HomeMy WebLinkAbout1837 PALISADES DR; ; 83-249-60; Permit~\\)I[
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~ I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing/with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full force and effect.
lie No 335-113 Class ..,B-.____.] __ _
I hereby affirm lhal I am exempt from the Contra<:· tor's License Law for lhe following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re· quires a permit to construct, alter. Improve. demoUsh, or repair any structure, priOr to its Issuance also requires the ap-plicant lor such permit lo Ille a slpned statement lhal he ts
licensed pursuant 10 lhe provisK>ns of the Cootractor's License Law (Chaplef 9 commenci"Q with Section 7000 ol
Omsion 3 ol the Business and Professions Code) or that is ex·
::"ol!\~e~t~,~~ ;~;t~sliv':n t=~~,:~t~i .~!
jee1s the applicant to a civil penalty of not more than OW hun-dred dollars ($500).
D I, as owner ol the property, or~ employees with wages
as their SOie compensation, will do the work, and the struc-ture Is not Intended or ottered for sale (Sec. 7044, Business
and Professions Code: The Conlractor' s License Law does not apply to an owner ol property who builds or improves thereon and who does such work himsetf or through his own
employees, provided that such Improvements are not intend-ed or ottered lor sale. 11, however, the building or Improve-
ment is sold within ooe year of completion, lhe owner-builder will haYe the burden of proving that he did not build or 111>-
prove lor the purpose of sale) .
• ~.I. as owner of the property, am exclusiYely contracting hilb licensed contr,ctors 10 construct the project (Sec. 7044, Business and Professions Code: The COntractor's License Law does no1 apply lo an owner of property who builds or im· proves thereon, and who contracts for each proie<:ts with a
conlractor(s) license pursuant 10 the Contractor's License Law).
D As a homeowner I am improving~ home, and the follow·
ing conditions exist: i: rt~:~!tbe:~ ~rt= r«ior :e1:18fl'IOnths prior to completion of this work.
3. I haYe nol claimed this exemption during the last three years.
D I am exernpl under Sec. ______ , B & P.C. for this reason ____________ _
□ I hereby affirm that I ha,.,e a cert1hcate of consent
to self-insure, or a certificate of Workers'
Compensation Insurance. or a cert1hed copy thereof
(Sec 3800. Labo< Code).
POLICYNO YiCI 136.llC. ___ _
COMPANY _Br_akke~Schafnitz
~ Copy Is hied with the city
D Certified copy Is hereby furnished
CERTIFICAU OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 1f the permit
Is tor one hundred OOllars ($100) or less)
~ I cet11fy that ,n lhe perfOfmance of lhe woO'. fOf
""V?hch this permit is issued. I shall noI employ any
person in any manner so as to become sub1ecI to the Wor1'.ers' Compensation Laws ol Calitorn1a
NOTICE TO APPLICANT It, after makm~ this Cen,.
ftcate of Exemption, you should oecome sut,secl t?
the Wo,tl;ers· Compensation prov,s,ons of lhe LabOr
Code, you must forthwith comply Wllh SUCf'l
provIsIons Of ttus permit shall be deemed revokeo
O I hereby affirm lhal there ,s a cons1tuctIon
lending a,gency lor the perfOfmance ol the work lor
which nus permII Is issued lSec 3097. C1v1I Code)
Lendet s Nome Crocker Bank
Lende<'s Add<ess ] M)ntgorrecy
San Francisoo, CA 94104
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. I DATE OF Al'l'LICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
1837 PALISADES DRIVE RO. 6/9/83 19503 ~5:2..qb
OWNER'S NAME I 714) ~;N:;;~;NE
CONTRACTOR CONTRACTORS PHONE # ZONE
?-bla I:evelq;:ment Corp. Sane 714)=.----.... , B 3-2'-/'1 -1>t>
OWNER'S MAILl~G AODRESS CONTRACTOR'S AOORESS LICENSE NO. PLAN 1.0. # BLOG use CODE
808 .Adams Ave •• Huntinqton Beach, CA Sane 335-113
LOT BLOCK I SUBDIVISION I A:JESSOR PARCEL NO (c) DESIGNER LICENSE • STANOARO PLAN# BUILDING SO. FOOTAGE 60 76-15 0"7 ~~:>. ~";> 0 '!he Architects Group C917O J~n J DESCRIPTION OF WORK
l=-inl'T1o Fl'll'Tli lu '!&>ed.~ -DESIGNER'S ADDRESS DESIGNER'S PHONE
?~ 3 714 Mams Ave., jlunt. Beach 714)960-2476
-NO --------F/P F ~ OCCGP EDU 6(28/8~~234 ST~ fi-B J. 3180.~
vO NO .,--
CENSUS TRACT I GP LANO USE I PARKl7/37E I RES 7TS I GRADING PERMIT ISSUEO I REDEV&t'OPMENT TYPE OCC LOAO FIRE SPR ~ NO
