HomeMy WebLinkAbout1540 SANDALWOOD LN; ; 83-207; Permit"' z 0 ~ cc ~ irl 0
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O I hereby affirm that I am licensed under
p,ovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect. Loe No _______ Cl•ss
I hef1by •lllrm that t am exempt lrom the Contra<:· tor's License Law for tho following r....., (Sec 7031.5
Business and Protessoons Code. Ally city or cuunty wh,ch re-quires a permit to ruct. alter. improve. demotlsh, or repair any structur to its issuance also requires the ap-
plic.int for such file a slalement that he is hcensed pur p s s of the Contractor's L,cense Law ( p ._th Section 7000 of
Oivtsoon 3 of t i ss a Pr · s Code) or that Is ex• empt therefrom • the blSls illeged exempt,on Arly vlOlatoon of Sect10r1 031,5 by applicant tor a permit sub-
jects the applicant to a c1v1I po lty ol not more than five hun-dred dollars ($500).
□ I, as owner of !he property, or my employees with wages
as their sole compensation. will do the work, and the struc·
tu,. is not mtended or offered for sate (Sec 704-4. Sus,ness
and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves
thereoon and who does such work himseH or Wough his own
employfts, prOYJded that such ,mpro,ements ace not 1111efl6-ed or offered tor sale. If, however, the building or improve-
ment Is sold within one year of complellon, the owner-builder will have the burden of prcwing that he did not build or Im-
prove for the purpose of sate).
□ I, as owner of the property. am exctuslvety contracting with licensed contractors to construct the pn1joct (Sec. 7044,
Bus,ness and Professions Code· The Contractor's License
Law does not apply to an owner of property who builds or im-p<OYes thereoon. and who contracts for each projects with • contractor(s) license purSU&nt to lhe Contractor's Ucense Law).
D As• homeOwner I am Improving my home, and the follow·
Ing condi!JonS exJSt: t ~~orl•;.;:l·/~ ,i;r1:;:i ro~ r!..°e1:1emonlhs
prjOf to completion of this -k.
3. I have not damed th,s wmpr,on dur1ng the last three years.
□ I am exempt undo< Sec.------. B & P.C for thlS reaSOII ____________ _
□ I hereby athrm lhat I hat'9: a cen1hcate ol consent 10 self-insure. or a cen1t1c.a1e of Workers· Compensat,on Insurance, Of' a cen1hed copy thereof
(Sec 3800, Labo< Code)
POLICYNO __
COMPANY _
0 Copy ,s Med w,tn the c,1y
□ Cer11ttee1 copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sec11on need not be completed if 11'\e permit
,s tor one hundred OOllars ($100) or less)
0 I cen,ty thal 1n the pertonnance ot 1he w~ IOf
whteh this permit 1s issued, I shaJI not emp10y any person 1n any manner so as to become sub1ect to
lhe Wonters' Compen~t,on Laws of Catitom,a
NOTICE TO APPLICANT If, atter makin~ this Cent
hcate ol Eicemphon, you shoukj t>ecome suoIecI I?
the WOO.e,s· Compensatt<>n prov,s,ons ot lhe Labor
Code )'OU musl forthwith comply wnh sucn
prov1s1ons Of this permn shall be deemed revOked
0 I heteby ath,m thi!I 1here 1s a consuucttOn
tendlllQ ~ency fOf' lhe perto,rNOCe ol the wOOl to,
which this perm1I 1s issued (Sec. 3097, C1v1I Code)
lendersN¥ne ___________ _
lender·s Address __________ _
USE BALL 'OINT PEN ONLY & PRESS HARD APP~ANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. . CARLSBAD BUILDING DEPARTMENT APPLICATIQN & PERMIT .
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
A~i.Tri :i:;;:;1 B~ICENSEli VALUATION PERMIT NUMBER
J64o ~.\OA-1.--tAIOoD LtJ l":3 z.~~ 83-7ff/ o~~ g~ I OWNER'S PHOHE
CONTC,7.R
crRACTOAS PHONE • ZONE' ----OW~A'S MAIUNGrADDAESS p CONTRACTOR',.AOORESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
/(/~ ;-~--AJ~rJ ,,,,,, ,n,,,. ---
LOT I BLOCK SUBOI VISION I ASSEs;f PARCEL NO. i) DESIGNER LICENSE ,t STANOO ~-1 r~~NGSO.FO TAda lt.!
