HomeMy WebLinkAbout1808 PALISADES DR; MP; 83-249-E; Permit~ 8
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O I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prole99lons Code, and my license Is In
lull force and effect.
Ltc No ______ Class
I hereby aH1rm that l am exempt from the Contrac-
10<' s License Law 10< Ille 1ollowtng , .. son (Sec. 7031.5
Bus.iness and Professions Code· Any city Of county whicli re-quires a perm11 to construct, alter, improve. demolish, or
repair any structure, pnor to ,ts issuance also requires the ap-phcant tor such permit 10 Ille a signed statement that he is licensed pursuant to the provisions of the Contrac1or" s License Law (Chapter 9 COIMlenclng wtth S.Clion 7000 of
OlvtstOO 3 of the Business and Professions Code) or !hat ,sex.-empt 111e<elr0<n and Ille basis 10< Ille allege,, exempt10n Any
VIOla!ion ot SecbOn 7031.5 by an applteant tor a permit sub-jects the apphcant to a cwil penalty of not more than live hun-
dred dollars (S500)
O I. as owner ol the property. o, my emp10yeeSw1th wages
as their sate compensal..on, will do the work. and !he struc·
ture is not intended or offered for sale (Sec 7044. Business
and Protessioos Code: The Contractor's License law does
~:gr:n~o .:~ :'s:t~kii::n :i~~~~~ft:~
employees, prOYkted that such imp(ovements are not intend·
ed or offered for sale, U. hOwever. the building or improve-
ment is sofd wi1hin one year or completion. 1he owner-builder will have the burden of proving that he dtd not build or im-
prove 10, 1he purpose 01 sale).
D I, as owner OI Ille propeny, am exclusively contracting
with licensed contractors lo construct 11,e pro,ect (Sec. 7044. Business and Professions Code: The Contractor's License
Law does not appty to an owner of property who bUilds or im-
proves thereon, and who contracts for each PfDjects With a contractor(s) license pursuant to the Contractor·s License Law).
D As a llomeoWner I am imprOYing my llome, and the 1otlow· Ing conditions exist:
1. The wor1c: is being per1ormed prior to sale.
2. I have lived in my home tor twetve months priof to compierion at this work.
3. I l1aVe nol claimed this exemption during the Last three years.
D lamexemptundefSec. ______ , B&P.C.
for this reason ____________ _
□ I hereby alhrm tha1 I ha:,e a cert1hca1e ot consent
to self-insure, or a cert1t1ca1e pt Workers· Compensation Insurance. Of a ce(t•II~ copy thereof !Sec 3800, Lat>o< Godel
POLICY NO
COMPANY
□ Cooy IS hied w,th the city
D Cert1hed copy ,s hereby fur
CEATIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be comple1ed 11 lhe permit
1s 104' one hundred dollars {S 100) or less)
O I certify that ,n !he perto,mance or the work 104'
which this penml 1s issued. I shall not employ any
person in ¥tY manner so as to beeome subJe<:I 10
the WOt1lers· Compensa11on Laws ot Gahlo,n,a
NOTICE TO APPLICANT It. after makinJ this Cer11
l1cate ol Exemption. you should bee~ sob1ec1 I?
lhe WOt1lers· Compensahon prov1s1ons ol the Labor
Code, you musl tonh¥1o·1th comply with such
prov,s,ons Of this oerm,1 shall be deemed revoked
0 t he,eby attnm th.al there ,s a cons1tuct1on
1endtOQ agency to, 1he perlormance ot 1he work to, which this perm,1 ,s issued tSec YJ97 C,v,1 Code)
Lendef 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
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB AODR ESS' AV. ST.RD. NEAREST CROSS ST. IDATE OF APPLICATION' BUSINEPNSE # VALUATION PERMIT NUMBER
/Ro8 /I "4 /4 ~ft,,?~$ De -"7',4w, !17er-k.,I/... 4"~ 8-1-8~ f3-;,'/9E LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE • ZONE
S-e,,:v, ~s S'?ol-"34100 OWNER'S NAME I ' OWNER'S PHONE ,/?1A(.c) 1 IJ<., ~
~-/,,. Pc11 ~loenGv, UJ~ .rlf38-R'2.2"'
CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE COOE
KJ/1/ A ~c..T lftl{r~ ~/0'4,~ OWNE A"S MAILING ADDRESS
I',. 9"?</ E/~-R~L ZOL, r-,--DESIGNER LICENSE # STANDARD PLAN# BUILDING SO. FOOTAGE
S,r.-_
DESCRIPTION OF WORK \ DESIGNER'S ADDRESS DESIGNER'S PHONE
, ' ,,,,~~~--:,,, ~ATl!I'-,:p.1~ )(i-,,q~ --NO EDU F/P FLA ELEV. OCC GP
/Oo A>r.P Ir/ /-;,," voL .,-/ z. ~o ,,ot,-,-STORIES 8/01 /E:i4~C.:h 1 30~01
vO NO r. .
