HomeMy WebLinkAbout1985 PALOMAR OAKS WAY; ; 85-114; Permit"' z 0 .:: <( er <( ..., u l&.I 0
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0 I hereby 1fllrm lhal I am licensed under
provlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull force and effect
l,c No ------Cl,ss
I riereoy allirm inat I am exempl lrom lhe Conlrac· lor·s L,unse Law IOI lhe lollowmg reason (Sec 7031 5 Business and Profe"ions Code Any city or county wh1cn re qu11es a permit 10 cons1ruct. alter improve demot,sh o,
repair any struclure. p11or to ,1s issuance also r!Quires the ap-piocanl 10, such perm,1 10 Me a s,~ned s1a1emen1 lhal he IS
l,unsea pursuant lo !he p1ov1s10ns ol lfle U>ntractDf s license Law (Chao1er 9 eommenc,ng w11h Sec110n 7000 or O.v1s1:en 3 or the Business i1nd Protessions COde) or 1ha1 ,s u empl lherelrom and lhe basll for lhe allegl!G exemplt0n Any ;~1:: ~~~~r,:~3~.~ ~~~,:~r:~~ ~i:·::i~ ~~
dred dollars ($500)
I as own« ol llH! property or my employees .. ,1h wages
as me1r sole compensation. will do the work and me slruc· IUfe IS 110l ln1ended or olle<ed for sale (Sec 70<4~ Sus,ness
ana Protess,ons Code The C<>nlractor·s License Law does nol •Ptlly 10 an owner ol property who builds or improves !hereon and who does such wor~ mmsell or lhrough n,s own employees. prov,aec lhac sucn ,mprovemen1s are not intend·
ed °' oflere<l tor s.,le II, nowever. !he ou,ldrng o, improve mena ,s sold v.,1th1n one year ot comp1ett0n. Ille owner-builder w,11 haVe lhe Ou1den ol proving lhal he did not 0u,10 0< 1m· prove IOI lhe purpose ol sale)
I. as owner ol lhe property, am exclustYely con1rac11ng
with licensed contractors 10 construct the protect (Sec 7044. Business and Professions COde The Con1rac1or·s License
laN does nol apply lo an owner ol property who builds or Im· proves lhefeon. and who con1rac1s tor each proiec1s with a conlraclor(s) license pursuant lo lhe C<>n1<atl01. s Liceose Law)
As a homeowner I am improving my home and lhe IOIIOw mo conchttons e1ust l The work 1s being pertonnecJ prtOf to uie 2 I have l!Ved 1n my nome IOI twelve monrhs 3 rr:v~ :"P~~::3' 11~,•: ~~pt,on during lhe
laSI three years
::J I am e>empl under Sec ------S&PC '°' 1h1s reason ___________ _
0 I he1eby ilffirm 1r,a1 I ha,re a cert1f1ca1e or consent
to sell insure, or a cenihcate or Wor1'ers Cotnpensat,on Insurance or a cen,f1ec, coo., thereof
(Sec 3800 lat><>• Co<lel
POLICY NO
COMPANY
0 Copy 1$ hleo WIIM IF'le CII)'
D Centh~ copy ,s hereby lu1n1shed
CERTIFICATl F EXEMPTION FROM WORKERS ENSA TION INSURANCE
(Tt11s sect,on I oe comp1e1ea 11 flit pe1m,1
15, tor one nu ,eo ooHars cs HXh o, iess,
0 I cert1tyi 1n rne oer1ormance ot th, work 10,
wh1crt 1h15 11 ,s ,ss~ I shall not e-mploy ,;1n)' oerson 1n y manner s lo beeome sub1ec1 to
ll"le WOl'1'.er mpensa1 Laws or CdMorn1d
' NOIICE 10 APPLIC' 1 aller mak1n1 inos Cen• tic.ate 01 E:,.emphon ould oec:ome sub1ec1 t'> lhe Worl(ers Compe s ion prov1s1ons or 1ne Laoo,
COde you musl I h"'-tlh comply with Suen prov,$1ons o, 1n,s oe 11 shall ~ oeeme<I revoke<J
O I ne,eoy a1t1rm lhal tnere 1s. J cons11uct1on
1end,ng aoency 10, lhe per10,man, fl or trie wOOI ro, wn,ch 1h,s oerm1t t) 1ssueo SPc 1097 C11i,11 COd,.
Lenoe,sN•me ___________ _
lenoer s Addtes.si -----------
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
n CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm. Carlsbad. California 92008-1989 (619) 435.5525
J°j2°fl:, '.r{i L)V,LLO ,n · ~:;;REST r:rr~~,
I OATE OF APPLICATION I s"Je~p.se q VALUATION ..J'ERMIT NUMBER 1-,-~5 gs-0, . #Pf LdT BLOCK I ~Jee, vrs ON I ASSES:;uH PARCEL NO I CONTRACTOR CONTRACTORS PHONE • ZONE
I ' Saa""( C,i:,~ .. c.,1o.....l t'l8'-S9 03 OWNE R·S NAME I OWNE R·s PHON{
VAL\Dtn. ~r>~,,~v CONT RACTOR·s ADDRESS
Ll~•t~
PLAN 1.0. a BLDG USE COOE ,~ C. N. rACE=•<:-5A.J~ OWNER"S MA NG ADDRESS u_,
l9B.S ? ,i..~ M..1'.k. ~I.CS DR,~ ~~~ OESIONER ' LICENSE a STANDARD PLAN It BUILDING SO FOOTAGE
OESCRIPT ON OF WORK ,
DESIGNER·s AOORESS OESIGNER'S PHONE c:IU//1:;j
,_-z. --i-oo <c>oo ~TV~ ArL.se:-/J,rt.::, u I 4c rul ' F P FLR ELEV NO OCC GP EDU
.!Fi;:) e. ~~ A-a, r l.1J\I J.~ ~ I),-., )-t~ J STORIES
YO "10
CENSUS TRACT I GP LANO USE I PARKING SPACE RES UNITS 'AOING PERMIT ISSUED I REOEVELOP'IAENT TVPE OCC LOAD FIRE SPR AREA CONST
vO ND ,o NO vO NO Not Va/rd Unlns Machine Cemfred
QTY. PLUMBING PERMIT · ISSUE 7.J:!!-QTY. MECHANICAL PERMIT , ISSUE 3-SUMMARY/ACCOUN T NUMBER ~
EACH FIXTURE TRAP !!',STALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00,8220 .A ~
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01,00·00·8221 -------EACH WATER HEATER ANO OR VENT BO ILER COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM I ro 4 OUTLETS BOILER COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222 -------EACH GAS SYSTEM 5 OR MORE I MET AL FIREPLACE ELECTRICAL 01 ·00·00·8223 -----EACH INST Al ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00·8224 II -------i----
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFfNER ~TION OF EA FUANA~E tiEATE_!l ./? MOBILEHOME PARK INSP
EACH ROOF DRAllJ I liSIDE I ,rr-,,. A _, ,.,. 'I,_/ ~ / SOLAB. -l:I I I-, 01 ·00,00,822.6..._
T~.J';L MECHANICAL STRONG MOTION 80·92,33-0519 ---/}. -TO I Al Pl UMBING I -FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT • ISSUE .:5'--QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE 32·00·00,89ll
BRIDGE FEE
NEW CONST EA AMP SWI BKR COLLECTORS SCHOOL FEE • DISTRICT
I PH 3 PH STORAGE TANKS ,J ·-Carlsbad 80·92· 21 ·0519
fXIS f BLDG EA AMP SWT BKR ROCK STORAGE -~ --Enc1m1as 80·92·22·0519
I PH 1PH PUMP nur_ ... ,~L San Diegu110 80·92·23·0519
REMODEL ALI t R PER CIRCUIT PLAN CHECK FEE .LI"' _j~ .~ ,1-San Marcos 80·92·24-0519 .A • ~
TEMP POLE lOO AMPS T~ -
OVER 200 AMPS • -,,,,-LICENSE TAX 01-00-00·8162
TEMP OCCUPANCY 130 DAYSI MFF 80·92·57-0519
CREDIT DEPOSIT
