HomeMy WebLinkAbout1630 SANDALWOOD LN; ; 82-63; Permitu, z 0 ~ a:: C ... ~ 0
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e:(i' ,,.,.aby al... , that I am llcensect under
provlelon• of Chapter 9 ~menclng with
Section 7000) ot Olvlslon 3 of the Buslneu
and Prol"1lon1 Code, and my llcense Is In
~~I ~';JJ'ltl"3-Clm 91-5< Y 'I
I hereby affirm that I am exempt from tne Con-
~)~t;i,:; ~ ~1:.':!~c:!l,~;~
county which requires a pennlt to construct .,,er. ,mprow:, demohsh, or repair any stn,cture.
pnor to its issuance also requires the apphcant fOf
such pe,m1t to hie a signed statement that he is
Ileen-pursuant to tho P,OYlSK>nS of tho Con-tractor's License Law (CI\IOter 9 commenc1no with Sectoon 7000 of O,v,s,on 3 of tho Business and Pro-fossoons Code) Of that Is exempt thffllfrom and tho
basis lor the al~ exemptton. Any vfOlation of S.Ct,on 7031.5 t,y an applicant f0< a pom,I1 sulljec:ts
tne applicant to a civil penelty ot not more than five
hund<wd dollars ($5001
O I, .. owner of tho property, °' my employees
,.1th wages as their SOie compensahon, will do the WO<lt, and the structure is not intended°' offered 10<
sate (Sec. 7004, Business and Professions Code
The Contractor's L1ce,nse Ulw does not apply to an owner of p,opony wllo builds Of improves thereon and who ck>es such wOf'k himself 01 through his own
empk>yees. p,oytded that such 1mp,overne.1ts a,e not 1ntonde1 Of offered f0< sale. It, ho-. the build1no or improvement ,a sold within one yea, of completoon. tho owner-builder will have the burden of proving that he did not build or improve tor the
purpose of sale~
O I, as owner of lhe property, am exclustvefy
contracti"i with hcensed contr~tors to construct the P,Of9CI (Sec 704,,4, Business and Profess.ans
Code The Contractor·s L.cense Uw does not apply
to an owner of property who builds or Improves
~~~1~ v:;~nC:::!~~ ~~t!'~t~::.:
L,cense Law).
0 I am e,empt under Sec ____ , B & P.C
torth1s reason ___________ _
~reby athrm that I hawe a certificate of consent
to sell-insure. or a certificate of Wor'kers'
Compens.ahon Insurance. or a cert1f1ed CoPY thereof (Sec 3800. ~ Coc?ei_
POLICYNO w_<w~ 82 0 (
COMPANYIU~~
□ Copy IS hied with the city
C Cert1hed copy 1s hereby tum1s
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This seclton need not be completed 11 the pemut
is f0f' one hundred dollars (1100) or tess)
0 I certify that in the pertom,.ance of lhe w~ for
which this permit ,s issued, I shall not employ any
person 1n any manner so as to become subteel to
the Wot1c.ers· Compensation Uws ot ca11tom1a
NOTICE TO APPLICANT It, after malun~ this Cer11·
hcate of Exemphon, you should become sut>tect t'l
the WOf'ke<s' Compensation P,OVISK)f'IS of the ub0f
Code, you must forthwith comply with such
provtSK>nS or this permit shall be deemed revoked
0 I hereby athrm that there ,s a cons1,uct1on
lending ~ncy t0< the perlo,ma.nce ot the wot1c. fOJ which th,s perm,t ,s issued (Sec X/37, C1'tl1l Code)
lenders Name ___________ _
Lenders Address __________ _
----··--. . .... -·· -· "Li . ··---...... _ 0 -CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT u ....,..
1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525
JOB AOORESS
A~:T,IDA~;;;:~1
BUSINESS LICENSE II VALUATION PERMIT NUMBER
/ ~~0-5~,,,.Jb.4/ b)IJ() h L4'Alt! 21//?1 f✓--
OWNER'S NAME I 7~?':J9-7, ""~ CONTRACTOR L ',J. CONTRACTORS PHONE • ZONE ~?:, :S-oJ/~ Lu. Gu,AJAJ ~-~ tf!""_ ... ~ • :ZfJ~:/./
OWNER'S MAILING >ii "1t! {!~o:~ UCENSENO. PLAN 1.0. # BLOG USE CODE \ '/1":l..3
LOT I BLOCK I SUBOf VISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE e STANDARD PLAN # BUILDING SQ. FOOTAGE '\ ...
