HomeMy WebLinkAbout1888 Palisades Dr; ; 86-114; Permiten z 0 .:: C II: j
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rl1 hereby affirm that I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalons Code, and my license Is in
lull forund ~fectb Q.-20 lie No Q 'l Clm
I hereby alfirm lhait I am exempt lrom the Con1rac-1or's License l..,. tor Ille toftow,ng reason (Sec 7031 S
Business and Prolessions COde Any city Of county wh,th re·
quires a permll 10 construc1. aller improve. demohsh. or
repair any structure, pnor to its issuance also requtres !heap·
plicant loc such permit to ll!e a St9ned statement that he 1s Ltcensed pursuant 10 lhe provisions ot the COntracto(s Locense uw iChapler 9 convnencmg w,lh Sec1,on 7000 ot
Otv1s1on 3 of !he Business and Protess,ons COde) or that ,sex·
empt lherelrom and the basis t« the allegeo exemption Any YIO!Olm of Secl,on 7031 S oy •n app1,can1 tor a perm.I sub·
1ects the applicant to a crvd penalty of not more n,an five hun-ared ao11ar, IS!iOO)
7 I, as owner 01 lhe property, or my employees w1lh wages
as their sole compensation w,U do lhe work. and the slruc· ture. 1s not tnlended or olfered for sale (Sec 7CM.t Business
and Protesst0n~ Code The Contraclofs Ucense law does not apply 10 an ownt1 ol p,operty who bu~s or Improve,
thereon aod who does such won< htmself or 1hsough his own
employees, provided that such improvements are not mtend-ed or ottered tor sa1e It, however. the buikhng or improve-
ment 1s sok! w1th1n one year ot compiett0n. the owner-builder will haVfl the burden of pro-,.,1ng that he did not build or im-prove lor lhe purpose o1 sale)
D I, as owner of the property, am exclusrvely conlract1ng with licensed contractOt'S to construct the prOJeCI (Sec 7044
Bus,ness an<1 Protessions Code The Contn,ctor's Lunse
Law does not apply to an owner of property who bt.ukls or im-proves !hereon, and who coruracts for each prOfeCIS with a contfietor(s) license pursuanl to the ConlractOJ·s Lttense u w)
L As a homeo"ner I am ,mp,ov,ng my home, ana Ille follow mg cond1hons ex.1st.
l . The work 1s being per1ormed prlOI' 10 sate 2 I have kve<l ,n my home tor lwefve fflOfllhs
pnor to completion of this work
3 I have nol claimed this exemptiOn during lhe last three yea.rs.
D I am exempl unaer Sec ______ , B & P C
lor this reason
_/ heret,y afftrm lhal I ha,.e a cer11f1caIe of consent :t' 1
!eu insure or a cen,t,cate of Workers Compensation Insurance. or a cemt,ees copy It1ereoI
!Se<: 3800 L>bot Code)
POLICY No Kf\<ij 59~o;;t\
COMPANY:t;'f"O.~h..\ ~ .I<\S
~y IS filed ¥11th lhe City
0 Certified copy 1s hereby lurnish
CERTIFICATl OF EXEMPTltN-FROM WORKERS COMPENSATION SURANCE
(This sechon neect not be comple eo ,1 lhe perm,1 1s lor one hundre<i OOllars !SH)OJ Of 1ess1
0 I cer11ty tha1 ,n the perlounance ot lhe wOOI 10,
t1WhIct1 ttus perm,1 1s issued I shall no! employ any
oerson in any manner so as 10 t>eeome sub1ec1 10
!he WoOLers CompenS4JltOn Laws ot CaI,Iom1a
NOTICE TO APPLICANT If a'1er ma)l.inJ in,s Cer1,
licate ot Exemption you shOutd become sub1e-ct t'l the Workers Compenw1ton prov,s,ons ot lhe LabOr C<>Oe yOU musl fort1'1'411h Comply w1tl'I SU(;tl
p,ow,stQf"ls o, this perm,I shall be oeemed re-..011.eo
O I hereby att11m 1r.a1 !here ,s a cons1ruc1,on
ienOmg agency tor the pert()(mance ot !he """o"' l0t which th+s permit ,s ,-;sueo tSec 3097 C,v,1 Coae1
Lenoe, s Name ___________ _
Lenders A<Jdress __________ _
t USE BALL POINT PEN ONLY & PRESS HARD -CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT ~\ 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV ST.RO. NEAREST CROSS ST. I DATE OF APPLICATION
8r~L;;7;•
VALUATION'-, "'-(./~RMIT NUMBER
\<3~~ 9a...\ '. c:..n.A.e,~ 1), >.Je.-8' /If ,ii BLOCK ~~BOIVISION
1
~ ASSESSOR..fARCEL NO. 7 ?, / _IC{ CONTRACTOR CONTRACTORS PHONE• ZONE •--..lac. a,.. \ ~~--156.Af ~ llJM) H-~r' (' n<Yl:t·M.m :f,1<t1 i'-ll./-7.!i2l. OWNER"S NAME OWNER'S PHONE
h'\1"1\tl 'De~C) \l"\n,\i\DA_'+ rn. h1-i) qhq-f34_~ CONTRACTO ..... ADDRESS a .._,/ LICENSE NO PLAN 1.0. # BLOG USE CO0E
i 5'1b C.,hero~e.e., l:'-rr~::Jllt-.C/ ;).(;//49 ~ OW..,ER"S MAI, tNG A00RESS I <:.n... r,/\r, re.as ·r1.
