HomeMy WebLinkAbout1892 Palisades Dr; ; 86-113; Permit"' z 0 ;:: < IIC < ..J u ..,
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~ hereby affirm that I am licensed under
provlalona or Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeaalons Code, and my license is in
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I hereby amrm tl'l.11 I am e.xempt lrom the Contrac-tor's license Law tor lhe lollowing reason (Sec 7031 S
Business and Professions Code. Any city Of county which re· quires a permit to construct. alter, improve, demohsh. or ~~~~1ari s!~~i,lu;:;~[t~~ tj111!s ~s:~a,:,e :~5fe:~;r~~a\h~~~
ltcensed pursuanl 10 the prov,soos ol the contrac1or·s license Law (Chapter 9 commencing with Section 7000 o1
Division 3 o1 lhe Business and Proless,ons COde) or that Is ex· empt therefrom and 1ne basis tor the altegea eJCemptron Any
v,otat,on of Section 7031.5 by an apphcant lor a perm,t sub-1ects the appncant 10 a c1vll penalty of oot more than live hun·
dred dollars ($500).
D I. as owner ol the property, or my employees with wages
as their sole compensation, will do the work, and the struc·
lure Is not intended or offered lor sale (Sec 7044, Business
and Professt00s Code The Contraclofs License Law does no1 apply 10 an owner of Pfoperty who builds or improves
!hereon and who does such work himself°' lhrough his own employees. provided that such improvements are not mlend·
ed or olfered for sale. It, however, the building oc improve-ment ,s sold w1thm one year of complellon. the owner-builder
will have the burden ol proving !hat he did not build or 1m· prove lor the purpose of sale).
□ I, as owner of the prQperty, am exclusively contracting with licensed contractors to construct 1he pro,ect (Sec. 7044,
Business and Professions Code: The Conlractof's Ltcense Law does no1 apply to an owner ol property who builds o, im-proves !hereon, and who contracts tor each pro,ects with a
cooiractor(s) license pursuant to the Contractor's ucense Law).
0 As a homeowner 1 am ,mprovIng my home. and the loflow-
lng conch11ons elust: 1. The wor1< 1s being performed poor to sale
2. I have hved in my home for twelve months
3. r':v~ ~~pc~!:::' i'~11: ::~pt,on dunng the
last three years
D I am exempt un<ler Sec. ______ . B & P C tor this reason ____________ _
• ~ereby affirm lhal I na-1e a cer11t1cate of consen1 Yo 1:elf•1nsure. or a cert1t1cate ol Workers
Compensation Insurance. or a cen,hed copy thereof :,::~ rJ;·5qyo;2_l T ~
COMPAN~~$,-<'"4_\ .wi.l--' ';;:)
~PY' IS filed with the city
O Certified copy ,s hereby rvrn1stled
CERTIFICATl OF EXEMPTION F WORKERS· COMPENSATION INSURA CE (This section need not be completed ,t the permI1
,s tor one hundred dollars ($1001 or 1ess1
0 I cert1tv that ,n the performance ot !he wo,_, tor
which 1h1s permit Is ,ssued, I shall not employ any
pe,son m any manner so as 10 become sub1ect to
the Wof'k.ers· Compens.a11on Ulws ol Cahlorn1a
NOTICE TO APPLICANT 11, alter ma1 ... n~ HllS Gerti
hcale ol E•emp1,on. you shouk1 beCOfT'le sub1ec1 I'>
the W()(l(ers Compensa11on prov,s,ons ot me Labor
Code. you must lorth~11h comply w,1h such
prov1s1ons or this permit shalt be deemed re'IOke<l
0 I hereby affirm that lhere 1s a cons11uctIon
Iena1ng aoency tor lhe perlo,mance ot lhe wo,_, to,
which ttus permit is issued (Sec 3097 C1v1I CooeI
Lenders Name ___________ _
Lende, s Ada,ess __________ _
; USE BALL POINT PEN ONLY & PRESS HARD l"'\rrL.IVl"'\I .. I IV rlL.L. ••• ·••rvn••·"' ·-•-. •• ' •••••• -· "'"' ___ .... ·-· ........ _ ----· -· .• ----. ---
11 CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1 1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 7 · '\. -
I AV ST.RO. NEAREST CROSS ST. OATE OF APPLICATION BUSINESS LICENSE• N ,~~~'-/
-CONTRACTORS Pt<ONE •
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I DESCAIPTONOtf ORIC f I
I f\,C -ec.&. ~i:: ~ DD :,o.~ DESIGNER'S ADDRESS
F/P FLA ELEV. ~
STORIES
LICENSE a
DESIGNER'S PHONE
OCC GP EDU
PLAN 1.0. #
STANDARD PLAN Ii
