HomeMy WebLinkAbout1861 PALISADES DR; ; 83-249-66; Permit) t~IC I[
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n I hereby affirm that I am llcensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcense Is In
full force and effect.
Lie No -3-35-ll3-Class -B-l---
1 hereby affirm that I am exempt from the Contrac-tor's License Law lor the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which re-quires a permit to construct. alter. improve. demolish, Of' repair any structure, poor to its issuance also requires the ap-plicant for such penmt to file a ~ned statement that he is
licensed pursuant to the prov!s,ons ol the Contractor's License Law (Chapter 9 cornmencm~ with Section 7000 of OMstOn 3 of the Business and Prolessions COde} or that Is ex-
empt therefrom and the basis for the alleged exemption. Any violation ol Section 7031 .5 by an applicant for a permn sub-jects the applicant to a civil penalty ol not more than five hun-
dred dollars ($500).
D I, as owner of the property, or my employees with wages
as their sole compensation, wHI do the work. and the struc-ture Is no! intended or offered lor sale (Sec. 7044, Business
and Prolessions Code: The Contractor's License Law does not apply 10 an owner ol property who builds or improves
thereon and who does such work himsett or through his own employees. provided that such improvements are not intend· ed or ottered lor sale. If. however, lhe building or improvt-
ment is sold within one year o1 completion, the owner-builder
will havo the burden of prcwing lhal he did not build or im-prove lor lhe purpose of sale).
CY I. as owner ol the property. am exclusively contracting
,iii!, licensed conlr>etors to construct lhe projeel (Sec. 7044,
Business and Professions Code: The eon tractor's License
Law does not apply to an owner ol property who builds or im-proves thereon, and who contracts for each projects wnh a contractor(s) license pursuant to the Contractor's license Law).
D As a homeOWner I am Improving my home, and the foliow-ing conditions exist: i: rt~"'1l~~ be/~ ,::;n= r~lor r!.°~8rronths
prtOr to completion ot this work_
3. I havo not claimed this exemption during the last three years
D I am exempt under Sec. ______ , B & P.C.
for this reason
0 I hereby affirm lhat I ha'f'e a cert1ficate of consent
10 self-insure. or a cert1t,ca1e of Workers'
COmpensattOO Insurance. Of a certified copy thereof
(Sec 3800. Labor Code).
POLICYNO _W::J ] 3633C___
COMPANY Br.akke-Scha.fn.itz
~ ,shied w1tt,, the city
□ Cen1tied copy ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This sechon need not be completed 11 the permit
1s tor one hundred dollars (S 100) or less)
M I cen,ty thal 1n the per1ormance ot the wo"' tor
t!t,ch this pemut 1s issued, I shall not employ any person ,n any manner so as to beeome sub1ect to
the WO"'.ers· Compensation Laws of Calllorma
NOTICE TO APPLICANT If. after ma.km~ this Cert1
hcate of Exempllon, you shoukS t>ecome sub1ect t? me Wonters· Compensa.tton prov1st0ns of the LabOr
Code, you must forthwith comply w1lh such
prov1s,ons or this permit shall be deemed revoked
O I hereby athrm that there 1s a consuuct,on
teoomo agency to, tne petformanee of me w()O( to,
which th•s permit •s issued (Sec 3097. C,v,I Cooe1
Lendef s Name
Lende•·• Ac>d,ess l ~t.g.cttlliry
c~-~~~--;~'""""' ~~ OA1nA
un IIALL l'UIIII rtll UIUY. riu.;,;, n,uw --·. --------·-. ------·---------------tJ CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
I 1200 Elm , Carlsbad. California 92008-1989 (619) 438-5525 ~
JOB ADDRESS AV. ST.I DATE OF APPLICATION I BUSINESS LICENSE It VALUATION PERMIT NUMBER u: RO. Joct~<3o ~'q.•-1°1 f.o{p 1861 PALISADES DRIVE 6/9/83 19503 >,
~
OWNER'S NAME I OWNER'S PHONE CONTRACTOR CONTRACTORS PHONE I ZONE 0 a.
M:>la Develoment Corp. 714)536-2547 Same 714)536-2547 E Q) f-
OWNER'S MAILING AODRESS CONTRACTOR'S ADORESS LICENSE NO. PLAN I.D. # BLOG USE COOE I
808 Adams Ave., Huntington Beach, CA Same 33S-113 'O
LOT I BLOCK I SUBOIVISION
1 ASSE:1~-t~s 13 !}.~ 00 DESIGNER LICENSE ti STANOARO PLAN# BUILDING SO. FOOTAGE 0 (!)
'-'-7i:.-15 '1he Architects Group C9170 /'P-/8~ DE"Sl:RIPTION OF WORK
~hvrlo F;::i,mi 1u 'Doc::i" DESIGNER'S ADDRESS DESIGNER'S PHONE c --tt.5 714 Adams, Hunt. Beach 714)960-2476 <II
~l+h
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----··-----~-~~ r · NO
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F/P ·R:S a.
