HomeMy WebLinkAbout1853 Palisades Dr; ; 86-184; Permit.,, z 0 ;::
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Prole11lons Code, and my license Is In
lull force and effect. lie No ______ Ctm
I he<lby affirm lhat I am exempt lrom the Cootrac·
tor's Locense L•w lor the k>ltow1ng ruson (Sec 7031 5 Business and Protess10ns Code Any city Of county which re·
qutres a permit to consuuci. alter mprove demohsh, or repa,r any slructure, pnor lo its issuance also requires !heap·
pt.ant '°' such pem»t to hie a s,glled statement lhat he 1s hcensed pursuant to rne prov1st0ns ot the Conuactor s
license uw (Chapter 9 commencing v.,th Sec:11011 7000 o4
Otv1s1on 3 of !he Bus,ness and Professions Code) oc lhat 1s ex-empl tllerefrom ,nc1 tile t,,s,s lor the ar:egeo e,ernpt,on Any
violation ot Seclion 7031.~ 0y an appl~nt for a perm11 sub· ,eels the appl,e,ant to a c,viJ penalty ot not more than 11\oe tiun·
dred dOOlars (S5001
I. as ov.ner o1 tlle property or my employees with wages
~s lhetr sole compe11sahon' wdl do lhe work and l~-e SlrUC· lure Is not intended or offered tor saie (Set 7044, Business
and ProfeSs.ot\$ Code Jhe Contrxtor' s license UN doeS
not apply 10 an owner ot properly who builds or improves thereon and who dOts such "Nor~ himstlt o, 1hrough htS O"wn
employees, provtded thal such lfflP,ovemtnts are not intend-
ed or offered for sale II. hov.ever the bu11d1ng or improve-
ment ts SOtd ¥r1thIn one yea, ot ~hon, lhe O"wntr-buik:Sef w,11 have the burden ol proving tNt he did not bt.111d o, ,m-
pra.e tor Ille purpose of sale)
D I, as owner ot the property, am exclus1vefy contracting
w11h lteensed contractors 10 construct the prO)ecl (Sec 70,i4
Business and Professions Cade The Contractor· s Lteense Law does not apply 10 an owner of propeny who builds or im-proves thereon. and ¥tho con1rac1s for each prOlf!CIS with a contractOf(S) hcense pursuant to the Contrac1or·s license l,#).
□ As• -ner I am ,mprOV1ng my home, and the 1o11ow ing cond1t1ons exist 1 The work ,s being pertormed pnor to sale 2 I have lived ,n my home 1or twelve months
pr,or 10 compleuon of this work
3 I ha..-e not claimed this exempt,on during the last three years
D 1 am exempt under sec _____ _
tor this reason B&PC
D I hereby affirm 1hat I have a cert1hc11e ot consent to
salt-insure. or a cerhllcate of Workers Compensation In-
surance. or a cert1f1ed copy thereof tSec. 3800. Labor Code)
POLICY NO
COMPANY
~ Copy i$ hied .... ,th the cily
0 Cert,hed copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This se<:hon need not be completed 1f lhe permit
,s fo, one hundred dollars ISH)O') or less)
0 I certify that in lhe performance of the work for which
lh1s pem,111s issued. I shall not employ any person in any
manner so as to become sub,ect to the Workers· Cornpen-
sa11on Laws ot CaBforn,a_
NOTICE TO APPLICANT It. after making this Cert1flca1e
of Exemption. you should become subject to the Workers
Compensauon pro'i'1sions ol the Labor Code. you must
forthwith comply 'N1th such provisions or this permit shall
be deemed ,evoked.
D I hereby affirm that lhere is a construc11on lending
agency tor the performance of the wort for wh,cn th,s pe,.
