HomeMy WebLinkAbout1848 PALISADES DR; ; 85-623; Permitu, z 0 ~ C a: C .., u "' 0
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O I hereby affirm that I am licensed under
prcwlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalona Code, and my license Is In
full force and effect. lie No ______ Clm
I hereby afhrm thal I am exempt from lhe Cootrac• !Of's License Law lor !he following , .. son (Sec. 7031 5 BuStness and ProfeSSJOns Code Any city or courity •h1th re· quires a perm,t to construct. alter ,mprove. demolish, or
reJ>iir any structure, poor to Its issuance also requires :heap·
pt,eant ICM' such permil to hie a s1Q.ned statement lhat he IS bctnsed punuanl 10 the PfOY1s,ons of the Contractor s
LJcense Law (Chapter 9 commencing wI111 Section 7000 of OIYts•on 3 of lhe Business and Protes.st0ns Code)« that 1s ex·
empt therefrom and lhe t,as,s 10C' lhe aIieoeo exempt,on Any Y101a1,on ol Sect1011 70315 by an apotocanl lo, a perm,, sub·
Jects the applicant 10 a c1vt1 penalty ol not moJe rhan t1111e hun-
dred dollars 1$500)
r, I. as owner of the property, or my employees w1lh wages
as their SOie compens,t10n. wi:I do lhe work. and the struc-
ture 1s not 1n1el1()ed o, ottered tor sale (Sec 7044, Business and Professions Code The Con1racto(s License Law does
not apply 10 an owner of p,operty who budds or rnproves
thereon and •l'IO does such work himself or through his own employees, provided lhat such improvements are not intend•
ed or ottered tor sale If however, the bu1kS1ng or ·1mprove--men1 ,s sold ¥tlthtn one year of completron. the owner·bUrlder
will have the burden of proving that he did not build or im-prove 10< the pu1pose of sale)
[' I, as owner of Ille property. am exclusively conlract,ng with licensed contraclors to construct the pro1ec1 (Se<:. 7044,
8us1ne-ss and Profess,ons Code The Contraclor's Ltcense L•w dOes not •pply to•• owner ol property who bu1<1s or lfll-
proves thereon, and who contracts tor each pro,ects with a conrractor(s} license pursuant to the Contractor's Lanse Law)
0 As a homeowner I am tmproving my home. and the IOI tow u,g cond,hons exist
1. The -k os being per!onned pr10< 10 sale 2 I have 1,ved m my home tor twelve months pr,or lo co,nple11011 of this -k
3. I have not claimed this exemp1,on durrng the last three years
fl I •m OXemj)I undef Sec ______ 8& P C
for 1h1s reason
0 I hereby affirm ttlal I fl.a.ft> a cert11tca1e ot consent
to sell insure. or a cer11hca1e of Workers
Compe:nsauon Insurance. or a cert1f1ed cooy lhereot
(Sec 3800 Labo< CO<lel
POLICY NO
COMPANY
□ Copy IS flied Wllh the Ctly
O Cen111ed CoPy ,s hereoy furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sect,on neeo not be comp1e1eo ,t ,~ oerm,1 ,s t()f one hun<!re-<J 0011a,s rs 1001 o, fess I
D I cen,ty !hat 1n the pertor~nce ot lhe wo111 10, which this perm,, ,s issued I staall nol emoiov anr
person 1n llnY manner so as to r:>ecome subIec1 to
the wor..ers Compensation Laws ol Ca11tornia
NOTtCE TO APPUCANT If. afler makin'J 1n1s Ce,i,
lte.ale of Exemp1.an you sll<>uki necome svbIec1 I'>
the Worke,s Compen~hon prov,s,ons ol the Labot COde )'Ou must lorth,,..1lh comply with socl'I provisions or this permit srian oe aeemecJ revokeo
0 I nereby aflum tna1 lhere 1s a cons1ruct10f'I
1eno1nQ ~ency 10, iru• perto,mance ol 1ne woril. tor
which lh1S permI1 ,s •SSued !Sec )097 Ctv1I Coot-I
Lenders Name ___________ _
Lenoet s Address __________ _
I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ----· -----------
I CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT I /\) • 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 I
I ;OB ADDRESS AV ST.RO. NEAREST CROSS ST I o~e_o;A;~c~~I
