HomeMy WebLinkAbout1832 Palisades Dr; ; 86-803; Permit.,, z 0 .:: C m: C ...
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0 I lle<eby affirm lhat I am licensed under
provision, of Chapter 9 (commencing with
Section 7000) of Division 3 ol the Business
and ProfHalona Code, and my license Is In
full force and effect.
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I hereby att,rm that I am exempt lrom the Contrac· I
:~:;,: ~s!~n!~1°:~%~!~~w:.~:.~e5 I
qwes a permit to construct. alter. improve, demohsh or repair any structure, pnor to its issuance also requires !heap· phcant for such perm11 to tile a s,gned siatement that he 1s
licensed pursuant to !he prov1st0ns of the COntracto( s License Law (Chapter 9 commen<1ng with Section 7000 ot
0.YtSion 3 ol the Business and Protess,ons Cade) Of that 1s tx· empt therefrom and the t>aS1s !or the anegeo exemption Arry
Y1otat1on o( Sect;on 7031.5 by an applrcant lor a permit sub· 1ects the appheant 10 a C!Vtl penalty ot not more lhan hve hun-
dr8'l dollars (S500)
l I, as owner of the property or my employees with wages
as their sole compensatlOf'I. will do the work. and the struc· ture 1s not intended or ottered !or sale (Sec_ 7044 Bus mess
and Protess10ns. Code The Contractor· s license Law does not apply to an owner of property who builds OJ improves
thereon and who does such work h1msell or through his own employees provldec:, that such improvements are not mlend~
ed or offered for sale If. however the bu1ldmg or 1mprwe-ment 1s sold w1th1n one year of comp!euon. the owner-builder will have lhe burden Of proving lhat he did not build or 1n1-
prove tor the purpose of sale)
D ). as owner ol the property, am exciusJVely contracting
with hcensecl conlractors lo cons1ruct !he proJect (Sec 7~4. Business and Proless10ns Code. The ConlractOf's License Law does not apply 10 an owner of property who builds or im-
prOYes thereon, and who contracts IOI' each pr01ects with a contractor(s) license pursuant 10 the Contractor·s License Law)
D As a horneowne< I am improving my home. and the lotlow 1ng conditions exist
1. The wor1< 1s bemg per1ormed prior to sale. 2 I have lived In my home lor twelve months
3 r"t:v~ ;P~::~or 11
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: :'"~phon dunng the
last three years.
□ I am exempt under Sec ______ , 8 & P C
f« this reason
0 I flereby affirm that I have a cert1licale of consent to
sell•insure. or a cerhficate of Workers· Compensation In-
surance. or a certified copy thereof (Sec 3800 Labor Code•
POLICY NO
COMPANY
0 Copy IS flied Wtlh the city
0 Cert1f1ed copy Is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need not be completed if the permit
Is for one hundred dollars 1sioo) or less)
D I cert1ty thal in lhe performance ot 1he work tor which
this permit •s issued, I shall not employ any person In any
manner so as to become subject to the Workers· Compen-
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subJect to the Workers'
Compensation provisions of the Labor Code. you mus!
forthwith comply with such provisions or this permit shall
be deemed revoked.
0 l heteby affirm that thete is a construction lendrng
agency for the performance of the work for which this per-
mit ls IS$ued (Sec. 3097, Civil Code)
Lender's Name ____________ _
Lender"s Address, ___________ _
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USE BALL POINT PEN ONLY & PRESS HARD ~ . --· -··-· -. ··---······-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad, California 92008-4859 ,oe AODf' ESs fltks"J~ /J;v ST.RO NEAREST CFIOSS ST.
,~~Z~8L,TIONI
BUSINESS LICENSE " VALUATION..-,, PERMIT NUMBER
/~3~ EIJ.fi r'o,·1.. f J/JJ/j ~/
LJb BLOCK I susD1v1s10N I A3S6°'o/?j •tJ</ CONTRACTOR CONTRACTORS PHONE • ZONE 8 0 .3.
