HomeMy WebLinkAbout1852 PALISADES DR; ; 87-851; Permiten z 0 ;::: <(
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O I llefeby attlrm that I am licensed under I
pro,,l1lon1 of Chapter 9 (commencing with t
Section 7000) of Division 3 of the Business t
and ProlHalona Code. and my license is In I
lull force and effect.
I hereby 111,rm lhat I iilm exempl lrorn the Coolfac lor's lottnst l,w tor Ille tonow,ng ruson (See 7031 5 t
:~.~e~': :~~:s=i1r~e al~;Y C.:Z~c:"=~ r: l
iep,,•r liftY strut1ure. p,ior to ,1s cssuance a1so requ,res :he1p· I
~~~o, PY~:a~:11t~f1~~ss~o': :;a11~~o~~~~c:•'! t
lanse law (Chapter 9 COfM\tnonQ w,th StctJOn 7000 ot t ~~~~~efr~ a~':~iil: l:~:~r~ ca:;~~: IS :;y •
"01.0IIOII cl Sec:1'011 7031 5 by an appla~l for a perm,, sob-t
1ects lhe..applant to a CIVIi penally ot not mo,1 than hve hun I
llrtd oottars (S500! J
I. as owntf ol tne property,°' my employees w11h wages
as lht·r SOie compensat10n will do !he WOtk. and lhe siruc 1
1 ture Is not ,nfendeO or ottereo tor sa~ (Sec 704~ Busmess and Profession\ Code The Conu"lor's bcense Law does t
noI appty 10 1n owner ot property who builds Of ,mpcoves
thereon Jlld who does MJCh wort!: h"1'1seff o, through his own I tmDtoyees, PfOvtded 1nat such 1mprovemen1s are ·001 mtend-j
:: t~~ ~:h;:~ ~~~~~~:n!r~~~:~ \
will have the burden CJ( provmg thil ne dtd not bu1ld OJ 1m· t prove tor the ourpose o1 salel
I. as owner ot ll'le property. am exclusively con1rac1tng W4lh hcensed contrKlors to construcl ll'le prOf«I (Sec 70.t4
Busintss •nd l'!olessoons C4do The Contrxtor s lanse Law does not appty to an owner of property whO builds or ,m
proves thereon. and who cootracls 10f each prOl!CIS with a
conrractor(s) lc:ense purs!Qnt lo the ContracIor s lttense law)
1 As • -ner I om ,mprov,ng my hOrnt •nd Ille lollow mg concMions ex,sl
I The work IS being pertOl'med pr,or lo sale
2 I hive lived ,n my home lor h1,elve months
poor to compfehon of this WOfk
3 I have no& claimed this exemphon during the last three y~rs
0 I am exempt under Sec _____ _ B&PC lor this reason ___________ _
C thereby affirm that t have a cen,hcate of consent to f
self-insure. or I c~rhftcate of Wor"-ers· Compensaiuon In-i
swanc.e. or a certified copy lhereot ISec. 3800. LabOr Code) l
POLICY NO
COMPANY = Copy IS Med with the cI1v
□ Cetllhed copy IS hereby furn.shed
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
tTh1s sechon need not be completed 1f the permit
,s fOf one hundred dollars (S1CQ or less)
:J I certify that m lhe pe,tOfmance of u,e work 10f wtucn t
this permI1Is issued. I Sha.II not emplOy any person 1n any t
:,~.:rl:,:s~~ ~~;:,:ub1ect to lhe Workers Compen. I
NOTICE TO APPLICANT If. after m1kIng lhjs Cert!UcaIe t
of Exemption you shoukj become sub1ect to lhe Workers I
Compenutton p,ov1s1ons ol the Ut>Or Code. you must t :t=:~o;;~:th such provisions 01 UHi permit shall I
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0 I hereby afhrm IMI there ts a construcoon lending l
agency tor the _performance of !he work !Of which 1h11 per• I
mil is issued 1Sec 3097 Civil Code} I
Lender s Name
Lende(s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT .,.. I 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 >
JOB AOORESS AV ST AO ) THOMAS BROS NO. I DATE OF APPLICATION I BUSINE5i;UNSE #
7 i T0J
PERMIT NUMBER
I.R.S-.?-/4✓-.<ESAO€S. i)/?. V,,e.(.,>;-\ ).O (._~-" ~ .7< ( 3" {) ~ ,--, '87 /is-/ er J,
Ly/ B~OCIC I s~eo1v,s•o~ I ASS~R PARCEL NO~ o9 CONTRACTOR CONTRACTORS PtiONE • ZONE 07-..... t_'Ju-,I.A/ c R., OWNER'S NAMf ~ I OWNER'S PHONE ?Hr'-· . ;~,;:, ~!J:./ -/.J. C/ 2.. CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
OWNER'S MA11,.ING .6.00FlESS
-~I">?~ DESIGNER DESIGNER'S PHONE
DESCAIPTl0_2 WORK I ?iAL'c7,,;) C-1.,ll,R 0026 09/30 0101 02BldPmt . ~~,//?.Pr'_.; e· DESIGNER'S ADDRESS STATE LICENSE NO . 37.•
/
F p FLA ELEV. NO OCC GP EDU
STORIES .. --~ vO "O --
. I CENSUS TRACT I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPP ' AREA CONST
y D ND vO NO vO "O Not Valid Unlffs Machin~ C~rtt/1«!
