HomeMy WebLinkAbout2732 UNICORNIO ST; ; 86-505; Permit"' z 0 ;::
4( ac 4( ... u ...
0
IC
I[
0 u
ac ... 0 ...
3 !! ac ... z 3: 0
z 0 ;::
4( "' z ... ... :E 0 u "' a: ... ><: ac 0 3:
il
~reby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profesalons Code, and my license Is In
lull force and el.lecJ."f.:>
lir "4/rA ~4-Clm .1o,QJ,---
I hereby affirm !hat I am exempt lrom the C.Ontrac· 1ors Ltcense Law lor the l0Uow1ng reason {Sec 7031 5
Business and Ptoless10M Code Any city or county whicn re-qwes a perm,t to construcl. aiter. improve. demohsh. or repair any structure poor 10 its issuance also req01res ~t,e ap
phcant fOf' such perm11 to !lie a su:,ned statement lhat he 1s
licensed pursuant to the prCMs10flS ol lhe Contractor s license Law fChapler 9 commencing w;fh SechOn 7000 01
0,v1s1on 3 of Ille Busmess aod Pfofessaol'ls Code) or Iha! 1s ex· empt therefrom and lhe basis for Uie aJ\egea exemp1t0n Afly
vlOlahon of Section 7031.~ by an applicant to, a perm11 sub·
1ec1s 1he appI,cant 10 a crvit pena11y of no1 more than 1r11e hun•
dreo doll3IS ($500)
l. as owner ol the property 0< my employees w11n wages
as 1he,r sote compensation wlll do the w·or1c. and the s1ruc-
1ure 1s not intended or olfered for saie (Sec. 7044, Business
and Prolessions Code The Conltactor's License law does
not apply to an owne< 01 property whO bu11ds or improves
!hereon and who does such work h1msell ot through his own
employees, provided thal such unprovernents are not intend· ed or ottered tor sale II, however the buitdtng or improve• ment 1s sold wuh,n one year of completion. the owner-builder
will have lhe burden of proving thal he did not build or ,m-
prove for the purpose ot sale)
r I. as owner of the property, am exclusively contracting w11h licensed conlraclors lo conslrucl lhe pro,ecl (Sec 7044
Busmess and Professions Code The Contractor's lteense Law does no1 apply lo an owner of property who builds or im-proves lhereon, and who contracts lor each pro,ects with a
contraclor{s) license pursuant to the ConHactor's License Law)
D As a homeowner I am improving my home, and the lollow mg cond1tI00s exist:
1 The WDfk 1s bemg performed pnor to sale
2 I have hved 10 my home lor twelve months pnor to completM>n 01 this work
3 I have not claimed tn,s exemptt()(1 dunng the last three years
0 I am exempt under Sec ______ . 8 & PC
tor 1h1s reason ____________ _
D I hereby affirm that I have a certificate of consent to
self.insure. or a certlhcate of wo,kers Compensation In-
surance. or a cert11ied copy thereof (Sec. 3800. Labor Code)
POLICY NO
COMPANY
0 Copy JS filed With the city
D Cert1f1ed copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed if lhe permit
_ .,,,,,,),1AOr one hundred dollars ($100) Of less)
~ert1ly !hat tn the performance of the work for which
ltl,s permit iS~.ecO. shall not employ any person in any
manner so af to ~~l_i.O the WOfkers' Compen-
sation law§
ICANT; If, aher making this Cert1flca1e
of Exemption."y""oo should become subIect to lhe Workers·
Compensalion provisions of the Labar Code. you must
forthwith comply with such provisions orth1s permit shall
be deemed revoked
0 I hereby affirm that lhere is a construclion lending
agency for the performance of the work for which lh1s per-
mit is issued (Sec. 3097, CiVll Code)
Lender's Name, ____________ _
Lender's Address, ____________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERI~ f4 Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST AO NEAREST CROSS ST
r ;:;5A:Bc;NI
BUSINESS LICENSE ., 11 ~UATION PERMIT NUMBER
z_---; ·3 "2. l,1~ .. ~C:.0-'t.~ l·D g-_ ~'7C-/iC/80 ~5oS--~BLOCK 1 su.~eo,v s.I0N 1 .J ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE
it.A tr~ -~ -"I/<-3 ~ ~-6 -S06<tPh A 1lrU-t~f~ Sc:,ius t!.,o 77.ft-~ '"'IWf\lEA S I\JAME I OWNER'S PHONE
Jo"" s-z..e,-z.orkA-4-3B-53ce> CONT RACTOA"S AOOAESS LICENSE NO PLAN 1.0. /t BUILDING SO. FOOTAGE
OWNF.R'S 'VlA -.r AOOAE5S -z._7,-, Uttl\>(!Q.(vfn.. ~ t. l3 {-I c, f3 9-
"2-,s"?... U" t <! o VL ,,.H 'o s r. DES G'-E A DESIGNER'S 'HONE
~ol-tN s , Cn. e t4 { 72Ci-]OS-(. OESC.1:>R P•T 10~-tN O.F WORt<. Pr io (!00e~ DESIGNER'S ADDRESS LICENSE NO.
