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HomeMy WebLinkAbout1735 MALLOW CT; ; CB880693; Permit"' z 0 ;:: .. "' .. J 0 '" 0 "' iL 0 "' '" 0 J 5 ~ '" z 3 0 z 0 ;:: : z '" .. ,. 0 0 "' ic '" " "' 0 3 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 -"' u: ~ ~ 0 0 E ID >- D 0 CJ C ro 0 0 0 <: I ~ C a: 0 ~ ~ ID ~ ~ <: ~ 2 w >- ID 0 C ro C LL c:. C ID ~ CJ 0 u ID 0 ~ C .'? .c ,: 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'+·~~~~-------- I