HomeMy WebLinkAbout2752 UNICORNIO ST; ; 86-1041; Permit.,, z 0 .::: C a: C ...,
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O I hereby aHlrm that I am licensed under
pro,,lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is In
full force and effect.
I hereby affirm that I am exempl tram the Contrac·
lof's License Law lor Ille lollow,ng reason (Sec 7031 5 Business and Protesst00s Code Any city or counly wh1cli re· qu11es a permn to construci, alter. improve. ~mohsh. 04' repair any slructure. prlOI' to its issuance also requires !heap·
phcanl tor such permit 10 file a s~ned statement that he ,s bC'ensed pursuant to the prov1S10ns of !he con1rac1cw s ~~~= i~l~~':J~~;. =:.'~o~~t!~':;~~.~1
empl therelrom and the basrs tor the anegeo exemption Any v,oca11on of SectK>n 7031 .5 by an apphcant lo, a permit sub·
1ects the applk:ant to a CMI penalty ot not mo,e than hve hun-
dred dollars ($500)
r 1 I. as owner o1 the property. or my employees with wages
as their sole compensahon w,11 Clo the work. and the slruc· ture 1s nol intended or ottered t01 sale (Set 7044, &smess and Professions Code The Con1rac1or·s lteense law doeS
not apply to an owner 01 properly who bu1kls °' improves tl\ereon and who does such work h1mset1 or through his own
employees, provided t~I such improvements are not 1n1end-ed Of offered tor sale II, hO¥tever. lhe bulldmg or ,mprove-
rnent 1s soCd w11h1n one year of compteuon. the owner~butktef
will have the burden of prov,ng Iha! he did not build Of im-
prove lor the purpose ol sale)
rJ I, as owner ol the prOl)erty, am exclusively conlracllng
with hcensed contractors lo construct the pro1ect (Sec 7044. Business and Professions COde The Contractor's license
Law does not appty 10 an owner ol prope~ who builds oc im-proves thereon, and who contracts for eacn pro,ects with a conlractor(s) lfcense pursuant to the CootractOf's License Law)
□ As a homeowner I am improving my home. and the lolk>w· ing condt110ns exiSI
\. TIie w .. k IS being pertomled pr10< \0 sale 2 I have hved m my home for twetve mooths
3 r'~!v~o :r Pc1;::: t1~i: :::npllon during the
last three years.
D I am exempt under Sec _______ B & P C
for this reason -------------
0 I hereby affirm that I have a certificate of consent to
self-insure, or a cert1f1cate of Workers· Compensation In·
surance. or a cert1fjed copy thereof (Sec. 3800. Lat>or COde)
POLICY NO
COMPANY
0 Copy iS tiled with lhe city
0 Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need nol be completed ii the pemitt
1s lor one hundred dollars ($100) or less)
0 I ce1'11fy that in the performance of the wOfk for which
lh•s permit is Issued. I shall not employ any person In any
manner so as to become sub1ect to the Workers· Compen-
sation Laws of Cahforn1a.
NOTICE TO APPLICANT: It, alter making tnis Certificate
of Exemption. you shOuld become subject to the Workers
COmpensatton provisions of the Labor Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked
0 I hereby affirm that there Is a construction lending
agency for the performance of thew<m. fo, which this per•
m,t is ,ssueo (Sec, 3097. Civil Code)
Lender's Nam; ___ -,--,---~~-----
Lender's Address ______ _
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
Carlsbad, Californi;i 92008-4859
JOB ADDRESS AV ST.AO. NEAREST,ROSS ST. 19?;;7;:1 BUSINESS LICENS~ D ~ PERMIT NUMBER
2752 Viti ,'rnJ( N ,· D S-1-. Cott.. /,v 11t: <3to..,
~;zLBLOCK llu.:'.'c;ii,,, /11 ~ k~~~ P~E~O CONTAACTOl-A I (?; I CONTRACTORS PHONE • ZONE Jo4/ J4r>t7 ~ iA.J 6 •V oc /5 .::>~2.-dZ.72. 0A:·11 Ave, L ~ ~ I OWNEA"S PHONE
CONTRACTOR'S AO0AfSS . / STATE LICENSE NO. BUILDING SO. FOOTAGE -
OWNER'S MA L,N<"· ADDRESS . 61 7 ~~(/A,/, {./(:_JC~ /
1
~£1 4-ce.. '<.O!SF3S
2..7SZ VNt ('O,<~,,, ~ 0ES•GNER DESIGNER'S PHONE -DESCRIPTION OF \/1/0A /~ I / 1~/1 /4o/ ~ ,A~J,1 DESIGNER'S ADDRESS STATE LICENSE NO.