mit ls issued (Sec, 3097, CIVIi Code)
Lender's Name ________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD --CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT . Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST RD NEAREST CROSS ST
ID~L~/~LICATIONI
BUSINESS LICENSE• VALUATION PERMIT NUMBER>
\853 Veil~ t)(i~ ~,~t: 1a?Y ~~/!1 LOT BLOCK ~~IQ~ I ASSESS~~t4R~g,t~ ~ ~ 0 CONTRACTOR CONTRACTORS PHONE • ZONE ~ 1Q,\~ OWNf R"S NAME I OWNER'S P><QNE
~'{ 01\s 7?.'\-\1."U. CONT RA CT OR'S ADDRESS LICENSE NO. PLAN I.D . ./I BUILDING SO. FOOTAGE
OWNE A'', MAI ,NG ADDRESS
\~3 ,.t~ ~\ue. DESIG,-.ER DESIGNER"S PHONE
DESCR1PT1ors OF WORI( ~\,ad't-~6'-,u-e. , DESIGNER'S ADDRESS LICENSE NO 9/84 /86B779 3(;16
;j& ii C
? ,? l1YJP OOOTB77EI' eJ-eti'l H srae ( 0~1 e ~ {( )< ·. -. ----F p F LR ELEV NO ace GP EDU
STORIES
vO NO --
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUEO I REDEVELOPMENT TYPE ace LOAD FIRESPP J AREA CONST
y O N 0 ... o -.o ... o NO Not Valid Unl~s Machint Ctrtif1«J
QTY. PLUMBING PERMIT • ISSUE '7~/) QTY. MECHANICAL PERMIT · ISSUE s-SUMMARY/ACCOUNT NUMBER ./J
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 001·810·00·00·8220 /7:::.--
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 ·810·00·00·8806 /,2-~!i -
EACH GAS SYSTEM 1 TO 4 OUTLETS i-. BOILERiCOMPRESSOR 3-15 HP TOTAL PLUMBING 001·810·00·00·8222 --
EACH GAS SYSTEM ~ OR MORE METAL 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 -HOOOIOUCTS MOBILEHOME 001·810·00·00·8225
WATER SOFTNER RELOCATION Of EA FURNACE,HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE! SOLAR 001·810·00·00·8226 --TOTJ;L MECHANICAL ,~/ STRONG MOTION 880·519·91:33 ----. --
TO I AL PLUMBING I FIRE SPRINKLERS 001·810·00·00·8227
QTY. ELECTRICAL PERMIT· ISSUE c.3--QTY. SOLAR • ISSUE PUBLIC FACILIT~EE 332·810·00·00·8930
NEW CONST EA AMP SWl BK R COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMPtSWT BKR ROCK STORAGE Encinitas
1 PH 3 PH PUMP San Diegu1to
REMOOE L ALTER PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 001-810·00·00·8162
TEMP OCCUPANCY 130 DAYSI MFF 880·519·92·57
CREDIT DEPOSIT / -TOTAL ELElTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE I 31lY
t HAVE CAREFULLY EXA'-'INED THE COMPLETED APPLICATION ANO PERM1T" ANO 00 HEREBY Exp.ration Every permit issued by the Bu,ldtng Ott,c1at under 1tie pro...-Is1ons of th,s * AN OSHA PEFM:T IS REOUIAEO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall ell(pire by llm,tat,on and t>ecome null and vo,d If the bu1ld1ng or work 5 0 DEEP ANO 0£1r10LfTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS autnorized by such permit 1s not commenced w1th1n 180 days from the date"' such STRUC1'1JA£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNIY ANO STATE LAWS GOVERNING BUILDING CON :~~::Cn°~ '!t t=~y ~~:,~~.i~h:~~r:~tii~~~le~~~~ r~~~'~,'~:C~~~~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
APPLICAN~T~ OWNER~ CONTRACTOR [ ~1;fi ~it ;Y l;~\,r✓~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IIN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE [J GRANTING OF THIS PEAM·T
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TYPE I DATE INSPECTOR I
BUILDING ' <:rt,. .,. I N
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME D FLOOR D CEl~ING SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR PRIOR TO
FRAME I FOUNDATION INSP
EXTERIOR LATH I
'
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
I
I
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO □ Pl/CO
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS .
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WATER ---
I
ELECTRICAL I
I
D ELECTRIC UNDERGROUND D UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPQRARY .. □ BONDING □ POOL I "', ... -',. '
I ....
MECHANICAL I
D DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
·1
ITEMS ABOVE HA'{E BEEN APPROVED.
r· I ! 1 ~ : I '.
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FINAL
PLUMBING
ELECTRICAL
MECHANICAL . -
GAS
BUILDING
' -·-~ .
SPECIAL CONDITIONS
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~LAN CHECK NUMBER ;ff AOOREESS //:!)3 ~ 4 DATE ;l-,2-~J~
'
SCHOOL FEES: SAN DIEGUITO
CARLSBAD
SETBACKS: FRONT
DISCRETIONARY ACTIONS:
REDEVELOPMENT PERMIT REQUIRED:
LANDSCAPE PLAN COMMENTS:
PLANNI~~~~
ENCINITAS
SIDE
SAN MARCOS
REAR
---------------------
-------------------------
ENVIRONMENTAL REQUIRED: ------------------------
ADDITIONAL COMMENTS: -------------------------
C! ·-a, o>-----,r---------------.------------
u ~ ~ OK TO ISSUE: ~ DATE: 2 Aldu
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ENGINEERING
LEGAL DESCRIPTION VERIFIED? APN CHECKED?
P.F.F.: PARK-IN-LIEU QUADRANT: ------------FEE PER UN IT: ----
RIGHT-OF~WAY: TRAFFIC IMPACT FEE PER UNIT: ---------
EASEMENTS: DRIVEWAY: ------------------------
IMPROVEMENTS: ---------------------
FIELD CHECK DATE: INITIALS: ------------------------
E.D.U.: SEWER: ---------------------------
LATERAL: INDUSTRIAL WASTE PERMIT: -------------------
GRADING PERMIT: -----------------~---------
GRADING COMPLETION CERTIFIED: -----------------------
DRAINAGE: ------------------------------
ADDITIONAL COMMENTS: --------------------------
OK TO ISSUE: ~ DATE: ;2.p..17'FC
----"'----------I J
DPD2:DPD6:O1/86