HomeMy WebLinkAbout1869 PALISADES DR; ; 83-249-68; Permit)f~ I[
~
,G I hereby attlrm that I am licensed under
~lslons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profqslons Code, and my license is in
lull force 33 511"!it, _
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Lie No ~lass _B=J
I hereby affirm that I am exempt from the Contrac-tor's Ucense Law for the following reason (~. 7031.5
Business and Professions Code: Any city or county which re-quires a permit to construct. alter, improve, demolish, or
~~~i~ta: ~:~tu;~~~ t~;!s ~s~an~ :::~~t~~\~ ~;
ltCensed pursuant to the provisions of the ContractOJ's Ii::: P.f,~~':~~e:s =~~~;ig:.r~~~ ;!
empt therefrom and the basis fo, the alleged exemption. Any ~~tt :p~:;';'tt~c'Ji ~~~,:~t~ :hr.',\'!~~~
dred dollars ($500).
□ I, as owner of Ille property, o, my employees with wages
as their sole compensation, wHI do the wo,k. and the struc-
ture is not Intended or offered for sale (~. 70<44, Business and Professions Code: The Contractor's License Law does
not apply to an owner of prcperty who builds o, Improves thereon and who does such work himself or through his own
employees. provided that such improvements are not intend-
ed or ottered for sale. If, however. the building or improve-ment is sold within one year at completion, lhe owner-builder
Will have the burden of proving that he did not build or im-prove to, lhe purpose ot sale).
Q' I, as owner of the property, am exciustvely ccntracting tilth licensed contr,ctors to construe! ttio project (Sec. 7044,
Business and Professions Code: The Contractor's License Law does not apply lo an owner of prcperty who builds or im-proves thereon. and who contracts for each proiects with a
contractor(s) license pursuant to the Conlractor's License Law).
□ As a homeowner I am improving my home. and the follow· Ing conditions exist: 1. The work is being pe~ormod prior to sale. 2. I have Uved in my home to, twelve months
3. r~: :f P~::~of 11:l: :puon during the last three years.
□ lamexemptunder~-------,B&P.C. for this reason ____________ _
□ I hereby affirm that I have a cert1hcate ot consent
to self-insure, or a certificate ot Workers· Compensation Insurance. or a cert1t1ed copy thereof
(Sec 3800. Laba< Code)
POLICYNO ~I_l36.33c____
coMPANv Brakke_S.c:hafni.tz
X){Copy IS filed With the City
0 Cen1hed copy 1s hereby lurn,shed
CERTIFICAT~ OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
{This sectton need not be completed 11 lhe perm11
,s !Of one hundred dollars ($1001 or less)
ti I cen1Jy that 1n the performance ot the wo~ fOf
~1ch this perrmt 1s issued. I shall not employ any
person 1n a.ny manner so as to become sub1ec1 to
the Workers· Compensation Laws of Cahf0fn1a
NOTICE TO APPLICANT It, after makm~ trus Cent•
ftcate of Exemptt00. you shoukl become subJett t".> the Wo'1C.ers' Compen5a;t1on prov1s1ons ot the LabOf
Code. you must f0f'thw1th comply with such provisions Of 1h1s perm,t shall be deeme<J revoked
ffi 1eno1no ~ency for the pe:t1o,mance ot the work. fOf
0 which this pe:rm,t 1s 1ssuea (Sec 3097, C1v,1 Codel l O I hereby athrm that there ,s a construct,on
~ Lender's Name Crocker Bank
~ lender's Address 1 M::mtgarery
San Francisoo, CA 94104.
