HomeMy WebLinkAbout1876 Palisades Dr; ; 86-102; PermitCl) z 0 ~ cc < _,
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rill. I hereby affirm that I am Ileen.ad under
~•lalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llc'\"se Is In
full force and effect. 'i:L _ l
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I hefeby alhrm that I am exemo1 hom lhe Conlrac-lor s Lanse Law tor Ille 1""°"'"9 , .. son (SOC 7031 5 Business and Protessrons COde Any cdy or county wwhacli re-
quires a permit to construct. auer improve. demohsh. or repair any structure prior to its issuance also requires !heap·
ohcant for sucn penr-.1 10 11-e a SIQned starernent t~I he tS
hcensecs pursu.int to lhe prov1s1011s 01 the COntractOf s license Law (Chapter 9 ccwnl'ntmcmg w,lh Sec.tlOO 7000 ol O.v,s,on 3 of the Businns arid PrOCesseoos Code) or t~I rs ex·
empt tl>e,elflW!1 and !tie Dasis tor the alle9eo exempt,on Ant viotahon of Section 7031 5 by an applicant lor a perm,1 sub Jecls the appiteanl 10 a tMI penalty 01 not moce than hve hun-
dred oonars ($500)
I, as owner of lhe propeny. or my employees wllh wages
as their SOte CQl"!1pensat1on. w,f! do lhe WCM'k and the struc•
ture 1s noc intended Of ollered fof Qle tSec 7CM4 Business
and Protess.:>ns Code The Con1rac1or·s LJCense Lt1w ooes
not appIy to an owner ol property who bu1wjs 0t improves
thefeon and who does such wor1t tumseit or ttKough his own
empSoyees. p!'OVtded lhat such rmprovemenrs are not ,ntend
ed Of offered lor sate 11, however, the bu1kM9 or improve-, menl lS sold wittun one year of comp1e110n. the owner·bu11der
w·lt hive rhe burden o1 proving that he dl0 not bu11d or .im-prove f0f the purpose ot sale)
,., I. as owner ot the pro?tflY am exclusively con1ract1ng "'11h hcensed contracto,s 10 construct lhe pro,ect (Sec TIM4
Business and Protess'ilns Code The Contrac1or·s License
Law does not apply to an owner ol prQperty who butlds or 1m-PfOYeS thereon. and who contrxts lor each l)fo,etts with a
c:ontractor(s) Ucense purs~t to the Con1tac1or·s license Law)
'1 As a haneowner I am ,mprov,ng my home. anO the follow ing cond1t,ons exist 1 Ttte wock ,s being per1ormed prior to saie
2 I nave lived m my home '°' twelve months pnor to cornplet,on ot tt,,s -k
3 I have no1 eta.med !his· exemption during the
lasl three years
D lamexemptunderS.C ______ ,8&PC
for this reason -------------
u..) C.. \1'8 \'5 5' \\o~--r"'-~ Co h I hereby afhrm lhal I ha11e a cert,hcate of consenl 10
~l•1nsure. or a cert1!1ca1e ol Workers Compensa,1on In
surance. or a cert1lled copy thereof tSec 3800. Labor COdel
POLICY NO
COMPANY
~ Copy IS flied -.1th the city
Q Cert1f1ed copy 1s hereby lurnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
ITh1s sechon need no1 be completed if the permit
1s lor one hundred dollars (S 100} or less)
C I certify tha1 ,n I.he performance of the work tor lllfh•ch
this permit 1s issued. I shall not empk)y any person in any
manner so as 10 become sub1ect to the WOfkers · Compen-
sation Lalllfs of Cahlom1a.
NOTICE TO APPLICANT. If. after making this Certificate
of Exemption. you should become subject to the Workers
Compensa11on prov111ons of 1he Labor Code. you must
forthwith comply with such provisions or ttus perm,1 shan
be oumed revoked.
USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
\0~71:: Yv\-\.., ~~ DR :v ST RO NEARESTCROSSST IT:~~:st;,NI ~~~~:;LICENSE~ vf/-t-oN gCR~T NUMBER
7J BLOCK l"'l'E'.:'..{~r I Ass,313S,Rf§.CfLB0'3 0 u ~ CONTRACTOR CONTRACTORS PHONE. ZONE / C> "2..---
h WNfR'S '1,AME I \ol, OWNER s PHONf 'SIA-\.,tA..__ ·t3e-ai:z.Jp Mc\...\A-8t2.ue'--co~ '-t:>'6·4'&'?.?.\. ;::RACTOR'SAODRESS ~ENSENO \ PLAN I.O.,; BUILDINGSO FOOT.AGE
t)WNER'S MAI •NG ADDRESS 5 -ZOL ~~ :iS-\ ::,
LaoiLI c\...r. . '7"I ft' C ,. ~ C\" n c:.. DES,GNER oes1GNER'SPHDNE 1/P~/86 ,36 1,6,50 \0 I ,-, C: '-Vt\JA,'1.A.O K.e.~, C,,I,\~~ v"'-t.x.. ~ ,t.cx,S 1,,,,c_ C...V"t-\J....J.J... ----•
OESCR1PT10N OF WORI( 1 , .,_) It------------------------------.-_ DESIGN~ ADDRESS LICENSE NO M\--\, D ~ou ~ .... ~_-__ ~_\M...t _____ ....,_ __ _
>-F,P FLRELEV NO OCCGP EDU
STORIES
vO ""O --
AREA CONST CENSUS TRACT I GP LAND USE I PARK•NG SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPP
y O N O , 0 "0 v□ NO Not Valid Unlnt Machine Cuttf1«J
QTY. PLUMBING PERMIT . ISSUE 7 _;,"D QTY. MECHANICAL PERMIT· ISSUE ~ _ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 001810·00·00·8220 / 0 _.
