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HomeMy WebLinkAbout2813 UNICORNIO ST | 2817 UNICORNIO ST; BLDG 2; 80-277; PermitV \ 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.S 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 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 for the alleged ex- emption. Any violation of Section 7031.S 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 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. _____ 8. & P.C. for this reaso .. ,.__ ___________ _ 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). ~~~X:-?------------ □eopy Is filed with the city. □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 ($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• 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, Civil Code). USE BALL POINT PEN ONLY AP PLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. 2825 u • • ~ JOB ADDRESS ~-AV. ST. ID ATE OF APPLICATION -11ICO1lilO 1/3-' RO I I I 1 1 I I I I I I I I I l ~/71 I I I I I I I I I I I 1 3-24 -80 OWNER OWNER'S PHONE PRIME CONTRACTOR Hescon Devel oper s Wa ,. ..... "'i? .... ~ ,. #__,..,,~ ,._ - OWNER'S MAILING ADDRESS j ONTRACTDJ\'~ ADDjlESS_ ~ .,-, --,r- 32221 Camino Capi strano, San Juan J.1,.2,.J -IL-.....: , ~~-~,.._·,,o_ rh~:t24 I i~rtM;;d # 3 1 £isES36~ p22CE~~a: I DESIGNER p I I I I DESCRIPTION OF WORK 215 360 23 4 DesiQJl DESIGNER'S ADDRESS 2 lillit condo 1;)~t;.. :II='"').-15. ➔ 1i -CENSUS TRACT GP LANO USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. ;~l:N;;~ PERMIT NUMBER STATE LICENSE 80 -277 D ~9:41o1 OONTRACTOR'S • ~~~ .. ~<oo STATE LICENSE C7914 l l/ll./_!'_1,G,. DESIGNER'S PHONE 729-8955 _:., ... I RES. UNITS I PAR_~1NjbJ/.csf I NUMBER OF STORIES Not V•lid Un/cs Machin• c.rtifi«J BLOG ~N-v BLOG USE R3. GP I STANDARD PL AN If I PLAN IO If TYPE CONST I occ. LOAD I 80 -277 VN QTY. PLUMBING PERMIT AMT. QTY. MECHANICA L PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP ' EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT /99,KE>7 EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . .21~1,_t'!D ISSTTF. 1 ~00 T S STlR 1 no SIGN PERMIT -I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK /1/, ~ ./J /IJl7 7 I , -i.r:.1 r.L,i g CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I . I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING 1//2/.l'JI /) QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL ~r, .Al I J) NEW CONST EA AMPISWT/BKR AWNING MECHANICAL 1/1(;'~1D 1 PH .25 3 PH PORCH MOBILE HOME (I I . I EXIST BLOG EAAMPISWT/BKR SET-UP /) SOLAt /'\ I ,/I -1 . I 1 PH .25 3 PH RAMADA, CABANA ,; r/.-~,, 'f'L ~p I (/rJ1/ .x.r J REMODEL/ALTER PER CIRCUIT FENCE OVER 6" I , ... I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM ! , I I I OVER 200 AMPS I I I ; ~ - TEMP OCCUPANCY (30 DAYS) STRCDNG MOTI ON: I , I A/_/. W-, ISSUE 2-. 00 -. , I I , I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I _r:_ ,q.3i CONTRACTOR I I iy 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 FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO;TO COMPLY WITH ALL CITY. STRUU URES OVER 3 STORIES IN HEIGHT SCHOOL FEES: COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-'P_ \ t • Q n • AA _J \....\i ~ C,-.. L"2 ,,,_ v.v LESS THE CITY OF CARLSBAD AGA INST A LL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ... OF THE GRANTING OF THIS PERMIT. ( A1'PLICANT'S SIGNATURE• ~ OWNER~ C CTO IA:1Y:EO BY ,fl~ AGENT 0 BY PHONE □ .. ,A I ~ I ') '7 ! < a ~ ~ j:: ~ n. .,., ~