HomeMy WebLinkAbout1880 Palisades Dr; ; 86-116; Permit<II z 0 ;=
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g{hereby alllrm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license Is in
full for:i,t'cf ~b C, 20 Uc No _..,.__...._~~ Class -
I hereby affirm lhat I am exempt from lhe Contrac-tor's Lteense Law for lhe tonowing reason (Sec 7031.5
Bus1Mss and Protesst0ns COde. Any city or counly which re· quires a permit to construct, alter, improve, demolish. or
repair any structure, prior to 11s issuance also requires !heap-plicant tor such permit 10 hie a signed statement Illa! he 1s
licensed pursuan1 to the provistons ot the Contractors license Law (Chapter g commencing with Section 7000 ol
Otv1s1on 3 ot lhe Business and Professions Code) or that 1s ex-
empt therefrom and the basis IOI' lhe allegeo exemption Any VlOlalion ot Secl!On 7031.5 by an applicant !or a perm11 sub·
jects the appJicant 10 a crvd penalty of not more than t,ve hun-
dred dollars (S500)
O I, as owner ol the property, or my employees with wages
as their sole compensation. will do the work. and lhe struc-ture is no11n1ended or ottered !or sale (Sec 7044. Busmess
and Protessioos Code The Conuactor's License law does
nol apply to an owner of property who builds or improves thereon and who does such work h1msel1 or through his own
employees, provided that such improvements are not intend-ed or otlered tor sale 11. hOwever. the bu11ding or improve+
ment 1s sold w1th1n one year ol comptet1on. the owner·buitder will have the burden of proving that he dtd nol build or im·
prove for ll'le purpose o1 sale}.
D I. as owner ol the property, am exclusively conuact,ng
with licensed contractors to construct the pro1ect (Sec. 7044, Business and Professions Code: The ContractOf's License
Law does not apply to an owner ol property who builds or tm· proves thereon. and who contracts lor each projects wtth a
conlfactor(s) license pursuant to the Contractor's License Law)
D As a homeowner I am improving my home. and the follow
mg cond1hons e1ust: 1. The work es being performed poor to sale. 2. I have lived in my home for twelve months
3. r:v~ ~C:Pc~i~~t t1~: ~:~p11on during the
last three years.
D I am exempt under Sec. ______ , B & P.C for 1h1s reason ____________ _
/ereby alhrm that I ha,e a cert,hcate ot consent Y 1 :~If-insure. or a cer11t,cate ot Workers
Compensa11on Insurance. or a cen,f,ed copy !hereof
!Sec 3800 Labo• Code) \
POLICY NO ~ kl~ 59 ~~
CO~NYj:~1•~, ..tn?Jr, •
V"eooy ,s filed w•th 1he city
D Cen1he<J copy 15, heret>y lurn1sheo
CERTIFtCA Tl OF EXlMPTION F M WORKERS" COMPENSATION INSURANCE
(Th,s section need nol be completed ,t !he permit
,s tor one hundred dollars (S 1001 Of less)
0 I cert1ly lhal ,n the per1ormance ot lhe wo~ 10,
wh1ct1 lh1s permit ,s issued I shall not employ any
person in any manner so as 10 become sub1ecl to the Wor11:ers· Compensa11on Uws ot Cahlorn,a
NOTICE TO APPLICANT 11, alter mall.in~ th,s Cert1
ticate ot Exemption you should oecome sub1ec1 t'l
the WOOl,ers Compensation pro..-1s1ons ot lhe Lat>or Code, you must lonh-.,th comolv w,th such
prov,s,ons or th,s permit shall be oeemea re"VOkea
0 I tiereby at11rm tr-lat 1here 1s a conslruchon
lending agency tor the pertormance ot !he wor'lo. tor
.. ruch Hus petm11 15 issued tSec :m1 C1v1I Codel
Lender 5 Name ___________ _
Len0ers AOdress __________ _
1 USE BALL POINT PEN ONLY & PRESS HARD --~---
I
APP,LJ9ATION & PERMIT f\\_~ I CARLSBAD BUILDING DEPARTMENT
I 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
JOB ADORESS AV. ST. RO. NEAREST CROSS ST. I Dt: )-l~·;zNI (" iu2Es;,L;;4
VALUATI~ PERMIT NUMBER