EACH BUILDING SEWER --------+------+---+-OVER 100,000 BTU SIGN PERMIT 001·810·00·00·8221
EACH WATER HEATER ANO OR VENT BOILEUOMPRESSOR UPTO 3 HP -PLAN CHECK 001·810·00·00·8806 (, , Jt}
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00·00·8222 --~ t--_ .. ______ --------
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00·8223
EACH INSTAl _A_LT_rn. REPAIR WAT_E_R_PI_P_E _ _ __ ...,... __ +-VEN_T_F_A_N S1NGL_E _ou_CT ___ --~ MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKE R MECH EXHAUST HOOD DUCTS MOBILEH0ME 001·810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE HEATER M0BILEHOME PARK INSP
EACH ROOF DRAIN !INSIDE! SOLAR 001·810·00·00·82cc..26'-4 ________ --1
TOT l;L MECHANICAL STRONG MOTION 880·519·92·33
TOIAL PLUMBING I --'" FIRESPRINi<LERS 001·810·00·00·8227 ----
-PUBLIC FACILITIES FEE 332·810·00·00·8930 QTY. ELECTRICAL PERMIT. ISSUE '5 -QTY. SOLAR · ISSUE ----------
NEW CONST EA AMP SWT BK R COLLECTORS SCHOOL FEE. DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP1Swr BKR ROCK STORAGE Encmilas -------------+-----------! 1 PH 3 PH PUMP San 01eguIto
REMODEL ALTtR PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS LICENSE TAX 001·810·00·00·8162
TEMP OCCUPANCY 130 DAYSI MFF 880·519·92·57
CREDIT DEPOSIT
TOTAL ELEClRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /It,' "'lJ '
HAVE CAREFULLY EXAM IN. ED THE COMPLETED "APPLICATION ANO PERMIT AND 00 HEREBY Exporat,on Every perm,t issued bylheBuold,ng Oll,c,ai undenhepro,,s,onsofln,s * AN OISH.A,~IREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by lom,tat,on and become null and vo,d If lne bwld,ng or wo,. s· 0 DEEP ANO fTION OR CONSTRUCTION OF authorized by such pe,mtt 1s not commenced w11h1n 180 days from the date ot sue., DECLARATIONS ARE TRUE AND CORRE. CT AND I FURTHER CERTIFY AND AG. REE IF.A PERMIT;jP.9rm,t. or if the buildi"9 01 work authorozed by such perm,t ,s suspended or STRUCT\/Rf.S ER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH All CITY, COUNlY AND STATE LAWS GOVERNING BUILDING CO \~~p;:,n:::do:::::.,::ned~1:!.t7afJM;.tl\'t!!!,m~e~a~tte..,r ~th'.!.e~w~o~rkc.!';•~co~m!!!m~en=ce~d!..;f~o!..r a!.l_:::!oer!!!•od~o:!..f .!.!t80!!!.!,d!!!avll...•-=-~~~~~~"'6-r----------,.--"'l"-.,
srnucnoN WHETHER SPEC1F1ED HERE1N OR NOT f ALSO AGREE TO SAVE INDEMNIFY AN c 1)1'\l i(\'f'l(V J □ o .APPROVED B,l, l°J 0 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABtL1TIEs JUDGMENTS cosTs AND LI .AN s' TOR V ~ .1/ OWNER CONTRACTOR D1T --z.,...&
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE O V'""'-.,,,... __ -C BY PHONE nr-: -/ (r J
GRANTING OF THIS PERMIT -V -L.l...,__-<Z. :c: --..... -I (/ C, .. .,
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.... TYPE I DATE INSPECTOR #
BUILDING I
I
-...,._
~ ' I
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REQ IF INSPECTORS -INSPECTION DATE ,
CHECKED APPROVAL
SUB FRAME □ FLOOR □ CElulNG
SHEATHING □ ROOF □ S~EAR
FRAME I
SOILS COMPLIANCE ' PRIOR TO
FOUNDATION INSP
EXTERIOR LA TH I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
□ SEWER AND BUCO □ Pl/CO
UNDERGROUND □ WASTE □ MJATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ \/YATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST .
l PILES CAISSON~'.
□ WATER HEATER □ SOLAR Wf>.TER
J
ELECTRICAL ' I
□ ELECTRIC UNDERGROUND □1 UFFER . . .
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPQRARY . .
□ BONDING □ POOL I
I
MECHANICAL ' I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I /
I
CALL FOR FINAL INSPECT(ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL
-... if~L.) ,-. r.~:. ':. 0 \ J I
,
PLUMBING . -
ELECTRICAL /
MECHANICAL . '
.
·-.
GAS
BUILDING
.. ~
SPECIAL CONDITIONS
PROP~RTY L1 N~-
IO '---'>-II
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2.'f.. 2. LATTIC.!.. @?-_,;
l\ 'I.~
T-~~
t!.OT~.6\t>r
/axlo
2. ,<IO fAC.IA
PLAN 1
LOT 75
l/5" = 1 I .....
8'
11\M ~ a 198f1
f CARL BAD
DING r:· .