HomeMy WebLinkAbout1744 MALLOW CT; ; 85-345; Permit"' z 0 ;:: "' .. "' ~ u '" 0
..
iL 0 u
.. '" 0 ~ 5 ~ '" z ~
z 0 ;::
"' "' z '" ~ :,;
0 u
"' ir '" " ..
0 3:
il
D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of IM Business
and Professions Code, and my license is 1n
full force and effect
Lie No ______ Cla,<
I hereby a!f,,rn that am exempt l·o,-,, the r:on1rac
tor's License Law tor the follow,ng reason 1sec 703' 5
Business and Pro'eso,c% Code Aoy c,tv or ~c-urty wh1c~ ,e q.mes a permit to corstruct dl!w ,rn~ro·,e. demo ,sn. o, repa,r any snuclu·e pr,or 10 11s 1,s~ance a1so ·eou,res !heap
plIcant for sucn perm,t to 11 ea s,:red s1a1ernen1 that re ,s
I,censed pu·s~ant lo the prov,s1on, of the ConTracior s
L cense caw 'Cha~!er 9 cornrnencIng w·t~ Se:t1on 7000 of
01o1s1on 3 a' tr-e 8us11ess and Pr~fess,ons Code, Qr I hat ·sex
e-pt the·e'·om and the basis for !he al egea e~empt,on M:1
,,0Ia·Ion of Sect100 ~G31 5 bv as app ,cart 10, a pe,m,I SLb
Iects The ap~l,cant lo a c,v,I oe~ally of not more than ti,e h,n
d·ed do lars ($500'
I. as Jwner of lhe ~ro~er'y or riy er'pIoyees wItr wages
as The,, sole compensation will do :~e wo'k a~o T"e struc
ture ,snot intended or offered for sare !Sec 7044 8<.,s1nw.s
and Protess,ons COde The Cont,acIor·s LIce~se law does
net apply to ar owner ol property who builds Qr improves
thereor and who does such wo'.k himself or through h,s owe
employees provided that sucn improvements are riot Irlerd
ed or o!lereO lor sale. 11. howe,e, The bu1ld,ng or ,mprove-
ment Is sold wIth,n one year 01 complet,on. The owner-bur Ider
wI I ha,e The buroen ol provmg thal he did not build o• ,m
prove for lhe purpose of sale)
1. as owner ot 'he oropeny am exclus,·,ely cowactIng
with ·Icensen contractors 10 construct the P'OJect !Sec 70~4
Business and Profess,ons Code The Contractor's L,cerse
Law does nol apply to an owner ot prooerly who builds or ,m-
P'Oves mereon. and who coniracts for each proIects ,,,th a
cor.t·actorIs) license pursuant !O lhe Contractors L,cerse Law)
As a homeowner I arr> ,mprov,~g "'Y hoo,e, and !he hl·o111
,ng conditions e,ist
1 The work ,s tie,ng perlormed pr,or 10 sale
2 I ha,e l,vM ,n my home lor twelYe 'llOnT~s
prior to completion of this work
1 nave not claimed th,s exem~l,on durrnq l.~e last ll1ree years
io'rt'h~:r~~~~r:iunderSec -----~ 3&PC
0 I hereby aHrrm that I ha,e a cect,hc.ite o(.ccnsen•
lo sell ,nsure or a cert,f,cate o' /1,'orker~
C-Ompensa,I,on Insurance. or a ~e'1•f1ed u,J, •hereo'
(Sec 3800 Labor Code!