"'2-7{7 u £lr1v(! (>,( vf"'-sr. R ~lbf-3?---F p FLA ELEV NO OCCGP EDU
STORIES
vO "-0 --61' H!il 86S~q I' eu.·n
CENSUS TRACT I GP LANO USE I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAESPP Oi.:OlB9t.J I 511 5/ ~.! 15~; T! AREA CONST
y D ND vO NO v0 NO Nor Valid Unless Machine Cerr, ,id
QTY. PLUMBING PERMIT -ISSUE <l~ QTY. MECHANICAL PERMIT -ISSUE ~-SUMMARY/ACCOUNT NUMBER I
EACH FIXTURE TRAP INSTALL FURN DUCTS uP TO 100 000 BTU BUILDING PERMIT 001-810-00-00-8220 ~ ;>, .e:7-,
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00-00-8806 ., J .,~
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810-00-00-8222
EACH GAS SYSTEM 5 OR MORE I METAL FI REPLACE ELECTRICAL 001·810-00-00-8223 I
EACH INSTAl . ALTER , REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 ----
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
I EACH ROOF DRAIN (INSIDE) SOLAR 001-810-00-00-8226
I TOT hL MECHANICAL ~ONG MOTIO_N_ 880-519-92-33 •. "\"'~
I TOTAL PLUMBING I FIRE SPRIN~LERS 001-810-00-00-8227
I
1 QTY ELECTRICAL PERMIT -ISSUE r€-QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332-810-00-00-8930
I •
I
I NEW CONST EA AMP SWT BK A COLLECTORS SCHOOL FEE -DISTRICT
I 1 PH 3 PH STORAGE TANKS Carlsbad
I EXIST BLOG EA AMP1SWT BKR ROCK STORAGE Encinitas
I
I I PH 3 PH PUMP San D1eguIto
I REMODEL AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 700 AMPS
OVER 200 AMPS LICENSE TAX 001-810-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 8B0-519-92-57
CREDIT DEPOSIT _,/ ,r-
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I y jJ "f.'j...,
-
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT"' ANO 00 HEREBY Expiration Everyperm111ssuedbytheBu1ld1ngOfhc1alundertheprov,51onsofth,s I * AN OSHA PERt..t:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm1tat1on and become null and void If the bu1ld1n9 or work 5· o·· DEEP ANO OEMOUTtON OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE ff A PERMIT IS authonzed by such permit is not commenced wllhtn 180 days from the dale of suer STRUCTURES OVER J STORIES IN HEIGHT ~ perm,1. or 1f lhe bu1ldin~ or work authorized by such permit ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON abandoned al any hme a er the worl< 15 commenced for a """od of 180 davs
STRUCTION WHETHER SPECIF)EO HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO , CONTRACTOR~ ..,,_PPROVJ!JV/~ -DATE / I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS .. COSTS ANO ~P NT S SIGN~TUA If OWNER 0
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 15"-t</£, I GRANTING OF THIS PERMIT ~ Yr11--, 7'.AA "--\ -" -c:::::::::-" ~
Q)
u::
>-;;;
0 Cl. E Q) I-
-0 0 {!)
C l1l g
Cl.
Cl.
<{
lgµ
.:,(.
ci:TL
0 U)
U)
Q) U)
U)
<{
I
3 .2 a; >-
U)
U)
Q) u 0 a:
l1l co 0
&
Q) u C l1l C u::
C Q) ~
{!)
0 u Q)
Cl. U)
C
Q)
C ~
TYPE I DATE INSPECTOR
BUILDING I .,.,
FOUNDATION I 7/1/;{ -r
REINFORCED STEEL I / ,
MASONRY I
GUNITE OR GROUT I
I
SUB FRAME □ FLOOR □ CEIi.JiNG
SHEATHING □ ROOF D SHEAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
I
□ SEWER AND BUCO □ Pl/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D IJYATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR W~TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND □: UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPl)'JG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL I •
MECHANICAL
GAS
BUILDING I •
SPECIAL CONDITIONS
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH ST~ENGTH
BOLTS • ••
SPECIAL MASONRY
PILES CAISSOI'.~
I REO IF I INSPECTORS
CHECKED APPROVAL
t-------------+------+------
,_
.J
.
' ~\
~
--
~&,~~
INSPECTOR'S NOTES
DATE
I . ._..,
I • I
•'