BUSINESS LICENSE • VALUATION PRMIT NUMBER
: l!'c.t?" PA '~"J~s ()i,, 1'AMAMe{< I~ I L, ~i-o I Li~ I BLOCK SUBO V•S 0N ASSESSO','.o'RCE·. NO ,u C-;:) t{);;;c:o~ c_(2_ CONTRACTORS PHONE • ZONE 1 'l. ~ 1
I OW'IIER·s NAME, I ,;;.,:;;; i/NE I CONTID.CTOR'S ADDRESS LICENSE NO PLAN 1.0. # BLDG USE CODE
I TIMOTt4Y J TOt: I ,,.,/,_&
I OWNER'S MA' .,_G ADDRESS
,,
I ,~, ... o,..i.1 llArlas DES•GNER LICENSE a STANDARD PLAN /f BUILDING SO FOOTAGE
I
I DESCRIPTION OF WORK 6)
1 PAT; n k'\.,', c:, F Alt.I ,'21" ~ ~J 9~iR..✓ OESIGNER·s ADDRESS DESIGNER'S PHONE
I I
I .... J0,-.) s,o~ <O F tf-<>"S' e... -ope.IV i>4A-tl1 foR F p FLR ELEV. NO OCC GP EDU I STORIES I DI A..""1Tf vO NO I CENSUS TRACT I I PARKING SPACE : RES UNITS I I GP LANO use GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP AREA CONST
I y D ND ... o "□ vO NO Nor Valid Unlffs Machine C~rtihtd
I /}$--I QTY. PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT· ISSUE .3 / SUMMARY/ACCOUNT NUMBER
I
I EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01 ·00·00·B220 I -, -EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00·8221
I EACH WATER HEATER ANO OR VENT BOILER COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806 yl.{;f ~
'
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00-8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00·00·8223
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 M08ILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE> SOLAll 01-00-00-R??fi --TOTJ;L MECHANICAL STRONG MOTION 80·92-33-0519 --f---
fOT AL Pl UMBING I FIRE SPRINKLERS 01·00·00-8227
QTY. ELECTRICAL PERMIT · ISSUE §✓ QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP SWl BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Enc,mtas 80·92-22·0519
1 PH 3 PH PUMP San Oiegu,to 80·92-23-0519
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24·0519
TEMP POLE 700 AMPS .
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL HELT RILAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~,. 4-,.\ I
HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT' ANO 00 HEREBY Exp•rahon Every permit issued by the Bwldtng Ofhc111 under lhe prov,s,ons of th,s * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION i'iEREON INCLUDING THE Code shalt exp,re by l!m,tahon and become null and \/Otd If the building or work 5 o· DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such pe,m,t 1s not commenced w1th1n 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGHT permit, or ,f the bu1ld1nff or work 1ulhOflZ8d b!~ permit 1s suspended or ISSUED TO COMPLY WITH ALL cnv. COUNTY ANO STATE LAWS GOVERNING BUILDING CON abandoned 11 anv time 1. e, the work 1sJ,om~c r a oer•od of 180 dav5 STRUCT(ON, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPLICA ;r·s SI~~ ,f' _#wN~ CONTRACTOR D APPROVE~ ul!,___ 1~1/Y6 KEEP HARMLESS Ti:jE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY N CONSEQUENCE OF THE
GRANTING OF THIS PERMIT ~ _/" -BY PHONE 0 .
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
EXTERIOR LA TH I
INSULATION i
INTERIOR LATH & DRYWALL I
I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
I
GAS TEST I
D WATER HEATER D SOLAR WA~ER
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D WFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPO~ARY
D BONDING D POOL I
I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I .
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VB BEEN APPROVED.
FINAL
PLUMBING ...
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE . CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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JU L 2 5 1985
City of CARLSBAD
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