HomeMy WebLinkAbout1821 PALISADES DR; ; 83-249-56; Permit~x~
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]Cl ',_ ·"'~ ... ' ••• :::Z., .. provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Coda, and my license Is In
full force and affect.
UC No ---335--H3-Class ---B--1
I hOfeby attirm that I am exempt lrom the Cootrac· !or's License Law tor the following reason (Sec. 7031.5
Business and Professions Code: Any city Of county which re· quires a perrml to construct. alter. improve, demolish, or repair any structure, prior to Its Issuance also requires the ap-pllcanl for such permit to file a si~ned statement that he Is
licensed pursuant to the prov1sK>ns or the Contractor's License Law (Chapter 9 commencing wilh Section 7000 of
Division 3 of the Business and ProtesstOns Code) or thal is ex-empt thOfelrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by an applicant for a permit sub· 1ects the applicant to a civil penalty of not more than liw hun· dred dollars ($5001.
□ I, as owner of the property, or my employees with wages
as their sole compensatiOn, will do the work, and the struc·
lure is not Intended or ottered for sale (Sec. 7044, Business and Professions Code: The Contractor·s License Law does
not apply to an owner of property who builds or Improves thereon and who does such work himseH or through his own employees, provided that such Improvements are not intend·
ed or offered for sale. If, however, the l>ullding or improve-ment is sokj within one year of completioo, the owner-builder
will have the burden of proving that he did not build or l,n.
p,ove for the purpose of sale).
C!l'I, as owner of the property. am exclusiwly cootractlng lfi!h licensed contractors to construct the project (Sec. 7044,
Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or im-proves thereon, and who contracts for each projects wi1h a
contractor(s} license pursuant to the contractor's License Law).
□ As a homeowOOf I am improving my home, and the tollow-ing conditions exist 1. The wor1< is being pe~ormod prior to sale.
2. I have lived In my norne for twelve months prior to completion of tnis work.
3. I have not claimed this exemptk>n during the
last three years.
D I am exempt under Sec. ______ , B & P.C.
for this reason -------------
□ J hereby att,rm that I have a cerllt,cate of consent
to sell-insure. or a cer11hcate of Won-.ers· Compensation Insurance. or a cert1t1ed copy thereof !Sec. Jin), ~ Code)
POLICY NO -WCI -1.3.633C,______
COMPANY -Brakk:e=Schafni.tz
~ Copy ,s hied with the c,ty
D Cert1hed copy 1s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sect.on need not be completed ,t the perm11 ,s f0t one hundred dollars (StOO) or less)
D I certify that in the performance of 1he wot1\ !Of
~uch 1h1s pemnt 1s issued. I shall not employ any-
person ,n any manner so as to become sub1ec1 to the Wortlers· Compensa1,on Laws of Cahforn,a
NOTICE TO APPLICANT If. after makin1 th,s Gerti
hcate of Exemption, you should beeome sub1ec.t ,., 1ne Workers· Compensation prov1s1ons of lhe Labor Code. you must forthw,lh comply with such
prov1s1ons or lh1s perm,1 shall be deemed revoked
O I hereby affirm !hat !here 1s a construct,on 1eno,no agency tor the performance ol the wont to,
which this perm,1 CI:o~5er 309~00e)
Lenoer s Name--.-~~--,------
Lenoer·s Address 1 M:)ntgorrery
San Francisco, CA 94104
USE BALL POINT PEN ONLY & PRE~S 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 AOORESS AV. ST., DATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER
1821 PALISADES DRIVE RO. 1S32..q{; 6/9/83 19503
OWNER'S NAME
1714) ;;;:~s;;;NE
CONTRACTOR CONTRACTORS PHONE • ZONE
MJla DevelOffient Corp. Same 714)536-2547 33--2.cfr-~b
OWNER'S MAILING AOORESS CONTRACTOR'S ADORESS LICENSE NO. PLAN I.O. # BLDG USE CODE
808 Adams Ave ., H\.llltington Beach, CA Same 335-113
L(s16 I BLOCK I SUBDIVISION I ASSE~ PARCEL NO DESIGNER LICENSE # STANDARD PLAN# BUILDING SQ. FOOTAGE 76-15 '7~~\~00 The Archltects Group R C9170 /S't)/ DESCRIPTION OF WORK Sinale Familv Residence DESIGNER'S ADDRESS DESIGNER'S PHONE
? 1---/'J~ ~ 714 1-\dams Ave., ij\.lllt. Beach 714)960-2476 6/28/846234 --·---~ F/P F~ NO OCCGP EDU -3PK ••
STORIES 'R-'?::) I vO NO --:::z_
CENSUS TRACT I GP LANO USE I PAR~°i7E I RES ,..,Ts I GRADING J'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
y)o N 0
AREA cl}"'):/ vD Nll!f v□ N(Y Not Valid Unlt!ss Machine ~,tifitd
QTY. PLUMBING PERMIT· ISSU E 7.£::-QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP 3/l"J..--INSTALL FURN. DUCTS UP TO 100,000 BTU l1 --BUILDING PERMIT 01-00-00·8220 • 7'-F-.'C.. -
EACH BUILDING SEWER /,,.<?', OVER 100,000 BTU SIGN PERMIT 01·00·00·8221 --
EACH WATER HEATER ANO/OR VENT -'.:l.~<7: BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 ~ -:z.,..J, l.. S"'""
EACH GAS SYSTEM 1 TO 4 OUTLETS ;;t.<i BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·00·00·8222 l.f.C:,_
EACH GAS SYSTEM 5 OR MORE ---METAL FIREPLACE -z...-ELECTRICAL 01·00·00·8223 ·:i.n ~
EACH INSTAL .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT -MECHANICAL 01 ·00·00·8224 ,n-
EACH VACUUM BREAKER MECH EXHAUST -HOOO/OUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01 ·00-00-R22f;
TOTt.L MECHANICAL STRONG MOTION 80·92·33·0519 _<;'. ~-~ -.