USE BALL POINT 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 AOORESS AV. ST., DATE OF APPLICAT!ONI BUSINESS LICENSE # VALUATION PERMIT NUMBER
RO. ~3;2.'JL 1869 PALISADES DRIVE 6/9/83 19503
OWNER"S NAME l 714t;;;:;;4o;E CONTRACTOR CONTR,41.CTOAS PHONE • ZONE
M:>la Devell"r'fflCW'lt Cbro. Same 714)536-2547 iS-2l/,9-b'"a
OWNER"S MAILING ADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLDG USE CODE
808 Adams Ave., H~ Beach, CA Sane 33S-113
LOT I BLOCK I SUBOIVISION I ASSESS! PARCEL NO. u DESIGNER LICENSE• STANDARD PLAN # BUILDING SQ. FOOTAGE
l~A 76-15 01 "3.i'~ 3.q 0 'lbe Ardlitects Group C9170 /So/ DESCRIPTION OF WORK
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c::;,.,.,..10 1:1.....,; 1u n.-.-; -"-----DESIGNER'S ADDRESS DESIGNER'S PHONE #
7LAAJ 3 714 .Adams, Hunt. Beach 714)960-2476
-----F/P FLR ELEV. NO OCC GP EDU
c a <11 .,g
a. a. v□ NO 2.5'5'-STORIES ff~ I ' ~.:.. \ :2-6/28/846234 3 I tlJ.L
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CENSUS TRACT , -'GP LAND USE I PAR437CE
1
RES r •TS
1
GRAOING ~ERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA ,0( coVN v□ N!Y v'il! N D v0 N Not Valid Unwss Machine ~rtifi«J
-" C a:
--?-53-
, . ,
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE 3-SUMMARWACCOUNTNUMBER 0 0:,
EACH FIXTURE TRAP 2.l"i ,..-INSTALL FURN. DUCTS uP TO 100.000 BTU LJ...--BUILDING PERMIT 01 ·00·00-8220 ~cz.c:-
EACH Bl.)ILDING SEWER ..... L .c.._ OVER 100,000 BTU .. SIGN PERMIT 01 ·00·00-8221
'EACH~Ai"ER HEATER ANO/OR VENT 3 .<:n BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00·00-8806 ,;I. 2...Ll , .._-
EACH GAS SYSTEM 1 TO 4 OUTLETS ~-< ri BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-00-00-8222 nd. -
rJl Q)
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I
3:
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ~--ELECTRICAL 01-00-00·8223 r:z.;. _
EACH INSTA~ .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00-00·8224 io-
.Q
Qi >-
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHDME 01 ·00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MDBILEHOME PARK INSP c,; b
rJl
EACH ROOF DRAIN (INSIDE) SOLAR 01·00•00-R22n
TOTt.L MECHANICAL STRONG MOTION 80·92-33-0519 <".4~
Q) 0 0 a:
TOTAL PLUMBING I Illf--Jo---FIRE SPRINKLERS 01 ·00-00·8227 <11 '<ii
SOLAR -ISSUE PUBLIC FACILITIES FEE 32-00·00·8923
QTY. ELECTRICAL PERMIT -ISSUE 5-QTY. BRIDGE FEE
NEW CONST EA AMP/SWT /BKR JOO ~-COLLECTORS SCHOOL FEE • DISTRICT
0
§:
Q) 0 C
1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21-0519 --<11 C
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92·22-0519 u::
~
1 PH 3 PH PUMP San Dieguito 80-92·23·0519
, R-EM..00~'7At;TER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519 I
C
TEMP POLE 200 AMPS
OVER 200 AMPS L""fL-t-I ~1::,1.,
Q) Q)
C,
TEMP OCCUPANCY (30 DAYSI mt:-J: /_ t,O ..
0
I
-I TOTAL ELECTRICAL 3D-:-TOTAL SOLAR TOTAL FEES PAYABLE 31~0 .. t.Ji
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY Expiration Every permit ,uued bytneBu,tdlngOll1ciatundertheprov1s1onsofth11 * A ~f!MrT IS AEOUIAEO FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ahall exp,re by hm,tallon and become null and void II the butfd,ng or wort< s· " ANO DEMOLITION OR CONSTRUCTION OF ~onzed by such perm,! Is not commenced w,thm 180 days from the dale of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS mIt, or if !he bulld•J or wort< authonzed by such permit 11 suspended or STAUC OVER 3 STORIES IN HEIGHT
ISSUED'. TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-adftned at anv bme" er the wor1< IS commenced for a DAnod ol 180 """"--
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~ [NT' ~,, If. ~ APPROVC:J ~;§ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND S S AT RE~ ~ 0 AxJ CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE (lJ_ BY PHONE 0 I J'I-GRANTING OF THIS PERMIT -.:::'. 1 _ _ ,
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INSPECTION TYPE ···-· --··-·· ... -DATE -INSPECTOR --
BUILDING
FOUNDATION
REINFORCED STEEL -·-
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING ,._
FRAME -dJ--11'-r47 ~
EXTERIOR LATH lNSULATION ' /
INTERIOR LATH & DRYWALL I l f.7_.9-J /,Y".L:;V
PLUMBING I .
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN I
GAS TEST
ELECTRICAL
TEMPORARY POWER C
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC 'J /IJ-1,~ If/? I
ELECTRIC SERVICE
,
' .
BONDING I ·"
G. F. I. -SMOKE DETECTOR I
MECHANICAL ' . . .
1>,f~ '( ~ DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS .
VENTILATING SYSTEMS -• I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
. .. .
(' ' If .J
FIELD INSPECTION RECORD I
REQUIRED SPECIAL INSPECTIONS
.. :: ~.., -...... REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
F'1er_cf~ELDING ').-_ -
HIGH STRENGTH .
BOLTS .
SPECIAL MASONRil" ~ -
I PILES CAISSONS .. . ' .
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INSPECTOR'S NOTES
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