HomeMy WebLinkAbout2733 UNICORNIO ST; ; 86-1122; Permit"' z 0 ;:::
C a: C ... () ... 0
a:
I[
0 u
a: Ill 0 ...
5 I Ill z ~
z 0 ;:::
~ z Ill IL :I 0 u
"' a: ... "' a: 0 3
. il
L aHlrm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Dl•lslon 3 of the Business
and Profeealons Code, and my license Is In
full force and effect.
I hereby afhrm th.at I am exempl from the Conlrat· I
:~~nis~ea"nS: ~~:s!:0!~:~~~9c,~aio~~~ wt~~~e~ I
quires a permit 10 consirucl, alter, Improve. demoJ1sh, or I
~~:~la~! s!~':~u;;J~1'°1~ t~,:s ~s~~~': :~f =;r~~a;h~~; I
licensed pursuant 10 the prov1s10ns of the Contrac1or s f ~~:s":n }:,~;~:;1~e;s ~~;:f~;t~~~~~~ e:~ l empt therelrom and lhf basis lor lhe allegeo eKemption Any I :i:1~: ~h~~r,:~3c~Y~ g:~~,:~r:'::u!~! :r:n',~~ ~~~: I
dred dollars IS500) I
I I. as owner of the property. or my empk,yees with wages I
as their sole compensabOn, will do the WDf'k. and the strtJC· I
~u;: ~r:'s=~~CX: of{~~edci:,,~~~-=~~~ ~~•~:: I
not apply to an owner ol praperty who builds Of improves I
lhereon and who does such w<k'k hmseH Of lhrough hts own I
:~
0~1,~~er,:t~e 1i:. sric:;:~~~n::i;~,~~e :01~~~~: l
ment Is sold w1lh1n one year ot complehon. the owner-butlder 1
;~~af: :~: ~~;~ o~,P~)g that he did no! build or un-I
fl I. as owner ot the property. am exclusively contrac1mg with hcensed contractors 10 consIruct lhe proiect (Sec 704◄.
Business and Profess10ns Code The ContractOJ's L4cense Law does not apply to an owner ot prQperty who builds 01 un• proves thereon. and who contracts tor each pr(IJects with a
conlractor(s) license pursuant lo the Conlractor·s License Law)
O As a l'IOmeowner I am Impr0Ymg my oome. and the lollow 1ng cond1twns exist
1 The work Is being performed prlOf to sale 2 I have lived in my home '°' twelve months prior to comple!Jon of this work
3 I have no! clain'led this exemption dunng the
lasl tnree years
D I am exempt under Sec ______ , B & P C
!or this reason -------------
I
D I hereby allum that I have a cer11t1cate ol consent to I
self-insure. or a certificate ol workers' Compensation In-l
surance. or a certified copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Cer11t1ed c;;ooy Is hereby furnished
CERTIFICATE OF EXEMPTION F
WORKERS COMPENSATION INSURA CE
\
0 Copy ,s foled w,th the c,ty ~
(This section need not be comple1ed If th permit
~
Is tor one hundred dollars ($100) or less)
er11fy that m the performance of !he wOfk for which
mIt Is issued. I shall not employ any person many
so as to become sub1ec1 to the WOfkers· Compen-
sation Laws ol California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become sub1ect to the Workers·
Compensation pcovisions of the LabOr Code. you must ~-~
I 0 I hereby affirm that there Is a construction lending I
agency for the performance of the work fOf whictl this per, I
mIt Is issued (Sec. 3097, C1v1I Code) I
Lender"s Name _____________ I
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRE~S HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
' 2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 -
JOB ADDRESS AV. ST.AO. NEAREST CROSS ST.
l1 ~E-O;;:;~ONI
B~• LICENSE it VALUATION PERMIT NUMBER
Z. 7-3~ i l\ v., ,coi.e..~ .'o st. """' ~ ~37 1 BLOCK . ~~s!';~ J j ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE• ~ry /;~oZ , ,, -Z/5'-3 .s-z,-I ~ Tosr,/Jh A M-,,tl,(l ~~ do . 729-30£:°~ OWNE A'S NAME
J 4-;3e~N;Bto08 PM {e.-H CONTAACf OA'S ADDRE'SS STATE LI~:~~'(." {
..... ~$'',
BUILDING SO. FOOTAGE
Z 7 /7UAN0CU~~ t:;..7: <'\ ~<:f', OWNE R'S MAILING ADDRESS B 9-l~.,~¥-
Z..r33 /,,1 ~, Con,0 1' D ST DESIGNER ~ -DESIGN\:.)~DNE ~ \, ~f."~9'~ •
DESCRIPTION OF WORK ~Arie. • ~/1\. e ~~ C, a=
DESIGNER'S ADDRESS STATE LICENSE NO. "' ~~o _ (2 e,.,.., o v e G .,, ;,<4-' w ,';...;do t,A..) i 1,-;t;,"fit(( -~ . .#
do<D e. /R-1~ M-fd
F/P FLA ELEV NO OCC GP Em,'" :-..,0 • uu22 uiil lu/23/66PRHT 25. $1.-d ·-.. u~~ I-STORIES
(\~~ vO NO --
}J I PAA KONG SPACE RE!; UNITS I GRACING PERMIT ISSUED I
REDEVELOPMENT TYPE OCC LOAD FIAESPR
AREA CONST
y D ND vO NO vO NO Not Valid Unlffs Machine Certified
QTY. PLUM B ING PERMIT • ISSUE 7~ QTY. MECHANICAL P ERMIT · ISSUE 3--SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TD 100.000 BTU BUILDING PERMIT 001 ·810·00·00-8220 ""'b.£. -
