HomeMy WebLinkAbout2824 UNICORNIO ST; C; 85-976; Permit"' z 0 ;::: < a: < ..,
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license 1s in
full f'::J.Rjl~ /" 3 (; L,c N 1J Clas~---
I hereby att,rm that I am exempt frcwn lhe Con1rac-
1or·s license Law IOf the I011owmg reason [Sec 7031 5 Business and Profess+ons Code Any city Of county which re· quires a permit to construct. alter improve. demolish. or
repair any structure. prior to its issuance also requires '.heap·
pllcant for such oermIt 10 Ille a signed statemenl that he Is licensed pursuant lo the provtSIOOS ol lhe Contract°' s
license Law (Chapter 9 coovnencmg w1lh Section 7000 of Div1s1on 3 of !tie Business and ProlesSIOns Code/ or lhat Is ex·
empt therefrom and the basis lor the allegea exemption Any vtOl.Jflon of Secl+on 7031.5 by an apphcanl lor a perm11 sub·
1ecls the appUcant 10 a CJV!I penally of not more than fr"e hun•
dred dollars ($500)
I as owner of lhe property. Of my employees w,tn wages
as their sole compensa11on. will do Ule WOfk, and lhe struc• lure Is no1 intended or ollered tor sate (Sec 7044 Business
and Professions Code The COntractor"s License Law does
not apply lo an owner of property who bu1fds or improves thereon and who does such WOfk h1msell 01 through hts-own
employees. provided that such 1mprovemenls are nol intend· ed or ottered for sale II. however. the building or Improve-men11s sold wllrun one year of complehon. lhe owner-builder
will have the burden ol prOVlng lhal he did not build or im-
prove for lhe purpose o1 saleJ
fJ I, as owner of the property, am uc/us1vely conlractmg
with hcensed contractors to construct the proiec1 (Sec 7044 Business and Professions Code The Contractor's license
Law does not apply 10 an owner of property who builds or 1m· proves lhe,eon, and who conlracts for each prc)fects with a
con1rac1or(s) license pursuant 10 the Contratlof's L1tense Lawl
U As a homeowner I am 1mprovmg my home, and lhe fotlOW mg coodillons exist ~ l~a::~,!i be:~g :vr•:~ f~Of1!1:emon1hs
pno, 10 complehon of lh1s work
3 I have nOI claimed lhts exemption during !he last three years
□ I am exempt un<ler Sec ______ . 8 & P C
for lh1s reason ____________ _
0 I hereby afhrm thal I have a cert1f1cate of consent to
self-insure. or a cer11ftca1e of Workers Compensation In-
surance. or a certified copy !hereof (Sec 3800. Labor Code)
POLICY NO ~I ~PANY ~ ~PY 1s flleci with the c,ty
~ D Certified copy Is hereby furnished "' ...
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CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,r !he permit
!s for one hundred dollars ($100) or less)
0 I cerllty that in the performance of the w01k for wh1Ch
this permit 1s Issued. I shall not employ any person in any
manner so as 10 become subJecl to the Workers· Compen-
sat,on Laws of California
NOTICE TO APPLICANT; If. after making !his Cert1f1cate
of ExemprtOn. you should become sub1ec1 to !he Workers·
Compensation provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
D I hereby athrm that there is a construction lending
agency for lhe performance of !he work for which this per-
mit is issued (Sec. 3097, Civil Code)
Lender"s Name ___________ _
Lender's Address ____________ _
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
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LOT LCK
AV. ST RO JI J . . • ' NEAREST CROSS ST.
,-,,,, ' ;'4--.,.., I '--'-""""'~ '"'"'" """°"'"""0 2 l? .. ,m,o,
--PERMIT NUMBER
A CT( ~rRACT(JRSPH~+m~--_j ✓ u &!, .. '/ L,._ ~-·•·s.•o•• ~ e" .,, '<..J!._ '°"' C/ 7 /
OWNER'S MA LIN'l:t'_.':.""'~ ~-' ~ ~'i't-2..1 t7 ,c,oa-..oo m, , "/2 lo S 7 a , ,G' ,;;:J.J,r Ci J1 • · !M.Je. ~ Pi<L&/JJ. (;,,_ o'""''" 17/fr rr-
OWNER"$ NAME
If; E lh t: Y& @-..
