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Home My WebLink About2702 UNICORNIO ST; ; 80-300; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes• slons Code, and my license is in full force and el• feet. OWNER-BUILDER DECLARATION O I hereby affirm that I am exempt from the Con· tractor's License Law for the following reason (Sec. 7031.5,Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to Its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi• sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex• emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). □ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or ol• fered for sale (Sec. 7044, Business and Profes· slons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees. provided that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale). :JI, as owner of the property, am exclusively con· tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap· ply to an owner of property 1•ho builds or im• proves thereon, and who contracts for such pro- jects with a contractor(s) lic""6e pursuant to the contractor's License Law~ I am exempt _under seJ--Y, B. & P.C. for this reason ~ • Date ~ TION DECLARATION ve a certificate of con- sent to self-insure, or certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ____________ _ COMPANY ____________ _ □Copy Is filed with the city. □Certified copy Is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the per• mil Is for one hundred dollars ($100) or less). I certify that in the performance of the work for whlQ/1 this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer• tlfi~ate of Exemption, you should become subject toJhe....Vorkers' Compensation provisions of the Laoor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction fen· ~l_ng agency for the performance of the work for ...,lch this oermit Is Issued (Sec. 3097. Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. I I JOB ADDRESS AVF!~T. l°~OF APPLICAT'J 2,/J.01'11 I .tlu'li 1~ei()1 R1Mi 11A ,<1/i I I I I I I I I 1 1 1 1 _ --J..7- OWNER OWNER'S PHONE re~~J;~; ~e1~ Tt'JNJI ro r1-1. ~ 5 g.;3.2/JI ?~09Af)R.AFIP ~ J::, #1/E/ IJ.~/L ll~/l.??-IY ~ 7 CONTRACTOR'S AOORESS . , I l:lJ55PtJ~rtJF1/IIP. I) fc..; ~6'1 BL¾K llo'~~s-rP ASSESSOR'S PARCEL NO. DESIGNER I I I I I I I I I I I i>R J/1/'J !IL I! E. eso~:~t ~ ·;r+-F k i 1'(!.,K., R, W<511_ / I DESIGNER'S ADDRESS ~~!lt!/lr?/N/)JJGL /1#. APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. (j:z~·:;:_5y_< PERl.41T NU""415ER STATE Ll,CENSE 9 / ,,-j // () 'atltJ6/ .Bl CONTRACTOR'S 1J:,-':5,fT77 STATE LICENSE , r-l~~lfil.~ ~ Qr,~ I . I 3 ~, 7 / 6iJ DESIGNER'S PHONE f$/,tJ6tJ.U ~R~11ii CENSUS TRACT GP LAND USE ZONING ,,. I RES. UNITS PARKING SPACE NUMBER OF STORIES R ,/ R.·-/ , Not V•lid Unlttss Machin• Cartifild ' . Ba"li~U BLOG USE occ. GP l STANDARD PLAN# lPLP 1~Z/ I TYPE CONST I occ. LOAD I R_-l H., //-,V, QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. - ,. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUI LO ING SEWER OVER 100,000 BTU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP ~j?/~ N EACH INSTAL, ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I ....i..Zt'i SIGN PERMIT I , I I I TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I ' Vd I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. AMT. TOTAL PLUMBING I I I QTY. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA I . I I I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' I . I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME -MICO-FI LM I . I I I OVER 200 AMPS I . I I ; I TEMP OCCUPANCY (30 DAYSI I \· ' I I I I ' . -.., \, ' I . I I I rr • w I-<( 0 ~ > ~ j::: ~ Cl. V') ~ TOTAL ELECTRICAL TOTAL FEES PAYABLE I ,:j~p ~ CONTRACTOR . I I . I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT. ANO 00 •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I 5'-0" DEEP ANO DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUC2R 3 STOR~EIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER <JJ~ h.,,u ~-~ ~ ,.. , _--.&,1_/ SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM• • LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO /7!J /. ,A_-EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURP OWNER□ CONTRACTOR□ !APPROVE~.{ fY"' DATE •~ AGl;N~ .\ BY PHONE O • 1':?-1., - SITE ' . io--2>o u ADDRESS: j -OWNER: .\ ~, PERMIT NO: ~-~ i=·tELD INSPECTION RECORD . .. -- INSPECTION DATE . INSPEC"T'OR INSPECTOR'S NOTES WOOD FLOOR .. .·. ' FOUNDATION • FORMS • SET BACK • TOILET f ·•. h ',A • . . . -~ UNDER.FLOOR PLUMBING ,. •. -~ ~:.=c--.,. __ ~ ---C --. .;_ ----~ . ,. UNDER FLOOR HEATING ~-' . I ..4. ~--~ . ' -· , ~, OK TO INSTALL SUB FLOOR . ' ' .. : I:'\ . ~ -. ' SLAB FLOOR UNDER SLAB PLUMBING ' .. - FOOTING • FORMS • SETBACK • TOILET '-~ ~ ' ~--'--,;..._ OK TO POUR CONCRETE \ ' \. •' ~ -. FRAME ROUGH ELECTRICAL ' ROUGH PLUMBING .. ROUGH HEATING/VENTILATING . FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK • PLACE TAPE EXTERIOR LATH OK • PLACE STUCCO FIREPLACE DAMPER &~TEEL PLATE Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) - SEWER GAS TEST SWIM POOL • STEEL BONDING • P RE DECK , • FENCE PREPLASTER r--... SHOWN • FRAME I I { l • PAN ~ I-· \ J FINAL INSP.B Y BLDG DEPT ,,. 'IW/VI ,r,r ---OTHER DEPT'S REQ COMPLETED /I I-, ELEC METER-PERM-TEMP I . GAS METER-PERM-TEMP ...... . ~ , CERT OF OCCUPANCY ISSUED .. C ~ -'.: ,-., I .. _ INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT DATE:_-=3=---'->--4--Z-----~e_c:.6_ ZONE _________ LOT SIZE _________ LOT WIDTH ________ _ UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ------------ % COVERAGE ALLOWED PROVIDED ------------------------ BU IL DING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: ADDITIONAL COMMENTS: REAR SETBACK: OK TO ISSUE: ____ DATE ____ OK TO FINAL ________ DATE ____ _ ENGINEERING DEPARTMENT R.Q W, ~WDUSTRIAL WASTE IMPROVEMENTS --------------------- SEWER GONNE-CTION ________ DRIVEWAY LOCA'frONS ____________ _ 8RADING PERMTT EASEHENTS __________ DRAINAGE ____ _ J..EGAL DES CRIJ!TI ON. _____________________________ _ AD.DITIONAL COMMENTS Q(..C W\l--L-W)oT OK TO ISSUE: ~TE '3/z---, PWI ____ OK TO FINAL. ____ DATE ___ _ FIRE DEPARTMENT SPRl~KLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS LOCATION __________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _