HomeMy WebLinkAbout1860 PALISADES DR; ; 83-249-79; Permit!'/'y ) \~ g[ ~ IXl I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
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I hereby affirm lhal I am exempl from Ille Contrac·
lo(s License Law tor lhe lollowmg reason (Sec. 7031.5 Business and Professions Code: Ally city or county which re-quires a permtt to construct. alter. imprCMt, demohsh. or repair any structure, poof to its Issuance also requires the ap-
plicant 10< such permit 10 f►le a signed statement that he is licensed pursuant 10 lhe prov1Sions of lhe Coniractor' s Llctnse Law (Chaple, 9 COfMIOncing wilh Section 7000 of ll!vision 3 of the Busu,,ss and Professions Code) or thal Is ex·
empt therefrom and the basis tor 1110 anege<1 exemption. Any violation ot SectlOn 7031.5 by an applican1 tor a permit sub· jects the applicanl lo a cMI penally of not more than live hun-
dred dollars ($500).
D I, as owner of the property, or my employees with wages as lheir sole compensabon, wilt do the work. and the struc-ture Is not lnC.nded or ottered tor sale (Sec 7044, Business
and Professions Code. The Contractor's License Law does not apply to an owner ol property whO builds or Improves !hereon and whO does such won< nimsett or U,rough his own
employees. prOVtded that such Improvements are not Intend· ed or offered tor salt. If, _,_ Ille building or Improve-
ment is sold within one year ol completion, the owner·bullder
will have the burden of proving tflat he did not build or im-prove IOI' Ult purpose ot salt)
Xi I, as owner of lhe property, am exclusively conlracting
with licensed contr20tors to construct 1l1e project (Sec. 7044. Business and Professions Code: The Contractor's Llctnse
Law does not apply to an owner of property whO builds or im-proves thereon, and who contracts tor each projects with a contractor(s) license pursuanl to Ille Contractor's Llctnse Law).
D As a homeowner I am Improving my home, and the loflow· Ing conditions exlsl: t r~~~ :1:: ro,ior ~ltmonths
3. f>tv~0 :?~of 11~1~ =:,ption during the last thrM years.
0 lamexemptunderSec. ______ ,B&P.C.
tor lhls reason
D I hereby affirm that I l'\aite a cet11hcate of consent
to self-insure, or a cen1hcate of Workers'
Compensation Insurance, or a cen,hed cop,y !hereof
(See 3800. LabO< Code1
POLICY NO OCI 1363~--
COMPANY Brakk~chafni tz
}CJ Copy IS filed With the city
0 Cen1hed copy 1s hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENS,\TION INSURANCE (This section need not be completed 11 the permit
,s tor one hundred dollars (S100) or ~55)
>I. t cen1ty that 1n the perlormance ot the won( lo,
J;,,ch 1tus p,emut 1s •ssoed, I shall not employ any person 1n ¥1y ~net so as to become sub1ect to
the WOtkers· CompenYhon Laws of Cahtorn1a
NOTICE TO APPLICANT II. aller mak1n1 lh1S Cen,
he.ate of ExemptlOl"I. you snoukf t>ecome sub1ect l"l
the Work.ers· Compensat,on p<OY1s10ns of the L.abof
Code, you must fonhwrth comply w,111 sucn
prov1s1ons or th,s permit snall be deemed revoll:ed
ffi 1end1ng agency tor the per1ormance ot lhe w<m. ro,
0 •h•ch this permit IS issued (Sec 3097' c, ... ,1 COde)
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0 I hefeby affirm 11'\at there Is a coostructt<>n
~ Lendef s Name Crocker Bank ..,
Lenders Address 1 M?n:tgcJnecy
San Francisco, CA 94104
USE BALL POJNT 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 Al/. ST.I DATE OF Al'l'LICATIONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
1860 PALISADES RO. \ 0~ ,"'J..'&:J DRIVE 6/9/83 19503 if(:\\ OWNER'S NAME I 714) ;3N~~·;;~;E
CONTRACTOR CONTRACTORS PHONE • ZONE