lOfAL ElELTRILAL I TOTAL SOLAR TOTAL FEES PAYABLE I ~ --I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY E11:pttat1on Every perm,11.ssuet:1 by the Bu,lding Qft,c1al under lhe prov1s,onsof this * AN OSHA PEAM:T IS REOOIREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm,11t,on and become null and ,o,d II 1he building or wor• 5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERWT IS authorized by such pe1m,t ,snot commenced wnh,n 180 oay, lrom lhe dale ol such STRUCTURES OVER 3 STORIES IN HEIGHT permit or ,I the bu1ld1np, or wor~ au111onzed by such permit ,. suspended or ISSUED TO COMPLY WITH HL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON abandoned at anv ume a 1er the WO'" -commenced lor a oeriod of 180 davs ~ STAUCTION WHETHER SPECIFIED HEREIN OR NOT l ALSO AGREE TO SAVE INDEMNIFY ANO AP OWNER D CONTRACTOR'l'( APPROVE I BY
o o 1°'1~r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JUOG'v1ENTS COSTS ANO .
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 I GRANTING OF THIS PERMIT -,-~ ~ ... -..a --. -
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TYPE
BUILDING
FOUNDATION
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DATE INSPECTOR
FIELD INSPECTION RECORD
... ' --·~\ . ... . .... -,'v•;.,'-~\ , • ..-./
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REINFORCED STEEL
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
FLOOR & CEILING SUB FRAME I SOILS COMPLIANCE SHEATHING D ROOF D SH~AR PRIOR TO
FOUNDATION INSP .j FRAME I
I STRUCTURAL CONCRETE
'(". '''f; • EXTERIOR LATH OVER 2000 PSI · .. ,.--
PRESTRESSED ---. INSULATION I CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE
PLUMBING j FIELD WELDING
SEWER AND BUCO DIP UCO I HIGH STRENGTH
D WATER BOLTS UNDERGROUND 0 WASTE . .
TOP OUT D WASTE D W.(I.TER SPECIAL MASONRY
J -' cir ,-. ·L -) TUB AND SHOWER PAN I .-, :. I ~ 1, .-·-, . ~ ' GAS TEST V r1 /,/ J..·-;q i. e.; ,,J. ,,,,;-c--c. ., ..... I I' PILES CAISSON!'
D WATER HE~ATER D SOLAR WAtER '/(j ,, ,,.
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ELECTRICAL I
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D ELECTRIC UNDERGROUND D lilFFER
ROUGH ELECTRIC I
I 0 ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I .
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MECHANICAL I
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D DUCT & PLEM., D REF. PIPING -· . , --1-,.. ' r c-,, ... ,, r · . .....
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VENTILATING SYSTEMS \ r . ' I r \. . ~ 17"' ·,: \ I ~-. . I ' < • V ,· . --(~ IL_,_ 'fu;,,., I ~,.,., . .
CALL FOA FINAL INSPECTION WHEN ALL APPROHftft.TE ! I _ I Ao
ITEMS ABOVE HAV6 BEEN }t!JPRJ)IJEEJ ... 'fl' .r . ,., ... ·1 •t: ' • • • 11; ~if V"" FINAL I -. j ' -.A, _,
\..fl ':;-· -· "~ ~-. ' A, . ~s? -~·~ .-~· PLUMBING ... ,. ' . r , ~" I ,I' . .-. I . ~ ·-~ .,
ELECTRICAL I ,
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