rso12. Aarim<.. Au>n11D Ht _nt-;('d~lf'\ f-2.«..ch_ qui/(::, DESIGNER , LICENSE: • STAN0AAO PLAN # BUILDING SO. FOOTAGE
OESC~~ON OF ('~~A . V '"< ~~-o'f'\·,\"\.a. OESIGNER"S ADDRESS DESIGNER'S PHONE . _, -----~ . ----· F P F LR ELEV. NO OCC GP EDU STORIES
vO NO --B ;o a ,:,o,;-r 1 ,..,
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPP ?~e AREA CONST
l D ND vO '-0 vO NO Not Valid Un~s Machine Certrfied
QTY. PLUMBING PERMIT · ISSUE QTY. MECHANICAL PERMIT · ISSUE ~m SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILD)NG PERMIT 01 ·00·00·8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01·00·00·8221 -
EACH WATER HEATER ANO OR VENT ' ~/COMPRESSOR UP TO J HP 4' .nn PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM l TO 4 OUTLETS BOILER/COMPRESSOR J 15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01 ·00·00·8223 .... /'
EACH INSTAl . ALTER , REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01·00·00·8224 -,uy --· ( EACH VACUUM BREAKER ME CH EXHAUST HOOD DUCTS M0BILEH0ME 01·00·00·8225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK lNSP
EACH ROOF DRAIN (INSIDE! so~ ____ 01-00-00-A??~
T0T.t;L MECHANICAL STRONG MOTION 80·92· 33·0519
I 1.oc >---
TO JAL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·89ll
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH J PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP1SWT BKR ROCK STORA GE Encinitas 80·92·22·0519
I PH J PH PUMP San D1egu110 80·92·23·0519
REMODEL ALHR PER CI RCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 100 AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY JO DAYS) MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELELTRILAL I TOTAL SOLAR TOTAL FEES PAYABLE I JI 7,CXJ
I 1 HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT . AND DO HEREBY Expiration Every permit issued by tne Bu1ld1ng Off1c1at under the prov1s,ons of this * AN OSHA PERMIT IS REOUIM.D FOIi EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code snail exp.re by hmIt1tIon and become null and void If tn.e bu,ld,ng or work S o· DEEP ANO 0£MOUTION OR CONSTRUCTION OF I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such perm,t 1s not commenced within 180 days from the date ot such STRUCT\JAES OVER 3 STORIES IN HEIGHT
I 1SSUED TO COMPLY WITH ALL CITY, COUNIY AND STATE LAWS GOVERNING BUILDING CON ~~~~ 1!, ·=~y ~r:::·J.~~~C:~,:u~hc°~!~le~~~~ r~~~'~,s~~-~ or
I STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"$ SIGNATURE • OWNER □ CONTRACTOR@ APPROVED BY ~ DATE
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND
~-s §?J (-3l-/b EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~. ~-I GRANTING OF THIS PERMIT BY PHONE 0
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TYPE I DATE INSPECTOR ·,
BUILDING I ~---lttf
FOUNDATION I
i FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
i
GUNITE OR GROUT i
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
I SOILS COMPL,ANCE
SHEATHING D ROOF D SHEiAR PRIOR TO
FRAME I
i
EXTERIOR LA TH i
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PS,
INSULATION I
i
INTERIOR LATH & DRYWALL i
PRESTRESSED
CONCRETE
POST TENSIONED
! CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I
• UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D w>,.TER SPEC AL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSOI\,"
D WATER HEATER D SOLAR WATER
I ' ,,
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D ~FFER 1 ' ... . ~
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPOijARY
D BONDING D POOL I
I
MECHANICAL 1
D DUCT & PLEM., D REF. PIPINP ~\-~L&:'_ ..::: I [.J t~u·
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS ' I
I
CALL FOR FINAL INSPECT~'J_N WHEN ALL APPROPRIATE ITEMS ABOVE HA V BEEN APPROVED. -
FINAL I
PLUMBING I .
I
ELECTRICAL I
MECHANICAL I '
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GAS I ~
BUILDING I
SPECIAL CONDITIONS -~
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