HomeMy WebLinkAbout1665 SANDALWOOD LN; ; 84-476; Permit~ ~ I hereby affirm that I am licensed under
~lslons of Chapter 9 (commencing with
~ and Professions Code, and my license Is In
[
Section 7000) of Division 3 of the Business
c full force and effect. B
en z 0 ;:::
C a: C ~ 0 ..,
0
Ii t,c No VI, ~1 t.,'a, Cim -~-~--
0 0
a: "' 0 ~ 5 • ii: "' z ~ 0
z
0 ;:::
'o 0 en a: "' "' a: 0 3
il
I hereby alfirm Iha! I am exempt from the Contrac· tOf's Ltcense law tor 1he lollow1ng reason (Sec. 7031.5
Business and Professions Code Any city or county wh1cn re•
quires a permit to construe!, alter, improve, demolish, or
repair any structure, prior to ,ts issuance also requires !heap-
phcant !or such permit to file a signed statement that he 1s licensed pursuant to !he prov1st0ns of tile Contrac1or s license Law (Chapter 9 commencing with Section 7000 ol
Ow1s10n 3 of the Business and Professions Code) or that 1s ex· empt theretrom and the baSIS lor me alleged exemption Any vl0iat1on ol Section 7031.5 by an apphcant lor a permit sub·
jects the apphcanI to a ~vii penalty of nol fflOfe than hve hun-
dred dotlars ($500).
rJ I, as owner of the property, or my employees w11h wages as lhe1r so.le compensation. will do the work, and the siruc-
ture 1s not intended or ottered !or sale (Sec 7044 Business
and Professions Code The Con1rac101·s license Law does
not ap¢y lo an owner ol proper1y who builds or improves thereon and who does such wOfk himself or through his own
employees, pr0\l1ded that such improvements are not mrend· ed or olfered for sale. II, however. the building or improve·
menl is sold within one year of complellon, the owner-builder will have lhe burden ot proving thal he did nol btuld or im•
prove for lhe purpose of sale)
D I. as owner ol the property, am excluslvety conlractmg
wilh licensed contractors to construct the proiect (Sec. 7044, Bosmess and Pfoless1ons Code· The Conlractor's License
Law does not apply to an owner ol property who builds or im-proves thereon. and who contracts lor each proiects with a
coniractor(s) license pursuant to the Contractor's license Law).
D As a homeowner I am improving my home, and the folk>w
ing conditions exist· 1 The work is being pertormed prior 10 sale 2 I have hved m my home for twelve months
pnor to comp!et10n of this work.
3 I have no1 claimed this exemption dunng the
last three years
D I am exempf under Sec. ______ , B & PC. fOf this reason ____________ _
O I hereby affirm that I ha,e a cen,t.cate of consent
10 selt-1nsure. or a cen1t,ca1e or WorJ\.ers
Compensallon Insurance, or a cen,t1ed cooy thereof !Sec 3800. ubO< Codel
POLICY NO
COMPANY
□ Cooy IS hied w,th lhe city
0 Cen1hed copy ,s hereoy furnished
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This sechol"I need no! be completed 11 ine perm,t
iS tor one hundred oollars (S 100) or less)
0 I cer11fy that 1n the perf0<mance ot !he won< tor
which ttns permit 1s issued. I shall nol employ any
person m any manner .so as 10 t>ecome su01ec1 to
the Wonters· Compensation Laws ot Ca111orn1a
NOTICE TO APPLICANT II. alter maktnJ trus Cent
t,cate ot Exemption you shOYld beeome suo1ec1 10
me Workers· Compensation prov1s1ons ol tne Laoor
Cooe. you mus, lorth~••lh comply w1tn such
pt'0\/1S1ons or this permit shall be oeemel1 1evoke<:1
0 I hereby athrm thal there 1s a cons1ruc1,on
1en<J1nQ aoency tor the pertormance ol tf'1e wofl,, lor wh,ch this permit 1s ,ssued 1Sec x,:J7 C1v,1 Codei
Lenders Name ___________ _
Lenoer s AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD . -.... . ..... . . . . ...... ......... .. APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST. RO NEAREST CROSS ST. Io;~~ ;~Li;ON~ ;;1N;~c;ski / VALUATION PERMIT NUMBER
1,b$' s~fUDAL t..woov ~I. ' -e--~~-'-176 LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTRACTOR f ·~ • n _._ 1 · ~ C O. -tcONTRACTORS PHONE • ZONE
Rcei:WZ-7' L.,177Le 7,-f.-7373 OWNERS NAME I 11. ;:N;; ;;E 1\ I -4..'t-) ¥[-' A4~..., L\ CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
I yi'1->-AL61vlH-t.. /.,,,(>,,1,1 "'bO 1. '-' ~ I OWNER'S MAILING AOOREi
I /f.{:, ~ SAJ..'D~\.... WO~ PL DESIGNER I LICENSE a STANDARD PLAN# BUILDING SO. FOOTAGE
I DESCRIPTION OF VYORK
I DESIGNER'S AOORESS DESIGNER'S PHONE
M°DV1«.. 4 R~~ +1c~ Li tbv LI/ r...'.,/ ___ I . .