I 0:5'\304'-40 .. 71.tlfo 1 n,.6~ DESCRIPTION OF WOR!< -,/' DESIGNER'S AODRESS DESIGNER'S PHONE P~-n.-// ffy~ .. -. ...-.--. ~ ~ -F/P FLR ELEV. NO OCC GP EDU STORIES R-3 t.J/A-vQ Ni --I
CENSUS TRACT I GP LAND USE I PAR~;;;ACE I RES UNITS I GRADING ~ERMIT ISSUED I REOEVELOPMENT T Y PE OCC LOAD FIRE SPR
YO Ni AREA ,.e5 C(tl).}J >10 YO NJ;{ v0 N Not Valid Unlffs MM:hint wrtifitd
.-;$
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QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT -ISSUE '3-SUMMARY/ACCOUNT NUMBER
F, EACH FIXTURE TRAP 7.&.9: INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·8220 /lnLl.~
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·8221 --PLAN CHEC~ 4',n/ /JP,01·00·00·8806 -e,--EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSO R 3-15 HP TOTAL PLUMBING I ,
01·00-00·8222 ,,,, I~
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00·00·8223 I /fJ -EACH INSTAl-, ALTER, REPAIR WATER PIPE I VENT FAN SINGLE DUCT /2... -MECHANICAL 01 ·00·00-8224 , e:::. -
EACH VACUUM BREAKER I MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01·00-00-A??I:
TOTJ;L MECHANICAL STRONG MOTION 80-92·33·0519 I ,b/~ -----I ~I/_F;,h 5.-. -TOT AL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE .s-'--QTY. SOLAR· ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00-00-8923
NEW CONST EA AMP/SWT BK R COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21·0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22·0519
1 PH 3 PH ~--PUMP san Oieguito 80-92·23·0519
I REMOOEL-IALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
I TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYS) ·-
TOTAL ELECTRICAL--7 --
/f) .-
TOTAL SOLAR TOTAL FEES PAYABLE I 11f.7J. t-:2 '
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMti" liiiEREBY Exp1rat1on E .. ry permit 1-bytlle Build<ng Offlelal under the prov, .. ons ohms * AN 0&HA P£MilfT IS IIEQUIIEO FOR EXCAVATIONS OYER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON I NG THE Code ..... , ••Pt,. by hmit.lllOn and -null and void II Ille budding or -5' o-DEEi' ANO OblOUT10N OIi CONSnlUCTION OF aulho<tffd by ouch permit •• not commenced w11t11n 180 daya from Ille date of ouch DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGRE AMIT IS permit. or 11 Ille build•~ work aulhoriZed by auc:h permit •• •-decl or STRUCl\lllES OV£fl 3 STOIIIES IN HEIGHT ISSUED: TO COMPLY WITH AU CITY, COUNTY AND STATE LAWS GOVERNING ING CON· -lda4• a1 •--the -,. commenc:ec11or a -of ,eo ..__ STRUCTtON, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANT'S SIGNATURE~-OWNE~ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO ~_;..'{1 1u/, /Q EXPENSES WHICH MAY 'IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~JD~~-L .&.A,,/)~ BY~□ GRANTING OF THIS PERMIT
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INSPECTION TYPE ... DATE -· ··-INSPECTOR .. ·-· --. -
BUILDING
FOUNDATION '
' REINFORCED STEEL
MASONRY -
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME -
SHEATHING
FRAME l~,l,P.;; rJI...
EXTERIOR LATH lNSULATION I '\
INTERIOR LATH & DRYWALL I 9'5~-~ M-'
PLUMBING "" -
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN '
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC ~-I ,R.9> (-1t"
ELECTRIC SERVICE " BONDING '
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING A·l ,M ('i.
HEAT -AIR COND. -SOLAR SYSTEMS -u
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN All APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBIN'G
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
'
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REQ IF INSPECTORS
CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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' INSPECTOR'S NOTES
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INTERDE.ffilill1E.fi1AL JNFORMAT!ON SHEET lE CE IVE D
DA TE : :----:-:-:-;:---BLJ I LD I NG DEPARTfil..NI er' 1 I I MAY 2 o 1983
CITY OF CARLSBAD
'zit*** ·S * ·!; * * * * * * * * * * * ;-~ * * * * * * *-'; * * t * * * * * * * * x * * * * * * :--* * * * ¼illW~Jpgt.gqg{'ffl!2~ *li
£LANNING DEPARTMENT
ZONE: _____ SCHOOL FEES: SAN DIEGUITO i SAN MARCOS
ENCINITAS _____ CARLSBAD t!\1 f>' ---
· UNITS REQ'D: __________ PROVIDED: --lfL-
:. COVERAGE ALLOWED: /At'~ .PROVIDED: 0 /f"--/
,PARKING SPACES REQ'D:_._l,_,/ _ _..._~~---PROVIDED: __ \J __ . _______ _
BUILDING HEIGHT REQ'D: _________ PROVIDED: ________ _
ALLOWED: cs'y~
PROVIDED:4~
INTRUSIONS: ------
RE-DEVELOPMENT APPROVAL REQ'D:
REAR SETBACK
{)ZC ✓ zn/G
----------
LANDSCAPE & IRRIGATION PLAN COMMENTS: , --+-.,,C....--------------
ENVIRONMENTAL PROTECTION REQ:-4---Jc__~GL:=--------------
ADDITIONAL COMMENTS: ------------------------
OK TO ISSUE:~ DATE:$t--)Jj}_ OK TO FINAL: ____ DATE: ___ _
UfRi:G '~f~A:~M;;~'E:~ '.", • • <urrm",, mmmm'' ,m,
PUBLIC FACILITIES FEE: SEWER CONNECTION: ---------------
DRIVEWAY LOCATION($): _____ _
GRADING PERMIT: --------------------------
EASEMENTS: DRAINAGE: ------------------------LEGAL DESCRIPTION: ________________________ _
ADDITIONAL COMMENTS: _______________________ _
*CHECK IF E~· ING INSPEr;~; REQ'D. ON FlNAL:
OK TO ISSU ·: DATE: (p PWI:-,--___ OK TO FINAL: ____ _
DATE: ____ ·
JdiJi..:fd.ZJd . .£:il .. :k * * iS i * j;_}i..:li.Ji.M.'k * * * * £ ~-t * * * * * * t:££~.is...i.JD~ls...ilJi * * t-t * -J:J...:f...:£k.Xii3i..:lt.z.
* IF TIIIS ITEM IS NOT CIIECKED, BUILDING DEPARTMENT WILL MAKE
FINAL INSPECTION.