POLICY NO
COMPANY
0 Copy ,s hied with the city
0 C,,,i,I,ed con ,s hereby lur11~hP-d
CERTIFICATE. OF EXl::M~ION FROM
WORKERS COMPENSATION INSUHA".U
(Th,s section need not be comprete,l .• The i'E""' ·
•s •o, or>e hundred dol,ars ;S1001 ur les<;,
D I cert,ty That ,n the per1o,...,.,ance ot ir-e ,.,,,., 'fl'
,.rt,ch lhIS pe=,t ,s ,ssued I shall c,ot pmprc,, any
person ,n any marner so as •o t,e, ,,rrw oub f'' I •
Irie Workers Gomp,>r1',.dt1on La,.,5 .:,' CaI,t,yn,a
NOTICE TO APPLICANT It atter ma1,,,,,-, th s r;er•
t,ca!e of E,empt,or you shou,d oerome sub1ec1 ,,,
lhe Workers Cc,mpens.it,on prcwi~Ior~ DI •r,e L.ib<Y
COOe you musl tor1r,,.,,Ih compr, w•i~ ~,,, ,,
pro,is,ons o, !hos perm,t Shi.II bP 1,.,.,,,,.,1 ,.,,c,l,,ed
D I hereby al• ,m that there s a ',or•'\l'u, •
,end,ng .Jgency to, ,ne pe,--1,,,rran, P c,t thp w >"
wh,c~ Iri,s pem•,t , ,~sued ,:,e, \091 r,,Xl~
L pnder s Na.,,e ___________ _
Lt>nder s Addre~s __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS 'r-----~~~-~~-'C.C------------------------------------'--------_;_;==:..:.=::c..=-=-.c==='-"-=.:.::.:,
' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
:l"".;~Q~B~A:";:O~,~R~7~S~S•~•.-~---,--:"--•,-M.;;,;;.;,_;>;_ __ r:~V•.s~T~.~R~O~.--~N~~~~~~.~JT~CU~R~Q~::::':,:..~T~._;;,;;_A;;;;;••~~.-_-)-------:~O~~~T~:~/~r~4~pp~(s~C~A~r~,~O~NT'-~B~U~S~IT,rr~'/:L~,~C~E~N~S~E•#~'t--
1
-
1
-~V,~A-L
0
-U~A~~~,~0~5"'---~--P~S~R~M~,TC-CN~U~MC'CB~E~R--IC
: LOT BLOCK I suao,v,s,oN I ASS!9,~,!''3-/"' __ ,,,,_ ,_,.. -CONTRACTOR _ L co~TR "TORS PHONE< ZONE 3-_s-.--3c:y',2
' owNes·s NAME I owNEws PHONE S v.JO...\J'-P oc.,\ S (;l )._';;)..C)::b
I ~.,. -/) • .-) CONTRACTOR'S ADDRESS LICENSE NQ. C:..-"::>$ PLAN 1.0. # BLDG USE COOE
: owNeRsM:,uNGAoosess --' I Y: '3l 3' ~"1'.'.'\,\.0-"",q u(toS, Ot-'-I).\ Cl ( '-i
: ~0...\/'v'-.. e,___ DESIGNER V LICENSE 4 STANDARD PLAN 4 BUILDING SQ FOOTAGE
I DESCRIPTION OF WORK ll_ I _ A.-. ,-1 ......., Pl-, / ./,/
1 , -.. .1.,,, "ltiii.~· r "-'\.!), ~ 6#-1 OESIGNEA·s ADDRESS DESJG7'S PHONE
: AoL -~-t,,_rr.,:}!S'.!!!!fJ-.:______ ---FP l'-LRELEV NO OCCGP EDU ' I C"-2 STORIES 1 1-:,:-::.:,~/J.?i-p~l-4~1-1;._u~~-~-~~~';~O()~~:P,---~.,...-:~--~--------...l--,;<~J,C:C~:::::⇒----l-=:----l-=c---:-:-::+=c-:-cc___j 1
CENSUS TRACl GP LAND USE' PARK1r-,,r~ SPAC~ RE:S ur-.1Ts I GRADING PERMIT 1ssufo I REOEVELUP....,ENT TYPE occ LOAD FIRE SPR
I AREA CONST
I • □ ~ 0 , '.] ,.0 YO r-.O Not Va/Jd Un/en Milchme Certified
~ ,,
QTY. PLUMBING PERMIT· ISSUE 1 '7 ::.::-. QTY MECHANICAL PERMIT· ISSUE 3 -SUMMARY/ACCOUNT NUMBER
EACH f IX fURE TRAP ' , INSTAL l FURN DUCTS UP TO 100 000 BTU BUILD!% PERMIT 01-00-00-8220 y~ ~i.,
EACH SUIL0ING SFV.ER ~-_,,,-._..,,_ OVER 100 000 BTU SIGN PERMIT 01-00-00-8221
-) l---EACH WATFR HEATEH ANO OR ;QT~" Sb..,_ -d :~ ~ B~ILER·COMPREssoRUPT0 3 HP ------PL~N c-~EcK 01-00--~~-8806------~o ~
