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Home My WebLink About2841 UNICORNIO ST; A | B; 80-40; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sec. 7031.5,Buslness 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). 0 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 of- fered for sale (Sec. 7044, Business and Profes- sions 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. II, 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). ~I, as owner of the property, am exclusively con• tractlng 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) license pursuant to the contractor's License Law). i am exempt under Sec. B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, o< a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor CoQe). '- POLICY NO.@ pLb COMPANY ~ o/ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ii the per- mit Is for one hundred dollars ($100) or less). I certify that In the performance of the work for which 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- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor 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 len- ding agency for the performance of the work for which this permit Is Issued (Sec. 3097, Civil Code). APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. i HO. Mp) JOB ADDRESS 2-1'6tt1 \~l/1,1\;1 / 1CiD/2..1M ,D, ~5 , 11 I I I I I I OAT OF APPLICATION BUS. LICENSE PERMIT NUMBER ,. r 2b ~-i O 2-0 2-5V ' PRIME 3 T4~&El i g, O _ () OWNER ~ ~'. P /2...D v, LL~ -n r2 I OWNER'S PHONE CONTRACTOR'S PHOM 1'179 o;;?/?NG ~;;,P/AJ6 LOT l eLOCK lSUB~~VISION 5'r I f; 9 :u:>4 ( t-13 y /5;._ I ASSESSOR'S PARCEL NO. 74 UI.J;_j(,:\i::79 H/20/ • • w • DESIGNER I STATE LICENSE ' ' -, • • 80 93 • (1 I I I I I I I I I I I 1~CRIPTION OF WORK 4:-0-----YN-n< hs ~C)Ut-lz__ &r feltH78?. _s;_ DESIGNER'S ADDRESS CENSUS TRACT GP LANO USE BLOG S0. FT. BLDG USE QTY. PLUMBING PERMIT EACH FIXTURE TRAP if!,oL,L/.L:rlJJI..£ EACH BUI LO ING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 OUTLETS EACH GAS SYSTEM 5 OR MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER T SSTTP. ZONING l RES. UNITS PARKI NG SPACE # OCC, GP ST AN DARO PLAN II l PLA0:11 l TYPE CONST AMT. QTY. ~ifi) 6..t1t> _3_ .. 0 ( r--- MECHANICAL PERMIT INSTALL FURN. OUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE OUCT MECH EXHAUST -HOOO/OUCTS RELOCATION OF EA FURNACE/HEATER TSSTTP. TOTAL MECHANICAL TOTAL PLUMBING CONTRACTOR /3, dD. ,..,,,. 'V CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 EXIST BLOG EA AMP/SWT/BKR 1 PH .25 REMODEL/Al TER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) T SSTIB TOTAL ELECTRICAL CONTRACTOR 3 PH 3 PH AMT. QTY. MOBILE HOME PERMIT AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME 2 .-00 DESIGNER'S PHONE SI NUMBER OF STORIES Not Valid Unless Machin• c.rtifi_, l occ. LOAD l AMT. VALUATION: 5'i ,,rt' BUILDING PERMIT J , I J I _3_..__Q 0 SIGN PERMIT J , I I · I PLAN CHECK J_ • I t.S'SD All INCLUSIVE PERMIT I I · I AMT. TOTAL PLUMBING ELECTRICAL ,-g ~ I I . I - ~ MECHANICAL .. ---I I _l MOBILE HOME I I l SOLAR I . I I I I • I I I I , I I _J MICO-FILM , I I I I I I : _J I • I I J STRONG MOTION: I • I I J TOTAL FEES PAYABLE ] I I ili8.«IJ I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS T RUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITV, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITV OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT SCHOOL FEE : OF THE GRANTING OF THIS PERMIT. ~ ~ A I\APPL)CAN?5{foNA~ ~~~ ~ 0 OWN~~ CONTRACTOR□ 1;:m;u ~ 0~ AGENT O BY PHONE O W~ 7 7 · -; 17 --7 ! < 0 ~ 5 j:: ~ 0... V) ~ SITE -~o-"L/D ADDRESS: OWNER: P ERMIT NO: FIELD INSPECTION RECORD . INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING . -. ~ ~ UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR ~-.-.. SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET r· r· -OK TO POUR CONCRETE ' . I FRAME L . ' ROUGH ELECTRICAL \ '•• ., . ROUGH PLUMBING ROUGH HEATING/VENTILATING . '\..l, . ' . FRAME OK • PLACE INSULATION INSULATION OK • PLACE WAb.LBOARD WALLBOARD OK• PLACE TAPE - EXTERIOR LATH OK • PLACE STUq:::o ' FIREPLACE . . DAMPER<~ STEEL . ~ .. PLATE T~HEIGHT OF CHIMNEY -~ :.:. • .. -·~ -----~ OTHER J / L~ TEMP POW~•~-c:; - SEWER /" GAS TEST" SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN J /) I FINAL INSP BY BLDG DEPT J r-11 t,AI OTHER,DEPT\S REQ COMPLETED ' ) y I V'' ELEC METER-PERM-TEMP ' GAS METER-PERM-TEMP , . CERT OF OCCUPANCY ISSUED -- ~ ,, ' ' ~ rN·..,. -~J~~ '