HomeMy WebLinkAbout1900 PALISADES DR; MP; 83-249-E; Permit1t 0
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O I hereby affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleuiona Code, and my license is in
lull force and effect. Lie No ______ Clm
I hereby affirm that I am exempl lrom lhe Contrac·
tor's bcense Law lor lhe totlowmg reason (Sec 7031 5 Business and Prolessrons Code Any city or county which re· quires a permit to constroct. alter, improve. demolish. Of
repair any struclure, pnor to its issuance also requires !heap-
plicalll for such permit to file a s,~ned statement that he .1s licensed pursuant to lhe prOV1s10ns ol the Contractor s License Law (Chapter 9 commencing with Sec-tt0n 7000 of
DIVls,on 3 ot the Business and Profess~s Code} or 1~1 Is ex-
empt lheretrom and the basis lor the alleged exemption Any ViOlallon of Sect10n 7031.5 by an applicant for a permit sub·
jetts the apphcant to a cwil penalty ot not more than 11ve hun-dred dollars {$500).
□ I, as owner of tile property, or my employees with wages
as their sole compensattoo. will do !he worlc, and the struc-ture Is not intended or o1tered for sale (Sec. 7044, Business and Professions COde: The Conlractor's Lteense Law does
not apply 10 an owner ol property who builds or improves thereon and whO does such work hunself or through his own
employees. provided that such improvements are nol intend-ed or offered for sale. If. however. the building or improve-ment Is sold within one year of compkttIon, the owner-builder
will have the burden 01 proving thal he did not build or im-prove for the purpose of sale).
0 I, as owner ol the property. am exclusively con1racling wtth licensed contractors 10 construct tile projecl (Sec. 7044.
Business and Professions Gode: The ContractOl''s Ltcense Law does not appty to an owner of property who builds or im-proves thereon, and who contracts tor each projects with a
contraclor(s) license pursuanl to the Contrac1or·s License Law).
0 As a -ner I am improving my home. and tile follow· Ing conditions exist: 1. Tile work is being performed prlOI' to sale.
2. I have lived in my home for twelve months prior to complettOl'I ot this work. 3. 1 have not claimed this exemptlOO during the last three years.
O I am exempt under Sec. ______ . B& P.C.
tor this reason
□ I hereby affirm lhal I ha..-e a cer11ftcate of consent
10 sell-insure, or a cert1t,ca1e of Workers' Compensation Insurance. Of a cert1t1ed copy thereof
(Sec JIIJO. Labo< Code)
POUCYNO ¥ COMPANY
D Copy 1s ltled w,ttt the city '
0 Certthed capy ,s hereby !urn hed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(Trus section need not be completed 1f the permit
,s tOf one hundred OOllars ($ H)O) o, less)
D I certify that in the perlorm~ce ot ttie wOfk tor which this permit 1s issued. I shall no! employ any
person ,n any manner so as 10 become sub1ec1 10
the Wo'1iters· Compensation Laws of Ca1ttorn1a
NOTICE TO APPLICANT II. after mak1n;i lh1s Cert,
ltcate ol Exemption, you sttould beeome sub1ec1 t? the W°"'ers· Compensatton provisions of !he Labor
Code. you must t0r1:h-.1ttt comply with such provisions or this perm11 sttall oe oeemed revoked
0 I hereby all1rm lhal there 1s a construc11on
1en<J1ng agency t0< !tie per1ormance ol lhe work tor
wt11ch lh•s permit ,s issued !Sec 3097 C,v,1 Code!
Lenders Name ___________ _
Lender's AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD .. . . . -·· -··-· -. ··---·····-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. -. ------------·-·--·
' CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB A0DRESS
AV1'f\R
NEAREST CROSS ST. I DA TE OF APPL ICA Tl ON I BUSINESPSE # VALUATION PERMIT NUMBER
1900 /k/1 St:in~~ Dl2. -rl"l-wJ,. ~ ,q <..,~ 14VG 8-\·8~
fJ--;--'l?e LOT BLOCK I SUBOIVISION l ASSESSOR PARCEL NO CONTRACTOR CONTRAC10RSPHONE• ZONE
h?l'ko >i::.lt!.vJc.£5
.
