HomeMy WebLinkAbout2825 UNICORNIO ST | 2827 UNICORNIO ST | 2829 UNICORNIO ST | 2831 UNICORNIO ST; BLDG 4; 80-277; Permit\.., ' LICENSED 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 I 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).
Ot, 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. II, 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 self-insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
POLICY NO ____________ _ COMPANY ____________ _
□Copy Is flied with the city.
D Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS'.COMPENSATION INSURANCE
(This section need not be completed ii the per-
mit Is for one hundred dollars (SlllO) 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: II, alter making this Cer•
tillcate 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, Civil Code).
'"""I I Iv~ '""""'"-L..;>l:IJ,\L,l-1.::JUIL..L.llrt\::t u~r.l"\~IIYl~I .. I
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (71 4) 438-5525
APPLICANT TO FILL IN INFOR -
MATION WITHIN RED LINES.
NO.
I I I I I
~ • . J08 ADDRESS -829--UillCOffilO :,1 ~~S ),r:I';, / -')_J►J -~r AVR~T.1ATE OF APPLICATION BUS. LICENSE
I I I I I I l I I I I I ( I I I I I I I I I I I I 3-24-80 J.of:( ~ l.f
OWNER
Hescon Developers 830-7620 OWNER'S PHONE 11;.;;~~;;c~.6//.EittJ.V/:,1°~b s[84101 =
OWNER'S MAILING ADDRESS 32221 Camino Capistrano, San Juan Capistrano
LOT BLOCK
423 424 ILCDM~~d #3 2fs1E3~o~ 2r~4-t t
~;:~~CT~~~IJJ:¥~0~0~
I I
DESCRIPTION OF' WORK 215 360 23
/
4 unit coricfo ~~~~i= JJ~ C
OE-SIGNER
4 Design
-, STATE LICENSE
C7914
DESIGNER'S ADDRESS DESIGNER'S-PHONE
729-8955
PERMIT NUMBER
80-277 F
CENSUS TRACT GP LAND USE ZONING l RES. UNITS
P~A~K?Fr/t./-sf l NUMBER OF STORIES
Not Valid Unless Machin, Cartififld
BLDG j--qbv
BLDG USE
UTY. PLUMBING PERMIT
"'JJ.l EACH FIXTURE TRAP
~ EACH BUILDING SEWER
~ EACH WATER HEATER AND/DR VENT
.,,;::FEACH GAS SYSTEM 1 TD 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL., ALTER, REPAIR WATER PIPE
EACH LAWN SPRINKLER SYSTEM
WATER S0FTNER
ISSUE
TOTAL PLUMBING
CONTRACTOR
UTY. ELECTRICAL PERMIT
[:;;;z:::;r NEW CONST EA AMP/SWT/BKR
1 PH .25
EXIST BLOG EA AMP/SWT/BKR
1 PH .25
REMODEL/ALTER PER CIRCUIT
7 TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
TC::C::TTR
TOTAL ELECTRICAL
CONTRACTOR
/l)IJ lJ
3 PH
3 PH
OR3 GP I STANDARD PLAN II I p80N-2D/7 I TYPVNONST I occ. LOAD 1
AMT. aTY.I MECHANICAL PERMIT AMT.
~~
INSTALL FURN. DUCTS UP TO 100,000 BTU ,s.,,..
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
/-y: ...-11 I 79L
RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT
3.00 ISSUE SIGN PERMIT
i-TOTAL MECHANICAL -CONTRACTOR -:2,..'?,._.,,,,, PLAN CHECK Jaf • _.
ALL INCLUSIVE PERMIT
AMT. UTY. MOBILE HOME PERMIT AMT. I TOTAL PLUMBING
ELECTRICAL
-;J~. / AWNING _,L
PORCH /
MECHANICAL
MOBILE HOME
SET-UP /
RAMADA, CABANA /
FENCE OVER 6' /
~--TOTAL MOBILEftME
7 7
SOLAR I . I
I . I
EU-I i
, -e. MICO -FIL~ -t.a,~ C
?· (l(l
J'; ,~ -7
TOTAL FEES PAYABLE
·AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER~ ·V
5'-0"' DEEP AND DEMOLITION OR CONSTRUCTION~ / 7 g, -STRUCTURES OVER 3 STORIES IN HEIGHT ol -._, 0 y ,.. SCHOOL FEES: "] Y
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPL V WITH ALL CITY,
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. l,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MA'I' IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT.
'/.... C-. ~~Q l.~~\\fi'--0,a.,...._/ {~.
l PPLIC.CNT-S SIGNATURE' \ 0~
AGENT D
CON ~
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SITE
ADDRESS: ~-''\t OWNER: ' PERMl-r NO: --
FIELD INSPECTION RECORD
--~ \ t .. INSPECTOR'S NOTES INSPECTION DATE INSPECTOR .. '
WOOD FLOOR . . -~ .. .-. ' FOUNDATION• FORMS • SET BACK •TOILET ' -' "' .. -~ ,·
UNDER FLOOR PLUMBING ~ ··' C ~ -
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR ' ,, . -•:-:, ...
,, ; ... t . ·-~ .....
·.---,. -' .~-, ~ '·-. .J • ., • )~. \. ~ .. . ...,_
SLAB FLOOR \-4.:) \.
UNDER SLAB PLUMBING \ • '
FOOTING• FORMS• SETBACK • TOILET
~ OK TO POUR CONCRETE .. C
FRAME L -.. _.,.
ROUGH ELECTRICAL . \ -•. .. ':!: ,,
ROUGH PLUMBING -,., . ··~
ROUGH HEATING/VENTILATING ..
FRAME OK• PLACE INSULATION '
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE . .._ : '-!..... ►-.'~,.~-.
EXTERIOR LATH Ol< • PL'ACE S..TUCCO . . ...
FIREPLAC_!::
DAMPER a·sT.EE;L \\ .... . . : ~t',.~'.
PLATE.Tl Es/HEIGHT OF CHIMNEY .
OTHER • ,.
TEMP POWER (POLE) ' v·,. \ ' \ .• .. \
SEWER '
GAS TEST
SWIM POOL • STEEL BONDING '-
• PRE DECK . ,. • FENCE PREPLASTER s
SHOWN • Ff3AME .. ' -
• PAN
FINAL INSP BY BLDG DEPT
OTHER De:PT'S REQ COMPLETED i 'Q ~ !
ELE~ METER-PERM-TEMP \ i.J."
GAS METER-PERM-TEMP '·
~'
,,
CERT OF OCCUPANCY ISSUED f \
1.