HomeMy WebLinkAbout1665 SANDALWOOD LN; ; 84-526; PermitIll z 0 ;:: <C a:: <C ... 0 "' a
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O I hereby affirm that I am licensed under
pro"-11,"ons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full fo~e and •r:,ot. C 53> Lie Nn J..:sq Class
I ttereby altlrm that I am exempl from lhe Contrac·
lor's License Law for the lofJowtng reason (Sec 7031 5
Busmess and Profess10ns Code Any clly or county which re• quires a perm,1 to construe!. al!er. improve. demolish. 0< repair any suucture. poor to 11s issuance also reqwres !heap·
pj1can1 !or such permit to h!e a StQned statement tha1 he 1s licensee:, pursuant to !he prov1s10ns al lhe Gon1rac11)r s
LJCense Law (Chapter 9 commencing with Section 7000 of 0iv1s1on 3 of the Business and Professions Cade) or I hat 1s ex-empt therefrom and the basis for the aUegea exemption A.ny
vI0lallon of Secuon 7031 5 by an applicant for a permit sub-
1ects the applicant to a c1v1l penalfV ol not mOJe than !we 'llun-dred dollars ($500)
n I, as owner ol the property, or my employees -...1th wages
as their sate compensation. will do the work, and the s1'uc• ture 1s not 111tended Of offered for sale (Sec 7044, 8usmess
and Proless1onr. Code The Conlraclor's License Law does
not apply to an owner of property who builds or improves thereon and who does such work himself or lhrough his own
employees. provided lhat such improvements are not intend·
ed or ollered !or sale If, however. the bmldmg or improve~ men! Is sotd w1th1n one year of comp{el,on, the owner·bu11der will have the bur<1en of proving that he did nor build or 1m•
prove for lhe purpose of safe)
D I, as owner of the property, am exclusively contracting
wllh licensed contractors lo consiruct the pr01ect (Sec 7044. Business and Professtans Code The contractor's Ltcense
Law does nol appty to an owner ol property who builds or im· proves thereon, and who contracts tor each prqects with a
contracIor(s) license pursuant lo the Contractor's bcense Law).
C1 As a homeowner I am improving my home, and lhe follow Ing condilians exist
1 The work is being performed prior to sale 2 I have lived In my home for lwelve mon1hs
3 r:: :'1Pc1~::f tI~t; :!~pt,on durmo the last three years
D I am exempt ullder Sec. _____ _
lor th,s reason B&PC -------------
O I hereby art1rm tha1 I nave a cert1f,cate ot consent
to self insure, or a certificate ot WorM..ers
Compensa11on Insurance. Of a cer11hed copy lhe1eol
!Sec 3800. LabOf COde)
POLICY NO
COMPANY
~y IS ltled With the c,1y
O Cen1l1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s sec11on need no1 be completed rt lhe perm,, ,s. to, one hundred dOllars !$100) or less)
0 I certify that 1n lhe performance ot the wor1( ror
which this pern-111 1s 1ssuect. I shall no1 emoloy any
person 1n any manner so as 10 t>ecome sub1ecr 10
!he Wof'1o.ers Compensa11on Laws ot Cal1lorma
NOTICE TO APPLICANT II, after makmJ lh1s Cer11
hcate of Exemp11on. you shoulct beeome sub1ec1 I'>
Ille Workers Compensa11on provisions or !he Labor Cooe. you must lorth\o\-·11n comply with such
prov1s1ons or lh1s oerm1t shall be deemed revokeO
O I hereby artum Iha! there ,s a consuuc11on
1eno1ng agency tor the per1ormance ol the wor1-. tor
wn,ch 1h1s perm,1 ,s issued (Sec 3097 c,v11 COde1
Lenders Name ___________ _
Lender s Address __________ _
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CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV.ST.RO NEAREST CROSS ST I DA7,r i L&fNI
BUSINESS LICENSE " VA LUATION PERMIT NUMBER
)tt, c; q-A.UD~~() ~ 4~0 B{-52:b LOT BLOCK I SUBDIVISION I ll.SSESS, PARCEL NO. Sl...fOU CONTRACTOR CONTRACTORS PHONE • ZONE 0::> l'ev ~£moN ~le 1l/-J-~o OWNEffS NAME
l1£'l~N~37i
=:[A.JC:.
P\~~ ~rz,aJ., CONTRACTOR'S AOORESS J;,,5C.t),.J f> tDO LICENSE NO. PLAN 1.0. # BLOG USE CODE
.,Ob w. ta1ss, wt.. ~2.5'1~0-~S\ ·tz.eE:.. / /'JI\ OWNER'S MA,LING ADORESS .,__,. I "'I
..ti!!!!. "'1r-.l...---_ DESIGNER LICENSE " STANDARD PLAN#
B.~.F5ZJE ~
! DESCRIPTION OF WORK It,~ •,..