OESCRt,TION OF WORK ""', ... ·~ ... --·--DESIGNER'S ADDRESS OESIGNE R'S PH°"'E .. .. --· " I T o
1.Ji.~ Ji, .. ~~ r~ ... ~,~ ~·4 ►~ NO y F/P FLR ELEV. OCC GP EDU STORIES
vO 1110 --()~~
CENSUS TRACT I GP LANO USE I PARK ING SPACE I RES UNITS I GRADING ~ERMtT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR AREA CONST
YO ND vO 1110 vO 1110 Not Valid Unlffs MachiM <Artifilld
QTY. PLUMBING PERMIT · ISSUE 14'. QTY. MECHANICAL PERMIT -ISSUE SUMMAR~ACCOUNTNUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01 ·000-4220
EACH BUILDING SEWER OVER 100,DOO BTU SIGN PERMIT 01 ·000-4221
I EACH WATER HEATER ANO/OR VENT ., ::.?2 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·000-4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000·4222 /fJ.OV
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000·4223
EACH INSTAl .• ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/0 UCTS MDBILEHOME 01 ·000-4225
WATER SOFTNER RELO CATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
TOT.t.L MECHANICAL :;TRONG MOTION 65-640·0519
TOTAL PLUMBING I Ing(}_ FIRE SPRINKLERS 01 ·000-4227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 25·000-4933
BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE • OlSTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
1 PH 3 PH PUMP San Oiegulto 65-625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626·0519
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS)
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /o.#r.?
I HAVE CAREFULLY EXAMINED THE COMPLETED MAPPLICATION AND PEIWIT" ANO 00 HEIIE8Y ~.Ewtypermil ..... ..,. ........ OfflclelunclertlleprovllloMol'lhia * AN 08HA PEflllNT IS RE<UND FOfl DCAYATIONS OW8I CERT ALL FORMATION HEREON INCLUDING THE INII expn by llmltallon 8111 ..._111111 and VOid. H Ille =:I, or work $' O" DEEP AND DEltl0UTION OR C0NSTRUCl10N OF IFY UNDER PENALTY OF PERJURY THAT IN aulllorlacl~IUdlpermitfalUIIIIOl-w.-11..Alllln 1_,clayslroffl... otlUCtl DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AOflEE If' A PERMIT IS permit. or 1119 bu~ _. ........ · ST1IJC1UM8 OVER 3 STONES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUN1Y AND STATE LAWS GOYEANING BUILDING CON-a•11C11111ed 11 -1i111e ... ..t la' 11v -= ~ r, or
STl'IUCTION, WHETHER SPECIFIED HEREIN OR NOi'. I ALSO AGRE£ TO SAYE INDEMNIFY AND •--s •---•-.i,. OWNER□ CONTRACT~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUOGIIENTS. COSTS AND ~--~ ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BYPHONE 0 I 2 ·/8-~~ GRANTING OF THIS PERMIT. . -.
INSPECTION TYPE DATE -· ·--INSPECTOR
BUILDING • I
FOUNDATION I
I
REINFORCED STEEL !
MASONRY I
GUNITE OR GROUT ' FLOOR & CEILING SUB FRAME '
SHEATHING i I
FRAME !
EXTERIOR LATH lNSULATION I
I INTERIOR LATH & DRYWALL I
PLUMBING I .
SEWER AND BUCO ·, ' X' i f
PLUMBING UNDE"GROUND, I
I
PLUMBING TOP OUT I
I
TUB AND ~HOWER PAN ;J
GAS TEST I
I
ELECTRICAL I
I
TEMPORARY POWER I
ELECTRIC UNDERGROUND • I
ROUGH ELECTRIC I I
ELECTRIC SERVICE I
BONDING ~ ,.
I
G. F. I. -SMOKE DETECTOR ' I
MECHANICAL I I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS !" -. \ . ~ .
VENTILATING SYSTEMS l ' ~ \ '";,,, 1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS --... , }
BUILDING
SPECIAL CONDITIONS,
CERT OF OCCUPf" ·-;.:..Y..:.clS:::.:S::.:U:..=E=-=D'--__ _..!... _ _L ___ ....i.__,,
• -I
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTOR'S INSPECTION REO IF
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
\ -
-·--' -
~ '\ .. ·\ -' • ~ -,.; ~
' .. -. --.: ,,r, r
. ·.~;l""\"> ,_,
' , I'----.. . .
