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HomeMy WebLinkAbout1510 SANDALWOOD LN; ; CB880385; Permit"' z 0 ;: ,c a: ,c ..J u "' 0 C 0 .. ~ .. z 0 u C "' 0 ... 5 I "' z ~ 0 ,eret,y alllrm that I am licensed under ~• of Ch■l)ter 9 (commencing with Section 7000) of Division 3 of the Business and Profnelona Code. and my license is In full force and effect. I htreby alhrm that I am exempt lrom the Cont,ac· tors License Law for lhe following reason (Sec 103, 5 8usmess and Professt0ns COde Any cIly Of counly wh,cr. re· quires a permit 10 construcl. alter improve. demohsh Of r~1r any struc1ure, prlO< 10 ,ts issuance also requires !heap- phcant tor sucn per!Tlll to hie a s19oed statement lhal he 1s 11cense<1 pursuant 10 the prov,s,ons of !he 1,;on1ractor s License Law (Chapter 9 c.ommenc,ng with Sectt00 7000 ot DMs1on 3 of tne Busmess and Professions Code) or lhal 1s ex· empt therefrom and lhe basis f<H lhe attegeo exempuon Any v1otat10n ol Section 7031.5 by an apphcanl lor a perm11 sub-1ects !he apphcanl to a c1v11 penalty ol not mOJe than lfVe hun· Ored dollars ($500) I, as owner of the property or my employees with wages as 1ne1r sole compensa1t0n w,11 do the work and the struc- ture 1s not 1n1ende<J or oflered tor sale (Sec 7044 Business and Professions COde lne Con1rac1or·s License Law does not apply to an owner of property who builds or improves 1ttereon and who does such work h1msell or through his own employees. provided that such 1mprovemen1s are no1 intend- ed or ottered !or sate If. however the butldmg or Improve-men1Is sold w1th1n one year ot completion, the owne,-bu1lder will have lhe burden ot provmg Iha! he did not build or im- prove 10< 11,, purpose ol saleJ I. as owner ol the property, am exclusively conrractmg wI1n ltcensed contraclors 10 cons1ruct lhe prOfetl (Sec 7044, Business and Professions COde The ConlraclOt"'s License law does not appty to an owner of properly who t>utlds or im- proves thereon. and who contracts tor each proiects with a conttactor(s) hcense pursuant 10 the Contract0t's L,cense Law) n As a hameowner I am Improvmg my home, and lhe lollow mg cond1llons e1ust I The work 15 being performed pnor to sale 2 I nave !wed m my home for twelve months pnOf lo comple110n ol lh1s work I have not claimed lh1s exemptt0n dunng the last three years 0 I am exempt under Sec ______ • 8 & P C fOf lh1s reason ____________ _ C I l'\ereby affirm Iha! I have a eertiftcate of consent to sell•insure. or a cer1,t1cate al Workers· Compensalion In- surance. or a certified copy lhereol lSec 3800. Labor COde) POLICY NO COMPANY z 0 i= 1 ~PY ,s hied with the city i -~"□. Cefl!lled copy Is hereby furnished w ...,\' A. • ~ 0 u "' "' w "' a: 0 ~ ![ CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE (This secllon need not be completed 11 the permit ,s for one hundred dollars tSH><» or less) 0 I cer11ly