AREA i-;;; vO NDl5 vO NO Not Valid Unlffs Machine <Artifit!d
QTY. PLUMBING PERMIT -ISSUE -;.!;:_ QTY. MECHANICAL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP '3fJ. -INSTALL FURN. DUCTS UP TO 100,000 BTU {.[, !""""""-BUILDING PERMIT 01-00-00-8220 ~~c:--
EACH BUILDING SEWER ~ ... 'I OVER 100,000 BTU . SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANO/OR VENT '.l _c;; BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00-8806 .;2.3 t.f.. LC:--
EACH GAS SYSTEM 1 TO 4 OUTLETS ;;...,~ I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 '1-4 -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ~-ELECTRICAL 01 ·00·00-8223 "2,~ -
EACH INSTA~ .• ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00·8224 in-
EACH VACUUM BREAKER ME CH EXHAUST -HODO/DUCTS MOBILEHOME 01-00-00-8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF ORAIN (INSIDE) SOLAR 01-00-00-8226
T0T.I.L ME CHANICAL STRONG MOTION 80-92-33-0519 -~-i~ .. TOTAL PLUMBING I U_q .-10~ FIRE SPRINKLERS 01-00-00-8227
~ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00-00-8923 QTY. ELECTRICAL PERMIT -ISSUE
" BRIDGE FEE
NEW CONST EA AMP/SWT /BKR I n'f> =ic-COLLECTORS '\. I SCHOOL FEE -DISTRICT
3 PH -STORAGE TANKS ~-' ~ I PH --Carlsbad 80-92-21-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE r J ~ -Encinitas 80-92-22-0519
I PH 3 PH PUMP •• I" ~ -J San Dieguito 80-92-23·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK t'EE oY '? ',' San Marcos 80-92-24·0519
TEMP POLE 200 AMPS \.) "' OVER 200 AMPS . 'Kl-t-/'x:/...L -
TEMP OCCUPANCY (30 OAYS) rn,;,::. ?,.nn-,
TOTAL ELECTRICAL I ~~ TOTAL SOLAR I TOTAL FEES PAYABLE I -~' 9:n -ct~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Exp,ralion Everypermtt~t11eBuildingOff1Ctalunde<lheprov1a1onsoft1us * AN IT IS fl//E.OA/llllll \FO'll EXCAYA T10NS OVEII
"''"'" ""'" """' o, ""'"" "'" "' '"""'""'°" """'" '""-"™"G ™' c.. -~· P·• "' ,~~.., E "'~ ~,~,. -· :rv-._ ANO OEIIOUTION OR CONSmucTlON Of'
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhortZed by t~it ,snot commenced w ays lrom Iha date of suell OYER 3 STONES IN HEIGHT 1'9'ftlt, or ,f the I dl::x or Work by IUC permit .. suapended or , .. ./ ISSUED: TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-at anv ,. er Ille w for oenod of 180 ~ .... ~
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ,_ ~ ~ I~ APPROc:;1-~~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND ~ TS GN TU O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -~ 8Y PHONE 0
GRANTING OF THIS PERMIT. ~ \
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INSPECTION TYPE I DATE INSPECTOR f ,,. . l \ V ' g'3-~--<ou J •,
,I~ . ! • . ~-r "( r ' BUILDING i . .,., .
FIELD INSPECTION RECORD
FOUNDATION . ·,\----REINFORCED STEEL REQ_~.l,RED SPECIAL INSPECTIONS INSPECTOR'S NOTES . -
INSPECTld~ ' ' ... ' . REQ IF INSPECTOR'S DATE MASONRY CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE (~'lj\:~ ----~--~-,.,
FLOOR & CEILING SUB FRAME PRIOR TO -:. ~, FOU DATION I SP
SHEATHING .
STRUCTURAL CONCRETE ·.
FRAME \0-t\~ V,C"~ OVER 2000 PSI :
• PRESTRESSED .
EXTERIOR LATH lNSULATION CONCRETE ::
POST TENSIONED ·,
INTERIOR LATH & DRYWALL C9NCRETE .,,
PLUMBING -F1El1J'WELDING _.,.:,4 -
SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND BOLTS ' -'-' --~ -~ .. \\.'L1 SPECIAL MASONRY -"?; r~ ~ PLUMBING TOP OUT --~ ,, . -
TUB AND ~HOWER P_AN .
GAS TEST PILES CAISSONS
ELECTRICAL \·~ --
TEMPORARY POWER --~ --. '~\.°"', ----·-\ ...,.
~ --ELECTRIC UNDERGROUND \ 'i ·.1•1-ftt . u -~ • ROUGH ELECTRIC .JC~ -#'; . --. ' ... ELECTRIC SERVICE \.c::i \. + ~~;. ----BONDING .\ ":'
G. F. I. -SMOKE DETECTOR r _.,l • I I ·.,, 1-,
' ,• 'I':.\ \ .r, •
MECHANICAL / !
DUCT & PLEM., REF. PIPING tJ,// C4I ~//'.IN , 1-s-. .,--\ 1 --~) ' ~ ,~ ·-........
HEAT -AIR COND. -SOLAR SYSTEMS .• ' .. -· ,------.. ' ' . " VENTILATING SYSTEMS
APPROPR/A TE •. \ z' r CALL FOR FINAL INSPECTION WHEN ALL
ITEMS ABOVE HAVE BEEN APPROVED. -. . ·--,)l i.-----. ..
JOB SITE FINAL -''"~I I
PLUMBIN'G A"()~ \y--~ ~ ;\. ~.:," ELECTRICAL r ;i.~ '-.:// . ... , ........ ..
MECHANICAL ~ V': _'I', 0 \
GAS ? \ .U( -
i--~ :,) ~-(·
BUILDING "
SPECIAL CONDITIONS -~ .
CERT OF OCCUPANCY ISSUED I l_ I .. \_ -"