HomeMy WebLinkAbout1884 Palisades Dr; ; 86-115; Permit0 z
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✓hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is In
full fo,ca an~"J!f§(, C.-2Q Lit No Jh Clm
I heteoY alt,rm lhal I om exempl lrom lhe Conlrac-
1or· s License Uw IO< Ille lollowmg reason (Sec 7031 5
BusrBeSs and ProfesStOns Code· Any city Of county which re· quires a pem'llt to construcl, aI1er. improve. dem0l1sh, M repair any structure prior to its issuance also requires !heap·
pileant kw $UCh perrml to Me a s,qned statement that he ,s IIUl1sed pursuanl 10 the prov,slOfls ol the Contractor· s
license Uw (Chapter 9 convnencmg .,,th SectH>n 7000 of Ofvasm 3 ot the Business and Professions COde) or that 1s ex-
empt lhefehom and 1he basis for the aUegeo exemp110n Any
V!Olal,on o1 Secl,on 7031.5 by an applan1 lor a perm,, suo-Jetls 1he appltcant to a cr,nl penaHy ot not more than fwe hun-
dred dollars ($500)
I as owner ol lhe property. or my employees w,lh wages
as theu SOie compensat,on, 'MU do the work. and the struc·
ture ,s not intended or altered tor sale (Sec 7044. Business
and Protess,ot\s Code Tne Contractor·s Ucense Law dots
not apply 10 an owner ol property who builds °' improves
thereon and whO doeS such work htmstlf Of through his own employees, provided that such Improvements are not intend-
ed or ottered lor sale II. however lhe bu11dmg or ,mprove-
rnent ,s sokJ within one year of complet10n. the owner-builder w1U have the burden oC proving that ht dKS not build or im-
prove tor the purpose o1 sale)
G I. as owner ol lhe property. om exclusrvtly contracMg
w11h licensed contractors 10 construct the pro1ect ( Sec 7044, lkl$lness and Prole•s,ons Code The COnlraclor's Locense
Law does not apply 10 an owner ot property who bu11(1s or m-
prO't'es thereon. and who contracts lor each PfO!etts with a contractor(s) hcense pursuanl to the Contractor's Lteense Law)
0 As a homeowner I am omprOV1ng my home. and lhe follow-ing conditions exist
I The -k 1$ being performed pr,or lo .... 2 I have lived In my home for rwelve months pro to completion o1 lhIs work
I have not clainled !his exemplt00 during the last three years
g :h~:,:1 under Sec _____ _ B & P.C
~ hereby aft1rm 1r,a1 I ha ... e a cen1t1ca1e ot consen1
10 self insure or a cert1hca1e ol Workers
Compensation Insurance. 01 a cen,hed cc,py !hereof
tSec 3800 LabO< Code!
POLICY NO ~ N'tl s9'?102-\
COMPANY~V..S,,.r.(l.\ ~-.:I:n$.
~y 15 hied w11r, lhe Ctly Jt:
0 Cert1f.ed capy 1s hereby furnished
CERTIFICATl OF EXEMPTION F OM
WORKERS COMPENSATION INS ANCE
(Tn,s sechon nffd not be completed ,1 lhe permit
,s tOf one r,unarea Oollars ($1001 o, less)
0 I cen,ty thal m the performance ol the 1'11t10rk tor
wnttr, 1h,s perm11 ,s ,ssued I snall not empi<>y an.,.
pe,son In any manner so as to beeome su01ec1 10
!he wo,-.,ers· Compensa11on Laws ot Galllorn,a
NOTICE TO APPLICANT II_ after makln1 this Ce,i1
f.cate ot E•emphon you snouk2 Decome subfect v,
1r,e woni,.e,s· Compens.-.tion prov1s1ons ot 1r,e LabOr COOe you must torthvrr.1tr, comply wI1r, suet, pro ... ,sions or 1r,1s perm,1 shall be deemed re-.oke<J
D I hereby attum 1na1 !here 1s a cons1ruc1Ion
Iend10Q i1Qency 10, the pertQfmance of lhe wor>. to,
wtuch trus perm,1 ,s ,ssued 1Sec 3097 c,vll Ccxie1
Lenders Name ___________ _
Lenoer s Aooress __________ _
. _..,._ -··--. -···, . -,w -··-· -' ............ ,,~ .. ----. -----·-.. -. ------.... --·---· .. ·-·· ......... ,. ···---····-· ....... _ ----····· .. ·-··-·
I
APPLl~~ION & PERMIT f\\~ I CARLSBAD BUILDING DEPARTMENT
I 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
I JOB AOORESS AV.ST.RO. NEAREST CROSS ST
1
0ATE OF APPLICATION,r,s;Nz~,/. VA LUA TIO\ PERMIT NUMBER tii4 P~ \ ~ c;ri f"l()_ ~ JX·,v-e__ 116 LOT I BLOCK I~~~.~~ "'·"-ti ASSff~L; b-/~ CONTRACTOR CONTRACTORS PHONE• ZONE '13 i,-~ or (\n-t+.,'h-('-,IQ) 1'-/t../-75:V OWNE.R"S NAME le 1 ,4;;;,qs_P,~43
v. -~' r. (\ l"'l
f'f\o\('). 'no \l P lnrm(ij,\+ ('C)_ coNTRACTC_u,;ooRess ;t' -j--LICENSE NO PLAN 1.0. # BLDG USE CODE
15'7~ • ~uotet.. s ~!e:: Q-:)>-~a ')_bqyQ6 OWNER"S MAIL,NG AODRESS I ~; -'t/Y'\ a < I' n<r::..
