HomeMy WebLinkAbout1735 MALLOW CT; ; CB880693; Permit"' z 0 ;:: .. "' .. J 0 '" 0
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O I hereby affirm that I am licensed under
provision• of Chapter 9 (commencmg with
Section 70CIO) of Division 3 ol the Business
and Profeaalons Code, and my license 1s in
full force and eflect
I hereby afl1,m that I am e~empt from lhe Gontrac
tor's L,cense Law tor the lollow,ng reason (Sec 7031 S Business and Protess,ons Gode Any city o, county wh1cr re
qu,res a perrn,1 to construcl. al!er improve demol,sh or repa,r any structure. proor to 1ls issuance also reouires !heap
pl,cant for such perm,t lo 11le a s,qned statemen1 Thal he ,s
licensed pursuan! to lhe prov,s,ons ol the Lon1,ac10, s \ ,cense Law (Chapter g commenc,ng w,th Sect,on 7000 ot
O,v,s,on 3 of the Bus,ness and Proless,on1 Code, or 1ha11s ex empl therefrom and the basis for the a11eyeo exempt>On A~y v101at1on of Section 7031 5 by an applicant 10, a perm11 sub
1ects the appl,cani to a c1s1I oenaltJ 01 ~ot more than live o,"n dred dollars 1$5001
I. as owner ot 1he property. o, my employees w·t~ wages as lhe,r sole compensation will do the work. and the struc
ture 1s nol mtended or otfered tor sale 1Sec 7044. Business
and Professions Code The Contractors Lwense Law does nol apply to an owner or property who builds or improves
mereon and who does such work h,msell or Through his own emoloyees provided Iha! such 1mpr0\femenrs are not intend-ed oi offered for sale I! Mwever. 1ne bu,1d1ng or improve ment rs sold w,th1n one year of completion the owner-builder
w111 nave lhe burden of prov,ng lhat he d•d not build or im-prove for the purpose ot sale)
I as owner ol the prootrty am exclusively contrae11ng w1lh licensed con1,actors tc cons1rucl lhe pro1ect (Sec 7044
Business and Profess,ons Code The Contrac1or's License Law does not apply to an owner of properly who nu1lds o, im-proves !hereon and who contrac1s lor each pro1ecls with a
conlractor[s) license pursuant to the Cortraclor's License Lawl
As a homeowner I am ,mprov,ng my home and the lollow ing cond1t1ons ex1sl
I The work 1s being performed prior to sale
2 I have lived 1n my home for twelve months prior to comolet1on ol 1~1s wo,K
I have nol da,med This exempl,on Guri~g the las\ three years
lor t'h~: r~~:~t under Sec _____ _ 8 & PC
I hereby alhrm I hat I ha,e a cert,t.cate 01 consent 10
sell ,nsure or a certd,cate of \o'/ori<ers· Compensation 1n
surance. OT a cert1f1ed copy thereat 1Sec 3800 Labor Code1
POLICY NO
COMPANY
Copy ,s l·led ,.,th the Cit~
Cert,f<ed copy ,s ~e•eby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Th,s section need not be completed If the perm,t ,s for one hundred dollars ($100\ or .,.55)
_ I cer1ffy that ,n the performance of the work for which this permit ,s 1ssuecl, I shall not employ any person ,n any
cnanner so as 10 become subJeCl to the Workers Com;:,en
sat,on Laws of Ca1,forn,a
NOTICE TO APPLICANT If after making 11115 Cert1!1cate
of Exemption you should become subJeCt to \he Workers
Compensation prov1s1ons of the Labor Code, you must
L lorthw1lh comply w,th such p,ovis,ons or th,s perm,t shall
be deemed revol<ed
![ I ~ereby affirm that there ,s a construction lending
agency for the performance of the work for w~1ch th,s per
m,t ,s rssued (Sec 3097. C1v,1 Code!