___ L _E.ACHGA~~Y_STEM I TU4-UUTLETs73~.~~ e;;i -~-~ rs □IL-ER:COMPRESSOR]_!_~~---TOTAL PLUMBING 01·00-00-8222 /7 ~
EALH GAS SYS 1 EM:, 0 R MU Rt. I ME' A. ~IR:':0 LACE ELECTRICAL 01-00-00-8223 _, ..--.-c,_
-7+--EAc_H.1NSTA~·-··,;·u_ER. R:E.PA~-~£Alj_-~~ --d}_ -~'3 "':' __ :_vEN~AN S1NG-LE OUCT _ __ ___ _______ MECHANICAL __ Oi-00-0"D~8~2c24~+-----------
) EACH VALUUM BREAKER 1=', J',~ . ,,,, :~ ~ , MECH FXHAUSl H00rJ DUCTS M0BILEH0ME 01·00-00-822:J
WAlER S0FTNER --: RELOCATI0~_o~_EA_FU~ACE HEATER M0BILEH0ME PARK lr~SP ------'C------·_··--~
____ j,FL.CYP:,:_:i [',HA', '.'.) .. )l, _ --f---------H--·-~--==~=====-----~---------..-SOLAR 01-00-00-822.6_ _
1 ------,-----_ '.~ TOThl MECHANICAL STR0i',;GM0TIUri.i 80·92-33-0519 ,_.z:z,
lUlAl PIUMBl~C I /7. FIRESPRiNXLERS 01-00-00-8227
I
. I PUBLIC FACILITIES FEE 32-00-00-893] QTY. ELECTRICAL PER.MIT. ISSUE e-=... I QTY. .SOLAR. ISSUE --•~~. ---
_; -" I BRIDGE FEE
NEW CONST f:.A AMP Sl/1'! llKR I I C8L_U T,:,;i~ __________ SCHOOL FEE -DISTRICT
l---+-1 PH i PH I I! STOHAGF ',\~,KS ---------.t-------;e Carlsbad 80-92-21-0519 __ -_·_-_-.
f:XISlblrJGE.AAMPSWTSKR , _j_ P:lC<SC,RM::F Encinitas 80-92-22-0519 ---
1 PH 1 PH _ -~ PY.P --------+------a: San ~1egu:to 80-92-203~0~5_190 _+----------A RU,•00~Lt..llt:R PrP[IRCU~,--;;,, 1 //) .~" -~!:..r,r:i-.cr:"F::l _ -··----_____ --Sa~Marc □s-_ 80-92-24-0519 _
T f f,1P PO IF }llU AMPS '
____ uvER ;uu A..,,,Ps ____ --_-_-_-_-_-_-_-_-_-... _-_-_-_-_-_-_-_-_-_-_-_ .. .,-_-_-_-_-_'-,______ I --L1cENS_E_T_~~-~2_:go-o~--s_rn_2_ _ _ ______ _
TE~P UCLUPANCY ,JQ DAYS,, ·-----------11-_,._____ ; MFF 80-92-57-0519 ____ _ --r --.----ziiEo,r DEPOSIT·--I <-/0
1
~
l(JTAlElfLTklU,! I .,/Of!.., -----r----·-·TOJAIS:::•1i,R I TOTALFEESPAYABLE I ·-·-7
/-:::, ;--. I I /y::, . I
! HAVE CAREFULL y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT AND DO HEREBY Expiratmn Every permit issued bythe8u1ldmg Oft1c1aI under !he provisions olth1s * AN OSHA PERMIT 15 REQUIRED FOR EXCA'\/ATK)NS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmttal1on and become nut/ and void If the bu1ldmg or work 5· O"' DEEP AND DEMOLITION OR CONSTRUCTION 01" authonzed by such perm,t Is not commenced wrthIn 18Odays lrom the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY A~D AGREE IF A PERMIT IS permit. or if the buildmg or work authorized by such permit ,s suspended 06 -._· STRl."TUAl!S OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON L~•~b~•~od~o~o~od!!,!a~t~•o~o,t.;;hm'!!!•~•~ft~o,~t~h~•~•~o~,,,..,,,_~,~o~m~m~o,,~ce~d;L!slo~,~•ce, =~n£od!/.2o~I ~180!!Q.cd~•!tl•--t T:;l!''i-':":::~~'::'~------------------.j STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGN Jf. 0 0 YJ APPROVED BY
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LiABILITIES, JUDGMENTS. COSTS AND -, A~TURE_ OWNER CONTR -"-OATE
EXPENSES WHICH MAY fN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE /7.'J E ,\ l l.. \ I "1. e,.-1"" ....
