HomeMy WebLinkAbout2624 MALLORCA PL; ; CB880009; Permit.. z 0 " ~ :5 u w 0
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rt.J I hereby affirm that I am llcansed under
~Iona of Chapter 9 (commencing with
S.Ction 1000) of Division 3 of the Busmess
and Proteaalons Code. and my license 1s m
full lorce and effect
, ~ereby .it111m that am exempt trom 1ne Co~T'ac
r's License Law tor the tollow,ng reaso• !Sec 7031 5 !I s1ness and P·ofess,ons COile A~y c,ty or county ,,h,c.r, re
q es a perm,1 10 consirucl alle• 1mpro·1e demol,sh or •eo ,r any structure p•,or to ,ts issuance a1so reou,res 'heap
01,c t for such perm,1 10 hie a s,oneo s1atemen1 lhal he ,s ,cen d pursuant to lhe prov1s1ons ot •ne Loniractor ;
lrccns Law 1Chaoter 9 comrnenc,ng w,tt, Sedion 7000 of Di.·•sron of the 8us,ness and Pro!ess,ons Code,, or lhal rs ex e'llpl lhe rom and The basis for the alleged e,empl,on Any ,iola11on of eclion 7031 '.l by an appl,can1 for a perm,, sub
jects lhe app ant 10 a civil penalty of nol more lhan fi,e hun dred dollars: 001
, as owner o he property or my employees w11h wages as the,, sole comp sat1on will do lhe wo,, and the struc lure ,snot ,ntenoed olfered 1or sale !Sec 7044 Business
and Protess,ons Code The Con1ractor s Lrcense Ldw does Mt app,y 10 an owner properly who builds or ,mproves
Thereon and who does su work himself o, through his own employees provided that s h ,mprovements are not ,n1end
ed or ottereo tor sale 11, ho ever the tlu1ldmg or ,mprov~
men1 ,s sold w1Th1n one year of mple11on. the owner-buolder will have lhe Durden o1 provtng at he did no\ build or ,m
prove •or lhe purpose 01 sale)
I, as owner of the property am elusively contracting w,m 1,censed contractors to construct th roiecl 1sec 7044, Busmess and Pro1ess1ons Code The C tractor's License Law does not apply to an owner ol properly ho builds or ,m pro~es thereon. and who contracts tor each roiects with a contractor(sl 11cense pursuant to 1he Contra rs License Law)
1 As a homeowner I am ,mprov,ng my home. and 1~ follow mg cond,t1ons ex,st 1 The work ,s being performed pnor 10 sale 2 1 have lived 1n my Mme lor twelve mo),lhs
prior 10 comp1e11on 01 thos work -~ I have nol cla,med th,s e,empt,on durong lh· lasl three years
L, I am exemp1 under Sec _______ B & P C
for lh1s reason ____________ _
iil'. I hereby aJtirm ttlat I have a certificate ot consent to ~-,nsu,e or a cert1hcate ol Workers Compensation In
surance or a c_Rt,t1e_:1 ~opy tt>ereot 1Sec 3800 ).._a,!:'o,r,...Code\
POLICY NO tu,.X_-l.{o-oLZ3~
COMPANY <'.'.-J,.)A
¢ Copy rs 'rled w,th lhe city
-Ce,t,t,ed copy ,s hereby fum,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
iTh,s section need not be completed 1f the permit
• •. ,s tor one hundred dollars 1$1001 or le-ss1
the performance of the work lor which
tl>•s permit rs issued not employ any person ,n any
manner so as lo t>ecome subj satmn Laws o! Caufom1a
NOTICE TO APPLICANT. 11 after making this Cert1f1ca1e
of Exempt,on you sllould become subject to the Workers
Compensation prov1s1ons of the Labor Code. you mus1
lorthw,th comply with such prov1s1ons or th,s perm•! shall
t>e d€emed revoked
-' _ I h eby a1tirm that there ,s a construction rending
agency f erformance ot the work for wh,ch this per
m1t ,s ,ssued (Sec I Code\
Lenders Name
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr_, Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RD. THOMAS BROS NO.
lOA;E~~=;;ONI
BUSINESS LICENSE # VALUATION PERMIT NUMBER
2~211 MALLORCA PLACE 2.D~ ~-b f?_'-/ct7 1S:9~V
COT BLOCK I SUBD!V!S!QN I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE# ZONE CB880009 216-180-16 -Pn IAA i "'"": .,.. YI ~ls 1 ti5-1.6DS OWNER"S.NAME ~'°'" fu,fl 'i 3-&:~;~Ni' ~1 \\ ~ 1._J.i+'\.-.,. CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SQ FOOTAGE
1.C:..s w. ,_,. __ ~ 1 0-\ -"' ?,U-, bo OWNER'S.MAILING ADDRESS u ....