that ,n the perlo,mance 01 lhe w01k !Of which 1h15 permit Is issued. I shall not employ any person 1n any manner so as lo become sub1ect to the WOfkers· Compen- sa11on Laws at California. NOTICE TO APPLICANT If. after making this Cer11flcate at Exemption. you shOuld become sut>1ect 10 the Workers Compensal/on provisions ol the Labor Code. you must torthwilh comply w1lh such pro'-l1sions or !his permit shall be deemed re'-'Oked D I hereby affnm 11,at there 1s a cons1ruc1ion len(hng agency for the performa~t lhe r ork for which this per• met Is issued (Sec m t C1fll Cciiel Lender s Name ' ( / L Lender"• Address --f/-1-/-+I--~-- 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 ADOR-ESS A V-ST.RO -----BUSINESS~ VALUATION J--JJ"'--:LI~L-..:::::""l"~.::!,,.,!._..U.LiU...J:.U:~A..l!,...l.!::!,,.£.~:,....J,..6,L...LJ~.,,.)_----.---C-0-N--TR_A_C_T_O_R __ .... ,L£:;.a_,J.:_:_~.=__J CONTRACTORS PHONE • ZONE 3 50 c:Jffa ~ ~ PERMIT NUMBER OWNE~NAME K9{() a5> STATE LICENSE NO. BUILDING so. FOOTAGE owNt R'S MA, u NG ADDRESS l--1:l...t.:!ll.<:.......I--....J..._.JU...U,....U..i..aL.li-l,:;~,;_',1.'"{.~' ~ G/ J3 • '<; T) DESIGNER'S PHONE ~ u. >-;;; 0 5 \ 34?_tP -,;-~ DESIGNER'S ADDRESS STATE LICENSE NO. 0005 03/25 0101 02BldPmt ss.od E /~~ 4:, Su,._, R..atJM. FIP FLA ELEV. vO NO CENSUS TRACT PARKING SPACE GRADING PERMIT ISSUED ----;w- STORIES TYPE CONST OCC GP EDU occ LOAD I FI RE SPA RES UNITS l y D ND F ELOPMENT A vO "□ vO NO Nor Valid Unins M~chine Certifi«J QTY. PLUMBING PERMIT -ISSUE Q.SD QTY. MECHANICAL PERMIT -ISSUE ,5,00 SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP EACH BUILDING 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 VACUU M BREAKE R WATER SOFTNER EACH ROOF DRAIN !INSIDE! TO I AL PL UMBINL l QTY. ELECTRICAL PERMIT -ISSUE 5.00 QTY. NEW CONST EA AMP SWl BKR l PH 3 PH EXIST BLOG EA AMP SWT BKR 1 PH 3 PH REMODEL ALltR PER CIRCUIT TEMP POLE 700 AMPS OVER 200 AMPS TEMP OCCUPANCY 130 DAYSI TOTAL ELELlRICAl I INSTALL FURN DUCTS uP TO 100 000 BTU ..,,. BUILDING PERMIT OVER 100,000 BTU SIGN PERMIT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING METAL FIREPLACE ELECTRICAL VENT FAN SINGLE DUCT MECHANICAL MECH EXHAUST HOOD DUCTS MOBILEHOME RELOCATION OF EA FURNACE,HEATER SOLAR DRYER VENT STRONG MOTION TOT/;L MECHANICAL ~25~ FIRE SPRINKLERS PUBLIC FACILITIES FEE MOBILE HOME SE~ ~ BRIDGE FEE ~ PARK-IN-LIEU (AREA CAR PORT ,. lfAf( L'IBB ~\ TIF AWNING 111 PAID 1 I LA COSTA TIF GARAGE ~~ CiiY._Qf .r'AD:".!