~ES 6/EB/046234 Jl.15 .« ~
VON~~ -I--I
CENSUS TRACT I GP LAND USE I PAC\C\~CE RE,NITS I GRADING PERMIT ISSUED I REDEVELOPMH'1" um OCC LOAD FIRE SPA .:,::_
/~NO
AREA ,M) C
v0 N v0 NCI? Nor Valid Unlffs Machine Certifild a:
7~ \ \. (
QTY. PLUMBING PERMIT -ISSUE Qp. MECHANICAL PERMIT -ISSUE 3--SUMMARY/ACCOUNT NUMBER 0 u,
Y"d-EACH FIXTURE TRAP ~~ 1 INSTALL FURN. DUCTS UP TD 100,000 BTU t-1 -BUILDING PERMIT 01-00·00·8220 '-' y () • '::){/ u, Q)
\ ·t,. 'BO OVER 100,000 BTU SIGN PERMIT 01-00-00-8221 u,
EACH BUILDING SEWER u,
\ -A-,_.?0 o(l,,9 ,-15 ~
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00·8806 I
\ EACH GAS SYSTEM I TO 4 OUTLETS ';}-..~ BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 t-fi,.,-3:
EACH GAS SYSTEM 5 OR MORE l METAL FIREPLACE --2,.-ELECTRICAL 01-00-00-8223
...-;t.n __ .2
Qi
EACH INSTA~--ALTER. REPAIR WATER PIPE ,-j VENT FAN SINGLE DUCT t-1 .-MECHANICAL 01-00-00-8224 ,u ->-
EACH VACUUM BREAKER MECH EXHAUST -HDOD/OUCTS -MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP ui u,
EACH ROOF ORAIN (INSIDE) 01-oo-no.ao2i;
Q)
SOLAR 0
TOTi.L MECHANICAL -,. ,,.,., 0
I~
STRONG MOTION 80-92-33-0519 a:
TOTAL PLUMBING I '-i'i---FIRE SPRINKLERS 01-00-00-8227 <II <ii
~SOLAR · ISSUE
PUBLIC FACILITIES FEE 32·00·00-8923 0
QTY. ELECTRICAL PERMIT -ISSUE .s--QTY. ~ BRIDGE FEE
I 100~ ~~. ---COLLECTOh..._ u Q)
NEW CONST EA AMP/SWT/BKR r SCHOOL FEE -OISTRICT 0 C
I PH "3 PH STORAGE TANK5',_ 7 I"\ Carlsbad 80-92-21-0519 <II . , -C
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE " __ fv --or J -~ ./ Encinitas 80·92-22-0519 u:
1 PH 3 PH PUMP "-t .}J • \, V '-I
,...
San Dieguilo 80-92-23-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE "-~µ '") n,' San Marcos 80-92-24-0519 I
C
TEMP PO LE 200 AMPS '-v r Q) ,-,. . -~
OVER 200 AMPS "' d' j'f,t-r #'c:,\QL-1 :>-, --CJ -
TEMP OCCUPANCY 130 OAYSI "' ·fflvv (o~, --"'ti,,. I I I 0
I
-~ I ---yt 5$.lll 0
TOTAL ELECTRICAL ~ --TOTAL SOLAR TOTAL FEES PAYABLE Q) a. u,
.!:
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" ANO 00 HEREBY Expnallon Every permtt IUUedbytheBuildlngOtfte,al underthepro•1soonsoft111s * AN OSHA PEAMIT IS AECIUIRED FOfl EXCAVATIONS 0V£R I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING TH~ Code shall Hptre by hm,tat,on and become null and vo,d If the buoldlng or work s· o· OE£~ OR CONSTRUCTION OF a, ~~rm,t ,snot commenced w1th1n 180 days from the date of such STRUCTUAES 3 STOfllES IN HEIGHT ~ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ~ or 1f bu1ld1~ worlo. authorlZAld by ~m1t 1a suspended or
ISSUED· TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-11 an me a the wor11 ,s com-~· for ,nanOd oft""-.... . r.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND Al ~N~ ~ ~ · \~ Q APPROVED BY I ~ l,~lf-~ ~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO S ~ RE • 0 WNE CONTRACTOR
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE \ ~ BY PHONE 0 C./ GRANTING OF THIS PE'RMIT _ ,
INSPECTION TYPE DATE INSPECTOR ---
BUILDING
FOUNDATION
REINFORCED STEEL --
MASONRY C
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SH EAJHING
" &Hf-A ,,~ FRAME
EXTERIOR LATH lNSULATION J
f!-Z-~ -_, INTERIOR LATH & DRYWALL ,,--v~
PLUMBING ..
'
SEWER AND BL/CO .
1,
PLUMBING UNDERGROUND I I . -
PLUMBING TOP OUT l
TUB AND $HOWER PAN I
'' GAS TEST I
ELECTRICAL ' . ; -· ,.
TEMPORARY POWER t '
ELECTRIC UNDERGROUND .
ROUGH ELECTRIC ' /;'tf,rt/ ~
ELECTRIC SERVICE
" BONDING I
G. F. I. -SMOKE DETECTOR 't
I
MECHANICAL ~ I
DUCT & PLEM., REF. PIPING ~-f,~'1 V( •
HEAT -AIR COND. -SOLAR SYSTEMS I
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL I PLUMBIN.G ,( /
ELECTRICAL 'I ~ 1-71
MECHANICAL \ \I ~ /., ', a/
GAS ' / \ \ ,, I I I~
BUILDING l I\ If'/ ' SPECIAL CONDITIONS 1 V
CERT OF OCCUPANCY ISSUED '. Iv
"
~ .... .,/ ,·
II.
FIELD INSPECTION RECORD • I
REQUIRED SPECIAL INSPECTIONS
INSPECTION
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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1
.
I REQ IF I INSPECTOR'S
CHECKED APPROVAL
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DATE
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INSPECTOR'S NOTES
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