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Home My WebLink About1741 MALLOW CT; ; 80-384; Permit.,. LICENSED CONTRACTOR'S DECLARATION I hereby affirm that t am licensed under provi• sions 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 Cl I 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 provi- sions 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). L 11, as owner of the property, or my employees with wages as their 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). :::.1, 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 ·•ho builds or im- proves thereon, and who contracts for such pro· jects with a contractor(s) license pursuant to the contractor's License Law) I am exempt under Sec _____ B. & P.C ::.:" ""'" o.:: . ··-1 WORKERS COMPENSATION DECLARATION' ! hereby affirm that I have a certIfIcate of con sent to self insure, or a certrf1cate ~Workers Compensation Insurance, or a certI ·ed thereof {Sec. 3800. Labor Code). , POLICY NO __________ ~~'- COMPANY___ _ __ , CCopy is filed with the city. · ~ CCertified 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). I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compensation Laws of California. NOTICE TO APPLiCANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you mus1 forthwith comply with such provisions or this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction len- ding agency for the performance of the work for "'hirh thio, n .. rrnil io, i"'"""rl ISAr 'l,f)Q7 l.i11il l.nrlp\ CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ,o. '.t,;0 ;:'~,s~'\:l, ?. 1Z1s1<:i1~1 tRr· 1D~o:\~'.c~ I\ n,~,. I "1 t,..\_, \ I !Y"~ ,ll'IT, ~~~ . ~ . ~v ~ n-:,rn•s '"o"' lRi::~~ ~~\.._":, 1,t''.{L"''"' AOO~ ~ ~ ~~~ (},,t.=,'b \\R~s~~-~ ~ \~ ~~ . ~ ·~ . ~BLOCK l~~'."\\r.. A:'lEssoR's PJ;~~L No. JtJ OESIG~-~ " · -Z:: , . I,,:;-, /_, ,-,,3 ,0 OESCR't~.~.;;:.:~t WOR~ s~. · _..., -,,..;.__-.~....::. "' ~9;;..M DESIGNER'S ADDRESS 7 ~--, CENSUS TRACT GP LAND USE ZONING PARKING SPACE APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. 9111' LICENSE PERMIT NUMBER (70677 fl)-3Rf STATE LICENSE "Z.."b-,_, '"', Cl ....e-cJN RACTOR'S .... ~ '~~ -"l.dl SIATE Lll: DESIGNER'S PHONE ~c.... I RES. UNITS I NUMBER OF STORIES Not Valid Unless Machine Cartifild BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN# [p,~3cf~ I T;E CONST sf I occ. LOAO I ' QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TD 100,000 BTU EACH BUILDING SEWER OVER 100.000 BTU / EACH WATER HEATER ANO/OR VENT ~ BOILER/COMPRESSOR UP TO 3 HP 7 EACH GAS SYSTEM 1 TO 4 OUTLETS -.,?-d BOILER/COMPRESSOR 3-15 HP ---EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30.JiW"'" / EACH INSTAL., ALTER, REPAIR WATER PIPE ., --VENT FAN SINGLEJUf'C'T 6//5~ EACH LAWN SPRINKLER SYSTEM MECH EXHAuwr' -HOOD/DUCTS VALUATION: -WATER SOFTNER RELOC/111"10N OF EA FURNACE/HEATER BUILDING PERMIT ··~ I Issue ,j .,vu .1.0SUc:: 3-. 00 SIGN PERMIT .I \2f ,v I TOTAL PLUMBING 9~ TOTAL MECHANICAL PLAN CHECK.A,o_a. l-' ,jc /::f .:1 =>, ~ I CONTRACTOR CONTRACTOR All INCLUSIVE PERMIT QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMBING ELECTRICAL , NEW CONST EA AMP/SWT/BKR .,, .--AWNING -·· MECHANICAL , 1 PH .25 3 PH PORCH -MOBILE HOME EXIST BLDG EA AMP/SWT/BKR SET-UP _,,.,-SOLAR I 1 PH .25 3 PH RAMADA, CABANA --I REMODEL/ALTER PER CIRCUIT FENCE OVER 6' --I TEMP POLE 200 AMPS TOTAL MOB!MHOME MICO-FILM ! OVER 200 AMPS I ~ I TEMP OCCUPANCY (30 DAYS) .::> .1.,.,...., .. ,....., 1'11UT.1.Ul~; I T ~ •1.0 2.00 I TOTAL ELECTRICAL 7 '!.."" TOTAL FEES PAYABLE I CONTRACTOR I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO "AN OSHA SSRMIT" RSOUIR,~VATOONS ov,R SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0"" DEEP AND DEMOLITION NSTAUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS issue□; TO COMPL y WITH ALL CITY. STRUCTURES OVER 3STOAIE IN H GHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ~I'\ "'['-, SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CA AL SBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ' • .. / ,µ ,t»-t'>Ot-1:1 I' I I I ' ,_ I I I I I 7:.-.., I . I I I . I I I . I I I I I I I I I • I I I I I I I I I re;TJ;..ao ' EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLI~ I'\_~~ UR ~\ \ J OWNERQ CONTRACTOR~JAPPROV BY 4-_,, ~ ~ATE -\J ""~EN~ SYPHON~ f "'.,. ~ -' I ! ~ ~ t'5 ;:: u = a. V, ~ .1. • SITE ADDRESS: OWNER: OWNER: PERMIT NO: 80 -3</r'Lf ---- FIELD INSPECTION RECORD FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES. INSPECTOR'S~ WOOD FLOOR ' FOUNDATION• FORMS• SET BACK• TOILET -UNDER FLOOR PLUMBING ... UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER &STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED l !:::LEC METER-PERM-TEMP i C,,t:>,3 METER-PERM-TEMP - <--· ' L -- I 1----. L CERT OF OCCUPA~CY ~5~~1_:::~_c, ~ r, J,JJ, ,-,a/ Yf I Vf t~ ,,,-;) ' / _I_N_T_E_R_D_E_P_A_R_T_M_E::...N __ T,_A,_,_L_I_N_F_O..=.cR:c...M_;_A,_T_I_O_N_S'--'H.c..cE;;_:E~T BeILDING DEPARTMENT I BUILDING ADDRESS: 'PLANNING DEPARTMENT ZONE __________ LOT SIZE _________ LOT WIDTH _________ _ UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ___________ _ % COVERAGE ALLOWED PROVIDED ------------- ~ BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: SIDE SETBACK: REAR SETBACK: ALLOWED ------- PROVIDED ______ _ INTRUSIONS ~ANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION ADDITIONAL COMMENTS: I) OK TO ISSUE:/'i,J DATE (/4;/4t? OK TO FINAL _______ DATE ___ _ ENGINEERING DEPARTMENT ~// /.57::::- R.O.W. ______ INDUSTRIAL WASTE IMPROVEMENTS --------------- SEWER CONNECTION ________ DRIVEWAY LOCATIONS ____________ _ GRADING PERMIT __ -.--____ EASEMENTS~~,L~ DRAINAGE ____ _ tEGAL DESCRIPTION~k:la:.~d:oJ::J.~~~=-.!'..r____,7~~::_:_-3=-.£_~--.,,,_~},::_ ____________ _ ADDITIONAL COMMENTS ____________________________ _ :K TO ISSUE , p DA TE 'f_-J._t -fi:11 PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRiliKLING SYSTEM ____________ FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS LOCATION __________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _