?Efl ~ STEEL PLATE TIES/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 OTHER DE~T:s REQ COMPLETED !::LEC Mt'tER-·PERM-TEMP G AS METER-PERM-TEMP . ,CERl" OF OCCUPA!\CY ISSUED - ..-J,. ""-r-" ' ._I \~ \ - DATE --........._ - ,1 r I I I Ill I YI I V JO \ ' l, OWNER: PERMIT NO: ~~3q FIELD INSPECTION RECORD ' INSPECTOR INSPECTOR'S NOTES ' - .. .. 1-... \'" ---""-.i:..' ~ . ~ ·. ,. ,., , ·-.. • l'.j .•.~, . ., ,. \',, '; ' '""' _;,... ..... ,, \. , ..• t, ',J ,;,. ~ ' ' ~ /1 1/d _/_ {/1-