HomeMy WebLinkAbout1510 SANDALWOOD LN; ; CB880385; Permit"' z 0 ;: ,c a: ,c
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,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
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i= 1 ~PY ,s hied with the city i -~"□. Cefl!lled copy Is hereby furnished
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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
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-,;-~ 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
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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
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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
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7
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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
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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
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._ "\U ~•-"' ' FIELOWELOING ..,. .,,; }:1/
1---,:r.,--::--.1-----:tlt!:Y...-------------------------i HIGH_ STRENGTH "Xv',. ¥ -., 6~/
BOLTS ~ .J-"T"::-;:::;..;i,a"!""'~~•';/::..... __________________________ '"!
r,.. -·-,~--:/ SPECIAL MASONRY ,._ . .,._ ..,,~ •
PILES CAISSONS
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