~ ~ V\'\e'. -DESIGNER DESIGNER'S PHONE
.. 1.,6-1, ~Ir.,,.,_ : ~ r OESCFUf'TtON OF::W0e)( • ~-, POOL/SPA 666 SF DESIGNER'S ADDRESS STATE LICENSE NO.
. . . -.
--' . . . e e F LR ELEV NO ace GP EDU . . STORIES •--C0.24 :,1./0'"'.' :/1.C~ -~-2Lt~v:,,n-:r, : .:8 .. t· '; . • -. <J ,o --
I CENSUS TRACT I PARKIN(,SPACE RES UNITS GRADING PERMIT ISSUED l REDEVELOPMEr-..T TYPE OCC LOAD FIRE SPA AREA CONST
,□ ' □ ,'.:] ..... o vO "'O Not Valid Un~s 11/hchine Certtf1ed
QTY_ PLUMBING PERMIT -ISSUE 75""' -=-QTY MECHANICAL PERMIT· ISSUE JS~ SUMMARY/ACCOUNT NUMBER
EACH ~IXTURf TRAP INSTALL FURN DUCTS i.JP TO 100.000 BTU 1:1UILU1Nci r1:n1v 11 uu1-i:i 1 U-UU-UU·u~Lo I I J , ......
EACH BUILlJING SEWER OVER 100,000 BTU SIGN PERM IT 001-810-00-00-822 !
I EACH WATER HEATER AND UR VENT -, _sO BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8891 7 /_,00
I EACH GAS SYSTEM l TO~ OUTLETS ~ re 801LERiCOMPRESSOR 3 15 HP TOTAL PLUMBING OD; -8 t 0-00-00-8222 t<'.=
EACH GAS SYSTEM :J OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 I 5', ex)
EACH INST AL ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00·00-8224
[ EACH VACUUM BREAKER C' S'-MECH EXHAUST HOOO DUCTS MOBILEHOME 001-810-00-00 ·8225
WATER SOFTNER RELOCAT!ON OF EA FURNACE,HEATER SOLAR OD 1-81 0-00-00-8226
EACH l'<QUF ]RAIN 1 :fJS,;Jf': DRYER VENT STRONG MOTION 880-519-92-33 /.r.:,
TOHL MECHANICAL FIRE SPRl~JKLERS 001-810-00-00-8227
fOlAL PLU'v181NL I I~ .0 PUBLIC FACILITIES FEE 320-810-00-00-8 7 40 so~> Ar(~;"" ~ ,,~ BRIDGE FEE 360-810-00-00-8740
QTY. ELECTRICAL PERMIT -ISSUE -QTY_ MOBILE HOM P • 'l~ ot.'"' PARK-IN·LIEU (AREA i
NEW CONST EA AMP SWl 1:!KR CAR PORT /1 -'---',..,., \. TIF 312-810-00-00-8835
I PH J PH AWNING ' ... 1111 '""' ' LA COSTA TIF 311-810-00-00-8835 . ~•,:
EXIST BLOG EA AMP SWT BKR GARAGE 0 ~r.1n -.:>: FMF
I PH 3 PH C\ 1:111 1,•f_f. I.:-··' ' .-LICENSE TAX 001-310-C0-00-81 E2
-7 RE'flOOEL AL llR PER CIHCUIT [O. <v \'<!>, u•~'r)fi /2.' 'J. (:, -; ' MFF 880-519-92-57
IEMPPOLE !00 AMPS \"~· , .... /
OVER ?00 AMPS . ,~2",..., ✓(-'
TEMP OCCUPANCY 130 OAYSI
. CREDIT DEPOSIT J(_,...., .-.....-
TOTAL ELU,lRILAL I t '> <C> TOT Al TOTAL FEES PAYABLE I /L/Y· jJ
! HAVE C..\RN\nJ.Y EXAMINED'n-iE OOMPLETEO .. APPUCAT!ON AND PERMff' ANO DO HEREBY EJtpirat.00. Every permit i&SUed by the-Building Offie1a½ un-der th8J)foYistoOS ot ltus * AN OSHA PERMIT 1$'REaJIRED FOR UCAVA.TIONS OVER
CERTIFY UNDER P~NALTY OF PERJUflY THAT ALL INFORMATION .HEREON INCLUDING THE Code shall expire by I.imitation and become mJtl and YOtd If the but!dm9 01 work 5· o·· DEEP ANO DEMOLJTION OR CONSTRUCTION Of
