HomeMy WebLinkAbout1665 SANDALWOOD LN; ; 83-48; PermitCl) z 0 ;::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
lull force and effect.
Lie No ------Class
1 hereby af1wn lhal I am exempt from the Conlrac-
lor' s Lame Law lor the lollowing reason (Sec 7031 5 Business and ProlessIons Code Any city or county wtuch re·
quires a permn to construct. alter improve. demolish. or repair any struclure. pnor to its issuance also requires !heap--
phcant for such permII to file a signed statement that he Is hcensed pursuant to the pcov1s1ons ol the Contractor's
License Law (Chapter 9 commencmg with Sect10n 7000 ol
0Ms1on 3 ct the Business ano ProfessJOM Code) or that is ex-
empt therefrom and the basis for tt,e a!!eged exemption Any V!Olahon of SetllOn 7031.5 by an apptant for a permII sub·
Jecls 1h&applttant to a ttvil penalty al not mOfe than five hun-
dred dollars (S500J
n I. as owner ot the propeny, or my employ .. s with wages
as their sole compensahon, wHI do the work. and the slruc-
ture Is not intendeil Of offered tor sale (Sec 7044. Business and PrnlessIons Code The ContractDf's License Law does
not apply to an owner ot property who builds or Imptoves Ihereon and who does such work himself or through h,s own employees, provided !hat such Improvements are not inlend-
ed or oUered for sale. 11. however, the buildmg or improve-ment is sold w1th1n one year of completion. the owner-builder will have the burden of proving that he did not bu11d or im-
prove for Ille purpose Of sat•J.
□ I. as owner of the property, am exclusively contracting
with lansed contractors to construct the proiect (Sec. 7044, Business and Professions Code: The Contractor's Lteense Law does not apply to an owner of property who builds oc m-proves !hereon. and who contracts for each proiects with a
contractor(s) hcense pursuant lo the Contractor's license LiW).
D As a homeowner I am improving my home. and the lollow-
1ng condlhons exist 1. The work is being performed prior to safe.
2. I have lived in my home !or twetve monlhs
3. f'~!v~ :;'P~:~of t
1~: ':!p1ion dunng the
last three years.
D I am exempt under Sec. ______ , B & P.C.
for this reason ____________ _
D l hereby affirm that I na-,e a cer11f1cate ol consent to self-insure. or a cer11t,ca1e of Workers·
Compensation Insurance, or a cen1t1ed copy !hereof
(Sec 3800, Labo< Code)
POLICY NO
COMPANY
O Copy ,s filed w1tn the city
D Cer11hed copy 1s hereby furn1she<l
CERTIFICATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE (This sec11on need not be completed 11 the permit 1s tor one nund,eo OOllars {S100) Of less)
0 I cen1ty lhat In the pertormance ot the won-t tor
which this permit ,s ,ssueCI, I shall not employ any
person in any manner so as to beeome sub1ect 10 the wo,11,e,s· Compensation Laws ol Cahtorn,a
NOTICE TO APPLICANT II. afler matun;1 !his Ceri,
ftcate ol Exemp1ion. you shOuld become subJecl I?
ine WOOle,s· Compensation p1ov1s1ons ol the Labor Code yov must forthwith comply w11h such
pro'll1s,ons or ttus permit shall be deemed re,..oked
0 I heteby affirm IN! !here ,s a cons1ruchon
1eochng agency tor !he performance ol lhe won. fot
wl'lrch 1tus permit •s 1ssue<J 1Sec 3097 C1v11 Code)
Lenders Name ___________ _
tenoer s AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
,, '-'>.,
AV -ST RD.
S'A.r..>'OAI-~.J)
NEAREST CROSS ST
inm&"S l°A ;:~F;:;:;ON1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
~-;.,
r-1 -CO_N_T_R_AC_T_O_RS-PH_O_N_E-,➔1-z-::-O-N::-E-------tj 4 <t LOT BLOCK I SUBDIVISION
OWNER"S NAME
IJIJ:lNiC A6.~~ I
OWNER"S MAL NG ADDRESS
l ASSESSQ.El PARCEL NO e-1, "'. ol-0$' 13. 0 -.J 't'0U
17:i-~/:;: ;;E
/ b I:, S' $ A..UDAL.. t.-v O t)£)
CONTRACTOR
tJw1Vlt1z_-dv11-.17el'l.-
CONTRACTOR"S ADDRESS
_,.,-
DESIGNER ---DESCRIPTION OF WORK I lltrr+i &Pb M,S /<IEWO l'ZIL I DESIGNER'S ADDRESS _..,.,--
LICENSE NO. PLAN 1.0 . # BLDG use CODE
LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
DESIGNER'S PHONE
I---I F/P FLRELEv.! ! NO loccGP ! EDU '
vO NO
CENSUS TRACT GP LAND USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT
AREA
YO N D ,o NO
Q/Y· PLUMBING PERMIT -ISSUE '/~ j QTY.I MECHANICAL PERMIT -ISSUE
lp EACH FIXTURE TRAP J..f". -t'"' I INSTALL FURN. DUCTS UP TD 100,000 BTU -EACH BU\J-DING SEWER OVER 100.000 BTU
--1 EACH WATER HEATER AND/OR VENT I I I BOILER/COMPRESSOR UP TO 3 HP
_,,,,-1 EACH GAS SYSTEM I TO 4 OUTLETS I I I BOILER/COMPRESSOR 3 15 HP
EACH GAS SYSTEM 5 OR MORE i I I METAL FIREPLACE
EACH INSTAl . ALTER. REPAIR WATER PIPE . VENT FAN SINGLE DUCT
STORIES
TYPE
CONST
~-
CCC LOAD I FIRE SPA
vO NO
1,,,~.l\.:~-
l 1 ,.-'·•:< .. _~ II-. , _ ·►v
;-i=
11 ~,,
Nor Valid Unless Machine Certified
3t',
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SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT 01 ·00·00·8220
SIGN PERMIT 01 ·00·00-8221
PLAN CHECK 01-00·00·8806
TOTAL PLUMBING 01-00·00-B222 "Z.L.Jo
ELECTRICAL 01-00-00-8223 /0 --
MECHANICAL 01 ·00·00·8224
una11 cunuc I EACH VACUUM BREAKER . MECH EXHAUSl -HOOD/DUCTS . II 1V1uo1Lcnunnc 01 ·00·00·8225
: WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER . i MOBILEHOMI ...
