HomeMy WebLinkAbout2740 UNICORNIO ST; ; 85-303; Permit,n z 0 ~ C a: C ~ () w 0
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5(.___1 hereby afllrm that I am licensed under
'6,ovlalona of Chapter 9 (commencing with
S.Cllon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full fj'9t'j'l)ldL-. -, -f J L,c No._ _____ Class _c_....r
I hereby alftrm Iha! I am exempt lrom the Contrae· tor's L1Cense Law fOf lhe following reason {Sec 7031 5 Busmess and Prolessions Code Any city or county which re-quires a permit to conslrucl, alter, improve, demohsh, or
repair any structure, prior to I1s issuance also requires !heap-plicant for such permit to flle a signed statemen1 that he 1s
licensed pursuanl to the prDYtsions of the COnuactOf' s license Law (Chapter 9 convnencmg w11h Section 7000 of
01V1s1on 3 of the Business and Protess,ons Code} or lhat 1s ex-empt therefrom and the basis lor lhe a11egea exemption Any
vwtahon of Sechon 7031.5 by an applicant IOf a perm,t sub·
teets lhe applicant 10 a civil penalty of not more 1han !Ne hun· drecJ dollars ($500)
I, as owner ot the property. or my employees w11n wages
as Uteir sole compensation. will do the work. and the s1ruc· ture is not 1n1ended or offered for safe (Sec 7044, Busmess
and ProlesslOOs Code The Contraclof's Lrcense law does not apply to an owner ot property who builds Of improves
!hereon and who does such wOfk himself or through his own
employees, provided lhal such improvements are not mlend• ed Of offered tor sale 11, however the bu11dlng or improve·
men! 1s sold wrth,n one year ot compJetton, the owner·builder w1U have lhe burden ol proving that he dad not Dmld or im-
prove !or !he purpose of sale)
D I, as owner ot lhe property. am exclusively con1rac11ng
wrth hcensed con1raclors to construct the protect (Sec. 7044, Business and Proless10ns Code The Contractor's license
Law does nol apply to an owner ot property who bu1kis or im-proves thereon, and who contracts for each prOjects w11n a contractor(s} hceflse pursuant to the Contractor's License Law).
D As a homeowner I am 1mprovmg my home. and the follow mg cond1hons eJ<1st
t. The work 1s bemg performed pnor lo sale
2 I haVe hved 1n my home for twelve months pr10r to complehon of this work I have not claimed this exempt.on durmg !he last three years
D I am exempt under Sec ______ , B & P C
for this reason ____________ _
......c;;::;fJ hereby alttrm lllat I ha-.,e a cen,t.cate ol consent
~elf-insure. or a cer11t,cate or Workers
Compensa.11on Insurance. or a cen1hed copy thereof
(Sec 3800 u,t,o, Code)
POLICY NO
COMPANY
~y IS llled with the city
0 Certified copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE (Tt11s sec11on need no1 be completed 1t 1he perm11
•s ro, one hundred dollars (S 100) or less)
0 I cen1ty that 1n !he performance ol lhe wor1< lot which th,s permit ,s ,ssued I shall nol employ any
person 1n any manner so as lo become sub1ec1 10
the wo,,c.ers· Compensation Laws ot Ca11torn,a
NOTICE TO APPLICANT It. afler mak1n~ 1n,s Cent
t1ca1e of E.1emp11on you should become sub1ec1 t')
1he Workers Compensation prov1s,ons ot me Lat>Ot
Code_ you mus1 tonhv.1th comply w,lh such
prov1s1ons or ttHs permit shall be <Jeemeo revoked
D I nereby afl1rm tnar !here ,s a construct1on lending agency tor 1tie performance or the wono. tor
wh,ch lh1s permit 1s 1ssue<1 tSec 3097 C,vtl COClei
Lender s Name ___________ _
Lenders AOClress __________ _
USE BALL POINT PEN ONLY & PRESS HARD --------. ----.. -. ------. --···-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -. -----.. -.. ---. --• --------.. --. -. ~ -·
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
J7A1L/O (JN, ~/o rAi10 °· NEAREST CROSS ST. I DATE OF APPLICATION' BUSINESS LICENSE ,r ;ZJ/J°ic/ PERMIT NUMBER
~--303 LDT I BLOCK I SUBOIVISION l R.5.!~b-.S-7 Clr°C/rJ%v) 4-RtJ0 CONTRACTORS PHONE • ZONE '
'-{'f ",, ~-~
:;;~fJ{;1'}4-UDrJf;,1Y/1,~
OWNER'S PHONE
L/33-I '-/71 CONTRACTOR'S A0ORESS LICENSE NO. PLAN 1.0. #
R'i-s.SE r ~ L -/b/1 .S: ,eA,,J~t-1-c .SA,.Jn4/'lAA / y-S-{t:, L_ OWNER'S MAILING ADDRESS
0ES•GNER LICENSE " STANDARD PLAN # BUILiG f :;:AGE
DESCRoPT!ON OF WORr ..fl/4./ ~'jf(./2 ~-r ht~~ .sWJ/t1-DESIGNER'S ADDRESS DESIGNER'S PHONE
flJJN-b Pl)oL. ' . ---F p FLA ELEV. NO OCC GP EDU STORIES
vO NO --
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
YO ND v O ,-.□ vO NO Nor Valid Unless Machine Cerrtfied
QTY. PLUMBING PERMIT · ISSUE 7,!!!-QTY. MECHANICAL PERMIT -ISSUE 3-;r SUMMARY/ACCOUNT NUMBER
J .,., --EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU / BUILDING PERMIT 01·00-00-8220 /I V,..._;J V'
EACH BUI LUING SEWER OVER 100,000 BTU V SIGN PERMIT 01-00-00·8221
I EACH WATER HEATER AND OR VENT 2-..su BOILER/COMPRESSOR UP TO 3 HP / -PLAN CHECK 01 ·00-00-8806 //11)~
I EACH GAS SYSTEM 1 TO 4 OUTLETS "?---'=>0 BOILER/COMPRESSOR 315 HP ./ TOTAL PLUMBING 01-00-00-8222 ./.,s-; OD
EACH GAS SYSTEM', OR MORE ' METAL FIREPLACE / ELECTRICAL 01 ·00·00·8223 /_~. 0 f) ~~
VENT FAN SINGLE DUCT_/ EACH INSTAl . ALTER. REPAIR WATER PIPE MECHANICAL 01-00-00·8224
I -r-z..sn MECH EXHAUST ..,wefoo DUCTS EACH VACUUM BREAKER MOBILEHOME 01-00·0Q-8225
WATER SOFTNER REL0CATl~F EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) / SOLAR QJ-00-00-RO?'-
/ TOH,L MECHANICAL STRONG MOTION 80·92·33-0519 /,0/ -· t--TOTAL PLUMBING I L_..:::, _Vl FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT • ISSUE s-:.-QTY. SOLAR • ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TAN KS Carlsbad 80·92-21-0519 .