,\, ·~ .. ,~ ' -f :J-,l&, ~
INSPECTOR'S NOTES ...
DATE
-
~ .
~ ---.... -· -.._-....
\. -~ _""' ... ~ "", ..... , .; ,J
. ' 'I. -;"'I;;,~ ... e.;.\ .... •1,_ •_.--,-: -.~ ' .. (<-... '' I,,}~ J ,. " I . .
.. \ .... ~, ,;-:, < ,: )._ ,, --~ \. -· .,1 ..... -. '
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X LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provl·
slons of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Profes-
sions Code, and my license Is in full force and ef-
fect.
OWNER-BUILDER DECLARATION
DI hereby affirm that I am exempt from the Con-
tractor's License Law for the following reason
(Sec. 7031.5,Business and Professions Code), Any
city or county which requires a permit to con-
struct, alter, improve, demolish, or repair any
structure, prior to its Issuance also requires the
applicant for such permit to file a signed state-
ment that he is licensed pursuant to the prov!•
slons of the Contractor's License Law (Chapter 9
commencing with Section 7000 of Division 3 of
the Business and Professions Code) or that is ex-
empt therefrom and the basis for the alleged ex·
emption. Any violation of Section 7031.5 by an ap-
plicant for a permit subjects the applicant to a
civil penalty of not more than five hundred dollars
($500).
□ t, as owner of ihe. property, or my employees
with wages as thelr.,sole compensation, will do
the work, and the structure Is not Intended or of-
fered for sale (Sec. 7044, Business and Profes-
sions Code: The Contractor's License Law does
not apply to an owner of property who builds or
improves thereon and who does such work
himself or through his own employees, provided
that such improvements are not Intended or of-
fered for sale. If, however, the building or Improve-
ment Is sold within one year of completion, the
owner-builder will have the burden of proving that
he did not build or improve for the purpose of
sale).
'.JI, as owner of the property, am exclusively con·
tracting with licensed contractors to construct
the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not ap-
ply to an owner of property t•ho builds or im-
proves thereon, and who contracts for such pro-
jects with a contractor(s) license pursuant to the
I am exempt under Sec .. _ --~-1--•
contractor's License Law). I
for this reason ~,
Date ______ Owner
WORKERS' COMPENSATI ~C
X I hereby affirm that I have'n~~\11o,ite of con-
sent to sell-Insure, or a certificate of Workers'
Compensation Insurance, or a certified copy
thereof (Sec. 3800, Labor Code). ~g~~X:v°_ffi~L._CJ __ l_9_5_3_l_04_
ClCopy Is filed with the city.
□Certified copy Is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the per•
mit Is for one hundred dollars ($100) or less).
t certify that in the performance of the work for
which this permit Is Issued, I shall not emplo) a,,y
person In any manner so as to become subject to
the Workers' Compensation Laws of California.
NOTICE TO APPLICANT: If, after making this Cer•
tlflcate of Exemption, you should become subject
to the Workers' Compensation provisions of lhe
Labor Code, you must forthwith comply wllh such
provisions or this permit shall be deemed revo~ed.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction !en-
ding agency for the performance of lhe work for
which lhls permit ts issued (Sec. 3097, Civil C!)de).
CITY OF CARLSBAD-BUILDING DEPARTMENT
USE BALL POINT PEN ONLY
APPLICATION & PERMIT
1200 ELM AVENUE (714) 438-5525
NO. JOB ADDRESS
, 1 11 fi1 ~, o, 1 s, .A1 n,n 1.A 1T. ,w 10 10 n 1 1 I I I I I I I I I I I
~\rTATE c~i~aoON
OWNER OWNER'S PHONE PRIME CONTRACTOR
JOHN W. QUINN 729-.5436 BOBS PLUMBm} SERVICE
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS
16'30 Sam.al.wood
LOT I BLOCK I SUBDIVISION 1 ASSESSOR'S PARC EL NO.
2501 State st.. Carlsbad
I I I I I I I I I I I
DESIGNER
DESCRIPTION Of WORK Tna+ ... 11At.;nn nf' w .. + ..... n __ ... __ DESIGNER'S ADDRESS
APPLICANT TO FILL IN INFOR-
MATION WITHIN RED LINES.
BUS. L ICENSE
1869].