GRANTING OF THIS PERMIT t_...t -, BY PH ~ ----(.,..,-I ~....-d~
•
"' LL
~ ~ :s
0.
E 0 f-
D 0
CJ
C m u
0. 0. <[
I
~
C
ii
0 ~ ~ w ~ ~
<[
I
3 0
" ,.
'" ~ w u 0 ,t
' • 0
~
0 u C m
C
ti:
::.
C w ~
CJ
:s
u w 0. ~ C
;';
"' ,:
•
DATE -TYPE I INSPECTOR -----------·----=----------is._S--:3}f /-
BUILDING I ------•-
FOUNDATION l--1,1\, -/ I FIELD INSPECTION RECORD ., .
REINFORCED STEEL I . REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I --' ' "' '.--. REO IF INSPECTORS I INSPECT_jOO( -DATE .. GUNITE OR GROUT CHECKED APPROVAL ---. ' -FLOOR & CEILING SUB FRAME I ..• -SOILS C,JMPL:ANCE
SHEATHING □ ROOF □ SHE;AR PRIOR TO
FOUNDATION 11\,SP FRAME I _________ , ___ I----------
STf--lUCT IRAL CONCRETE i EXTERIOR LATH --,OVER 2fJ'.JO'fiSI· ' , . --INSULATION I Pli°ESTRESSEO
INTERIOR LATH & DRYWALL '
CONCRf"TE
POST H NSION[D
I CONCRt. TE
PLUMBING I ~IELO \/'JELOING
------SEWER AND BUCO □IPL/CO I i-lf(_iH 51 RENGTH
UNDERGROUND □ WASTE □ WATER ~Ol fS
TOP OUT □ WASTE □ WATER ')PECIAL MA(;bNRt'" .. '\,·-------· .
TUB AND SHOWER PAN ' I
GAS TEST I 1.-,,1r< ~:;;.:¥ f'•c_ES CAISSo~r-:,~
□ WATER HEATER □ SOLAR WATER . ,. __ . ----,L..._ -----\ . i I \ :,i.~ ___ . ;·
~. -. . -' ELECTRICAL ' -. ~ t _-.. -· -c--' ,_ -.. □ ELECTRIC UNDERGROUND □ l!JFFER --C ----,. . ,. -. ROUGH ELECTRIC ·"" .• ~ ~--I ...... -.. -□ ELECTRIC SERVICE □ TEMPORARY -·---"f1l BONDING .Ill POOL I 1-, -<; .•
-----I
MECHANICAL ' -. ------·----I
□ DUCT & PLEM., □ REF. PIPING ---' . .,;, ... ·-. ' . ' -' HEAT -AIR COND. SYSTEMS . ·-·· I
VENTILATING SYSTEMS ·.•./ ~ -.· ·, ,,\. '. .. ' -' .
' . I~ --., .• ''"" .,.._ -·, ;. . ~ _.., . . -' -CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VB BEEN APPROVED.
