The URL can be used to link to this page

Home My WebLink About1560 SANDALWOOD LN; ; 80-729; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I 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 lull force and ef- fect. OWNER-BUILDER DECLARATION DI 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 life 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). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the slructure 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). ':JI, 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. for this reason ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO .. ___________ _ COMPANY ___________ _ □Copy Is filed with the city. □Certified 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 empl9y 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- tlflc;ll'e of Exemption, you o I ome subject "'l"\he Workers' pens i provisions of the Jj .t r Code, Y.O comply with such projslon~//J:Mlli'!l(ril,J~~ii'lleemed revoked. COi:lSTRUCTION LENDING AGENCY r hereby affirm that there Is a construction len• ding agency for the performance of the work for whlr.h thl~ nArmlt i~ ,~~11A<1 l~Ar:. :l097. Civil Code). CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. NO. JOB ADDRESS l 1,l,c, ~rAv/J:Jr/1-tL,Wio1e~, 1J..,11,J,a.,, 1, 1 1 1 OWNER'S PHONE OWNER ~oMWJc.K J, .So /<-Jl°Jo 7 7.. 9-o/ot., O~E~S/#E 1 N:ADDRECll:lf is Bll-jr GA, 9.Ao(JY 11dl/' BLOCK I SUBDIVISION T-AiSESSOR'S PARCEL NO. ~I l~1n 1S 1 , t131n1 1¥1 ~1 1 I I I I tRt 10~/i;ATIONI ~L~:;~ PRi<.oci~et BJJ i'th~s le:/E3~~~::;~ c°/-rz'r'f'P&~5Ff,,./a JS/(, ~ Mt'_iJw.i1&)1•, C II, 9Ut:tf~ DESIGNER ~ -I 0'tYd';J:S'~f,{})c1 d6-w IFITA<:&P DaJ/Blc f/4{!lvtf:. I DESIGNER'S ADDRESS 7;., ~f.s1b.E.NC£. DESIGNER'S PHONE --- CENSUS TRACT GP LAND USE ZONING PERMIT NUM9ER /'tJ✓ 7 .2 ;? ,,21 17 .75 I RES. UNITS 1 PARK~HG SPACE sf I NUMBER oF sToR1Es Not V11id Unless M,chin, Clrtifild BLDG SO. FT. BLOG USE occ. GP I STANDARD PLAN # I Py;~ 7 ~ r TYPE CONST l occ. LOAO l - CHY. PLUMBING PERMIT AMT. QTY. MECHANICAL1ERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BTU EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UPTO 3 HP EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 16-30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HODD/DUCTS VALUATICN: _J JO tJ. - WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PE~ ------ T~C:TTR ~.nn TC:C:Tlk' ~_.{){) SIGN pifa,l_g.,J 3--.> At?(> TOTAL PLUMBING CONTRACTOR TOTAL MECHANICAL PLAN 41fl/V.-it ;<;Z,3/ " ) CONTRACTOR ALL INC~IVE PERMIT / QTY. ELECTRICAL PERMIT AMT. QTY. MOBILE HOME PERMIT AMT. TOTAL PLUMSlffG. ELECTRICAL NEW CONST EA AMP/SWT/BKR AWNING MECHANICAL 1 PH .25 3 PH PORCH MOBILE HOME EXIST BLOG EA AMP/SWT/BKR SET-UP SOLAR 1 PH .25 3 PH __ 1 , -· 1, RAMADA, CABANA 14-REMODEL/ALTER PEA CIRCUIT ;10 ~ f1J:i, ., TEMP PO LE 200 AMPS ~ - S(' , 7!, -a' FENCE OVER 6' TOTAL MOBILE HOME MICO-FI LM OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) J / 2~00 SI'R:NG MJI'ION: ISSUE TOTAL ELECTRICAL CONTRACTOR ~IO 7~1,----------+--_____,JII TOTAL FEES PAYABLE l . •AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5'•0 .. DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT 8SiooL FEE: I I I . 1 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 I . I I :~ilst -I"/ ottJ -:yi 7-;r -I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT. AND DD HEREBY CE8TIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TD COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. _,.. APPLl~NAK~ / OWNER□ AGENT D coNTAACToRiil IAPPR~ ~./ SYPHONE D er~~ ~¼ 7 / • w I-< Q ~ > 5 j::: l:rl 0.. V) ~ .. H SITE < P.j:::RMIT NO: _,80 --J;).._9 ADDRESS: ' .. OWNER: ,, ,. FIELD INSPECTION RECORD ~ , ' INSPECTION DATE IN5PECTO'R INSPECTOR'S NOTES WOOD FLOOR '. --. FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING r 1 --, ' -----. ''"' ' '" :~ .• ~ ., UNDER FLOOR HEATING . ' ' . I .. ..,-41.o .,_ , L•, . ' . ' . ' .__ -:'.\ ', . ,, OK TO INSTALL SUB FLOOR ~ -. . . --. ~\ -:c .•. , -.. SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK • TOILET r 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 Tl Es/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • A .. -• PRE DECK .,. ' . --.. • FENCE PREPLASTER . SHOWN • FRAME • PAN 1...1 I -J J v FINAL INSP BY BLDG DEPT f,f "-'--" I _r·J OTHER DEPT'S REQ COMPLETED I • ' ' ,,_ I ELEC METER-PERM-TEMP . GAS METER-PEl'tM-TEMP .. " \ . .· ~ f CERT OF OCCUPANCY ISSUED -{ . '