HomeMy WebLinkAbout1813 PALISADES DR; TP; 83-249-E; Permit~[
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O I "-<eby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is In
full force and effect.
Lie No ______ Class
I hereby alhrm that I am exempt lrom the Cootrac•
tor's License Law ID< the lollowmg reason (Sec 7031 5 Business and Professtons Code· Any city or county which re•
quires a permit to conslruct. alter. improve. demohsh, or repair any slruclure, prior 1011s issuance also requires !heap·
plecant !Of such permit 10 tile a ~~:,ned statement lhat he lS lteensed pursuant to the provis10ns of the Contractor's
License Law (Chapter 9 commencmg with Section 7000 ot
Ow1s1on 3 of the Business an<I Professi<>ns Code) 01 that is ex· empt 1herefrom and the basis for the alleged exemption Any
viotauon ot SecbOn 7031.5 by an appricant for a perm11 sub-1ects the applicant 10 a CIVil penalty of not more lhan five hun•
dre<I dollars ($500)
D t. as owner of the property. or my employees with wages
as their sole compensalion, will do lhe work, and the struc-
ture lS not intended or oflered tor sale (Sec. 7044, BuSiness and Professions Code· The r.ontractor's lttense Law does
not apply to an owner of property who builds Of improves thereon and who does st.1ch wock himself or through his own employees, PfOVlded th.at such 1mprovemen1s are nol intend-
ed or ottered lor sale. II, however. lhe building or improve-
ment 1s sokt within one year of completion. the owner-bu1kler
WIii have the burden DI proving !hat he did not build Of im-prove ID< the purpose of sale).
D I. as owner of lhe property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044,
Business and Pfofess'°'1s Code: The Contractor· s l icense Law does not apply to an owner of property who ~ilds or im-
proves thereon. and who contracts for each protects with a contractor(s) Jk:ense porsuanl to the Contractor's bcense Law).
D As a homeowner I am improving my hD<ne, and the lollow· ing conditions exist:
1. Tile WD<k is boing per1ornled priDf to sale.
2. I have lived in my home tor twelve monlhs
J_ r:v~ ::1~::: t1~i~ :x~~PllOO during lhe last three years.
D I am exempt under Sec. ______ , B & P.C. tor this reason
0 I hereby affirm thal t ha..e a certificate of consent
to sell-insure, or a cert1f1ca1e of Workers·
Compensation Insurance, 01 a: y 1h CoPy thereof (Sec 3800, ubo< Code)
POLICYNO \
COMPANY
□ Copy IS hied Wllh lhe CII)'
0 Cen,f1ed copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (Th,s section need nol be completed II the permit
,s to, one hundred dollars IS 100) o, lessl
D f certify thal in the performance of the wo"' tor
wt11ch 1h1s permit 1s issued. I shall not employ any
person in any manner so as to become subJect 10
the Wonters· Compensation Laws of Ca:11torma
NOTICE TO APPLICANT If. alter makm;, lhts Cer,,
hcate of Exemptt0n. you should become sut>1ec1 t->
lhe WOf'kers· Compensallon prov1s1ons ol lhe Labor
Code. you mus! tonh~•th comply wilh such prov1s1ons or 1h,s perm11 shall be deemed reYoked
0 I hereby alhrm thal !here 1s a consuuchon
tending agency tor lhe perfOfmance ol lhe wor11. tor
which this permit ,s issued 1Sec 3097 C1v1I Code)
Lenders Name ___________ _
Lender'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.RO. NEAREST CROSS Sf. DATE OF APPLICATION' 8USINE5)~_5>'NSE # VALUATION PERMIT NUMBER
IP. /3, .//,//s11PE.S /:)£; --ff -r;l#wlAnAcJ~ AvG, 8-/-11¥" I /<
LOT eLocr< I suao1v1s,0N I ASSESSOR PARCEL NO CONTR~OR • , CONTRACTORS PHONE• ZONE ~-)--J/tj/ £
owNER'SNAME I owNER'SPHoNE //1A~ ce-.dfc.!'S /'\JC, ~Z.-"')1/oo o.:,,
.hJoLA /Js= vt!fl.cP~...rr-Cotz-P. t::/ 38-8, Zf,, CONTRACTOR"$ ADDRESS C LICENSE NO. PLAN 1.0. t I /t'1 BLOG use CODE
owNeR·s MAILING AooRess /rt/// A ./11<:,s/ircr At!F--s/'06S""l
L.' ,,/ .-/ \ J,_~ J DESIGNER LICENSE • STANDARD PLAN# BUILDING SO. FOOTAGE ~9'l1 Pl C~1,,.J.J !Ct!r&rt-~LS tf,9,p
DESCRIPTION OF WORt<