Lende,·s Name
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad. CA 92009-1915 (619) 438-1161
J08 ADDRESS AV. ST. RO. rSBROSNO. 07J/7~,f BUSINESS LICENSE # VALUATION PERMIT NUMBER
/°7,5$ .-??4c cocv o 96t7cl •~~Cjf,9'~ LOT BLOCK . SUSDI VISION I AS~O~ ~CEL ~ ./ t:. . _) L. CONTRACTOR I CONTRACTORS PHONE # ZONE
Al/JI
OWNE~ ;:E J r~ 11 ~~--JL
OWNER'S PHONE
~-l/, <g-7 }!'fu CONTRACT0}•s ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER"S MA!L!NG ADDRESS '
/73\' h,,,/fc~ C,_../ DESIGNER DESIGNER'S PHONE
OESCRIPTl" ~ ~OR) , 'CA I J. .. -c... .1.. ,o.: ,,, s ,, ,, DESIGNER"$ ADDRESS STATE LICENSE NO.
#/yr) d:r
' j ' ' FLA ELEV NO ace GP EDU
STORIES
ye r-..□ ---
I CENSUS TRACT I PAPK•NG SPAC~ RES UNITS GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SP~
AREA CONST ,o 'D ,C "JO ..-□ NO Not Valid Un~s M~chine Certified
QTY. PLUMBING PERMIT· ISSUE 7~ QTY. MECHANICAL PERMIT· ISSUE )~.!!-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN DUCTS UP TO 100.000 BTU tlUILLINL, ru,,,11 UU 1-t 1 U·uJ-U0-82L0 ,, ,
EACH BUILDING St.WEA OVER 100.000 BTU SIGN PERMIT 001-810-00-01)-822'
' EACH WATER HEATER AND OR VENT BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00·8891 "!(I}
'J EACH GAS SYSTEM I IO 4 OUTLETS 801LER,COMPRESSOR 3 1~ HP TOTAL PLUMBING oo; 8'0 OQ·OG-8222 J /-;
' lcACH GAS SYSTEM~ OR MORE META~ ~IREPlACE ELEr:TRICAl 001 b'0·00-00-8223 1· Pi
EACH INST AL ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·8 1 0-00-00-82 24
I EACH VACUUM BREAKER MECH EXHAUST HOOD 'DUCTS MOBILEHOME 001 -81 C -00-00-8225
' WATER SOFTNER RELOCATION OF EA FURNACE HEATER SOLAR :JO 1-810-00-00-8226
FAG-1 R()Uf 'lR,l1t, 1 1,C,·lF, DRYER VENT STRONG MUT10r. 880-519-92·33 I
TOTi-iL MECHANICAL FIRE SPRl~Jr<LERS 001-81 0-00-00-8227
IU!Al Pll!MHINl, I ,;.. ., ..... -Pi.JBLIC FACILITIES FEE 320·8 · o -00-00-s 7 .:o
MOBILE Hay(~~~; ... ,
,l"~ BRIDGE FEE 360-810-00-00-8 7 40
QTY. ELECTRICAL PERMIT· ISSUE ,l;;!. QTY • 7;, PARK-IN-LIEU !AREA
NEW CONST EA AMP SWT HKR CAR PORT I I -'< .. \ ]If 312-81 0-00-00·8835
I PH IPH AWNING . • II I" ,;;;;;; ~ LA COSTA TIF 3 i 1-810-00-00-8835
fXIST EllOG EA AMP SWT BKR GARAGE --P410 ~ FMF "' I PH J PH . fir/-'•-~ ~SURf:r-. 0) LICENSE TAX 00 -310-D'.1-0C-S1i':?