DECLARATIONS ARE l,AUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERM1T I& authonzed by such permit is not commenced wi'thm 180.days from the dateuf such STRUCT\JfES OVER )STONE$ IN HEIGHT permit. or if lhe buitdi~r work au1hor1.1ed by such permit 1s suspended Ol" ISSUED: )0 COMPLY WITH ALL CITY. COUNTY AND STATE LAW$ tlOVERNING BUILDING CON-abandoned al anu time a the work 1s commenced for ii ""'nod of 180 da .. s, STAUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGAEE TO SAVE INDEMNIFY ANO OWNER □ CONTRACTOlf/1,, A7ii~-,/) (/ DATE KEEP HARMLESS TH!: CITY OF CARLSBAD AGAINST ALL UABlLITIES. JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE Jf-
EXPENSES WHICH MAY IN ANY' WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCiOF THE 1HL' . p,._J, BY PHONE 0 I (-5:-&V GRANTIN~ OF THI$ PlcRM!T. f--Z.. 1il: 2 , ... · -J.. .J_ '1 .. -r--<./~ ,-~
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TYPE ' DATE INSPECTOR I
BUILDING I
I (l,RS&VD09
FOUNDATION I •. ctr \ J FIELD INSPECTION RECORD
REINFORCED STEEL I '41'?. ..,J-V
MASONRY I
'
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEl1;.ING
SHEATHING □ ROOF D SHEAR
FRAME I
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPL:ANCE -/ I ., l Xr c--l.,,, D PRIOR TO \ -I . . .
FOUNDATION INSP CV
EXTERIOR LATH I
STRUCTURAL CONCRETE .' 'f-<Y-y......-OVER 2000 PSI
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED ,.,• . .,
CONCRETE
PLUMBING I ' . FIELD WELDING
□ SEWER AND BUCO CJ PL/CO . -HIGH STRENGTH
UNDERGROUND □ WASTE □,WATER BOL.fS
'
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' 2-~r f 'b ;c ! I c1l:.c I PILES CAISSONt'.
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL ' '
□ ELECTRIC UNDERGROUND DUFFER
ROUGH ELECTRIC ' lc,-(7>;iy fv1 . 8-··
□ ELECTRIC SERVICE □ TEMPORARY
rYBONDING )']POOL I --1~
I
MECHANICAL I .
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
'
I -..
ITEMS ABQVE HAVE BEEN APPROVED
FINAL I }
PLUMBING I \.. \N
ELECTRICAL ' U, V I ' MECHANICAL I '\.' ~\
GAS I "' ~"
BUILDING I ✓-\.) '\
SPECIAL CONDITIONS ' \.
I '
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008
TELePttONE:
(714) 729-1181
Cit!' of Carl~bab.
This document will certify that I am aware·of the provisions of the
.California Administrative Code, Title 24, Section T20-l406(c),
"Swimming Pool Heating", as shown on form DPL 1297, I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electri~al permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at ;2. 6 2~ Mlftt,o/{I/ !Ute ·
(site address) I certify that all of te following requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
l. Outdoor poqls shall be equipped wi~h.a pool cover.
2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January l, 1982, new heaters installed must have 751
thermal efficiency.·
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar),
6. Directional water inlets in pool for good mixing,
Print Owners Name:
Owners Signature: Date:
•
Contractors Signature:
.Address:
b.,. c.Q ~ 6eQ 'lltiM't9? b:h Date: r-ch~B
lob I A)' bean <l 0-Ys'.,
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