I EACH ROOF DRAIN (INSIDE) . · U SOLAR
----.. -··-··E PARK INSP
--· ·-01-00-00-8226 --·· I TOTt.L MECHANICAL • I ,
I TOTAL PLUMBING I -i.:: .:."\t I . II ~IHt:,YHIN~LtH:,
STRONG MOTION 80·92·33·0519
r,nr ,..,..,..,u,.r, rnr 01 ·00-00-8227
I
I QTY. ELECTRICAL PERMIT -ISSUE ..,.-_ QTY. SOLAR -ISSUE ) o-1 n t1H1uG
PUBLIC FACILITIES FEE 32·00·00·8933
M•~-E FEE
NEW CONST EA AMP'SWT BK R COLLECTORS SCHOOL FEE -OISTRJCT
I PH 3 PH STORAGE TANKS Carlsbad 80-92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80-92-22-0519
I PH 3 PH PUMP San Diegu1to 80-92· 23·0519
REMODEL AL TEA PER CIRCUIT -;:r PLAN CHECK FEE San Marcos 80-92-24·0519
TEMPPOLE 700AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYS) ~7~ 'I CREDIT DEPOSIT
I TOTAL ELEClRICAL TOTAL SOLAR TOTAL FEES PAYABLE T;;
I O -_ ~,~Q 1i-------------------....i. ........... -----------------------------------------....i----;,,,,;;;--"""""~
I i'iAVE CAREFULLY EXAMINED Ti'iE COMPLETED '"APPLICATION AND PERMIT" AND DO HEREBY * AN OSHA PERMIT IS REOUIA£0 FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING Ti'iE '0 DEEP ANO DEMOLITION OR CONSTRUCTION OF
I DECLARATIONS ARE TRUE AND CORRECT ANO I FURTl'iER CERTIFY ANO AGREE IF A PERMIT IS STRUCTIJR£S OVER 3 STORIES IN HEIGHT
I ISSUED· TO COMPLY WITl'i ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-L~:.::~~~!!!.!JL!!!~.!!J,!!!...!!!!!...!!!!~~~~!!!;¥,-~..?.J~~c.2!.~=lll'----::--1~~~---~lf-------------:~~----~ STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
I KEEP i'iARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO
I EXPENSES WHICl'i MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
:LG'.!:R~A:N:T~IN:G:..'.:O~F~T:H:•:S~P~E!R:M:1:T--------------------------~!~~:::~[_.J.~~~zs~~:!:~, ____ .::.:.::~~E~~=-J~~=~~~/_:_~~~~lL-~t-~~tJ
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TYPE I DATE INSPECTOR
BUILDING I
'
.. \\ '. . .., " ,, )e' ' ~2,.-4 ~ \ -
FOUNDATION I FIELD INSPECTION RECORD '
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
'\ REO IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHEjAR -FRAME I l·JJ,IJ,<',,A ~
EXTERIOR LATH I
. . .
SOILS COMPLIANCE .-,.:--_ .... '\ .
PRIOR TO
FOUNDATION INSP ,.
STRUCTURAL CONCRETE
OVER 2000 11'$1
INSULATION I
I _,,,
INTERIOR LATH & DRYWALL I , ,7.0-"11 ,..v J'.,U'-
PRESTRESSED
CONCRETE
POST TENSIONED -.,
I CONCRETE
PLUMBING : FIELD WELDING
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D W'f,.TER SPECIAL MASONRY
' TUB AND SHOWER PAN I •
GAS TEST I
D WATER HEATER D SOLARWI\TER
PILES CAISSONS
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D )JF-F~R -
-
. --. \ -
ROUGH ELECTRIC I 1··1l1_-~ ·---r7(" l,rJ
D ELECTRIC SERVICE D TEMPORARY r . "l ,..~ -.
D BONDING D POOL I
I
-~ ...... ~ -;;. ._)
I
MECHANICAL I .
D DUCT & PLEM., D REF. PIPING
" . ..-.. ~
(j -~·'· ~' .,,,.. .. , _ _.-"' --e · r .. 1 •
J.\·t::·, r .. ~ :·'f:
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I .
---~ . . ..
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
PLUMBING --~,"!-,/~ ,, '
ELECTRICAL
MECHANICAL
\'' \. I
GAS . \ -
BUILDING
SPECIAL CONDITIONS
..