HomeMy WebLinkAbout1880 PALISADES DR; ; 86-100; Permit.,, z 0 ;:: < a:: < ...
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'VI I hereby affirm that I am licensed under
~visions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
full force and eff:?1: 'cl. _ }
Loe ~5 -h..:, Clm --o~~----
I hereby affirm Iha! I am exempt lrom the Conlrac· tor's Ucense Law tor the following reason (Sec 7031 S
Business and Professions Code Any city or county wh1tl'i re·
QUtres a perm,1 10 conslruct. alter. 1mprove. demolish or repair any structure. prior lo ,ts issuance also requires !heap·
plicant for such permit to Ille a signed statemen1 thal he is hcensed pursuant to the prov1s1ons of tne Contractor s license Law (Chapler 9 commencing wuh SecllOn 7000 of
Division 3 or the Business and Professions Code) OC' lhat 1s ex empt theretrom and the basis tw the alleged eJ1empt,on Any
v101a11on ot Section 7031.5 by an apphcan1 tor a per!Tkl sub-
1ects lhe apphcant to a crvil penalty of nol more than hve hun•
dred dol~rs ($5001
1, as owner of !he property. Of my employees with wages
as their sole compensa11on will ao the work. and the strut·
lure 1s llOt intended oc offered for sale (Sec 70,44. Business
and Pro!ession5-Code The contractor's License Law does not apply to an owner ol property who buikis Of improves
thereon and whO does such work himself or thrnugh h,s own
employees, provided that such improvements are not intend· eel or ollered !Of sale If. however. the building or improve·
ment ,s sold within ooe year of completion. the owner-builder
will have the burden ol proving lhal he dcd not build or Im·
prove !Of lhe purpose ot sale)
I. as owner of the property, am exclusively contrachng
wnh licensed contractors to construct !he proiect (Sec. 704◄• Business ana Prolessions Code The Contractor's License
Law does not apply to an owner of properly who builds or 1m•
proves thereon, and who conlfacts tor each prOJecls with a
contractOf(s) hcense pursuant to tbe contractor's License Law)
'--' As a homeowner I am improving my home, and lhe foltow
ing conditions exist
1 The work 1s being perlormed pnOJ lo sale
2 I have lived 1n my home foe twelve months pnor 10 complelion of this work I have not clamled this exempuon during the
las! three years
D I am exempt unoer Sec: _____ _ B&PC for this reason ____________ _
D I hereby aflum that I have a cert1f1cate ot consent to
self-insure. or a cert1hcate of Workers· Compensation In-
surance. or a certified copy the,eof lSec. 3800\LabOf Code)
poucv No '-'..) c... 1, e \ s "3
~OMPANY ~~ -:!"'-""> C.o "'c_ Copy 1s filed with !he city
:J Cert1f1ed copy ,s hereby furn,shed
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Th,s secllon need not be compleled if the permll
Is for one hundred dollars (S tOO) or less)
D I cer11ly that in the performance of the work for wh1d'I
lh1s permit 1s issued. I shall not employ any person in any
manner so as to become subject to the WCKkers· Compen-
sation La.ws ol Cahfornia
NOTICE TO APPLICANT: If. after making this Certificate
ol Exemption. you should become subject to the WOfkers·
Compensation provisions of the Laboe Code. you must
forthwith comply with such provisions or this permit shall
be deemed revoked.
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS --.... -· ·---· . -. ---··-· -·--····-·-·-......... --·-·-
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
18 <eJS~ ~~~~~? ~-AV ST. RO. NEA~::S~c.k-I or~ ~{:~c:ONl~s~::; LICENSE : vrl-r O ~E:MIT NUMBER
:'t}:Jrl_J BLOCK J ~sp1~,s~ I ASSESSOR PARCEL NO CONTRACTOR "1~~1!3NE • ZONE /-".l'I !/"11 _ ''° ~ ,......\'\~ 3";5-1\3 {/(./
oM ERSNAME I owNER"SPHONE -:, 1' \ l \Ol'h---U-e:J ~\_
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(:) M.~~ '-¼:,~ ·S'Z--i..\o coNTRAcrnR·s AoDREss LI~~'?>~ _1 \ "3 PLAN 1.0 . # BUILDING so. FOOTAGE
OWNER"S MA, ING ADDRESS ~ -ZS:,2.,. ~~e "')<. I. q q I I 'E\_ C Vt VA'-Vu:) ~,, .. n ~ {) ,.,, t--D--:ES:-,G--:N-e-=-R------------+-0-ES-IG_N_E_R_'S_P_HO_N_E_-+----~,...,,r-~T"I': :1 .... , .. B.::6.-'-::'c-3-6-----.. -,.-✓~
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OESCRIPTI0,-, 9'f WOi\K ~~--.i_ . . • .,; -• , ,2~/ s, ~ r; C
