HomeMy WebLinkAbout1896 Palisades Dr; ; 86-112; PermitCl) z 0 ;:::
C II: C ..J 0 "' 0
a:
I[
8
II: ... 0 ..J 5
~ ... z 3 0
z
0 ;::: ~ z ... a.. 2 0 0
Cl) a: w " II: 0 3
il
~ 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
~~II ~~!;!,1;~;t§~ Clm C -2Q
I hereby affirm that I am exempt lrom the Contrac·
lor·s License Law for the following reason (Sec 7031 5 Business and Professions Code Any city or county wh1Ch re-quires a permit to construe!, alter, improve, demohsh, or
repa,r any structure. pnor to 11s issuance also requires !heap-
phcanl for such permit 10 hie a signed statement !hat he ,s hcensed pursuant to the prov1s1ons of the Con1rac10( s license Law (Chapter 9 commencing with Sec11on 7000 of
01v1s1on 3 o1 the Business and Pro!essfOns Cade} Of lhat 1s ex-
empl lherelrom and the basis lor lhe allegeo exemption Any v10lalion o1 Section 7031 5 by an apphcant lor a perm11 sub-
jects lhe applicant to a c1v11 penally ol not rrKKe lhan five hun·
dred dollars ($500)
Cl I. as owner ol the property. or my employees with wages
as their sole compensat,on, will do the won:. and the struc-
ture 1s nor intended or olfered lor sale (Sec 7044, Business and Professt0ns Coe1e· The Conlractor·s license Law does
001 apply to an owner ol property who builds or improves thereon and who does such work h1msel1 or through his own
employees, provided lhat such 1mprovemen1s are nor inteno-
ed or ottered for sale It. hOwever, lhe building or improve-ment 1s sokl within one year of completion. the owner-builder will have the burden of proving that he did not build or 1m•
prove !or the purpose of sale).
D I, as owner of the property, am exclusively contracting W1th licensed contractors to construct the project (Sec 7044 Business and Professt0ns COde: The Contractor's License law does not apply to an owner of property who builds or im-proves thereon, and who contracts !or each prOJec-ts wuh a cootractor(s) license pursuant to the Contractor's License
Law).
D As a homeowner I am improving my home. and lhe follow• mg condilions exist:
1. The work 1s being performed puo, to sale. 2. I have ltved in my home tor twtlve monlhs
3. rr~!v~ ~pc~::Jt tt~i: :~;~ption during the
last 1hree years.
0 lamexemptundefSec ______ ,B&PC
10< this reason
~ereby afl,rm that I fla,1e a cen,ticate or consenl
to self insure, or a cert1f1cate or Workers Compensar,on Insurance. or a cen1he<1 copy thereof
(Sec 3800, Labo< CO<Je)
POLICYN0 K'..t/'8'5q'8'o.:L\
COMPANY z-r--..cl. ld~';1-finS
~PY os hied wolh the Coly ?
D Cen1hed cooy 1s hereby lurmsheC ,
CERTIFICATl OF EXEMPTION FR WORKERS COMPENSA TIQN INSUAA CE
(This sechon need not t>e compleled 11 me perm11 1s lor one hundred dOllars ll 100) or less)
0 I certify !hat m the performance of the work lor wtuch this permit ,s issued. I sha,11 not emotoy any
person in any manner so as to become suDIec1 to the Workers Compensation Laws ot Catitom,a
NOTICE TO APPLICANT II atler makinJ tr11s Cerh
hcate ol EKemp11on. )'OU should beeome sub1ec1 I? the Wor1o.ers Compensa1,on prov1s,ons ol the Labor
COde. you must lorth..-.1lh comply w11h svch prov1s1ons or 1h15 perm,1 shall be deemed 1evok.eO
0 I hereby attum trla1 1here ,s a cons1tuc11on
tending agency tor ttte performance ol !he <N0111. to, wn,ch this permI1 1s issued tSec YY37 C1v1J CodeI
Lenders Name ___________ _
Lenc,e,·s Aoo,ess __________ _
u.;,t. o"LL ru1n1 r1.11 vnLI o rnt."1.J """u l"\rrLt\Jl"\t• I IV I ......... , •• ....,,.,.,,.,.I·-·· ••• I I •••• -· ,,, ___ ...,., ,_,., ,.,, __ ---~, ...... ·-··-·
CARLSBAD BUILDING DEPARTMENT APPLICJ TION & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 438-5525
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. I DATE OF APPLICATIONlrl' Br:is61i4· VA~~
PERMIT NUMBER
13qe, DCL\ 'i ~.r).e_, ~ ur.·ve_ ~/~ ~To BLOCK SUBOtVtSION .J.. ASSESSOR PARCEL NO. t:, _")' CONTRACTOR CONTRACTORS PHONE • ZONE I'\~ Qi\ '<,...,Jar Po 'T if?-A-(' T , -/ Sri_,f\+;nC\n A~, r.nn1l' '.:•.A;.,-.,, I t..1q) 7 4~ ~752fj OWNE A"S NAME I(, 14)
0q~~·s_;;~ t'Y\n\o.. !)~ ~P \()rwv, c n+ Cn c~t:o~f/~ ~;.~~q LICENSE NO PLAN 1.0. It ~ BLOG USE CODE
.1b q 4 q Ci OWNER'S MAILING A00RESS {
io7'"> A-ln W\, A.vP.Y'\.uO ~i\+.f¼~ ~ qJJi'-f{, DESIGNER LICENSE• STANDARD PLAN II BUILDING SO. FOOTAGE
I 0ESCAIPTIO"I OF WO~I( .A I
I ~':_ (" .{)'<'-. : ~ f) "'-' o/"\ Q.