OWNER'S NAME
f
OWNER'S PHONE /N<.., ~2-)-;oo
nz:1.•-'-"'1ti:wr I' o;e,.f. CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0 . # BLDG USE CODE 1'11/'JL~ L.f 3_B -th 7 £., P-ea~TAVcJ ~ 3tobS9 OWNER'S MAILING ADDRESS /Ohl If
;:-//--' ... DESIGNER LICENSE# STANOARD PLAN# BUILDING SO. FOOTAGE &.99¥ &..I -.:;;_1, U,2. C..AR.lS~C> DESCRIPTION OF WORK
DESIGNER'S A00R.E$S OESIGNER"S PHONE
_Alc,EL_;'~~ ~ -~""fl~a.,~Tj~ t1/ut /ou:,ut.. ~O.J, F/P FLR ELEV. NO OCC GP EDU 11' 120 Jzv,v-/<Ju · lln-tP. PIA~ STORIES
vO NO
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS 1 GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD Fl RE SPR AREA CONST
YO N 0 vO NO vO NO Nor Valid Un~s Machine Certified
QTY. PLUMBING PERMIT · ISSUE 7$ QTY. MECHANICAL PERMIT· ISSUE 3-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 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 ~t'.) ~
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST -H0O0/OUCTS M0BILEHOME 01 ·00·0Q·8225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER -MOBILEHOME PARK INSP
EACH ROOF DRAIN I INSIDE) SOLAR 01-00-00-R?,F;
TOTt.l MECHANICAL STRONG MOTION 80·92·33·0519
TOTAL PLUMBING I FIRE SPRINKLERS 01 ·00·00·8227
s=-QTY. SOLAR · ISSU E PUBLIC FACILITIES FEE 32·00·00-8933 QTY. ELECTRICAL PERMIT· ISSUE
BRIDGE FEE
L NEW CONST EA AMP/SWT BKR / o-() ~-<;"-COLLECTORS SCHOOL FEE • DISTRICT ' I PH 3 PH STORAGE TANKS Carlsbad 80·92·21-0519
EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinilas 80·92·22-0519
1 PH 3 PH PUMP San Dieguito 80·92·23·0519
REMODEL 'AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
TEMP POLE 700 AMPS
OVER 700 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY {30 DAYSI P?F~
CREDIT DEPOSIT
TOTAL ELECTRICAL I $()~--TOTAL SOLAR TOTAL FEES PAYABLE I 3o!:ft-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" AND DO HEREBY ExpifetiOn E-r,,.,,,,. ,..._ .,,,_Bullcling Ofl,coal un-lhe pro¥1sIons of this * AN OSHA P£1Wto11T 15 RE0U1AED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code 1"811 HptN by lffliilation -become null -VOid If the buIld1ng or Worl< s· 0" DEEP ANO OEMOUTION OR CONSTRUCTION OF OE CLARA TIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS autftoracl by IUCII permit is not commenced wotllon 180 days lrom the date or such STRUCl\JMS OVER l STORIES 1H HEIGHT permit. Ot rf Ille -.:I.,°' wortc authonlad by such permit 11 suspended or _./_ ISSUED TO COMPLY WITH ALL CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON· abandoned al anw 1i111e Ille -,s commenced for a oenod or 180 dav■ ·'\ STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
APPll-_, TURE\~ OWN~R □ CONTR:::t□-APPROVED BY
I OA~
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ( ~--.... _,,,,}, av D ~ /r GRANTING OF THIS PERMIT ---~,II ..I. A
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TYPE ; DATE INSPECTOR
BUILDING I
I
FOUNDATION I FIELD INSPECTlON RECORD
REINFORCED STEEL I
I REQUIRED SPECIAL INSPEG"T IONS INSPECTOR'S NOTES MASONRY I
REQ IF INSPECTORS
GUNITE OR GROUT i INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE -SHEATHING D ROOF D SHfAR PRIOR TO
rouNDATION INSP FRAME I
EXTERIOR LATH I STRUCTURAL CONCRETE
I OVER 2000 PSI
INSULATION I PRES TRESSED
J CONCRETE I I I INTERIOR LATH & DRYWALL ! POST TENSIO ED
l CONCRETE I ' ' PLUMBING I I FIELD WELDING I
!
SEWER AND BUCO DIPUCO HIGH STRE GTH -I I
D f'ATER BOl TS ,. .. ~ UNDERGROUND D WASTE
TOP OUT D WASTE D WATER SPECIAL MASONRY
'I " TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
' D WATER HEATER D SOLAR WATER ~
I / ' ~/ . ELECTRICAL I ~ I I
D ELECTRIC UNDERGROUND D 1UFFER / ROUGH ELECTRIC • " I V "
D ELECTRIC SERVICE D TEMPQRARY I\.
D BONDING D POOL I i / ' I : /. I I I/ MECHANICAL I j
I ) ,.I/\~~ I .
D DUCT & PLEM., D REF. PIPING .. -
HEAT -AIR CONO. SYSTEMS I ... v (I:'/ 1)0\ l'1 -
VENTILATING SYSTEMS I
I,{'' ':)\ ' i ll 1
I I ✓ ' /\f CALL FOR FINAL INSPEC~~N WHEN ALL APPROPRIA T1/
ITEMS ABOVE HA BEEN APPROVED. .
FINAL I / \ ' 1
" PLUMBING I /
ELECTRICAL I / I
MECHANICAL I /
GAS I / ,_. ;,
BUILDING I / I
SPECIAL CONDITIONS I -
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