DE$1GN£R:s.AOORESS ~ -OESIGNER"S PHONE ~-1-------------------------------4
~,mt/'An~ ___ ()F_ ,_,.Al_~fa "t,.., ~'714l-F/P FLA ELev. ' No occaP Eou
, ,J ' , STORIES HJD AA .. p I .Y /'&) ~o lit)Lr -i vO NO --
CENSUS TRACT GP LANO USE I PARl(ING~PACE I RES UNITS j GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPR
AREA CONST
YD N D vO NO vO NO Not Valid Unlt!rt Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7-2.. QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILOlNG PERMIT 01·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·00·00-8221
EACH WA TEA HEATER ANO /OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01·00·00·8806
EACH GAS SYSTEM I TO 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 ~(7 :--
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00-8224
EACH VACUUM BREAKER MECH EXHAUST · HOOOIOUCTS MOBlLEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK )NSP
EACH ROOF DRAIN ( INSIDE) SOLAR 01-nn-o0-R??I,
TOTJ.L MECHANICAL STRONG MOTION 80·92·33-0519
TOT AL PLUMBING j FIRE SPRINKLERS 01·00·00·8227
PUBLIC FACILITIES FEE 32·00·00·8933 QTY. ELECTRICAL PERMIT · ISSUE e--QTY. SOLAR · ISSUE ~ -BRIDGE FEE
/ NEW CONST EA AMP/SWT 1BKR /tJ,t/ ;7, ~~ COLLECTORS SCHOOL FEE. DISTRICT
I 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 Dieguito 80·92·23·0519
AEMOOEL 'ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
fEMP OCCUPANCY 130 OAYSI /'7p,J'--
CREDIT DEPOSIT
TOTAL ELECTRICAL I ~ !!.;;-TOTAL SOLAR TOTAL FEES PAYABLE I :5 (J d_J!-
1 HAVE CAREFULLY EXAMINED THE COMPLETED "'APPuc't'n'"oN ANO PERMIT" ANO 00 HEREBV --~ e-y~--~the8uillllftgOlflc:ial~derlheprov1S1onaofth1s * AN OSHA PEIWIT IS IIEOUlflEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE ..,_ tllall ....,._ 11,lllllilllliOn -~ null llld vo«I If lhe buHdong or wortr 5· O .. DEEP ANO OEMOUTION OR CONSTRUCTION OF
OECLARA TIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS m,tllorlZ8d by ao,ct, permit ii not comme,--.. IIOdays from the dale Of SUCh ST---· OVER 3 ST.--rc, IN ..r.,,HT -permit. or If 11W building or WOii! aulborimcl by tueh perm,r ,s suspended or .....,,..,._ """'"' ""'"""
ISSUED TO COMPLY WITH ALL CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON· L!abarl=ICIDI~~-~-~: -::-~--~tlle';-f-'5i~il!_!COl!!!!!!-!!!!!!!ad~for;;•;~oe,noc1~~of~1~90;;1: dll•~•;citTF;:;'.ovi~~------:---i;:~°;?f:"71 ~!:~C:!~~L:~~~~~~T'i~~~;~!~A~~l%~~AIL~i~e~3~~t~~~~~~~~E~~~:g APPl.c T\JAE • ) OWNER□ CONTRACTOR □ APPROVEOBY r OAT ~,,/J'1.1
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH.E -,,,,,, -BY PHONE O / '(1 /
GRANTING OF THIS PEAMfT. ~ -----' -i -" I
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TYPE DATE INSPECTOR -I
BUILDING I -----
FOUNDATION I FIELD INSPECTION RECORD ~
REINFORCED STEEL !
I -REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I ; AEO IF INSPECTORS -GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE '' ' ~. ---SHEATHING D ROOF D $Hf.AR PRIOR TO .. ,
FOUNDATION INSP V
FRAME l
I ' STRUCTURAL CONCRETE EXTERIOR LA TH I OVER 2000 PSI
INSULATION I PRESTRESSED I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED . I CONCRETE I
I . PLUMBING FIELD WELDING
SEWER AND BUCO DIPUCO HIGH STRENGTH ' I
D YJATER BOLTS UNDERGROUND D WASTE
D WATER SPECIAL MASONRY • TOP OUT D WASTE
/' I TUB AND SHOWER PAN I
GAS TEST I /" I PILES CAISSONS I I D WATER HEATER D SOLAR WATER / I 1 I .
ELECTRICAL I / -I I
D ELECTRIC UNDERGROUND OIUFFER I / I r
ROUGH ELECTRIC I / •·
D TEMPORARY
,. .. D ELECTRIC SERVICE
//.~ . ~ r ." •--•
,,
' .. t l. _, ... D BONDING D POOL I
I ,r. 1 ~ I
MECHANICAL I I I J y / ,., ., I D DUCT & PLEM., D REF. PIPING ' /
HEAT -AIR COND. SYSTEMS I /1 ".) ~ 1 ~. ...
VENTILATING SYSTEMS J. /l ~
I / ' \ I 1
CALL FOR FINAL INSPEC
1
UON WHEN ALL APPROj>AIA TE
ITEMS ABOVE HA 1E BEEN APPROVED. v \ FINAL I V . ~ r .......... , " . '
PLUMBING I ' ' / \ ,.
ELECTRICAL I / " : a ~-c I
MECHANICAL I I /
GAS / ' ~ ,. •. t--I
I L -BUILDING I
SPECIAL CONDITIONS I
-I