OESCRIPT tON OF w6RK
DESIGNER'S PHONE
PLAN 1.0 . # BUILDING SO. FOOTAGE
DESIGNER'S A DDRESS LICENSE NO
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CENSUS TRAC1 I GP LA ND USE I PA Rl(ING SPACE I RES UNITS j
F p F LR ELEV
vO "O
1
REDEVELOPM ENT
AREA
NO
STORIES OCC GP EDU T2/27/B56733
qqo:r,~~3~ 1ete?7 es ·1_0:0~ jp
"i'o;o 1TL:
QTY. PLUMBING PERMIT -ISSUE _/ t!3-
GRADING PERMIT ISSUED
YO ND vO NO
QTY. MECHANICAL PERMIT -ISSUE
T Y PE
CONST
3-
DCC LOA D FIRE SPR
vO NO Not Valid Unless M~chine Certdied
SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I I INSTALL FURN DUCTS iJP TO 100.000 BTU J I BUILDING PERMIT 001-810-00-00-8220 I I EACH BUILDING SEWER I I I OVER 100,000 BTU I I SIGN PERMIT 001-810-00-00-8221 I
E.ACH WATER HEATER ANO OR VENT I BOI LER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806
EAC H GAS SYSTEM 1 TO 4 OUTLETS _ t--""2--.£4 l BOI LER1COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00-00-8222 J __ J 12_
EACH GAS SYSTE M ~ OR MORE_____ I . , METAL FIREPLACE ELECTRICAL 001-810-00-00·8223
EACH INSTAl . ALTER, REPAIR WATER PIPE -+ ~ I VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOD OUCIS MOBILE.HOME 001·810-00-00-8225
WATE R SOFTNE R I ft I RELOCATION OF EA FURNACE/HEATER I II MOBILE.HOME PARK INSP
EACH ROOF DRAIN (INSIDE! , ■ 1 1 " SOLAR
TOH,L MECHANICAL
__QQ_!-810-00-00-8226
TDl AL PLUMBING J _Lt). -
I--STRONG MOTION 880-5_1__9:~2-33 1---------I
FIRE SPRIN~LERS _Q()l-810-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE
NEW CO NST E.A AMP SWT BKR
I PH 3 PH
EXIST BLOG EA AMP•SWl BK R
I PH 3 PH
REMODEL AL HR PER CIRCUIT
TEMPPOLE 200AMPS
OVER 200 AMPS
TE MP OCCUPANCY (30 DAYSI
TOTAL ELEUAICAL J
s-=-QTY. SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
Exp1rat1on Every
Code shall expIri
authorized b •
PUBLIC FACILITIES FEE 332-810-00-00-8930
SCHOOL FEE -_ DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
LICENSE TAX 001-Bl0-00-00-8162
MFF 8B0-519-92-57
CREDIT DEPOSIT
TOTAL FEES PAYABLE J
u1ld1ng Off1c,al under the provisions of 1h19
ome null and void If the bu1/d1n9 or work ommenced wllhin 180 days from the date of such
JO --I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIY--ANO DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS Ailld
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF 1HE
GRANTING OF THIS PERMIT
permit. ...
aban t 1zed by such permit 1s suspended or
_ mence~ for a period of t 80 days j..
* AN OSHA PERMlT IS REQUIRED FOR EXCAVATIONS OVER
5· 0" DEEP ANO 0£MOUTION OR CONSTRUCTION OF
STrl\JRES OVER 3 STORIES IN HEIGHT
AP.
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~-~• ,/ OWNER □ CONTRAC~
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TYPE I
BUILDING I
OUNDATION I
I
,EINFORCED STEEL I
IASONRY I
I iUNITE OR GROUT I
F
R
M
G
s
s
F
,UB FRAME □ FLOOR □ CEll!ING
HEATHING □ ROOF □ SHEAR
RAME I
I
EXTERIOR LATH 1
INSULATION I
I INTERIOR LATH & DRYWALL I
I
PLUMBING I
□ SEWER AND BUCO □ Pl/CO
UNDERGROUND D WASTE D WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR Wf'TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND o;uFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
I
MECHANICAL I
D DUCT & PLEM,, D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPRO17,IATE
ITEMS ABOVE HA VE BEEN APPROVED,
FINAL I ✓ I
I .'f..J / PLUMBING I I
ELECTRICAL I 1rl /'l.\'i V /
MECHANICAL I \\ \ l' • I ~ I
GAS I ~ \ ~ ,"I I I
BUILDING I , V \ I
SPECIAL CONDITIONS I 1\.-I
I
I
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
..
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSOi',S
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