1'01l ~lllf\.~ ~p i\UJ) ~ -'..i'\.+,v'\'"+.-.--'"R-ectt_h q )j,'-J(,,
DES,GNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE
DESC~•ON OF rRI< 1 .....
'-,r" r),r\ rt , ~' n,/""\. I "'" OESlGNE R'S AOORESS OESIGNER'S PHONE
.._)
I-------,-_. --~ .. -F p F LR ELEV. NO OCC GP EDU
STORIES
v□ NO --
CENSUS TRACl I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAD Fl RE SPR 11:-; r•· ·,,.. ?~0 AREA CONST
! D ND vO "'O vO NO Nor Valid Unl~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT· ISSUE ?-,. TY'. 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 -
I EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
I EACH GAS SYSTEM I TO 4 OUTLETS f -~COMPRESSOR 3 15 HP 4 .1JI"\ TOTAL PLUMBING 01·00·00·8222 I ----
I EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00-8223 .A -
I EACH INSTAl. AL TEA. REPAIR WATER PIPE VENT FAN SINGLE OUCT MECHANICAL 01 ·00·00-8224 7u_,,;,,
I ->-r EACH VACUUM BREAKER MECH EXHAUST HOOO OUCTS MOBILEHOME 01·00·00·8225
I WATER SOFTNER RELOCATION OF EA FURNACE/HEATER I MOBILEHOME PARK INSP
I EACH ROOF DRAIN !INSIDE) SOLAR O)·OO-M,O??~
I TOTJ;L MECHANICAL STRONG MOTION 80·92-33-0519
I I 7,0/l -----
TOIAL PLUMBING FIRE SPRINKLERS 01·00·00·8227 I
I QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
I NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP SWT 8KR ROCK STORAGE Encinitas 80·92·22·0519
I PH 3 PH PUMP San D1egu110 80·92· 23·0519
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 700 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY (30 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I #,,ro
I HAVE CAREFULLY EXAMINED THE COMPLETED •·APPLICATION AND PERMIT" AND DO HEREBY Exp1rat1on Every perm,t issued by the Bu1ld1ng Offtc111 under the prov,s,onsof th,s * AN OSHA PU .. IT IS REOUlflED FOA EXCAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code sr,all exptre by hmn■tion and become null and void If the building or wonc. S o·· DEEP AND OEMOUTION 0A CONSTRUCTION OF
DECL,<1,RATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS author1zed by such permit ,s not commenced w1th1n 180 days from the date of such STRUCTVR£S OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-~~'::!,n~ 1!11:~Y ~,;!!':ff.i~h:~~,:~!hco~~~l~f~~ ;>8~7i~1~ts~:ged~~ 0'
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE .. OWNER □ CONTRACTOR iiif' APPROVED BY //-DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND t:~ £.Sse y-31-?t EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTI.NG OF THIS PERMIT -
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TYPE I DATE INSPECTOR
BUILDING I ''\
FOUNDATION I
I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I .
GUNITE OR GROUT i
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING □ ROOF □ SH6AR PRIOR TO
FRAME I
' EXTERIOR LATH i
FOUNDATION INSP -STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
i
INTERIOR LATH & DRYWALL i
PRES TRESSED
CONCRETE
POST TENSIONED I CONCRETE I
PLUMBING I FIELD WELDING
SEWER AND BUCO □IPL/CO I
UNDERGROUND □ WASTE □ WATER
HIGH STRENGTH
BOLTS
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSOM'.
□ WATER HEATER □ SOLAR WATER
I
ELECTRICAL i ,.
□ ELECTRIC UNDERGROUND □ ~FFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPO~ARY
□ BONDING □ POOL I
I
•
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPINµ
t : !\'., ~. L ... ll; va
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
l
CALL FOR FINAL JNSPECT!~N WHEN ALL APPROPRIATE ITEMS ABOVE HAV BEEN APPROVED.
FINAL I -
PLUMBING I ..
ELECTRICAL I .
' MECHANICAL I . •.
GAS " -~ .
BUILDING I
I
SPECIAL CONDITIONS .
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u_
l,l.\N: D 1986
of CARLSB
ILDI •G ~~