NO 001 fib~::. u . ,. ..
F/P FLR ELEV. OCC GP EDU
~ostocM-STORIES Li '""Al l)~~T vO NO 0 l..::. I I 5 :..0 '
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO Fl RE SPA
I
AREA CONST
I y O N 0 vO NO vO NO Not Valid Unlesr Machine Certrfied
1 QTY. PLUMBING PERMIT -ISSUE '1.Sb QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00-8220
EACH BUI LUING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 -
EACH WATER HEATER ANO•OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM I TO 4 OUT LETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01-00-00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 //";-
EACH INSTAl. ALTER. REPAIR WATER PIPE _ VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00-8224 -
EACH VACUUM BREAKER MECH EXHAUSl HOOD'OUCTS MOBILEHOME 01 -00-00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-~??~
I TOT.G.L MECHANICAL STRONG MOTION 80·92·33-0519
I TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00-8227
I PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR -ISSUE 32·00-00-893)
5-BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinilas 80·92-22-0519
1 PH 3 PH PUMP San Dieguilo 80·92-23-0519
REMODEL'ALHR PER CIRCUIT 5 --PLAN CHECK FEE San Marcos 80·92-24-0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOlAL ELECTRICAL I /0 TOTAL SOLAR TOTAL FEES PAYABLE I lO--I
I Expiration Every permit issued by the Building Oft1c1al under 1heprov1s,ons ofth1s
I I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPUCATION ANO PERMIT AND 00 HEREBY * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS 0\/ER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE COde stiall expire by llmttat,on and become null and void It the bu1ld1ng or work s· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
I OECLARA TIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w1th1n 180days from the date of such STRUCTURES 0\/ER 3 STOfllES IN HEIGHT permit or tf the bu1ldmfl or work authorized by such permu ,s suspended or
I ISSUED. TO COMPLY WITH .ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandoned at anv hme • ter the work 1s commenced for a oeiriod of 180 davs
I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE lf. OWNER□ CONTRACTO~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND J, I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE A':/~ :;,l~ I f-el-C/~K1 I GRANTING OF THIS PERMIT r, I-• -r' ~ .. BY PHONE 0 tr I
~
ii:
>-;;;
0 a.
E Q) I-
I
-0 0 C,
c co
(.)
a. a. <(
I
-"' C a:
0 (/) (/)
Q) (/)
(/)
<(
I
~ 2
Q) >-
(/)
(/)
Q)
(.)
0 0::
C1) ;;;
0
~
Q)
(.)
C co C
u.
:s
C
Q)
~ C,
0 u Q) a. rn
C
~
.c 3
TYPE I DATE INSPECTOR , ,. , .. -
BUILDING I
FOUNDATION I
I
~ &-4 _, 7 ~)(,,,
FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY ' i
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPE6T10N. REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I
SHEATHING D ROOF D SHBAR SOILS COMPLIANCE
PRIOR TO
FRAME I
I
FOUNDATION INSP
EXTERIOR LA TH i STRUCTURAL CONCRETE
OVER 2000 PS, .
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WfcLDING
SEWER AND BUCO D IPUCO I
I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D W,?,TER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' I
D WATER HEATER D SOLAR WATER
PILES CAISSONS
'
I ' -ELECTRICAL l l ...,.. • .-
D ELECTRIC UNDERGROUND D ljlFFER /
ROUGH ELECTRIC I l'e ·~~ ·(. (-lJI
D ELECTRIC SERVICE D TEMPOijARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPIN~ -HEAT -AIR COND. SYSTEMS I -
VENTILATING SYSTEMS I ' ' ' I . I ~
I
CALL FOR FINAL INSPECT!~N WHEN ALL APPROPRIATE
ITEMS ABOVE HAV BEEN APPROVED.
FINAL I _,_
PLUMBING I .. h
... . . ...
< ' ELECTRICAL I 1/ . \ ~ .. MECHANICAL ' (j'/ j
GAS ,,r D I u f1. j l ... .
--• \Ji ... _.,. .... , ....... ~ ... ..;:"' ' ., _j .
' , ... ·-. , '
BUILDING I I -<J f ,, .
SPECIAL CONDITIONS I l
I
I