CENSUS TRACT I GP LANO USE I PARKING SPACE ]"RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA CONST
y O N 0 vO NO vO NO Not Vdlid Un~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE '7f!-QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00-8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221 ..
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP 10 3 HP PLAN CHECK 01-00·00·8806
EACH GAS SYSTEM 110 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00·8222 A
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ' ELECTRICAL 01 ·00·00·8223 -:'c}~
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00· 8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01 ·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE) SOLAR n1 .no.nn.Q??~
TOT.t;L MECHANICAL STRONG MOTION 80-92-33-0519
TOTAL PLUMBING I FIRE SPRINKLERS 01-00·00-8227
5"'.,-QTY. SOLAR · ISSUE
PUBLIC FACILITIES FEE 32-00·00-8933
QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE
/ NEW CONST EA AMP/SWT BKR /rt} ..t). -,c--COLLECTORS SCHOOL FEE • DISTRICT
I I PH 3 PH STORAGE TANKS l Carlsbad 80·92·21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE ,, Encinitas 80-92-22-0519
l PH 3 PH PUMP San Dieguito 80-92-23·0519
RE MOOE L'AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI /J'JPP-
' CREDIT DEPOSIT
TOTAL ELECTRICAL I --~/J &_!/-TOTAL SOLAR TOTAL FEES PAYABLE I 311(C!-I
l HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT" AND DO HEREBY EJ<lld1lllon E"'Y pem,tt ,.._ byltte8utlding0fftc1al under the prov1S1on1 of II••• * AN OSHA P£Nlfl IS AEQUlflED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda INII 8XplN by bmtUIIIOn Wld bacOf'IHI null and VOid ti ,,,. bu1ldrng Of wort, 5· O" DEEP ANO OEM0UTION OR CONSTIIUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS -by sucl'I permit is not commencad w11tun 180 d•V• from tne date of such STRUCTURES OYER 3 STONES IN HEIGHT permit, Ot If Ille bulldt::11;' WOtll autllo,IUd by such permit tS suspended or tSSUEIJ'. TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON---,,ac1 at am, -the WOt1t IS COffl-,cacf for• ""'nod of 1llil "-·• STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APA.<'! ZGNATURE l~ OWNER□ CONTRACTOR 0 APPROVED BY
IDA~/Y
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND p EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT. ''" -,,._~J,._.
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TYPE I DATE INSPECTOR
BUILDING I • g3.,~ G -I -
FOUNDATION l FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I . --
I ' REO IF INSPECTOR'S ' GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE ' SHEATHING D ROOF D SH~AR PRIOR TO ' -.. . f ..
I FOUNDATION INSP ,. FRAME -
STRUCTURAL CONCRETE EXTERIOR LATH I OVER 2000 PSI .
INSULATION PRESTRESSED I CONCRETE l INTERIOR LATH & DRYWALL I
POST TENSIONED
' CONCRETE I I
PLUMBING I FIELD WELDING .. SEWER AND BUCO D IPUCO I ,. HIGH STRENGTH ~ BOLTS UNDERGROUND D WASTE D WATER -
" ' --· D WASTE D WATER SPECIAL MASONRY TOP OUT
TUB AND SHOWER PAN I
GAS TEST I I PILES CAISSONS ,.
D WATER HEATER D SOLAR WATER , . I .
V ~ ~ ELECTRICAL I
D ELECTRIC UNDERGROUND □:UFFER / ' ,.
L : ROUGH ELECTRIC I L ' ; , i D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I f ~ ' / -~ . -j ,. . I
I ' / -
' ' , . MECHANICAL I / ., . ~ ---D DUCT & PLEM., D REF. PIPING ..
HEAT -AIR COND. SYSTEMS I ~~\ ,/ ..
VENTILATING SYSTEMS ' ' I VP'M\ ~ I .,t.
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE/ ( ~, .~ ITEMS ABOVE HA~ BEEN APPROVED. [\~ ,-
FINAL I / ~ " .-.,,., I
PLUMBING I ' / \1\ ' / , \ -' ELECTRICAL I '"'
MECHANICAL 1 ,,I' I
I ..... : .... . -GAS I ,_ L
BUILDING l / -,.
SPECIAL CONDITIONS 1 .
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