HomeMy WebLinkAbout2815 UNICORNIO ST | 2819 UNICORNIO ST; BLDG 5; 80-277; 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 el•
feel.
OWNER-BUILDER DECLARATION
01 hereby affirm that I am exempt from the Con·
tractor's License Law lor the following reason
(Sec. 7031.5 Business and Professions Code), Any
city or county which requires a permit lo 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 violatlon 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).
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-
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).
':II, as owner of the property, am exclusively con-
tracting with licensed contractors to construct
the project (Sec. 7044, Business ,.nd 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) license pursuant to the
contractor's License Law).
I am exempt under Sec _____ B. & P.C.
for this reason ____________ _
Dale 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).
POLICY NO .. ____________ _ COMPANY ___________ _
□Copy Is filed with the city.
O 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 ls Issued, I shall not employ any
person In any manner so as to become subject to
the Workers' Compensation Laws of Calllomla.
NOTICE TO APPLICANT: II, 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, Civll Code).
USE BALL POINT PEN ONLY APPLICATION & PERMIT
1200 ELM AVENUE (714) 4387 5525
NO . ""'"" ,k fl' JOB ;;r;, ~AV. ST.
1
DATE OF APPLICATION -~~ ""I "l.,I IA) 1Cr ~IQ_ RO I I I I --r-1 I I I I ,, ,.. v ·r r I D 1 1-~ ·~ I 1 3-24-80 I
OWNER OWNER'S PHONE
::,.
.E CONTRACTOR
Hescon Developers 830-7620 ,.,J, ~.&.-f),, , .. o Ab.~ ,.-
OWNER'S M AILING ADDRESS COHTRACTOR'~OR!i6S ~ -~ V.
32221 Camino Capistrano, San Juan Capistrano 32,,-i..<i,1
APPLICANT TO FILL IN INFOR -
MATION WI THIN RED LINES.
BUS. LICENSE PERMIT NUMBER
~en-<;.t.J
STAl'E LICENSE 8 0 -277C
~'l J./ '1() 1
CONTRACTOR'S
INE-~a~ ~ /l..;.__ Q,,,,,_I ~ • I / I ,/6L. •',J LOT BLOCK l1c 0~:J tt 3 1 2isS,E3S6o~ prz~~c1, I {,I • OESIG NER , ST ATE LICENSE
423 424 I I 4 Design C-7914 DESCRIPTION OF WORK 215 360 23 □~.-I tJ'.~3 ' I I ti Ir;~ ' '' -DESIGNER'S ADDRESS DESIGNER'S PHONE ~
2 unit condo -~I~'-f±~ ~~ 1:). 729-8955
CENSUS TRACT GP LANO llsE ZONING 1 RES. UNIT2 I PARKING s;lh;AC Sf I NUMBER OF STORIES
~ () Not V•lid Unlffl Madlin• c.rtifi«J
BLOG SQ'Jsc/-V BLOG USE occ. GP l STANDARD PLAN# !PLAN ID# TYPE CONST I occ. LOAD I R-3 80-277 VN
QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT.
I .,,.. l"I ~ _EACH FIXTURE TRAP ~-✓ y INSTALL FURN. DUCTS UP TO 100,000 BTU D. ,,,
V EACH BUILDING SEWER /l)./ OVER 100,000 BTU .,,.... EACH WATER HEATER ANO/OR VENT ~I ---BOILER/COMPRESSOR UP TO 3 HP ,,. EACH GAS SYSTEM 1 TO 4 OUTLETS l,---BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE ' BOILER/COMPRESSOR 16-30 HP A •
EACH INSTAL., ALTER, REPAIR WATER PIPE "r VENT FAN SINGLE DUCT ~-,,, 14911~1 EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/DUCTS VALiiATION :
WATER SDFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . :=ii~J!J'°IO
TC::C::TTR i .nn TSSTTF. 3.00 SIGN PERMIT . I , I I I
TOTA L PLUMBING .. TOTAL MECHANICAL PLAN CHECK If/. ?J 41!1.817 I .~/.L~
CONTRACTOR -h ,. -CONTRACTOR Jq. --A LL INCLUSIVE PERMIT I I .• l
I TOTAL PLUMBING 1 W/--DID QTY. E LECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. ELECTRICAL I.JF:i..JJ ICJ
~ i,, NEW CONST EA AMP/SWT/BKR I Ot> .. J{) . .,,,..... AWNING MECHANICAL 1/ iC/./)_ll'J
1 PH .25 3 PH PORCH MOBILE HOME 1· 1' , I
-
EXIST BLOG EA AMP/SWT/BKR SET-UP ,.. SOLAR ,, I ~ .I ~I . I .... ·, 1 PH .25 3 PH RAMADA, CABANA r:71Z" ,.. ,-r-Ir { H:1.-I f ./ I 'Kl / · '),(,J
REMODEL/Al TER PER CI RCUIT FENCE OVER 6' I ;""" I _I . I r
TEMP POLE 200 AMPS TOTAL MOBILE HOME M ICO-FI LM I I I . I
OVER 200 AMPS I . I I ; I
TEMP OCCUPANCY (30 DAYS) I I I . J
rssrrn 2-. 00 ST"RONG MOTTON· I i/10.YJZ
TOTAL ELECTRICAL ~~ TOTAL FEES PAYABLE I .
CONTRACTOR j I fifi4.~1
' ' 0 I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO •AN OSHA PERMIT IS REQUIRED FOR EXCAVA n ... vvEA HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTR TION OF
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;To COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT SCHOOL COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
\~•~'Q 0 A •
FEES: i~ 4'
SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-
_Jcm,. ,I 'v LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND -,. I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ', ' ' .. #
OF THE GRANTING OF THIS PERMIT. APP\.ICANT'S SIGNATURE. \ ::i OWNERY' CONTRACT~ I APPR] ED BY 17%, AGENT D BY PHONE D -II. .a -I l...a.
~ 7
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SITE " ADDRESS: . OWNER: ) ' l t, , PERM IT NO: .. .~ ·-' FIELD INSPECTION RECORD
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES
-WOOD FLOOR
FOUNDATION • FORMS• SET BACK• TOILET
UNDER F LOOR PLUMBING
UNDER FLOOR HEATING
OK TO INSTALL SUB FLOOR -., r: ... ' i ,_ ' ·-
~ ··•· 1 I ~• -· '
SLAB FLOOR ·' \. ,, \
UNDER SLAB PLUMBING . '
FOOTING• FORMS • SETBACK • TOILET
~--· .) J .• _:
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 LAT H OK • PCACE STUCCO
-
FIREPLACE -DAMP.ER &STEEL "· -' ..
I ➔ -PLATE TIES/HEIGHT OF CHIMNEY
,;
OTHER ,,
~L TEM'P POWER (POLE) . ! ( ... '
SEWER
GAS TEST
~WIM POOL • STEEL BONDING ' . ~~ ...
• PRE DECK
• FENCE PREP LASTER
SHOWN • FRAME
• PAN
FINAL JNSP BY BLOG DEPT
OTHER DEPT'S REQ COMPLETED ··'
ELEC. METER-PERM-TEMP . -
G AS METER-PERM-TEMP l.)l'\
' .
. .
CERT OF OCCUPANCY ISSUED -,,