l'bio P0,._ \ ~ ~n ,...lo ,S '1),: \}Q_ -~~-,,b I '41t../ BLOCK ldi~BOIVX ~ON d AS~ PARCEL N'½ 6 15 CONTRACTOR CONTRACTORS PHONE • ZONE
•c.n IS a.., A-C..T -~ .r (' (),vj '.4. ~(){\,(VJ (bJq) i44-751' I OWNER'S NAME
~;14)
0q~q~P,;~~ -I l.'<\+\n It (°'\
: N\o\a... Tuu Q.,\n DN\ o J'\..+ f J"J CONTRtCTO~DDRtS 'S"i-~o .._) LICENSE NO. PLAN t.D. # BLOG USE COOE
-'~ ~ ~ri:~ ... r ,.<" c,~q -;;_e, q4 q 6 I OW'-JER"S MAIL,NG ADDRESS \
I io12 A.Ao M.<.. A \Jti n.1 /) HIAJ'\+1.(\4 ~ fu,I' J. q~40 DESIGNER I LICENSE " STANDARD PL AN# BUILDING SO. FOOTAGE
I
I DESC~ON OF "(fRI< .A I '-'
I ' '< ("')y'\ \--\-.\(')("\ • ~Q DESIGNER'S ADDRESS OESIGNER'S PHONE
I v
I-~~ ---· F/P FLR ELEV. NO OCC GP EDU 1/31186'1''106 7.~00 I STORIES . -. . --. . --I vO NO --
' CENSUS TRACT I GP LAND USE I PARKING SPACE I RE SUNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRESPR
AREA CONST
y O N 0 vO NO vO NO Nor VJ/id Unless Machine Certtlied
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE '2.. .lYJ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01·00-00-8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221 -
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS t ~/COMPRESSOR 3 15 HP 4 .(J/J TOTAL PLUMBING 01-00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 -
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-00-00-8224 --'7V1/ --~-( ,.
EACH VACUUM BREAKER MECH EXHAUST HOODIOUCTS MOBILEHOME 01·00·00·8225
WATER SOFTNER RE LOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1.nn-nn.oooo
TOT;;L MECHANICAL STRONG MOTION 80-92-33-0519
TOT AL PLUMBING I ,.lJO FIRE SPRINKLERS 01-00-00·8227
PUBLIC FAClLITIES FEE 32·00·00·89ll
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21·0519
EXIST BLDG EA AMP/SWT BKR I ROCK STORAGE Encinilas 80-92-22-0519
1 PH 3 PH PUMP San D1egu1to 80-92-23-0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80-92-24-0519
TEMP POLE 200 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~'1> 7, 00
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT" AND 00 HEREBY Exp1rat1on Every permit issued by lhe Building Official under the prov1s1ons of th,$ * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by l!m11etton and become null and void If the building or work 5· 0" DEEP ANO OEMOllTION OR CONSTRUCTION OF authonzed by such perm,t 1s not commenced within 180 days from the date of such
I
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ~~'::~n°:d 1
~1
1:~v ~!~'~ff:~h=~~,:~!hc°~~~~leJ~~~ r~~~1~,s~:r;.~~ or STRUCTVRES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON
I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANTS SIGNATURE II' OWNER □ CONTRACTOR¥ APPROVED BY k DATE
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO
~.~-~er--:---l -3/-Jt I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF THIS PERMIT I
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
REINFORCED STEEL r
MASONRY f
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SHl;AR
FRAME I
EXTERIOR LATH (
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING j
SEWER AND BUCO □IPL/CO I
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER 0 SOLAR WArER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D t:JFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOAARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA Ve BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL I_.
GAS
BUILDING
SPECIAL CONDITIONS
" 8~ ... t l (.:,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNOA TION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRES TRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSor,,s
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