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Home My WebLink About2286 PALMER WAY; ; 82-355; Permitr E Ill z 0 ~ IC ~ 0 w 0 I[ 0 0 E w 0 .... 3 ~ w z ~ O I hereby alllrm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. Lie No ___ _ __ Class ___ _ I hereby att,rm that I am exempt from the Con· ~~a;·~~~~:;::~ ~,~:.:1~~ ~.~~ county which requires a permit to construc1 alter. improve, demohsh, or repa.r any structure. pnor to ,ts issuance also requires the appllcant for such pemut to hie a signed statement that he 1s hcensed pursuant to the prov1s1ons of the Con- tractor's License Law (Chapter 9 commencing with SectK>fl 7000 of 01¥1st00 3 of the Business and Pro- fessions Code) or that ,s exempt therefrom and the basis '°' the alleged exemption. Any v1olahon of Section 7031 5 by an applicant for a permit sub1ects me applicanl to a c1vll penalty of not more than five hundred dollars ($500) D I, as owner of the property, or my employees ...,,th wages as their sote compensation, will do the wo,tc,, and the structure ,s not intended or ottered for sale (Sec 7°'4, Business and Proless,ons Code The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees. provided that such improvements we not intende1 or offered tor sale If, however, the building Of improvement 1s sold w1th1n one ~ of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale) C I, as ownet of 1he prcx>erty, am exclusively contractini with hcensed contractors to construct the proJect (Sec. 7044, Business and Professions Code The Contractor's License Law does not apply to an owner of property who builds or improves ~'::::,~: ~~nc:i;:!~~~ ~:~t!r~~::::.: license Law) 0 I am exempt under Sec tor this reason ,8 &PC [j I hereby affirm that I ha"e a certificate of consent to self-insure, or a cert,ticate ol Workers' Compensation Insurance, or a cen1t1ed copy thereof (Sec 3800, Labor Code) POLICY NO Copy IS hied With the city~ D Certtf1ed copy 1s hereby furnished CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed 11 the permit 1s tor one hundred dollars (S HX>) Of less) O I certify that 1n the performance of the wont fOf which this permit 1s issued. I shall not employ any person in any manner so as 10 become sub1ect lo the Wot11.ers· Compensation Laws of California NOTICE TO APPLICANT II, after makm1 tn1s Cert, ltcate of Exemption, you should become sub1ec1 t'J the Wonters' Compensation provisions of the labor Code, you must forthwith comply with such provisions or lh1s perm11 shall be deemed revoked 0 I hereby afhrm that there 1s a constructton lend1nc;;i agency tor lhe perlormance ot tne wot11. tor which this permit 1s issued !Sec 3097, C1v1I Code) Lenoers Name __________ _ Lender's Address---------- 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 (714) 438-5525 JOB ADDRESS AV.ST. 0~ ;;;;;:ON' ~~ VALUATION PERMIT NUMBER f' ,41..,lfNf:;L ~ RO. 2,2.,24 O~A~E ~ l OWNER'S PHONE PRIME CONTRACTOR , CONTRACTORS PHONE • ZONE 'U· L-'~5 ~ /a.cicl-l 29'Z ..s:s:a::, 77k' ~ a, 2-9Z ~-s-.:,,"'t) OWNER•s MAILIIIIGIADDRESS CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BLOG USE CODE ~:JO GJ616.r;J.. M· 5." 9a,.11I i-3~ ~,I.Jfdl., kJ LOT I BLOCI( I SUBDIVISION I ASSESSOR PARCEL NO DESIGNER STATE LICENSE • STANDARD PLAN # BUILDING SQ. FOOTAGE .22-1 9114, DESCRIPTION OF WORI( h::z,~4,(_, ""7~-~ ~ DESIGNER'S ADDRESS DESIGNER'S PHONE ,__ -FLRELEV. NO F/P OCCGP EDU Bl I !1IB2 ISEH STORIES vO NO -----. "I, CENSUS TRACT t GP LANO USE I PARKING SPACE 1 RES UNITS I GRADING f'.ERMIT ISSUED REDEVELOPMENT TYPE OCC LOAD FIRESPR AREA CONST YO ND vO NO vO NO Not Valid Unlffs Machine ~rtifi«I QTY. PLUMBING PERMIT -ISSUE 7..52J QTY. MECHANICAL PERMIT · ISSUE J,~o SUMMARY/ACCOUNT NUMBER EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-000·4 ??n EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·000·4221 - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK 01-000-4806 EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 EACH GAS SYSTEM 5 0 R MO RE METAL FIREPLACE ELECTRICAL 01-000-4223 '1~,tV --------EACH INSTA~ .