PERMIT NUMBER 8(1'0
BLDG USE CODE
BUILDING SQ. FOOTAGE
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l REDEVELOPMENT AREA
'l /S 1 ?86 T'l06 1~00 I BP "" TYPE
CONST
OCC LOAD FIAESPR CENSUS TRACT I GP LAND USE I PARKING SPACE GRADING PERMIT ISSUED
y D ND vO NO vO NO Nor Valid Unlf!fs Machine Cerrilied
QTY.I PLUMBING PERMIT · ISSUE QTY.I MECHANICAL PERMIT· ISSUE "?½,rt) SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I I INSTALL FURN DUCTS UP TO 100,000 BTU BUILDING PERMIT 01·00·00·8220
EACH BUILDING SEWER I I I OVER 100,000 BTU
EACH WATER HEATER ANO/DR VENT I I I I ~COMPRESSOR UP TO 3 HP -Y-.m
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01 ·00·00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS I I I BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00-8222
EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE ELECTRICAL 01 ·00-00-8223
EACH INSTAl . ALTER, REPAIR WATER PIPE . VENT FAN SINGLE DUCT
I -I EACH VACUUM BREAKER . MECH EXHAUST HOOOIOUCTS I . II 1v1vo1LrnV1Y1<
I WATER SOFTNER . RELOCATION OF EA FURNACE/HEATER 1 . U Mvo1Lc:nvr,
MECHANICAL 01-00-00-8224
una11 cunuc 01·00·00-8225
unou runuE PARK INSP
EACH ROOF DRAIN (INSIDE) " SOLAR Ql·OQ·QQ·8226
TOH<L MECHANICAL STRONG MOTION 80·92-33-0519 --
TOTAL PLUMBING I ,.(){) FIRE SPRINKLERS 01 ·00·00-8227
QTY. ELECTRICAL PERMIT· ISSUE QTY. I SOLAR · ISSUE
PUBLIC FACILITIES FEE 32·00·00·89Jl
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
l PH 3 PH STORAGE TANKS Carlsbad 80·92·21 ·0519
EXIST BLOG EA AMP:SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
1 PH 3 PH PUMP San DieguI10 80·92· 23-0519
REMOOE L 'AL HR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92· 24-0519
TEMPPOLE 200AMPS
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE T-=11.00
I HAVE CAREFULLY EXAMINED THE COMPLETED . APPLICATION AND PERMIT ' AND DO HEREBY Expiration Every permit 1Ssued by the Building Ott1c1al under theprov1s1onsoflh1s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e,pire by lim1tallon and become null and vo,d II !he building or work * AN OSHA PERM:T IS REQUIRED FOfl EXCAVATIONS OVER
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhorired by such permit IS not commenced within 180 days from the date of such 5' o•· DEEP AND DEMOl.lTION OR CONSTRUCTION OF
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON ~err;:it or if the building or work authonzed by such permit ,s suspended or STRUCTURES OVER 3 STORIES IN HEIGHT
STAUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND "-;;:;;b;;;a;;-do-;;::-n;ed;:;';a7;t~a~n~l:im7:e~a:lt:e::.r~lh;e:._w.:::::::o::rk~,s..!c:!:o~m~m~en~c:!e~dc.f!.!:o~r..!a'JE~r!!,1od12.co!!!fc.1U80!!!Jd,!!8WS_-:~~~~~~"""'"------'!'""--------------1
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APPLICANT'S SIGNATURE Jf. OWNER O CONTRACTOR APPROVED BY //
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE "i") r ~ '>
GRANTING OF THIS PERMIT ~ • • ~ ~ --BY PHONE 0
DATE
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TYPE I DATE INSPECTOR
BUILDING ' i
FOUNDATION I
REINFORCED STEEL ' ' MASONRY I .
GUNITE OR GROUT I
I
FLOOR & CEILING SUB FRAME I
SHEATHING D ROOF D SH~AR
FRAME I
EXTERIOR LA TH ' i
INSULATION i
INTERIOR LATH & DRYWALL I
i
i
PLUMBING ' i
SEWER AND BUCO DIPUCO '
UNDERGROUND D WASTE D \!VATER
TOP OUT D WASTE 0 WATER
TUB AND SHOWER PAN ' I
GAS TEST I
D WATER HEATER D SOLAR WAi ER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND D l!JFFER
ROUGH ELECTRIC I
I
D ELECTRIC SERVICE D TEMPORARY
□ BONDING D POOL 1
_1
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS '
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VB BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I
I
MECHANICAL '
GAS I -I
BUILDING I
SPECIAL CONDITIONS I -
I -
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FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
so,LS COMP'.IANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSON'.::
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