~~~ · j,.. / FMF \? .. CARIEBAO,CA ,ft} LICENSE TAX ~A. 7 MFF '(_ey>~ .J _.., t, ':>/ -11,0 ,0 ~ CREDIT DEPOSIT 001·810·00·00·8220 001810·00·00·8221 001-810·00-00-8891 00 i ·810·00·00·8222 001·810-00·00·8223 001·810·00·00·8224 001·810·00-00·8225 001 ·810·00·00·8226 880·519·92-33 001-810·00·00-8227 320·810-00-00·87 40 360·810·00-00·87 40 l 312-810-00-00-8835 311-810·00-00-8835 001·810·00-00·8162 880-519-92·57 TOTAL TOTAL FEES PAYABLE l ~ '-' 7 5~d"V I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT' AND DO HEREBY CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT 1$ ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT Exporat,on Every permit issued by theBu1ld1ng Ott,c,al under the pro-.s,ons of th,s I * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER Code shall expore by hmitallon and become null and void II the bu,idmg or wor>. 5 o· DEEP AND D£MOLITK)N Of1 CONSTRUCTK>N OF authorized by such permtl 1s not commenced w1th1n 180 days from lhe date OI sucri ~AUCTIJRES OVER l STORIES IN HUGHT perm it. or If the bu1tding or work. authorized by such pe,m,1 1s suspended or , , ,.. abandoned 11 any time after the work ,s commenced for a oenOd of 18Q--9J..'li APPLICANTS SIGNATURE lf-OWNER[l CONTRACTO~p~ (; 13 ~ A W\I\. J BY PHON fJ --·-., (7i?at QJ I- I 'O 0 ('.) C <1l () Q. a. <( I .:.< C a: 0 V) V) QJ V) V) <( I 3: g ai >- Q) () C <1l C u:: ::::, C QJ ~ (!) 0 u QJ Q. V) C ~ r. ~ 1 -~ ,~·. ... l ~ !l( it f -~ ..,_. j ~ ~ i ! ,,. ,._,, TYPE DATE INSPECTOR BUILDING FOUNDATION REINFORCED STEEL MASONRY GUNITE OR GROUT SUB FRAME □ FLOOR □ CEILING SHEATHING □ ROOF □ SHEAR FRAME EXTERIOR LATH INSULATION INTERIOR LATH & DRYWALL PLUMBING □ SEWER AND BUCO □ PUCO UNDERGROUND D WASTE □ WATER TOP OUT D WASTE D WATER TIJB AND SHOWER PAN GAS TEST [J WATER HEATER D SOLAR WATER ELECTRICAL D ELECTRIC UNDERGROUND D UFFER ROUGH ELECTRIC D ELECTRIC SERVICE D TEMPORARY D BONDING D POOL MECHANICAL D DUCT & PLEM., D REF. PIPING HEAT -AIR COND. SYSTEMS . \ , . . VENTILATING SYSTEMS . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED FINAL ,\ I PLUMBING ri: "\.ti. ELECTRICAL . ""1[ ' \ ,::_ MECHANICAL ~ ~ GAS r • " ~ BUILDING I I,.... ' SPECIAL CONDITIONS .J c,&rs& D 3-g;S- F1ELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS l======l=N=S=P=E=C=T=O=R='=S=N=O=T===ES=====--~=============, REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE PRIOR TO ,, . ,orc.q~ FOUNDATION INSP / ) >' • . vt,::i, I----_,_,',-:,=-:--------------------------, STRUCTURAL CONCRETE /.;/' '",i\. OVER 2000 PSI _f_.!_:., 1--~'...!':,_---~~~~\,--_________________________ 7 PRESTRESSED '.'q ·1.;.:::d. ;:\ CONCRETE t; l--,--'"':..-.:.:1'::.!'::.__::.......,._.,_+-:,-----------------------------, POST TENSIONED • ii "' . . .!_J CONCRETE ,_ ~":.:.'..,.,....~"'~~---f"";-;+--------------------------1 ~ ._ "\U ~•-"' ' FIELOWELOING ..,. .,,; }:1/ 1---,:r.,--::--.1-----:tlt!:Y...-------------------------i HIGH_ STRENGTH "Xv',. ¥ -., 6~/ BOLTS ~ .J-"T"::-;:::;..;i,a"!""'~~•';/::..... __________________________ '"! r,.. -·-,~--:/ SPECIAL MASONRY ,._ . .,._ ..,,~ • PILES CAISSONS . . . . ~ • ~ (:T~ , :-·: ~:: (-,.. ".._'. ·,r -, ~ N6 u.J,,1 dou..LS ; • ·, · :· ·-·~" Sore,e,t/1 ~ I y -. -. ~·-~--. ' ... l \ ' 1-----'--------'---------------------1