• ALTER , REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224 EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000-4225 WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHDME PARK INSP EACH ROOF DRAIN (INSIDE) SOLAR 01·000-4226 TOTt.l MECHANICAL STRONG MOTION 65-640·0519 --r - TOTAL PLUMBING FIRE SPRINKLERS 01-000-4227 ,,:) , ()4 QTY. PUBLIC FACILITIES FEE 25-000·4933 QTY. ELECTRICAL PERMIT -ISSUE SOLAR -ISSUE ~ -BRIDGE FEE 1 NEW CONST EA AMP/SWT/BKR ~?iJ.. n if:.. ,m COLLECTORS SCHOOL FEE -DISTRICT \ , 1 PH 3 PH STORAGE TAN KS Carlsbad 65-623-0519 EXIST BLDG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519 1 PH 3 PH PUMP San Dieguito 65-625-0519 REMODEL/Al TER PER CIRCUIT PLAN CHECK FEE San Marcos 65·626·0519 TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYSI ------~- TOTAL ELECTRICAL -r /J!l.a TOTAL SOLAR TOTAL FEES PAYABLE I 'L"1ic10 o Hm C"""'-'-' "™"NED,HECOMPW'EO """""""°" ---~ .__, ............... °""""_ .. _ol•• * AN~ P£Rlffl IS IIEQUIAED FOR EXCAVATIONS OYER CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMA110N HEREON INCLUDIN Code_.:" Ulllf9 II\I' Hfflitl Ion .,,d become null and VON! If the buildinf. or -rk s· o• DEEP ANO OhlOUTION OR CONSTRUCTION OF eu1tlor 11\1' IUCh ,-,mlt not c menced within 180 days from the da of such _/ STRUC1\IRES OYER 3 STORIES IN HEIGHT OECLARA TIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A MIT IS permit. o If !tie bulldl:.'Jl Dr ~utho,iZed by such permit ia suapendecl or ISSUED TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILOI CON-.a any lime ·-, ia commenced for a DAnod of Ulil "-. STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNI I j o ,0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AN APPl. ~ Sl~R If. OWNER CONTRACTOR ,/ .... EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE -\I 1 .)-\ BY PHONE 0 ... ~) I 6·\&t~ GRANTING OF THIS PERMIT. ' I "" l . Q) u: >, :;; 0 a E Q) .... I c <'O ~ a. a <( I 0 rn rn Q) rn rn <( I ;: .2 Q) >- rn rn Q) 0 0 a:. <'O <ii 0 § Q) (.) C <'O C u: C QJ ~ C!l 0 t Cl: C <I. C - INSPECTION TYPE ! DATE INSPECTOR BUILDING . FOUNDATION l REINFORCED STEEL i • MASONRY GUNITE OR GROUT I FLOOR & CEILING SUB FRAME . SHEATHING i FRAME : EXTERIOR LATH lNSULATION ! INTERIOR LATH & DRYWALL PLUMBING : --I SEWER AND BL/CO I PLUMBING UNDERGROUND PLUMBING TOP OUT ; TUB AND ~HOWER PAN ! GAS TEST j ELECTRICAL i TEMPORARY POWER ! ELECTRIC UNDERGROUND ROUGH ELECTRIC ' ELECTRIC SERVICE I I BONDING I G. F. I. -SMOKE DETECTOR I MECHANICAL l DUCT & PLEM., REF. PIPING HEAT -AIR COND. -SOLAR SYSTEMS VENTILATING SYSTEMS CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED. JOB SITE FINAL PLUMBING ELECTRICAL MECHANICAL GAS BUILDING SPECIAL CONDITIONS "' CERT OF OCCUPANCY ISSUED -'"3Sb [ /'";. FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES INSPECTION REO IF INSPECTOR S DATE \)' CHEC KED APPROVAL SOILS COMPLIANCE PRIOR TO FOUNDATION INSP STRUCTURAL CONCRETE OV ER 2000 PSI PRESTRESSED CONCRETE --POST TENSIONED ·- CONCRETE \' ~ ~ FIELD WELDING -, -HIGH STRENGTH . BOLTS -- SPECIAL MASONRY PILES CAISSONS - -------·- - ·-· ·-- . -- ., -~ -~ "' .... r< ------