~;:~~ '" I c_ f-a/t '1
OWNER"$ PHONE
'-IJ </-1:i?. .1 CONTRA/)/:D7ile r STATE LICENSE NO. BUILDING SO. FOOTAGE
o?]}'i NG 71:,7,Sl+J<J o; C~/4li~/ c, OESIGNE)I--DESIGNER"$ PHONE
DESCRIPT,ON OF WORK f-1t.-ho Guur OESIGNER·s ADDRESS STATE LICENSE NO. ~
~
e--FIP FLRELEV. NO OCC GP EDU
STORIES
vO NO --0121 001 88/06/86PRNT SL
~ I I -I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST --vo ND vO 1vO vO NO Nor Valid Un~r Machine Cerhfi~
QTY. PLUMBING PERMIT · ISSUE /!f'O QTY. MECHANICAL PERMIT · ISSUE ~--SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS i.lP TO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220 -:r ,-
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 001-810·00·00·8221 ---
EACH WATER HEATER AND OR VENT BOILERICOMPRESSOR UPTO 3 HP PLAN CHECK 001-810·00·00·8806 7.n-
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 --
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL -001·810·00·00-8223
EACH INSTAl. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810·00·00·8224 -
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001·810·00-00-8226
EACH ROOF DRAIN ( INSIDE) DRYER VENT STRONG MOTION 880-519·92·33 •Si/
TOT,q MECHANICAL FIRE SPRINKLERS 001-810·00·00·8227
TOI AL PLUMBING I PUBLIC FACILITIES FEE 320·810-00-00·87 40
QTY. ELECTRICAL PERMIT · ISS UE '7--QTY. MOBILE HOME SETUP
BRIDGE FEE
PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWT BKR CAR PORT TIF 001 ·B 10·00·00-8835
I PH 3 PH AWNING LICENSE TAX 001·810·00·00·8162
EXIST BLOG EA AMP/SWT BKR GARAGE MFF 880-519-92-5 7
l PH 3 PH
REMODEL ALTER PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
TE MP OCCUPANCY 130 OAYS)
CREDIT DEPOSIT
TOTAL ELELTRICAL I TOTAL TOTAL FEES PAYABLE I 5 / .5l> '
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATION ANO PERMIT AND DO HEREBY Exp1rat1on Every perm11 issued by the Bwldtng Ot1tc111 under the prov1s1ons of th,s * AN OSHA PERMIT IS REQUIR£D F()fl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•pire by llm1tatt0n and t>ecome null and void If the bu1ld1ng or work 5' o·· DEEP AND DEMOUTION OR CQtlSTRUCTION 0~
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I& authorized by such permit 11 not commenced w1th1n 180 days from the dale l)f such STAUCTURES OVER 3 STORIES IN HEIGHT permit. or 1f the bultdin~ or work authonzed by such permit ,s suspended or tSSUEO· TO COMPLY WITH.ALL CITYcCOUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at any hme a er the worll 1s commenced for a nAnod of 180 dav~ STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
~TUF r~ ... .,r ... __,/OWNEA_ CONTRACTOR 0 APP~B,&
.l DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE 18-6-~l: GRANTING Of THIS PERMIT ,,,,, .... BY PHONE 0
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TYPE . DATE INSPECTOR I
BUILDING I
FOUNDATION I
REINFORCED STEEL .
I
MASONRY I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CElpNG
SHEATHING D ROOF D StliEAR
FRAME I
EXTERIOR LATH I
I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
D SEWER AND BUCO D fi>UCO
UNDERGROUND D WASTE _Q WATER
TOP OUT D WASTE □WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS I
' _j
CALL FOR FINAL INSPEeTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I \ --
PLUMBING I \..' r--I (}J .
ELECTRICAL I I\\ ~
MECHANICAL ~· ' "V ~\ I L
GAS I /' ~' .
BUILDING I .>-. ~
SPECIAL CONDITIONS I
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
' HIGH ST'RENGT.H
BOLTS .
SPECIAL MASONRY
,.~
PILES CAISSONS
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