M::>la DevelOi:itc.i,t Coro. sane 714)536-2547 ~~y
OWNER'S MAILING AOORESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE
808 Adans Ave., Huntington Beadl, CA Sane 33S-113 L7q I BLOCK I SUBqJ;G::Ys I ASSE~!!fR<g~ o,ou DESIGNER LICENSE• STANDARO PLAN # BUiLOING SO. FOOTAGE
'!he Architects Group C9170 tP,6~ DESCRIPTION OF WORK Sinale Family Residence DESIGNER'S ADDRESS DESIGNER'S PHONE ,
1--:V\_~~ 714 Adams Ave., Hunt .... -.-+ ~14)960-2476 6/2B/L--~---1:,,···4
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F/P F~ OCCGP
~RIES ~~ vO NO
CENSUS TRACT I GP LANO use I P't{~G~ACE
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RErNITS
1
GRADING PERMIT ISSUEO I REDEVJ;oCOPMENT TYPE -OCC LOAD FIRE SPR JJH □ AREA 0'0\ v0 Nri, v□ N'li{J Not Valid Unkss Machin, wrtififfl
/~ I l 5-fl):t PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT · ISSUE SUMMARY/ACCOUNT NUMBER
~ EACH FIXTURE TRAP r/)1").-' INSTALL FURN. DUCTS UP TO 100,000 BTU t.-t ..-BUILDING PERMIT 01-00-00-8220 t-tt-ln . ~
\ EACH BUILDING SEWER In 60 OVER 100,000 BTU r SIGN PERMIT OHI0-00-8221
\ EACH WATER HEATER ANO/OR VENT a.. 60 BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 o'\(ef-1.:, -:5
\ EACH GAS SYSTEM I TO 4 OUTLETS ~~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 ,..,'1,, -' EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE --~ --ELECTRICAL 01 ·00-00-8223 ~~ ..,,,..
-----0... '-+ 1'"' ' -EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE OUCT .,, MECHANICAL 01·00·00-8224
EACH VACUUM BREAKER MECH EXHAUST HOOO/OUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURN ACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-(l0-00-8226
TQT/;L MECHANICAL 14 STRONG MOTION 80-92-33-0519 -, . ' (,., ---TOTAL PLUMBING-
_. q-,: --. I FIRE SPRINKLERS 01-00-00-8227 ( -
f-~OLAR -ISSUE J PUBLIC FACILITIES FEE 32-00-00·8923 QTY. ELECTRICAL PERMIT -ISSUE QTY. \ ~ I BRIDGE FEE
I NEW CONST EA AMP/SWTIBKR I 0:., n c}.~"O -COLLECTO~ rJ '--<., L SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS """'-. " 1J' X vv Carlsbad 80-92-21·0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE "-nu \), J"' Encinilas 80·92·22-0519
1 PH 3 PH PUMP "1 \ r-y San Oieguilo 80-92-23·0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ' \ '\ I San Marcos 80-92-24·0519
TE MP PO LE, 200 AMPS ' OVER 200 AMPS , ... /.{Jr -;,J.r,, ~e:;., --' --\Al\~'r (11()(),.., TEMP OCCUPANCY 130 DAYS) -----· -.
~--......... .
TOTAL ELECTRICAL -I ~~ TOTAL SOLAR "~ TOTAL FEES PAYABLE I 345~,,, --I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPUCA TION ANO PERMIT .. ANO 00 HEREBY Expiration E--, perm,t ~~ t,ytl,e Buildtng Official undertl,e prov,1,onsofth,1 * A~ -ITIS~FOREXCAYAnoHSOY£R CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expore by hmotat and become null and vood If the butld,ng or work s"o· o¢" ANO DblOUTION OR C0NSTIIUCT10N OF l\autllonzed by such perm,t II not commenced v• from,,,. date of such DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO "-GREE IF A PERMIT IS ,erm1t... or 11 the build•::11~ work auth: ~ 11 suspended or s, / . -· -OYER 3 STORIES IN HEIGHT ~
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-at env111Ma the work II for of 11111 "•-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~\~
APPROG}-J¥r4-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO A I S SIGNAT E CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AG,\INST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF THIS PERMIT. -I
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INSPECTION TYPE DATE INSPECTOR f 1 _ / f l -I f . r:. , • ,,., \ •t -, -' .
