HomeMy WebLinkAbout2718 UNICORNIO ST; ; 83-296; Permit0 z 0 ~ a: < ... u ... a
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O I hereby affirm that I am llcansed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcanse Is In
full force and effect.
LJc No _______ Class
I hereby affirm that I am exempt trom the Contrac· tor's License Law tor the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re-quires a perm,t to construct. aller, improve, demolish, or
repair any structure. prior to its Issuance also requires the ap-plicant tor such permit to lite a signed statement that he Is licensed pursuant to the provisions ol the Contractor's License Law (Chapter 9 cornmenclnQ with Section 7000 of
Division 3 of the Business and Professl0f1s Code) or that Is ex· empt therefrom and the basis for the alleged exemption. Any
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dred dof~rs ($500).
□ I, as owner of the property, or my employees with wages
as their sole compensation, wilt do the work, and the struc·
lure is not inten<1e<I or offered for sale (Sec. 70◄4, Business
and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves
thefeon and who does such work himself or through his own
employees, provided that such imprOYements are not intend-ed or offered for sate. 11, however, the building or improve-ment Is sold within one year ot completion, the owner-builder will have the burden ot proving that he did not build or im·
prove tor the purpose of sale).
□ I, as owner ot the property, am exclusively contracting with licensed contrn:tors to construct the project (Sec. 70◄4. Business and Professions Code: The Contractor's license Law does not apply to an owner ot property who builds or Im·
proves thereon, and who con1racts fOf each pro;ects with a contractor(s) license pursuanl 10 the Contractor's License Law).
D As a homeowner I am Improving my home, and the follow· ing condi1K>ns exist: t. The work Is being performed prior to safe. 2. I haw lived In my home for twelve months
3. rtv~ =~~i~of t
1~l: ::~ption during the ~st three years.
D I am exempt under Sec. ______ , B & P.C. for this reason
□ I hereby affirm that I have a certificate of consent
to selt••nsure. or a cert1f1cate of Workers·
Compensat,on:wsurance, or a cert,f1ed copy thereof
(Sec 3800. La e'
POLICY NW -------
COMPAN
D Copy IS w11h the city
0 Cen1hed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
(This section need not be completed 1f the perm11
,s tor one hundred dollars ($100) o, less)
0 I certify that in the perlom,ance of the work tor which this permit 1s issued. I shall not employ any
person ,n any manner so as 10 become sub1ect to
the Workers· Compensatt<>n Laws of Calltorma
NOTICE TO APPLICANT "· alte< makin~ this Cen1
ficate of Exemption. you should t:>ecome subJetl I') me w°""ers· Compensation prov,s,ons ol the Labor
Code. you must forthw1lh comply with such
prov1s1ons or this permit shall be deemed revoked
0 I hereby affirm thal there 1s a construcllon tending agency tor the perlormance ot the work tor
wt'llch ttus permit 1s issued (Sec 3097. C1v,1 Cooe1
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TOsFILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
2-?LJ ~~~:.a-~ A~i.Tr 'E ,O,P:8Ai1
BU~C.ENSE # VALU ATION
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LOT I BLOCK I suBD1v1s"roN
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I ASSESSOR PARCEL NO.
CONTRACTOR ~
CONTRACTOR'S ADD~~
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DESIGNER
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DESCRIPTION OF WORK
I ,/J ,/ ~--fi . . DESIGNER'S ADDRESS
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vO NO
12_
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STORIES
CONTRACTORS PHONE #
7 0 -C·) 7F
LICENSE NO.
J//o{,/
LICENSE ,t
DESIG-NEA'S PHONE
ace GP I EDU
ZONE
PLAN 1.0. #
STANDARD PLAN#
fl, P;.RMIT NUMBER
:29 (,
BLOG USE CODE
BUILDING SQ. FOOTAGE
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CENSUS TRACT 1-GP LANO USE I PARKING SPACE I AES UNITS I GRADING ~ERMIT ISSUED
YO ND
REDEVELOPMENT
AREA
vO NO
TYPE
CONST
ace LOAD I Ft RE SPA
vO NO
G/06/83wB
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QTY.I PLUMBING PERMIT · ISSUE ~ stJ II QTY.I MECHANICAL PERMIT. ISSUE 3-SUMMAR~ACCOUNTNUMBER
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TD 100,000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUILDING SEWER I I I /'! , OVER 100,000 BTU
EACH WATER HEATER AND/DR VENT I eo1Ljl~1JiEs~~---U..r--
EACH GAS SYSTEM 1 TO 4 ounns I I I BOllt'RicoMPRESsiiR i 1s HP -7
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01·00·00·8806
TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT
I I EACH VACUUM BREAKER I i I MECH EXHAUST -HOOD/DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER
EACH ROOF DRAIN (INSIDE) I R I S
ELECTRICAL 01 ·00·00-8223
MECHANICAL 01 ·00·00·8224 I -'7· a o
MOBILEHOME 01 ·00·00·8225
MOBILEHOME PARK INSP --
SOLAR 01 ·00·00·!!226
TOTAL PLUMBING T
TOTAL MECHAN ICAL 1------STRONG MOTION 80·92·33·0519
FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. I SOLAR . ISSUE S---:
PUBLIC FACILITIES FEE 32·00·00·8923
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22-0519
1 PH 3 PH PUMP San Dieguito 80·92·23·0519
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80-92·24·0519
TEMP PO LE 200 AMPS
OVER 200 AMPS /d).-r
TEMP OCCUPANCY (30 DAYSI
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE 1 '7,<r(.I
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT'° AND DO HEREBY E"Jlinlllon Every perm1!-bytlleBull(ljngOffic1■t underU1eprov,11on1ofthts
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code thalf ■•p,re by hmitallon and become null and void If Ille building or wort<
* AN OSHA PERMIT IS AE0UIRED FOR EXCAVATIONS OVER
5' 0-DEEP AND DEM0UT10N OR CONSTAUCTION OF STAUCl\lAES OVER l STORIES IN HEIGHT DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ■uttior,zed by such permit 19 not commenced wrttun 180 days from tile dale of such
ISSUED: TO COMPLY WITH AU. CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON• =~•!/he buHdu'II or wort< authorlDd by ■uch permit•• tuspended or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~;:::::;:::7.=.::°':a~7'b':me~a~fler"'the~.::•:::orll=ts::..!:co:::m::,:-===1or=a~~n!!iod~o!!.f.!111!!.Jllll:L·-"T"-1'..,,.. .. ,.. __ _,_,_"""! ____________ .....
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO ~ANT'S SIGNA1"R0E ~ OWNER O -• DATE
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT. -av PHONE 0 I t -t--YJ
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INSPECTION TYPE ,,._. --··---I DATE -· ---INSPECTOR ---
BUILDING r
FOUNDATION
REINFORCED STEEL _, -
MASONRY
GUNITE OR GROUT !
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING I c ---SEWER AND-BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT I' . '
TUB AND $HOWER PAN I
GAS TEST I
ELECTRICAL . '
'
TEMPORARY POWER : '"
ELECTRIC UNDERGROUND . '
ROUGH ELECTRIC
, I
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR ~
MECHANICAL
DUCT & PLEM., REF. PIPING ,
HEAT -AIR COND. -SOLAR SYSTEMS ct"--\ , ~ .
VENTILATING SYSTEMS . ,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL .
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS . ---
CERT OF OCCUPANCY ISSUED
.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MAS<;:lNRY
:
PILES CAISSONS
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INSPECTOR'S NOTES
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