HomeMy WebLinkAbout2626 Mallorca Pl; ; 87-97; Permit"' z 0 ~ 0: .. -' :al a
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D I hereby affirm tha1 I am licensed under
provisions of Chapter 9 (commencing with
S.Ctton 7000) ol Division 3 of the Business
and Protaaslons Code, and my license is in
full force and effect
I hereby a1hrm that ! am exemol lrom lhe Contrac-
tor"s License Law tor the lollow,ng reason (Se,; 703' 5
Business and Professions Code Any c,ty or count) wh,c~ "e quires a perm,t to construct aIIer. improve de'11ol,sn or
repa,r any struclure prior To ,1s issuance also 'eouires !'1e ap-
pl,can1 lo, sucn perm,t to Ji,e a s1\jned stalement :nar ne ,s licensed purs,ant to 1'1e prov1s1ons o! rre cu~1,actJr,
cIcense Law :cnaoter 9 commenc,ng ..,,th Sec:,on ?OJ·~ 01
Di,1s1on 3 of The Business and Proless,ons Cm1ei or :hat ,sex
e"'DT treretrorr and the oas,s 1or the alleged e,e01ot1on Any
,,0Ia1,on ot Sec11on 7031 5 bY an appi1cant for a perrn.t sub
.~c:s the appl,can\ to a civil penalty of not more than f:ve hI1n-
C-red dollars IS500'
I. as owner of the nrooerty or rry e'!lployees w,t•, wages
as Their sole compensation. w,II do lhe work. and the struc-
1ure ,s nol intended or o1lered for sa,e !Sec 7044 Business
ana Profession, Cooe The Contrac1ors License Law does ~ot apply to a~ owner of property w~o ouIlds or improves
:hereon and who does such work h1'llseI1 or lhrougt1 his own employees. orov,oed that such I"1provemenls are not ,ntend-
ed or of1ered for sale If. however. the bu•ld,ng or ,mprove· -ie~t ,s sold w,th,n one year of complet,on the ow~er-builder
wIli have the burden of proving that he dId not build or ,m-
o·ove for lhe purpose of sale1
1. as owner ot the oro;:,erty, am e,clus,vely cont,aclrng wrth licensed coniractors to construct the pro1ect (Sec 7044
Business and Professions Code The Contractor's License Law does not apply lo an owner o1 property who builds or HTJ-
proves thereon. aM who contracts for each pro1ects with a contractor(S) l,cense pursuant 10 the Contractor's License Law)
'..= As a homeowner I a,., 1mprov,ng my home. ant:I :he lollow
Ing cond,tIons exist
1 The work Is tlemg performed or,or 10 sale
2 I have lived in my home for twelve rr-ontr, prmr to comple!mn of 1h1s work
1 nave not claimed lh.s exemption durmg ire
:ast three years
for t'h~:r~~e;;;t under Sec _____ _ B &PC
I hereby at•irm t~a! I have a cert,hcate of consent to
self-,nsure. or a cert,f,cate of Workers· Compensation In
su<ance. or a cert1!1ecl copy thereof 1sec 3800. Labor Cccle)
POLICY "JO
COMPANY
Copy 'S '•led with the city
Cert1f1ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE
1Tt11s section need not be com;:,leled rf the permit
Is for one hund,ed dollars ($100) or less)
=-.= I certify that m the performance of the work for which
this perm,1 ,s issued. I shall not employ any person ,n any
manner so as to become sub1ect 1o the Workers· Campen
satIon Laws ot Cal1fomIa
NOTICE TO APPLICANT. If. after making this Cert,f1cate
of Exemption. you should become sub1ect to the Workers
Compensat,on provisions ot the Labor Code. you 'llust
torthw;th comply w1th such proy,srons or th,s peirnrt shall
be deemed revoked
I he•eby a'f1•"T, tl',at :here ·s a corstr ""' on ·c-1GIn~
age0cy for t~e pertcrfl'a~ce o' t~e wor~ fo· ;,~1-·.o 1°.s r:ec
~11 ·s 1ssuecl ,Sec :0~7 C·•, Ccje>
•;der s Na"lle
~esder s Adcress
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-4859
JOB ADDRESS
j • ~~~L ;;; NEARESZ~-
DATE OF APPLICATION BUSINESS LICENSE# ~;i;1 PERMIT NUMBER
2&~6 _,.,,, -s7 17-,,? ft-?7
f'J--1/}' COT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. u CONTRACTOR CONTRACTORS PHONE 11 ZONE .lt<o I &'D ~, 0 At.✓ --7;;/4M~ r'< ~~c/ 1 ~, 7-~W'; -,.1r ,..._ _,, CONTRACTOR'S ADDRESS STATE UCENSE NO. BUILDING SQ. FOOTAGE ,,,,
/
O:;E;; M;i~ADD~~r~ /f ~ L'~ DESIGNER DESIGNER'S PHONE
DESCRIPT!~d7 ,e-'?,.,..,---. DESIGNER'S ADDRESS STATE LICENSE NO. ,
----------_,,_. ----' ' FLRELEV NO OCC GP EDU STORIES 0014 03/04 0101 02Bldl'at 111-5 ,c -...c ---
I I PAP,c;l"iG SPAC!: I RES UNITS I GRADING PERMIT ISSUED I REOEVELOP'v1EI\JT TYPE OCC LOAD FIRESPP
APEA CONST
,□ ' D -~ -...c vO "'D Not Valid Unless M;,chine Certified
QTY. PLUMBING PERMIT -ISSUE 7.S.=! !I QTY MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER -rfJ .