BUI LDING ' 1 f /, 1_1 'l lf~..-.J_._,,., -1 S -, ----,-
FIELD INSPECTION RECORD I ,,____ '.:
FOUNDATION t--------------------,,-__ ---r--r----------------------------J
REINFORCED STEE L ; --REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -' -----•
MASON RY I INSPECTION REO IF INSPECTOR'S DATE • < ... ' '\l· =--::>,:D, ..,., "
-I CHECKED APPROVAL ,, --._' -~t;.. 'I-I
GUN I TE OR GROUT I SOILS COMPLIANCE / •
FLOOR & CEILING SUB FRAME , / PRIOR TO _.,, , . '\ ' \-' -· ·•
1 II!" \0 ~\, I~ FOUNDATION INSP ,/" , ._ ,., ♦
SH E.l\fH I NG I ~ ~ ~.. ~ t--ST __ R_U_C_TU_R_A_L_C_O_N_CR_E_T_E-+---------+-----l .,.,.
FR AME ·~ I' _.L ~114 · I-OVER 2000 PSI t-::,=-:,-=-:---:---------+-------1-----+--~t-------:-------------------------_J
EXTERIOR LATH lNSULATION • " J ~~~s;:;:ED ,,,-\ • ~-
INTERIOR LATH & DRYWALL ~r;,/. f~~ ;--, /"'.~ POST TENSIONED -, .:..:_:_:...=_:.:..:.::.:..:..-=...:..:...:...:.....::::....:::.:..:...:....:..:..:..:..::..:=--------H•,--1~-',;q,.....!;._,-~-CONCRETE ,.-' '1 ,
--PLUMBING FIELD WELDING .,/ • •
SEWER AND BL/CO '-HIGH STRENGTH ,< '
PLUMBING UNDERGROUND Cl"I t--B_OL_T_s ___ ~-----11-----+-------+-----J t---=---------=-------------------------l
PLUMBING TOP OUT • ~4 Ar77..p~ ~ -~~ SPECIAL MASONRY -' : ~ --I, I • : ~
TUB AND $HOWER PAN /
GAS TEST t PILES CAISSONS
ELECTRICAL _ . ·· . -t ~ , " ,
TEMPORARY POWER 1 .: ~ ., • ~
ELECTRIC UNDERGROUND _ ~ ' ., -1 1
ROUGH ELECTRIC •~;z.2.:-~ 1 -.~ -r 1 1-r· .; _-;,
ELECTRIC SERVICE ----.._ ~--· • t t --.. ' , ~, --
BONDING
G. F. I. -SMOKE DETECTOR , · \ 1. ~ ~ . r ' , ,-. MECHANICAL , / · '; .. ,-\ ____ _.
DUCT & PLEM., REF. PIPING ~1:5Z->.J ,,. -• -t-------=L:.:c,•-:--"-=-'-:_· ------,'-;/.,---...:''----;./_, --------------~
HEAT-AIR COND. -SOLAR SYSTEMS • 1---------+-----+-------+--~~ · , ''
1
VENTILATING SYSTEMS t •'f._;, ' t---':=.--"-"'-"--'---=.'-'--"''------~~~--------------l
,
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIA TE ,/ V f , • ...-;-
ITEMS ABOVE HA VE BEEN APPROVED. ~~) ., ,_ . , -•
JOB SITE FINAL J\ "<i ~....--~~i--------=----+---+-------4------1 '
PLUMBING I~~~~
ELECTRICAL fl ~ ~ -'
MECHANICAL ~ • , "tr . 1-------------------------~--·--------
GAS ~\J . -~ ,,
BUILDING I I
SPECIAL CONDITIONS r ---' -· -·
CERT OF OCCUPANCY ISSUED • > -c-" -· -· \ "l>; u. \ . J. ' I IA .....