I / ~-----'
>--F p FLA ELEV NO CCC GP EDU
STORIES
vO NO --
-1
I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUEO I
REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
YO N 0 vO NO vO NO Nor Valid Un~s M•chine CerrifiM
QTY. PLUMBING PERMIT • ISSUE 7~ QTY. MECHANICAL PERMIT -ISSUE ...3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810-00-00-8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001 ·810-00-00-8221
-
EACH WATER HEATER AND,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00-00-8806
I EACH GAS SYSTEM 1 TO 4 OUTLETS~O ~ _? 50 BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00-00-8222 J,n--
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 .JJ::;'°'-
EACH INSTA~. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00-00-8224 --------
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEH0ME 00£.~Ul-Qll'.00-;822:j;:; ·~ ii i ~..: ::.::.:.1 ~5. ~
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810-00-00-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG MOTION 880-519-92·33 ·-TOT/;L MECHANICAL FIRE SPRINi<LERS 001-810·00·00·8227
TOT AL PLUMBING I )I') --PUBLIC FACILITIES FEE 320·810·00-00-8740
QTY. .:::;--QTY. MOBILE HOME SETUP
BRIDGE FEE
ELECTRICAL PERMIT -ISSUE PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BKR CAR PORT TIF 001-810-00-00-8835
1 PH 3 PH AWNING LICENSE TAX 001-810-00-00-8162
EXIST BLDG EA AMP1SWT BKR GARAGE MFF 880-519-92-57
I 1 PH ~fJiuj} ,so In.-
REMODEL AL HR PER CIRCfJIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS!
CREDIT DEPOSIT <
TOTAL ELEL TRI CAL I L~~ TOT Al TOTAL FEES PAYABLE I 25-
I HAVE CAREFUi..L Y EXAMLNED THE COMPLETED APPUCA. JN ANO PERMIT ANO DO HEREBY EJ(pirat,on Every permit issued by 1he 8u1ld1ng Othc,af unde, tt\e p,c,-.,1$tOns o, ,n~ 1r AN OSHA PERM:T IS REQUIAED FOR EXCAVATIONS OVER
CERT FY UN0,R PENALTY OF PERJURY THAT l\ll INFORMATION HEREON INCLUDING THE Code shaU 1u:p,re by l1m,ta11on and become r,~ll ano void H ttie but'd1ng or wo,i\ 5' o• 0EEP AND 0£MOI.JTION OR C()tjSTI'!UCTION 0~
0ECLI\RAT'ONS ARf TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE lF A PERMIT I& authorized by such permit 1s not commenced w1th1n t80 dats from the date of such STAUCT\JRES OVER 3 STORIES IN HEIGIH
tSSUED TO COMPLY WITH I\LL CITY COlJNlY AND STATE LAWS GOVERNING BUllDING CON :~'::~no~'!, t=~Y ~:~•:ff.~;r:~~r:~;~~::',~J~~~~ ;>9~';:~'~1s~=.~~ or
STRUCTION WHET~ER f.i>ECIFIEO ,-,EREIN OR NOT I ALSO AGREE TO SAVE LNDEMNIFY AND APPLICANT"$ SIGNATURE ~ OWNER□ CONTRACTOR U APPROVED BY ( DATE
KEEP HARMLES-<; THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO o/12)/ EXPENSES WWCl-l MAY •>I ANY WAY· ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF l'HE BY PHONE 0 1/~~ GRANitNG OF THIS PERMli
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TYPE I DATE INSPECTOR
BUILDING I
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<:<r~ -1 n<..l--1
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
I
GUNITE OR GROUT I INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR D CEIL.ING
SHEATHING D ROOF D st-(EAR
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
FRAME I
STRUCTURAL CONCRETE
EXTERIOR LA TH I OVER 2000 PSI
INSULATION I
I \
"
PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
' CONCRETE
PLUMBING ' FIELD WELDING
□ SEWER AND BUCO □ PL/CO HIGH STRENGTH
BOLTS
UNDERGROUND D WASTE □,WATER
TOP OUT D WASTE D WATER
SPECIAL MASONRY
TUB AND SHOWER PAN I /')
GAS TEST I l/bhf/~ T PILES CAISSONS
D WATER HEATER D SOLAR WATER ' I I/ I)~~'-? ·}IJT 1:~'.2~\e'?d:-!-:l 152 • e ~
I
ELECTRICAL I
D ELECTRIC UNDERGROUND q UFFER -
ROUGH ELECTRIC I 11,JJ,!16 17"
D ELECTRIC SERVICE D TEMPORARY . {
D BONDING D POOL '
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
' I
I
CALL FOR FINAL INSPE~ION WHEN ALL APPROPRIATE
ITEMS ABOVE H VE BEEN APPROVED.
FINAL I
' PLUMBING ' I ' ' .
ELECTRICAL "" T
I
MECHANICAL "'I _ti < . .
GAS ~ ,,.l/f'J/r I/ . .
BUILDING : "'-.. ''? --,
SPECIAL CONDITIONS I -. ./.
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