FINAL I I
PLUMBING I \ --' -., t .• (' '; ._-:: . : . L
ELECTRICAL I ,~, \ ~ -\
\,_'s;)· . . --,..~ . ..• ·-. MECHANICAL I • ... -..
I °'"""''· '·-\-\~:-~~.· ... , ...... -. . . ' . GAS -.. ·,. ~ \ . ' . . .
BUILDING I
-'"""" ' "\.'-.N
SPECIAL CONDITIONS I Ii.._• "-.....~
"-N ~ -
-
•
'LAN CHECK HUMBER e--~<DDRESS /Z~Vaz,;?4:24tdC7 DATE GAf.r-
PLANNING: TYPE oF sTRucTuRE "'PooG( SfA · zoNE: ____ _
SCHOOL FEES: SAN DIEGUITO ENCINITAS
CARLSBAD SAN MARCOS
% COVERAGE REQUIRED SETBACKS
BUILDING HEIGHT FRONT
FENCES/WALLS SIDE O?z TWO CAR GARAGE REAR c:,:: ....
3 .... -.... COMMENTS: > .... .... ~ ""
~ □ REDEVELOPtlENT A;,PROVAL REQUIRED: 6 ~ □ . . -------,---------"----....... ~5-o 8 l;t LANDSCAPE PLAN COMMENTS: --------------------
EllVIRCi':r:.ENTAL REQUIREP: ----------------------
ADDITIONAL COMMENTS=-: ____________________ _
OK TO ISSUE: ~ DATE: ?,/1// ~ FINAL: ____ 02:----
**** j:--:.,•~tt1r2i1r•*:S~**f*!£~¼-&¥f:Sf•;q_.-!!-~~*~~~*** ~ -J: .. **-:.:-.: .~ 11 ********.,;,;* *********'*******,.
/
ENG I NEER ING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKEOV
P.F.F • ______ PARK IN LIEU ---------·----------
R.O,W: IMPROVEMENTS:
______________ E.D.U: __________ _
SEWER: --------------------------
LATERAL: __________ _ DRIVEWAY: _________ _
c:,::
~ GRADING PERMIT: ______________________ _ -.... > .... l::I ! DRAINAGE:
~-□ 800 ........ '-'"" ...,_
EASEMENTS: __ 'Jkt::k{_.....;...;.·......,.._-c:::::::"-___ ADDITIONAL CO,..,,.ENTS: _____ _
"" ::, .
C,:C' □ -----------------
8 ~ OK TO ISSUE: -.1,~::;;;:::=;:::....._=---DATE: 6 /)/ / fr-"
J * ENGINEERING INSPECTION REQUIRED: _______________ _
PUBLIC 1-!0RKS INSPECTOR: __________________ _
FINAL OK: ----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)
DEVELOPMENT AL
SERVICES
BUILDING DEPARTMENT
(itp of (arl~bab
1200 ELM AVENUE
CARLSBAD, CALIFORNIA 92008-1989
(619) 438-5525
This document will certify that I am aware of the provisions of the
California Administrative Code, Title 24, Section T20-1406(c),
"Swimming Pool Heating'', as shown on form DPL #297. I understand
that neither a swimming pool building permit using a fossil-fueled
heater nor a plumbing/electrical permit for a new or replacement
fossil-fueled heater will be issued until this certification is
executed.
For the swimming pool located at 1'74 V\.. Mct((C?:>CA...1 C'\.
(site address) I certify that all of the following requirements for
fossil-fueled (or electric) swimming pool heaters will be met:
1. Outdoor pools shall be equipped with a R.Q..Ql cover. -2. ON-OFF switch on outside of heater to allow shutdown without
adjusting thermostat and start-up without relighting pilot light.
3. 36" minimum length of plumbing provided between filter and
heater to allow future solar installation.
4. After January 1, 1982, new heaters installed must have 75%
thermal efficiency.
5. Time clocks installed to allow pump operation during off-peak
demand periods (unless pump used for active solar).
6. Directional water inlets in pool for good mixing.
Owner's Signature:
Print Contractor's Name:
Contractor's Signature: a.~ Date: <o/Cl(8.s
Address:
so