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas 80·92·22·0519
I PH 3 PH PUMP San D,eguito 80-92· 23·0519
_/__., REMO0E L AL Tt R PER CIRCUIT Lb VJ.,,_ PLAN CHECK FEE San Marcos 80·92-24-0519 • TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT <:i_J.~L
TOTAL ELECTRICAL I /~VO TOTAL SOLAR TOTAL FEES PAYABLE l I'll.Sf j .,,...--....
I HAVE CAREFULLY EXAMINED THE COMPLETED --APPLICATION AND PERMIT AND DO HEREBY Exptra11on Every perm,t ,ssued by tho Building Ofhc,al under the prov,s,ons of th,s V* AN ~HA~"!jFMrT IS RE•~ij~!CAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exptre by l1m1ta'1on and become null and void If !he bu,ldong or work ~-'f lEEP. A ID DEMOI.JT N TRUCTION OI
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!; authorized by such permit IS not commenced wrth,n 180 days from the date()f such tes
perm,t. or 11 the bu1ldinfl or work aulhonzed by such permit 1s suspended or / S TUI OVER 3 ST IE N HT ISSUED. TO COMPLY WITH ~LL CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CON abandoned at any time a ter the work 1s commenced tor a penod of 180 davs STAUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT·s S/2GNA uy /'/ OWNER □ CONTRACT0~,51
~
APP.~·. I DATE , KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ',J;:~~~ GRANTING OF THIS PERMIT A/4. ~--·-J BY PHONE J, 7,,,l IA1 1% -, ,.--
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TYPE I DATE INSPECTOR
BUILDING I
I
FOUNDATION I
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
EXTERIOR LATH I
i
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I . ~ I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D i}.JATER
TOP OUT D WASTE D WATER .
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WA;rER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D llJFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPOjqARY
D BONDING D POOL I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVB BEEN APPROVED. ----------~-
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING .
SPECIAL CONDITIONS -
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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
PRES TRESSED
CONCRETE
POST TENSIONED .
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY . . .. '
PILES CAISSOl\,S
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PLAN CHECK NUMBER ff-3o3 ADDRESS ;2 7 Y v ~ OATE1$//
PLANNING: TYPE OF STRUCTUR~h''-'~~'-------____,;.--.--ZONE: ____ _
SCHOOL FEES: SAN DIEGUITO -------ENCINITAS _______ _
CARLSBAD -------SAN MARCOS ______ _
% COVERAGE -----------REQUIRED SETBACKS ____ _
8 U IL DING HEIGHT _________ _ FRONT --------
FENCES/WALLS -----------SIDE Ll~
-THO CAR GARAGE REAR ~~ a:
1...1
:3 1...1
----------;:I ~ CGr'iMENTS:
1...1 < ------------------------------------1.l:: C
~ □ -c □ to-1...1 ua::
~SD o: o· C 1...1 ua::
ex:
REDEVELOPttENT A?PROVAL REQUIRED: ______________ .,;_ __
LANDSCAPE PLAN CO~ENTS: ____________________ _
EN V InCi'!M:NTAL REQU IREQ: "'-----------------------
AOOITIOi'IAL COMMENTS;;..: _____________________ _
OK TO ISSUE: DATE: ---------
** ** ~-::~ 't:""**; **~~~J:~rr**;**i::-t:~:~,~-.::1~*******..::•::·:.••.,,,*** ** **** ..,..,.._ *"*~** * ** ****** ** **'"
ENGINEERING LEGAL DESCRIPTION VERIFIED? &:: A.P.N. CHECKED? Y
P.F.F. ______ PARK IN LIEU _______________ _
R.O.l~: IMPROVEMENTS: ______________ _
______________ E.D.U : __________ _
SEWER: _______________________ _
LATERAL: __________ _ DRIVEWAY: _________ _
~ GRADING PERMIT: 1...1
-1...1 ~ ~ DRAINAGE: a: Q
EASEMENTS: ~ ADDITIONAL COMMENTS : _____ _
ua::
~ □
;::8 □
Ii □ • OK TO ISSUE: __ &L!_~~============-DATE: s-4.i;' Pi::
* ENGINEERING INSPECTION REQUIRED: / f •
PUBLIC ~ORKS INSPECTOR: _________________ _
FINAL OK: ________ _ DATE: __________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)