HomeMy WebLinkAbout2805 UNICORNIO ST | 2807 UNICORNIO ST | 2809 UNICORNIO ST | 2811 UNICORNIO ST; BLDG 6; 80-277; 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 tor such permit to tile 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 penally of not more than five hundred dollars
(S500).
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 ot-
tered tor sale (Sec. 704◄, 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 ot-
tered 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. 704◄, 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 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 tor one hundred dollars (StOO) 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: It, alter 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).
C, ·'. USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
r"\I • .... 1'-r""ll'II I -o •--••• •••• -••
MATION WITHIN RED LINES.
NO. JOB ADDRESS AV. ST -1DATE or APPLICATION BUS. LICENSE PERMIT NUMBER
I I I ~ l~isOip ip I I ,.,2.p°i.S~-°rtr(} 7-. ~0~-1 .:Yf I I I
I R~ 3-24 -80 ~(!)9 i c.J. 80-277B OWNER OWNER'S PHONE PRIME CONTRACTOR STATE LICENSE
Hescon Developer s 830-7620 , ,. -~•A' 1) ~11~·1. r. PD'S 1°N~ J'~'/'707
OWN2R'S MAILING ADDRESS CONTRACTOR'S ADDR~SS~~-~.~
'
CONTRACTOR'S • 32 21 Camino Capist rano, San Juan Capistrano p;Jqt-1:. <,,,.., "1-, !l.l f',.. -(! -·
lz3 r0J;,1 I secra;~d #3 I :}_ASSES;~SOR'S P:2ARCEL NO. DESIGNER I SfATE LICENSE 2 5 I 3 0 I 2 I ~Tit1 I I I I 4 Design C7914 DESClflPTION or WORK 215 360 23 ~-. DESIGNER'S ADDRESS DESIGNER'S PHONE
4 llllit condo -6 Lbe-.1L , _ J)-1 J) 729-8955 I I/ I Ll /ti:;1,::i~•~ l! ', • -
CENSUS TRACT GP LAND USE ZONING I RES. UHITS I PA~K'j ~Aho s f I NUMBER or STORIES
Not V•lid Unlffl Madlin, Cmifi«J
BLDG SJ;(ii q-v-BLDG USE occ. GP I ST AH OARD PL AN II l PLAN ID II I TY~ONST I occ. LOAD I R-3 80 -277 .
QTY. PLUMBING PERMIT
~'
MT. Q:1· MECHANICAL PERMIT AMT .
I ., . . -.
mJ _EACH FIXTURE TRAP l C, J.j ~-✓ Lr-INSTALL FURN. DUCTS UP TO 100,000 BTU ,~ . .,
~ EACH BUILDING SEWER -::i Pl ": IA-:-'7 I OVER 100,000 BTU
l~ ~ACH WATER HEATER ANO/OR VENT ""'°Jk"-BOILER/COMPRESSOR UP TO 3 HP
r.~ EACH GAS SYSTEM 1 TO 4 OUTLETS tr•~ BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE " -BOILER/COMPRESSOR 16-30 HP .J
EACH INSTAL., A LTER, REPAIR WATER PIPE y., VENT FAN SINGLE DUCT /.b --~,gs'fl EACH LAWN SPRINKLER SYSTEM ... MECH EXHAUST -HOOD/DUCTS VALUATION :
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I • , ~'f I 7 . .Jr0
T!=;!=;TTR 3.00 I SSUE 3 .00 SIGN PERMIT I . I I I
TOTAL PLUMBING
JJ(;J~ ~ TOTAL MECHANICAL
~..(." PLAN CHECK 8tl· 31 1/f J'J,,117 I -~~Y.~Y
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I
I TOTAL PLUMBING I /1" 7.1 111
Q,'r,Y. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL J ,i,,J. I ~IJ 0 ,,,, NEW CONSTEA AMP/SWT/BKR /00 I 1)0 . .,--AWNING MECHANICAL , 1-!». l":".n 1n
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 / r ' A I •· I I I .
REMODEL/ALTER PER CIRCUIT FENCE OVER 6' / l DC~,.,... ~(.-M:...E.. I {.~1~1)$.~ K)
TEMP POLE 200 AMPS TOTAL MOBILE HOME/ MICO·FILM ! ~· I I . ~I --.
OVER 200 AMPS / I I I : I
TEMP OCCUPANCY (30 OAYS) / I . I I I
I SSUE 2. 00 / STRONG MOTI ON : I . ~7.f P
TOTAL ELECTRICAL ,r .
TOTAL FEES PAYABLE I CONTRACTOR /IJ-V -. I I .K11 ,<I'll 11
1
"AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS -••sa .......
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP A.NO DEMOLITION OR CONSTRUXTION OF /7v$ -~ FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUEO; TO COMPLY WITH ALL CITY, ST. ~RUCTURES OVER 3 S~ORIES IN HEIGHT SCHOOL FEES: COUNTY AND ST ATE LAWS GOVERNING BUI LO ING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT. 1,ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-'/... \;~~ l.AN\ ~-,.J?. LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND . , EXPENSES WHICH MAY IN ANV WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLfcANT-S SIG NAT URE• D:WNE"' CONTRACT~R AP OBY T'fro/4 BY PHONE □ ::__._!,. .. _ -• .. ·---. ~ T~
! ~ ~ >
~
i== ~ Cl.
V)
~
"\