HomeMy WebLinkAbout2821 UNICORNIO ST | 2823 UNICORNIO ST; BLDG 3; 80-277; Permitti ?·0 ·(7
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am llcensed 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 el·
feet.
OWNER-BUILDER DECLARATION
01 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·
slons 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 appllcant to a
civil penalty of not more than five hundred dollars
($500).
D 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-
fer~ for sale (Sec. 7044, Business and Profes-
sl°'~ Code: The Contractor's License Law does
not >.pply to an owner of property who builds or
improves thereon and who does such work
him~;i 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 llcensed 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 ••ho builds or Im•
proves thereon, and who contracts for such pro•
jects with a contractor(s) llcense 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, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code).
~~~1~0. ___________ _
□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-
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 Callfomla.
NOTICE TO APPLICANT: If, after making this Ger•
tlflcate 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.
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. -i&t'rU . . J1 ADDRESS AV. ST. IDATE OF APPLICATION . n1corn10 ?tf->-l -J-, >--3 RD
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 3-24-80
OWNER OWNER'S PHONE
;;;
E CONTRACT,lJOR
Hescon Developers 830-7620 .a ,i"tl>,. .. ~. ~ /) A,. -' OWNER'S MAILING ADDRESS
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
:~;/.:EN2 4 PERM IT NUMBER
STATE LICENSE
i3'8'-1101 80-277A
JCONTRACTOR'S 32221 Camino Capistrano, San Juan, Capistrano l,.NTRACTo~_s-Aoopss L.,, ~ ~, -n --t; ,._ /J , (tf4 .. :r<aa 11 /, r,, C,L,_,'1LJ .. •• 4z:fit~4 I SUCIVISIONd # I 2fs"13~cr:tz~a0
• I
DESIGNER I' --L Mea 3 V m~'/JEf/ I I I 4 Design 4 DESCRIPTION OF WORK Zl!:> :.SbU Z3 .A DESIGNER'S ADDRESS DESIGNER'S PHONE
2 unit condo --11L:bc-d.. '3.. H tr l--729-8955 -CENSUS TRACT GP LAND USE ZONING I RES. ZITS I PA¥'"6t/i/:;;_
I NUMBER OF s2oRIES R3 Not Valid Unless Machin, C,rtifitld
SLOGS~•,,
BLOG USE oc;3GP I STANDARD PLAN 11 I PLAN ID 11 I TY~CONST I occ. LOAD I lo 80-277
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
I/ A
-,,,.~ EACH FIXTURE TRAP trn. -V INSTALL FURN. DUCTS UP TO 100,000 BTU ...,, . ..-. ,, -· CH BUILDING SEWER /I). OVER 100,000 BTU --~ ' ·:.--EACH WATER HEATER ANO/OR VENT "~ -BOILER/COMPRESSOR UPTO 3 HP
"'\.., .,, EACH GAS SYSTEM 1 TO 4 0 UTLETS L,j --BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE r BOILER/COMPRESSOR 16-30 HP ,I
EACH INSTAL., ALTER, REPAIR WATER PIPE ~ VENT FAN SINGLE DUCT It,. -/$,Z~ .:1/~ EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION:
WATER SOFTNEA RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I .31gi1...s10 issue j,UU issue ~-nn SIGN PERMIT I , I I I
TOTAL PLUMBING TOTAL MECHANICAL PLAN CHECK I ,Ji/4~.!Ar'
CONTRACTOR hJ./ CONTRACTOR -z.:::J. -ALL INCLUSIVE PERMIT I .I I , TOTAL PLUMBING '""'' .,>1,, QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL +Jj"'~b
-i.,.--~ NEW CONST EA AMP/SWT/BKR /00 .f"b . --AWNING MECHANICAL 1~7L'JI/')
1 PH .25 3 PH POACH MOBILE HOME I It . 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-FILM ! ' I I I
OVER 200 AMPS I . I I : I
TEMP OCCUPANCY (30 DAYS) ::>!RUNG MJl lUN: I . I 1'1. !1L. r issue 2 .. 00 I I ( . I '
TOTAL ELECTRICAL H TOTAL FEES PAYABLE l 1 /~10 CONTRACTOR ~-I-.-. I
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I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT. ANO DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SOIOOL FEES: Ut/ '! HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORREC'f' ANO I 5'-0" OEEP ANO DEMOLITION OR CONSTRUCTION OF
FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH A~L CITY, f RU~;E: :~E; 3 STO~l~~~G= n -
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHfR
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM-
LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOGMENTS, cosTS ANO .. ,
EXf"ENSES WHICH MAY IN ANY WAY ACCRUE AGAINST Sb.In r.JTV' IN CONSEQUENCE ·-~
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~ j:::
~ 0.. V') ~
SITE
ADDRESS; ... •-.. ~·~ > .. OWNER: PERMIT NO: • < -.
I .
• -FIELD INSPECTION RECORD
INSPECTION DATE INSPECTC>R . INSPECTOR'S NOTES
WOOD f:LOOR ~· . -
FOUNDATION• FORMS • SET BACK• TOILET ...... , .
' ' .
U NDER FLOOR PLUMBING •. -s_.
·-.. --'-___.. -. . ~
UNDER FLOOR HEATING . f
OK TO INSTALL SUB FLOOR ~-' .
~·-... \ ' ~ ,,i..··· ~\: ·-,-. .
SLAB FLOOR ' \. .
UNDE R SLAB PLUMBING j-. \
FOOTING • FORMS• SETBACK • TOILET ,.. ...
OK TO POUR CONCRETE -c• . '
'
FRAME '
I f
"' -ROUGH ELECTRICAL • ... _ ... ..
ROUGH PLUMBING ~-\ . . '• ' ... ':: ~
,
ROUGH HEATING/VENTILATING ... -.\l
FRAME OK• PLACE INSULATION ··--C
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK • PLACE TAPE d • ..-:. ...
EXT.f;:RIOR LATH OK• PLACE STOCCO . . .,
' . ' -FIR~PLACE -
DAMPER & STEEL -\ j PLATE Tl Es/HEIGHT OF C HIMNEY . ~
OTHER • " ~ ... ,.,
TEMP POWER (POLE) ' ~-~-~ "' '1 '
SEWER
GAS TEST
SWIM POOL • STEEL BONDING
• PRE DECK
• FENCE PREP LASTER
SHOWN . • FRAME .·
' • PAN i '
FINAL INSP BY BLDG DEPT :
OTH £;._R DEPT',S REQ COMPLETED ~
ELEC METER.'..PERM-TEMP " -
GAS METER-PERM-TEMP' \~
'-.k'i.){ ... -1
-
CERT OF OCCUPANCY ISSUED ,
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