'-' DESIGNER'S ADDRESS DESIGNER'S PHONE
I ,_,
I T73 l i'86l 100 ?~00 1-------------F/P FLA ELEV. NO ace GP EDU --· .
I STORIES
I YO NO --
I CE"ISUS TRACT I GP LANO use I PARK ING SPACE AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD Fl RE SPA AREA CONST I y D ND vO NO vO NO Nor Valid Unll!fs Machine Certified
I
1 QTY. I PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT -ISSUE ?-.n/1 SUMMARY/ACCOUNT NUMBER
I EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01·00·00-8220
I EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00·8221
' --
I EACH WATER HEATER ANO OR VENT I ll'<tft/C0MPRESSOR UP TO 3 HP 4 _/)() PLAN CHECK 01·00-00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP 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 -iq;:::;--
EACH VACUUM BREAKER MECH EXHAUST -H000'0UCTS MOBILEH0ME 01-00·00·8225 I
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF ORAIN (INSIDE! SOLAR 01-00-00-A??~
TOTt.L MECHANICAL STRONG MOTION 80·92-33-0519
TOTAL PLUMBING I 7 .00 FIRE SPRINKLERS 01-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR • ISSUE
PUBLIC FACILITIES FEE
BRIDGE FEE
32·00·00-89ll
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 BKR ROCK STORAGE Encinitas 80·92· 22-0519
I PH 3 PH PUMP San Dieguito 80-92-23-0519
REMODEL AL HR 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 17 .oo I
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT"" ANO 00 HEREBY Exp,rat,on Every permit issued by the Butldmg Ofhc,al under 1he prov1sIons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tahon and become null and void If the building or work·· S' O"' DEEP ANO DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS authonzed by such permit 1s not commenced within 180 days from the date of such STRUCl\JRES OVER 3 STORIES IN HEIGHT permit or 1f the bu1ldinx or work authonzeel by such petmlt tS suspended or ISSUED, TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON-abandoned at anv time a er the work 1s commenced for a oeriod of 180 davs ,
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANTS SIGNATURE If. OWNER□ CONTAACTOA9" APPROVEOBY /~ (-Tj1--r£ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~-L . ~~ . BY PHONE 0 GRANTING OF THIS PERMIT
2 u:
>-oi 0 a.
E (I)
I-
I
"C
0
C)
C
Ol
@
a. <(
I
-"' C a::
0 "' "' (I)
"' "' <(
I
3 2
<ii >-
ti)
"' (I) (j
0 a::
Ol
iii 0
~
(I)
(j
C Ol C u:
~
C (I) ~ C)
0 u (I) a. "' C
~
.c. ~
TYPE I DATE INSPECTOR ~
BUILDING I Ste...-\ I ?--
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
GUNITE OR GROUT I INSPECTION REO IF INSPECTOR S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SH!AR
SOILS COMPLIANCE
PRIOR TO
FRAME I
FOUNDATION INSP
EXTERIOR LA TH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION j PRES TRESSED
INTERIOR LATH & DRYWALL I CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
UNDERGROUND D WASTE D ½/ATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
I
GAS TEST I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I .
ELECTRICAL I
D ELECTRIC UNDERGROUND D lJFFER . ,
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I "' ar--.
& , i L ~-..: ~ _ e;: 1-'!'.._~
I
CALL FOR FINAL INSPECTIQN WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE1BEEN APPROVED.
FINAL I -
PLUMBING ' I
ELECTRICAL I
MECHANICAL I
~
, / ., \. Iii. a -'
GAS . I '--\ , .
,: •• ( i
-. ,, -
BUILDING I /
I -SPECIAL CONDITIONS -
j
• ., ~ ~ trl