EACH FIXTURE TRAP . INSTALL FURN lJl:CTS 'JP TO IQC UIJO flTU -. BUILDING PERMIT 00 1-810-00-00-8220 AO~ --EACH BUILDING SE:WER OVER 100.000 BTU V SIGN PERMIT 001-810-00-00-8221
----
EACH WATER HEATER Ar,.[] OR VE:Ni A) BOILE:R COMPRESSOR UP TO 3 HP / PLAN CHFCK 001-810-00-00-8805 ..,_J _s::,
I EACH GAS SYSTEM 1 TO4 OUT Lt.TS ,,2~ 80llrn C~MPRESSO~ TOTAL PLUMBING 001-810-00-00-8222 1:~=--------------f--------:. __ i:;'d"() ,
E:ACH GAS SYSJE.M J UR MUfH . .4"1 f,'fTA: F1RFPL./\.Cl: ELECTRICAL 001-810-00-00-8223 fl-~ -------------+ ---·
EACH INST Al AL !ER, REPAIR \";ATER PIPE _,2.--> ' VEN! I-AN SINGLE DUCT MECHANICAL 001-810-00-00-8224
--------. , e·---EACH VACUUM BREAKER . MECH EXHAUST HO DUCTS MOBILEHOME 001-8 10-00-00-8225
WATER SOFTNER -i RELOCATION OFXA FURNACE HEATER SOLAR 001-810·00-00-8226 , -' ~ -------
LACI-I RODF [;R>\l~J , ~,S·IJL, DRYER VENT/ STRONG MOTION 880-519-92·33 ___ ,_fo_ff__ -
--,----I /~
T.lrll,.kl MECHANICAL FIRE SPRINi<LERS 001·810·00·00-8227
--IU!A( Pi IJ'v1B,~L PUBLIC FACILITIES FEE 320-810-00-00-87 40
:::;;-I QTY. MOBILE HOME SETUP I / BRIDGE fFC -"'{~ QTY. ELECTRICAL PERMIT -ISSUE -.-&i:i1tllt.1-LK.iMA--' I --· _,, ... _J~ .. --NEW CONST E.A AMP S'Nl !)KR .: CAR PORT V 001-810-00-00-8835 -----7 ---LICEN~1
------------
I PH :; PH AWNING 001 ·81 0·00-00·8162 ---------Ex1sr f:!lllG EA AMP SWT BKR GARAG~ ~--
,~~s . . ..... 880·519·92-5 7 ---I PH 1 PH -.... Br\.;iil' ..... _,,c_ -
~~~!}___~ l _ ~L-~ t R _ PER (I ~~I~ /D ". -/ L•O o' ye~ .~~,;.\\{(ii ·•• -
, IEMP PULE. ti.JO AMP~ ; /-• -. ••.t.\\ I -~----
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OVER l(JIJ AMPS -~ '
···-/ ..... fEMP OCCUPANCY 130 DAYSI ---------i---------
/ '
-""-., .:J v_.::..-/ _, CREDIT DEPOSIT
~--i--------
I() I Al f I f [, I fl I LAL ' /sv;.-., ]:)I Al. I I ///S~ I
I I I TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Expiration Every per_mi_t tSSue<I by the Building Ofhc1a1 under the p,ovIs>or,s c" •c ,s ,.. . * AN~ PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UN°DER PENALTY OF,PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ell.pire by flm1tation and become null and void \I the budding or w,;,k 5' 0" DEEP A.NO OEMOLJTION OR Cot,ISTRUCTION OF authorized by such perm,t 1s not commenced w1ttlm 180 days from the date J1 ~uch CECLARA-:-IONS" ARE TRUE AND• CORRECT AND I FURTHE"l CERTIFY AND AGREE IF A PERMIT ·s permit, or ,f the b~~~r work au1hor1zed by such perm,t 1s susp~.1ded or STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED. TO co,.IPLY WITH ALL CITY, COUNlY AND STATE LAWS GOVERNING BU!LD!NG COI\J· abandoned at any ti r !tie woril,,1" ""mmenced for a n,,r1od of 160 deus -~ STRUCT'ON WHETHER SPEC,F,ED HERE<N OR NOT 'ALSO AGREE TO SAVE <NDEMN,FY AND APPUCANT"" ~ ?' WN ONTRACTOR C APPROVED BY ,!/ '~Y7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO ~