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001·810·00-00-8221
EACH WATER HEA TEA ANO OR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 001-810·00·00-8821
EACH GAS SYSTEM 1 TO 4 OUTLETS I BOILER/COMPRESSOR 3 15 HP TOTAL PLUM BING 001·810-00-00·8222 --I -·-· -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001 ·810-00-00-8223 --
EACH INSTAl . ALTER, REPAIR WAT~PIPE -~ VENT FAN SINGLE OUCT MECHANICAL 001 ·810-00-00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOOIOUCTS MOBILEHOME 001 ·810·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810-00-00-8226
EACH ROOF DRAIN (INSIDE) DRYER VENT STRONG r.lOTION 880-519-92·33
TDTJ.L MECHAN ICAL FIRE SPRINKLERS 001-810·00-00-8227
TOTAL PLUMBING I PUBLIC FACILITIES FEE 320·810·00-00-8740
5--BRIDGE FEE 360·810·00·00·8740
Q TY. ELECTRICAL PERMIT • ISSUE QTY. MOBILE HOME SETUP
PARK·IN·LIEU (AREA )
NEW CONST EA A MP'SWl BK R CAR PORT TIF 134-810·00·00-8835 -1 PH 3 PH AWNING LA COSTA TIF 133·810·00·00-8835
EXIST BLOG EA AMP/SWT BKR GARAGE FMF
1 PH 3 PH LICENSE TAX 001-810·00·00·8162
REMODEL ALTl:R PER CIRCUIT I h -,,-MFF 880-519·92·57
TEMP POLE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
CREDIT DEPOSIT
TOTAL ELECTRICAL I 1.,r. r TOTAL TOTAL FEES PAYABLE y 1-~ -
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" ANO DO HEREBY Exp1r1t100 Every permit issued by tne Bulld1ng Ott1c1al under the provisions ot this * AN~~,T IS REOOIAEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sna11 expire by llm1tatIon and become null and void If trle bu,ldmg or work s· o--D P D DEMOLITION OR CONSTRUCTION OF authortzed by such permit Is not commenced w1th1n 180days from lhe date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I~ permit. or 1f the bu1td1nft or work authorized by such perm,t 15 suspended or ST S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WIT\-i All CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at any time • te, the work ,s commenced for a oenod ot 180 davs STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~GNATUR:,f ~Ney CONTRACTOR g_. r APPROVEDBY ~ ' I~~~ 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
GRANTING OF THIS PERMIT. r ~ -"-"~ -BY PHONE 0
~ 7
~
u::
>-Ol
0 a.
E Q) 1-
-I IJ-o
0 (!)
C co ()
a. a.
<{
I
,:,:;
C a:
0 <I)
<I) Q)
<I) <I)
<{
I
;;
0
Qi >-
Q)
()
C co C
LL
:::.
C Q)
~
(!)
0 u Q) a. <I)
C
~
.c ~
TYPE : DATE INSPECTOR
BUILDING •
FOUNDATION t
REINFORCED STEEL ;
MASONRY I .
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CE LING
SHEATHING D ROOF D SHEAR
FRAME l
EXTERIOR LATH
' INSULATION I
INTERIOR LATH & DRYWALL I :
PLUMBING I
□ SEWER AND BUCO D I ~uco
UNDERGROUND D WASTE [ WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN l
GAS TEST :
D WATER HEATER D SOLAR WATER .
I
ELECTRICAL .
D ELECTRIC UNDERGROUND ill UFFER
ROUGH ELECTRIC .
I .
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
J
MECHANICAL ! ~
D DUCT & PLEM., D REF. PIRING -
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS I '
i
CALL FOR FINAL INSPEC'[ION WHEN ALL APPROPRIATE
ITEMS ABOVE Hl(.VE BEEN APPROVED._
FINAL l
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING .
SPECIAL CONDITIONS
•
'i?vr I I)--~ '
FIELD INSPECTION RECORD
REOUI RED SPECIAL INSPECTIONS t======l=N=S=P=E=C=T==O=R='=S=N==O==T==E=S========--==============,
REQ IF INSPECTOR S INSPECTION CHECKED APPROVAL DATE
SOILS COMP! IANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRcSTRESSED
CONCRETE
POS r TENSIONED
CONCRE~E
FIELD WE.1.°'ING
HIGH STR'ENGTH, • BOl TS
SPECIAL MASONRY
PILES CAISSONS
-L
' !--------'----------------------------------, -.::. ;..:i~ .. ~ --
1-------------------------------------,
_/: ...
,, -"' _._ I ·'"':'.•••.., .z.._•---....-----.. --• -.-• ...... ,. --•-.--_._,,, . _..:, -.. ~ :·. ·--. ·---~----, .ri,.. • -.. ,:_~~
1, .. 1 .... 1---------------"'--•:.,.-·-=;,-~~~-:..i';n~-----------------, ~ N ~
0, • 6, ... ., . ...,.(')
.. '-~~ ' r-, :. ;: ~. .,,,.. ~ • . .-; ,-.,,.,. .. <1b . , . ..... .,..,
-~ '·• /)/'.. • • ! ./~ ··~-;,if.: i::t, ..
,... -"'f~. f -L·-~ V .. ~ I -~.., )-, ~ ~'
. ' ~' ' ' -<J;: " ~ l _,..
• t"' _) ~ ~ 1---------------------------------------,