DESIGNE R·s ACOR ESS DESIGNER'S PHONE UUU/_b3 H I I l I EJ .. ; ~UN\. Te, ~-PP( 41.;
F/P FLA ELEV. NO OCC GP EDU I STORIES
I vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO N 0 vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE 7-[!!. QTY. MECHANICAL PERMIT -ISSUE 3 -SUMMARY/ACCOUNT NUMBER /~#I I EACH FIXTURE TRAP , INSTALL FURN. DUCTS uP TO 100.000 BTU BUILDING PERMIT 01-00-00-8220 -/:;J ,v -I
I EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00-8221 _Jd -/.,,;9' I EACH WATER HEATER AND~T BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
I EACH GAS SYSTEM 1 T~TJ._l.(S I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00-8222 ~ .. I EACH GAS SYSTl M~~~RE METAL FIREPLACE ELECTRICAL 01 ·00-00-8223 r \ V I
I EACH IN~~\-~LN/, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00·00·8224
EACH v~tl\,"!fREAKER -·--I MECH EXHAUST HOOD 1DUCTS MOBILEHOME 01-00-00·8225 I WATER so'FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP I
EACH ROOF DRAIN (,NSIDEI SOLAR n1-oo.:on-•oo~
TOTt;L MECHANICAL STRONG MOTION 80·92·33·0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-00-00·8227
SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00-00·89ll QTY. ELECTRICAL PERMIT -ISSUE .5-=. QTY.
BRIDGE FEE
NEW CONST EA AMP SWl BK R ...r---. COLLECTORS SCHOOL FEE • DISTRICT
I PH -l..-1\i( V STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLDG EA AMP1S'1\T~R/-ROCK STORAGE Encinitas 80-92·22-0519
1 PH {° ,-. \ f'.J 3 PH PUMP San Dlegu110 80·92·23·0519
REMODE l\A\-t\A i;Y c1Rcu1T PLAN CHECK FEE San Marcos 80·92· 24-0519
TEMP POLE\NOAMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162 /
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519 ,,., /111,1 / --... _,
CREDIT DEPOSIT ~ JU• 'l, 'V ~ '\ ·:7w o~ I
TOTAL ELEClRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I "M..l':i.
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT AND DO HEREBY Expirat,on Every perm,t issued by the Bu1ld1ng Off1c1al under the prov1sIons of th,s * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tahon and become null and void If the bu,ld,ng or work 5· 0 .. DEEP AND DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulho:~ such perm,t 1s not commenced wllhon 180 days from the date or such STRUCl\JRES OVER 3 STORIES IN HEIGHT ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• :~~~t, ed t t=~y ~~~~l~~e~~h=~~,:~!hco~~~e~le~~~~ r~~~·~,sr:sd~~~ 0
'
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND A~IGNA~ 0 CONTRACTOR 0 A~~ DAio,tics4 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND OWNER
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • BY PHONE 0 I GRANTINGOFTHISPERMIT ~ ~ -7-~
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TYPE 1
. BUILDING I
OUNDATION I
,~INFORCED STEEL I
IASONRY I
iUNITE OR GROUT I
LOOR & CEILING SUB FRAME 1
F
R
M
G
F
s
F
E
I
HEATHING □ ROOF □ SHEAR
RAME I . XTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL i
I
PLUMBING I
SEWER AND BUCO s
u
□IPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
G GAS TEST I
□ WATER HEATER □ SOLAR WAirER
(
ELECTRICAL I
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO$ARY
□ BONDING □ POOL I
U.-u , I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I ,.
I '
DATE INSPECTOR
/
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(()·?.?, :-lzn ✓
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED. -FINAL
.. ~✓--
PLUMBING ~ ~~
ELECTRICAL ,~,( ~ -u ~v' MECHANICAL { tJ'J'
GAS ',-, )4 :. ~ !-.:> ..... "'-'-"" p..V ~r--; r 1 .. . BJ..\,ILDING •
SPECIMI> CONDITIONS t
..
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,,_ . \. ..
FIELD INSPECTION RECORD '
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
REQ IF INSPECTORS INSPECTION CHECKED APPROVAL DATE . f • .., . ' l < . . SOILS COMPLIANCE f • ..._ ... "" ~
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSOi'<S
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("~.:_-~· 71\
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PLAN cHEcK NUMBER ?t.{-5o2.f.AoDRESS I&,(,,~ )~c9 DATE Joft(f,y
PLANNING: TYPE OF STRUCTURE._~£,-..._i,,a-&~-'-------------ZONE:
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------
SCHOOL FEES : SAN DIEGUITO --------ENCINITAS --------
CARLSBAD --------SAN MARCOS --------
% COVERAGE ------------RE Q U 1 RED SETBAC KS ------
BUILDING HEIGHT ----------FRONT ----------FENCES/WALLS __________ _ SIDE ----------
TWO CAR GARAGE -----------REAR
COMMENTS: __________________________ _
REDEVELOP~1ENT APPROVAL REQUIRED : ______________ --'---
LANDSCAPE PLAN COMMENTS: ----------------------
ENVIRONMENTAL REQUIREQ_: ____________________ _
ADDITIONAL COMMENTS : ---------.--------------------
****************** **********
ENGINEERING
P.F.F.
R.0.1~~
LEGAL
-------
SE\.IER : ----\---+----------:..--+--::::::::-~----t--->r------;
LATERAL : ----\--+----=::::-------+
GRADING P
ORA I NAGE: 1\------\----Jr.li------+-____;=---+--+-----;----t---,....--~n---
EASEMENTS : , ....... -~f----------1,-----
OK TO ISSUE : ----------
* ENG !NEER I NG I NS PE CT ION REQUIRED =---------~k---tt---,~------
PUBLIC v'ORKS INSPECTOR: _______________ ---1.;t------
FINAL OK: -----------DATE: ______________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTM ENT WILL MAKE ALL INSPECTIONS
(DRIV EWAY S, CURB CUT, DRAINAGE, ETC.)