HomeMy WebLinkAbout2801 UNICORNIO ST | 2803 UNICORNIO ST; ; 80-277; Permitor 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 af-
fect.
OWNER-BUILDER DECLARATION
DI 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 0< 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 ha 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 Coda) 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).
DI, 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 _____ 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.
□Certified copy Is hereby furnished.
l
CERTll=ICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This secllflr need not be completed If the per-
mit Is for one.-undred dollars ($1Cl0) 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, after making this Cer-
tificate of Exemption, you should become subject
to the Workers' Compensation provisions of the
Labor Coda, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I herebv .111 ......................... 1• ... ----·-····
jv-, / CITY OF CARLSBAD-BUILDING DEPARTMENT
APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
Ho. 2827 Unieomio JOB ADDRESS -tRr• 1DA3~ 24~801cATION 3s~i;,E:S;,,;
PERMIT HUMBER
I I I I I I I I I I I .:;;va.;, ~tq ~~I I I I I I 80-277 E OWNER OWNER'S PHONE ;zE COHTRACT°}JO STATE LICENSE
Hescon Developers 830-7620 j A• ~ • ,1, • 11 ALL A ... _~~t/7o '1
OWNER'S MAIL ING ADDRESS ,~~CTOR'S ADDllESS _-L_ _ ."T.""'-.,.CONTRACTOR'S
32221 Camino Capistrano, San Juan Capistrano 3.n...... ~ o_L_ .~r
•
:)?/E 'd -:r.\o u LOT BLOCK I SUBDIVISION I ASSESSOR'S PARCEL NO. DESIGNER // / STATE LICENSE
I I I I I I I I I I I I /14/11.,
DESCRIPTION OF WORK 4 desilITl C7914
DESIGNER'S ADDRESS -DESIGNER'S PHONE
2 unit condo "46..L-u. -JFI r/__ ~ c.;.,. 729-8955
CENSUS TRACT GP LAND USE ZONING
-.
... . .. -..... •
I RES. UNITS
IPA:l'm~f
I NUMBER Of STORIES
Not V•lid Unlttss M•chin, C#rtifitld
BL DG s~/-/ /.. BLOG USE OR.3 GP I ST AHDARD PLAN #
I pso~z77 I TYVNOHST I occ. LOAD I
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL 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
VALUATION: /c.?Ji. :J/~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . ~""~-.JO
TC!C!Tlt.' -:i.1nn T~~TTF. "LAO SIGN PERMIT I . I I I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I . JiLIR.~
CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT • I • I I
ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I IA I -Al I')
QTY. QTY. MOBILE HOME PERMIT ELECTRICAL L:ff"",_JllA
NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL l'7.J. -,_ AIA
1 PH . 25 3 PH PORCH MOBILE HOME I ,, . I
EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I
1 PH .25 3 PH RAMADA, CABANA I . I I I
REMOOEUAL TER PER CIRCUIT FENCE OVER 6' . I I I I .
TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO·FI LM I . I I I
OVER 200 AMPS I . I I ; I
TEMP OCCUPANCY (30 DAYS) I . I I I
T ~~TT'!.' ?-. or STRONG MOTION: I . I 19.'lJt'
TOTAL ELECTRICAL TOTAL FEES PAYABLE I Lrid.nn CONTRACTOR I I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPL ICATION ANO PERMIT, ANO 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER -HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF g~4--FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH A LL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT SCHOOL FEES: COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HERE•N OR NOT. !_ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-~ --'¾ ~ \..,\fl{\~---LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ",v I ~L EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE
OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE' 1\ OWNERJii:J CONTRAC:TORl:tt IAPAIIOVED ..... r,r,IJltF I
• w < 0 ~
~ ~ !rl 0. V')
~
REQUEST FOR0INSPECTION 7: ,--1c
£-------() ~ -;).-1 ,E
:~:::TOR ___ 4_~ -~ cd.ERMIT NO. , ~ DATE:
}~:,bi
TIME=-~-'--"'-!Z.__7::........::.U __
/-~ ~71
ADDREss-~~-+I-F___._d:~1---"'--2---_ ....... Z_~_q_0_'h __ 1 QUYVl_· __ , o __ _
1-------::-:::------=----+fr--fH',H-15 ~
~OUNDATION ~ ~ □ REINFORCING STEEL (? ·\-, \
□ MASONRY
D GROUT -GUNITE
□ FLOOR AND CEILING FRAME
D SHEATHING
□ FRAME
□ EXTERIOR LATH
□ INSULATION
□ INTERIOR LATH OR DRYWALL \
D FINAL •
ELECTRICAL
□ TEMPORARY SERVICE
,.___...~ ELECTRIC UNDERGROUND
□ ROUGH ELECTRIC
D POOL BONDING
□ ELECTRIC SERVICE
D CEILING HEAT
□ G.F.1.
0 SMOKE DETECTOR
D FINAL
'-------------'()·
~~---'---M-IS_C_E-LL_A_N_E_O_U_S ___ _
\ \ D PLENUM AND DUCTS
PLUMBING
UNDERGROUND P
D UNDERGROUND WATER
□ ROUGH PLUMBING
0 TOP OUT PLUMBING
0 SEWER AND PL/CO
□ TUB OR SHOWER PAN
D GAS TEST
□ WATER HEATER
D FINAL
READY FOR INSPECTION~· D Y
A.M .
. M.
□ COMBUSTION AIR
□ PATIO
D SIGN
D GRADING
D DRIVEWAY
D CONDITIONED AIR SYSTEMS
D REFER PIPING
D FINAL
D TUESDAY ~EDNESDAY D THURSDAY D FRIDAY
SPECIAL INSTRUCTIONS __________________________ _
REQUESTED BY ___ \_! -~-+-\-.._~....;;.(..,._/-'-'\l=-t-' ______ PHONE NO. :i 3 7-3d--~
~ PERSON TAKING REPORT _ _,_~"'Rr-----