j . ..,...-, OESIGNER'S ADDRESS LICENSE NO '•
10_ rL
~ n-. l '° ( f",: t:,_,.~ · ~ ::-~ ELEV NO OCC GP EDU
STORIES
vO NO --
CENSUS TRACl I GP LANO use I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPA
I AREA CONST
y O N O , 0 -.□ YO NO Not Valid Unlers Machine Certd1ed
QTY. PLUMBING PERMIT . ISSUE 7So QTY. MECHANICAL PERMIT -ISSUE ~ -SUMMARY/ACCOUNT NUMBER
-I
EACH FIXTURE TRAP ' INSTALL FURN. DUCTS UP TO 100.000 STU BUILDING PERMIT 001-810-00-00-8220 / [,. -
EACH BUILDING SEWER OVER 100,000 STU SlGN PERMIT 001-810-00-00-8221
EACH WATER HEATER ANO OR VENT BOI LER /COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8806 /(), -4
EACH GAS SYSTEM 1 TO 4 OUTLETS ____ ._ ---'--~--4801LEA /COMPAESSOA 3 15 HP TOTAL PLU MBING 001-810-00_-o_o_-8_22_2--1----
EACH GAS SYSTEM 5 0 R MO RE 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 HOOO'OUCTS MOBILEHOME 001 -810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 001-810-00~--'-oo"--"'-82-'-2-'-6-+---------j
, TOT;;L MECHANICAL STRONG MOTION ---880-519-92-33
TOT AL PLUMBING I ----~IRE SPRINKLERS 001-810-00-00-8227 _,_ _______ ,_
QTY. ELECTRICAL PERMIT . ISSUE ~ -QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 332-810-00-00-8930 ---------a
NEW CONST EA AMP SWT BKA COLLECTORS SCHOOL FEE -DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad
EXIST BLOG EA AMP/SWT 8KR I ROCK STORAGE Encinitas
6
I PH 3 PH PUMP San D1egu110
REMODEL ALTfR PEA CIRCUIT PLAN CHECK FEE San Marcos "
TEMPPOLE 200AMPS
OVER 200 AMPS LICENSE TAX 001-810-00·00-8162
TEMP OCCUPANCY (30 DAYSI MFF 880-519-92-57
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I I/[.., -c./-o
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT"' AND DO HEREBY Expiration Every permu issued by the Building Qtl,cial under the provisions ol this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code Stlall expire by !Imitation 8"d become null 3"d vo,d II th• building or work 5· o·· DEEP AND DEMOUTION OR CONSTRUCTION OF authorized by such perm11 1s not commenced w1thm 180 days from the date of such DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS, permit or ii the building or work autMr,zed by suet, permit 15 suspended or _,TRUCTUAES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON• \:1'illl'ia:!.:n,::::do:!n:,:ed~a!.,it •:rn!l.!vll!!!m:.:e.!a!!!ftt:!!er..!1!!:he!:._w~o~r~k.!:IS~c::!:o!!!m!!!m.!!e!!!nc~e~d..!.fo!!!r..!a!.Joe~r,.!,!!od!L!<!ofc.:ll!!80!!.!!.da!!liv~s-.-:::a.-'""'"""""P!"!'"',_, ________________ .....
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 'nL~CANT'tt; I NAT"([)) 0 ,'r,,f:, APPR• ED BY DATE
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND .0 OWNER CONTRACTOR I (
1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE I ~~_Qt _ BY p O □
I GRANTING OF THIS PERMIT / \ ,. _ _ , 0\ ( ·c.7p H NE ~ ½ .. •. ..&. I
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TYPE --I DATE INSPECTOR . .
BUILDING I
I
FOUNOATION I
~ 1. ~ 'l0U ,, I f
FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -REO IF INSPECTOR S . ·\ INSPECTION CHECKED APPROVAL DATE
SUB FRAME D FLOOR D CEIL.ING
SHEATHING D ROOF D SH:EAR
FRAME I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
EXTERIOR LA TH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I
STRUCTURAL CONCRETE
OVER 2000 PSI I' PRESTRESSED
CONCRETE
POST TENSIONED " CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO , D Pl/CO ·-HIGH STRENGTH
UNDERGROUND ' ~WASTE D ,WATER BOLTS
TOP OUT D WASTE D vyATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST ' I
D WATER HEATER D SOLAR W~TER
PILES CAISSONS
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1 UFFER
ROUGH ELECTRIC I
· . . . .. .
D ELECTRIC SERVICE D TEMPC:,RARY ~
D BONDING D POOL I
I
MECHANICAL r
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I r---.. I -· ~
I I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
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ELECTRICAL I A_ r5,,"'
MECHANICAL I ,,,,-v-· I ' /
GAS I : «;/" _ _.A_,I
BUILDING . . L 11,.Y-I
SPECIAL CONDITIONS I ) ~ I
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