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGA!NST SAID CITY IN CONSEQUENCE OF Tf--E ~ -,,~ c' /' BY PHONE rJ -GRANTING OF TH!S PEF\MtT _..., ~ / -
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ Sli!EAR
FRAME
EXTERIOR LATH ~-
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER D SOLAR WATER
ELECTRICAL
ld---fi:LECTRIC UNDERGROUND
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS ,
VENTILATING SYSTEMS
CALL FOR FINAL INSPECr,ON WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
FINAL
SPECIAL CONDITIONS
87~91
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES•
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO ..
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PS!_
PRES TRESSED
CONCRETE
POST TENSIONED ....._
CONCRETE
FIELD WELDING . . •.
HIGH STRENGTH ' sou's.
SPECIAL MASONRY "-.
PILES CAISSON!::
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PLAN CHECK NO. J?z-71 ADDRESS -""~_b _·-;;l._f;___,~_· ____ _ DATE
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PLANNING
ZONE: R._ f / YPE OF PROJECT AND USE: 4 ,'-/~
SCHOOL DISTRICT• ~N,.J),JEGUITO -ENCINITAS -CARLJ;-;;l_-;;;;N MARCOS -
SETBACKS: FRONT . t f{_ c SIDE _____ REAR
DISCRETIONARY ACTIONS:~
REDEVELOPMENT PERMIT R-'E'-QU-1', I'-R'-E-~-: ----------------------
LANDSCAPE PLAN COMMENTS:...,~~""½f_,___ -----,.------------------
ENVIRONMENTAL REQUIRED:_~~"'°"4,..q{--___________________ _
COASTAL PERMIT REQUIRED: YES NO ~ -----ADDITIONAL COMMENTS: -------------------------
OK TO ISSUE: ---------DATE: ,;J ~ d/r?
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? 6tL-
EASEMENTS: __ __,Q...,._~-=6-v+-,,l~I ___ _
EDU'S: ____________ __.___
APN CHECKED? ,,)/0 -j/[J-//
' /
RIGHT-OF-WAY: ----------
DRAINAGE: ------------
IMPROVEMENTS: ----.,.------=F=1E=L=o-:c=H=E=cK,.,....,,Dc-:-A=rE=--=-&-1;-:-N7-::I=T-:-:IA,-;-L-:,:-S-: ------
PERMITS REQUIRED
DRIVEWAY: INDUST.RIAL WASTE:
FEES REQUIRED /
/ PARK-IN-LIEU QUADRANT: ____ ~ER UNIT: TOTAL FEE:
P.F.F.: TRAFFIC IMP~tr FEE P~R UNI .. : ~ TOTAL FEE: _____ _ ----I I BRI~GE & THOROUGHFARE FEE: .Z SEWER LATERAL: ------
FACILITIES MGMT. FEE:
SEWER FEE (CONNECTION): (
ADDITIONAL COMMENTS:
OK TO ISSUE:
DPD2:DPD6:10/24/86
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
etitp of etarlsbab
DEVELOPMENT PROCESSING
SERVICES DIVISION
AFFIDAVIT
This document will certify that I know the provisions
requiring fencing for swimmin~ pools and/or spas. I
··-------
TELEPHONE
(619) 438-1161
understand that I, as the owner of / ,;;'/ /
--ZU;{ #drt?# ff ib-/5 ~~ ; ,
ADDRESS
must obtain an approved final inspection of the fencin~
from the Building Department prior to final inspection
of the swimmin~ pool and/or spa, and prior to any use
of the
This signed form is to be attached to the Inspector's
copy of the swimming pool and/or spa permit.