TOTAL PLUMBING I lffef .-lD---FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE s--QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00·8923
NEW CONST EA AMP/SWT /BKR I rY"> ~~-COLLECTORS SCHOOL FEE • DISTRICT
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
REMODEL/A LTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS ' X/.1-/XI .... £. -
TEMP OCCUPANCY (30 DAYSI ---·-M .'r.;,t::: h/,1)-. . --
TOTAL ELECTRICAL I 9:Jn -TOTAL SOLAR TOTAL FEES PAYABLE l Btio-1-Z
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND 00 HEREBY ~~•-· E~ perffllt -bythe8uotdi::t,Off1C1&1undertheprov1sionsofth11 * AN ~ IS AEOUIRED FOR EXCAVATIONS 0¥£11 CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code all ••Pl•& by hmrtation and l>aeome end void If the building or work 5' O" DEEP DEll0UTION Ofl CONS1"UCTIOH OF author d by such pennrt •• not commenced within 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, 1f he building qi work euthorlZed by au~• suspended or S _:_ /. -OYER 3 STORIES IN HEIGHT • ISSUED TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON· at,endo Ill mv b ... work Is co ro of 180 ""•• STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICI r·1 ~IGNATUR\" l ~" NE~_.....kONTRACTOR 0 APPROVEDt:-~
lo~~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE "r~\. ~'<' BYPHONE 0 GRANTING OF THIS PERMIT
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INSPECTION TYPE DATE INSPECTOR ,f I· I /· ,. '✓1 .. -v:' 1 I I • J ' . -~-. " -:.. -... ,, t v _\_ " -BUILDING ' I l I ' -----·· ' " I /) FIELD INSPECTION RECORD ' ' -FOUNDATION ~ .
REINFORCED STEEL I £/ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY INSPECTION REQ IF INSPECTOR'S DATE .
CH ECKED APPROVAL
I GUNITE OR GROUT SOILS COMPLIANCE ' 'T' \:.:• ,""'-'-• ·~.., -:;,., .... -·,
FLOOR & CEILING SUB FRAME ' ,f') PRIOR ro ---\: --J
r~ II FOUNDATION INSP .I
SHEATHING I
✓ STRUCTURAL CONCRETE
FRAME t, OVER 2000 PSI
EXTERIOR LATH lNSULATION 't) ,IQ ,e4,. PRES TRESSED
CONCRETE
INTERIOR LATH & DRYWALL ~ '· POST TENSIONED ,. ., I
CONCRETE
PLUMBING • I
, .
--FIELD WELDING
SEWER AND BL/CO /'11 -HIGH STRENGTH '/oS BOLTS ' PLUMBING UNDERGROUND ----/' SPECIAL MASONRY . \ ' PLUMBING TOP OUT ' .
•• I C
TUB AND $HOWER PAN .
'.j r--.
I /// -· .. GAS TEST I .. -; ' PILES CAISSONS ., I
ELECTRICAL V /
" , .
TEMPORARY POWER --L ._
' . . } (' • •al -ELECTRIC UNDERGROUND f'\ --; L • -
IJ I ~ -' . ) . ' . ROUGH ELECTRIC t ~
<-' ~-..........
.. . ,, . -ELECTRIC SERVICE ' .. .. ' .
' --' ..
BONDING ' . .. .... -~~ ~ . L ~·
I ,.
G. F. I. -SMOKE DETECTOR -
'
•-',,_ l • . ~ • I MECHANICAL n . . -
II ~ . .
DUCT & PLEM., REF. PIPING -•.;--
~
HEAT -AIR COND. -SOLAR SYSTEMS . .. ---. ' . VENTILATING SYSTEMS ..
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN. APPROVE!{,/ / , . -
_/ Ir
JOB SITE FINAL Y" -V '"µ PLUMBING -" /, V
ELECTRICAL t'\, I II £ V j > 1n n V J '
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MECHANICAL
GAS \ y .A~ ·v ' L . -. . ~
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BUILDING vu
SPECIAL CONDITIONS I ----
CERT OF OCCUPANCY ISSUED I \ .
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