QTY. PLUMBING PERMIT · ISSUE 7 . .r~ QTY. MECHANICAL PERMIT · ISSUE /-5~ SUMMARY/ACCOUNT NUMBER
' EACH FIXTURE TRAP INSTALL FURN DUCTS i.JP TO 100.000 BTU llUILUINu rtMIVII I OU l ·H 10-UU·OO-~uu ~,:z..'-~ EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810·00-00-8221 -
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810·00·00·8891 I '5
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING OOi-810·00·00·8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 00 l ·8 l 0·00-00-8223 -
EACH INSTAL . ALIER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001 ·810·00-00-8224
EACH VACUUM BREAKER MECH EXHAUSl HOOD DUCTS MDBILEHOME 001-810-00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER SOLAR 001 ·8 l 0·00·00·8226
EACH ROOF DRAIN IINSIO[ l DRYER VENT STRONG MOTION 880·519·92-33 so
TOT iiL MECHANICAL FIRE SPRINKLERS 001·810-00-00-8227
101 Al PLUMBIN(, I PUBLIC FACILITIES FEE 320-810·00·00·8740
£~ BRIDGE FEE 360·810-00-00·87 40
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWI BKR CAR PORT TIF 312·810·00·00-8835
I PH J PH AWNING LA COSTA TIF 311·810·00-00-8835
EXIST BLOG EA AMP SWT BKR GARAGE FMF
l PH J PH LICENSE TAX 001·810-00-00-8162
REMODEL ALltR PER CIRCUll MFF 880·519-92-57
IEMPPOLE 700 AMPS
OVER 700 AMPS
TEMP OCCUPANCY 130 OAYSI
CREDIT DEPOSIT
lOIAL £LELIRICAl I TOlAI TOTAL FEES PAYABLE I .3 f, Si) -
I HAVE CAREFULLY EXAMINED T11E COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exp,rat,on Evety per_m,t •••ued by,,... Bu,td,ng Ott1c111 under the p,ov1s1ons of this * AN OSHA P£Ntt:T IS AEOUIRlD FOR UCAVATIOflS OVEA
CERTIFY \JNOER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING Tl1E Code shall exp.re by hm,tat,on and become null and vo,d H the bu1ld1ng or work 5· 0 DEEP AHO OElilOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 1,~
authorized by such pet"m•t •• not commenced w1lh1n 180 days from the date 01 such STRUCT\JflfS OVER l STORIES l!>j HEIGHT permit. or •f the bu1ld1~ o~,•zed by such pe,rm,r 1s suspended or ISS.JEO TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CO"I abanooneo at ••v t,me • ,_ ork 1s c°"'menced for a D4m0d of 1ao d1v~ STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A~NT_)1"S1GNATU~ •\. 1' QWNERn CONTRACTOR [J ~~ 1°!M7 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
EXPENSES Wl1ICH MAY IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ' ~.,;> ~ -/, --, BY PHONE 0 GRANTING OF THIS PERMIT I'
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TYPE : DATE INSPECTOR
BUILDING I
1
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FOUNDATION I -IAd LJ~,,. FIELD INSPECTION RECORD
REINFORCED STEEL : lf V"( 1 • • rVT
MASONRY I
1
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE ~ CHECKED APPROVAL -
SUB FRAME D FLOOR D CEIIJNG ~
SOILS COMPLIANCE
SHEATHING D ROOF D S"EAR
FRAME .
I
PRIOR TO -
FOUNOA TION INSP
EXTERIOR LATH : STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I 1
INTERIOR LATH & DRYWALL ' .
PRES TRESSED
CONCRETE
-,. POST TENSIONED
I
I . I CONCRETE ..
PLUMBING I FIELD WELDING _-1,
D SEWER AND BUCO CJ f1UCO
UNDERGROUND D WASTE d WATER
TOP OUT D WASTE D WATER
--HIGH STRENGTH
BOLTS -'
SPECIAL MASONRY ..
TUB AND SHOWER PAN .
I -' ~
GAS TEST ! PILES CAISSONS
D WATER HEATER D SOLAR WATER .
I
ELECTRICAL l ----D ELECTRIC UNDERGROUND QI UFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPPRARY ' D BONDING D POOL I
• -
I
MECHANICAL I
D DUCT & PLEM., D REF. PIRING
HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I --.
I
CALL FOR FINAL INSPECJION WHEN ALL APPROPRIATE
ITEMS ABOVE HA,VE BEEN APPROVED.
,.............,....-_,..-._,,..._F': '0\ .• ~ -
L-J ............. .J "'-=..-'-''-' -
FINAL J
PLUMBING .
I -. . .
ELECTRICAL I Y' I
MECHANICAL I ~ ,~ . --GAS I t\.. -=-~
BUILDING : ...._ r--....v--J
~c;. --
SPECIAL CONDITIONS I ............ ,~ -. -...
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PL..or PLAA.J S/
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