'7 REtviDOEL ALTtR PfH CifiCuii . • .._,._._f~_•'•~:_-,.; -·~·~_-:! :;;;, MFF 880-Si9-92-51
TEMPPUlf 200 A MPS , .. 'o;
OVER 100 AMPS ""s.~ . ,.-/
HMP OCCUPANCY 30 DAYSI ~:.:-rt 0" "~
. CREDIT DEPOSIT .::. 7&> "'"'">
lfllAL EL~LTRICAl I I':/' {;-{I TOT Al TOTAL FEES PAYABLE I / £/f' c-eJ
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every per!Tllt issued by the Building Official under the prov1s10ns of this * AN OSHA PEAM:T tS REQUIFIEO FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by llm11ation and become null and void 1t the bu1ld1ng or work 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE lF A PERMIT I& authorized by such permit 1s not commenced within 180 days from the date or such STAUClVRES OYER 3/TOf'llf.S IN HEIGHT
ISSUED· TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON :~~::On°:d j~t '=~" ~:i:x:~h=~~r:~tc0~~4:!:le~~~~ :~~·~,sr:.r .. ~ded or
STRUCT!ON. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPUCANT"S SIGNATI "'' . OWNER[] CONTRACTOR 0 APPROVED fY /J f DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABJUTIES, JUDGMENTS. COSTS AND !{A--.... , EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ./ BY PHONE 0 /l1_17, I -v--I ~-3 ·fcr GRANTING OF THIS PERMIT
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION /II
REINFORCED STEEL ••/
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO D PL/CO
UNDERGROUND D WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST --.,cea..f. _, J
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
I ELECTRIC SijRVICE □ TEMPORARY {\.
r BONDING / □ POOL ...,,:,1...,
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL
PLUMBING ' l.
ELECTRICAL '"' \\1l
MECHANICAL --:: ~
GAS I \"'-
BUILDING \ [,) "' SPECIAL CONDITIONS '
.C..e:,_ %' ~ V le-~ 3
FJELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
' INSPECTION REQ IF INSPECTORS DATE +--s. 8''1 0~ -Co CAS/}..,/2._ 6, "< £:._ CHECKED APPROVAL
C
SOILS COMPLIANCE
PRIOR TO
F-OUNOATION INSP , ,
STRUCTURAL CONCRETE: f. -~-
OVER 2000 PSI ' -· PRES TRESSED I c1 CONCRETE . ',
POST TENSIONED 1 '.., •, ',·, CONCRETE ,.
FIELD WELDING •, •.. \ ,, .
HIGH STRENGTH -. BOL Ts "'---. -
SPECIAL MASONRY
.
PILES CAISSQr,,..~·
·---
-----· -~
.
•• PLAN CHECK NoJSi(){.,.,'.S,OORESS /73$" /110//dt,J a:-
PLANNING
DATE~d:"
..
~ u Qj
~
ZONE: ----TYPE OF PROJECT AND USE: f ~l --------.....::... _______ _
SCHOOL DISTRICT: SAN DIEGUITO
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
ENCINITAS
SIDE
CARLSBAD SAN MARCOS
REAR
-----------------------REDEVELOPMENT PERMIT REQUIRED: ---------------------LANDSCAPE PLAN COMMENTS: -----------------------ENVIRONMENTAL REQUIRED: -----------------------COASTAL PERMIT REQUIRED: YES -----NO
ADDITIONAL COMMENTS: ---------------------------
ENGINEERING
LEGAL REQUIREMENTS
LEGAL DESCRIPTION VERIFIED? APN CHECKED? ----------------
EASEMENTS: -------------RIGHT -OF -WAY: ________ _
EDU' S: DRAINAGE: -------------------------
IMPROVEMENTS: ------------.F....,I"""EL,..,D,,....,.C'""HE~C""K,.....,..,DA:-::T'""'E,....&-:--:I"'"'N-;,IT"""I,..,.A.,...LS"'": ____ _
PERMITS REQUIRED
GRADING: ___ _._ ________________________ _
DRIVEWAY:
FEES REQUIRED
PARK-IN-LIEU QUADRANT: ----
P.F.F.: TRAFFIC ----......-----TOTAL FEE: ____ _
FACILITIES MGMT. FEE: BRIDGE & THOROUGHFARE FEE: ____ _ D □ -SEWER FEE (CONNECTION_)_: _______ SEWER LATERAL·
-~ ADDITIONAL COMMENTS:_~12,~Z-t===--------+:¥~-y~.~0'+·~~~~--------
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