STATE LICENSE
245707
CONT RACTOR'S
PHONE _729-20'5'5
STATE LICENSE
DESIGNER'S PHONE
PERM IT NUMBER
fl-1.f.
-✓------
·n21a~ ~'
CENSUS T RACT GP LAND USE ZONING l RES, UNITS I PARKING SPACE l NUMBER OF STORIE/
'\
. ' .. Ju, ... ..,,..,.,.,,.
BLDG SQ. FT. BLDG USE
ClTY. PLUMBING PERMIT
EACH FIXTURE TRAP
EACH BUILDING SEWER
1 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 LAWN SPRINKLER SYSTEM
WATER SOFTNER
Tft_ .. .__
TOTAL PLUMBING
CONTRACTOR
QTY . ELECTRICAL PERMIT
NEW CONST EA AMP/SWT/BKR
1 PH .25
EXIST BLOG EA AMP/SWT/BKR
1 PH .25
REMOOEL/ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 OAYS)
TOTAL ELECTRICAL
CONTRACTOR
3 PH
3 PH
occ. GP l STANDARD PLAN II l PLAN ID II I TYPE CONST OCC. LOAD-,-----. -?
AMT.
? l'ln
~-nn -:,, 5 00
AMT.
QTY. MECHANICAL PERMIT AMT.
INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
BOILER/COMPRESSOR 3-15 HP
BOILER/COMPRESSOR 16-30 HP
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOTAL MECHANICAL
CONTRACTOR
QTY. MOBILE HOME PERMIT AMT.
AWNING
PORCH
SET-UP
RAMADA, CABANA
FENCE OVER 6'
TOTAL MOBILE HOME
•AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
5'-0" DEEP AND DEMOLITION O R CONSTRUCTION OF
STRUCTURES O VER 3 STORIES IN HEIGHT
\
BUILOl~ERMIT
SIGN PERM~
-v ~7
PLAN CHECK
All INCLUSIVE PERMIT
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILE HOME
SOLAR
MICO-FILM
TOTAL FEES PAYABLE I
I HAVE CAREFULLY E XAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO
HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I
FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; T O COMPLY WITH ALL CITY.
COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER
SPECIFIED HEREIN OR NOT . I.ALSO AGREE TO SAVE INDEMNI FY AND KEEP HARM-
LESS THE CIT Y 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. I ~ICANT'SSIGNATURE• , j l'1 ~ OWNER□
I j/ lrl-(.A,f-:;,, ti .,,K~~ ~?;j, AGENT D 7 7
CONTRACTO~APPROVED BY
BY PHONED I
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SITE
ADDRESS: ' OWNER: PERMIT NO: ,,.. ' ., ' ' ~ -. ~ .. FIELD INSPECTION RECORD '
INSPECTION DATE INSPECTOR INSPECTOR'S NOTES -.
WOOD FLOOR ~ r, r
C • ,
FOUNDATION• FORMS • SET BACK• TOILET '
UNDER FLOOR PLUMBING ~ -----,..-..... -· -..
UNDER FLOOR HEATING ~".---:j·_,..-;_i~~ ·t.e, .\.~-;_1 ::t~ j~:?_f.j __ ~_rl..1::;:~rr .~ OK TO IN ST ALL SUB FLOOR
--.
SLAB FLOOR
UNDER SLAB PLUMBING
FOOTING • FORMS• SETBACK • TOILET I
OK TO POUR CONCRETE
FRAME I
ROUGH ELECTRICAL .
ROUGH PLUMBING :
ROUGH HEATING/VENTILATING ' " .,.. .[
FRAME OK• PLACE INSULATION
INSULATION OK • PLACE WALLBOARD
WALLBOARD OK• PL ACE TAPE
EXTERIOR LATH OK • PLACE STUCCO
FIREPLACE ' , ... •-< -DAMPER &STEEL . ,.
PLATE TIES/HEIGHT OF CHIMNEY '
OTHER
TEMP POWER (POLE) -
SEWER
r ' GAS TEST
SWIM POOL • STEEL BONDING ..
r r
• PRE DECK
• FENC E PREPLASTER
SHOWN • FRAME
• PAN
FINAL INSP BY BLDG DEPT
OTHER DEPT'S REQ COMPLETED
ELEC METER-P ERM-TEMP
GAS METER-PERM-TEMP
CERT OF OCCUPANCY ISSUED