HomeMy WebLinkAbout1868 PALISADES DR; ; 86-127; Permit.,, z 0 ~ a:
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O I hereby affirm that 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. lie No ______ Clm
I hefeby aJhrm tha1 I ,m "empt trom the Contrac-tor· s LM:ense Law tor the fl)ijOWing r~son (Sec 7031 5
BuSJness and Pfotessions Code Any city Of county whic.h re-quires a perm,1 10 conslrucl. a.J!er, '"1Pf"OYe. demoltSft, or
repair any structure pnor to 11s issuance also requires !heap·
pheant for such oerm1t to tile a StQned sta!emtnl that ~ is
licensed pursuant to the prov1st00s ol the Conuactor s license law (C~pter 9 CO'Mlenc,ng ,.,th Sett'°" 7000 ot
Otv1s.ion 3 ol the Business and ProfesslOns Code) OJ th.111s elC, empt therefrom and the basis tor the aiiegec exempt100 Any
,oOl.tt'°" of Sect,o,, 7031.5 by an •ppiocant toe a pe,m,1 sub-,ects the applicant to a c1V1I penally ot not more th.all live nun·
dted do<~rs ($500)
I. as owner ot the property . ..-my employtts '""h ... ages
as 1he1r sole compensation will do the WOfk. and lhe slruc·
lure 1s nol 1ntenoed oc offered IOf sale (Sec 70.U Busmes.s
and Profession~ Code The Contractor's Lteense Law does not app•y 10 an owner ot prooerty who bu•Sds or improves
thereon and who does such work himself or through his own etT1plo)'ees. provided that such unp,ovemenls are not tn1end·
ed or offered for sale If, however. the bu1~10g Of improve➔ rnent 1s SOid within one year Of completion, the owner-bu,'der
wilt have lhe burden 01 prov,ng that he Otd not bu•ld or m-prove loc the purpose ot sa'•J
..,; I, as owner of lhe property am exclusively contr.1tung
w11h licensed corttractOfS 10 construct the proiect (Sec 7044
Business and Profess.ans Code Toe Con1ractof' s license Law does not appty 10 an owner of property who builds or un-
proves thereon, and who contracts for each protects w11h a contrac1011sl hcense pursuant to the Con1ract01's license Law)
[' As a -ner I am wnp<0v,ng my home. and Ille lollOW
ing cond1t1ons exlSI I TIie -• ,s t,e,ng perl0<med pnor to sale 2 I have hved m my hOme IOf 1welve months prior to compietion ot lhts work
3 I have not claimed lt'ns exemption duong the
last three years
D lamexemptunderSec _____ _ B&P C for lhes reason ____________ _
0 I hereby affum lhal I have a cert1hcate ol con~t to
self.insure. or a certificate of Workers Compensation tn,
St;,ance Of a cer11l1ed copy thereof lSec 3800. Labor Code)
POLICY NO
COMPANY
:: Copy ,s filed wuh lhe c,ty
:J Certified copy 1s hefeby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(This section need no1 be com~eted it the pennU
+s for one hundred dollars ($100) or less)
C I cen,ty that ln the perfOJmance of the work for whteh
lhtS perm11 Is Issued. I shall not employ any person 1n any
manner so a.s 10 become sub1ect lo the Workers' Compen-
sation Laws 01 California.
NOTICE TO APPLICANT It. after making this Certificate
of Exemption. you should become subject to the Wo,kers
Compensation prov,s,ons or the Labor Code. you must
fonhw1th comply with such provisions or th,s pefm1t shall
be deemed revoked
0 I hereby affirm that there Is a construcuon lending
agency for the performance of the work for which I his per•
m1t Is ,ssuecf (5ec. 3097. C1Vtl Code)
Lender's Name ________ _
Lender's Addleu ______ _
USE BALL POINT PEN ONLY & PRESS HARO Krr-L.1\,,""I~ I IV I •--••• ~• •• -CARLSBAD BUILDING DEPARTMENT Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
~ JO]~~Ef fALJ SA1>E5
AV ST RD. NEAREST CROSS ST ~: °j ::fj;ATION
BUSINESS LICE~SE " 7-~A:iiON 1>R1ve
LOT BLOCK SUB0V•SION ASSE;do'-jAl\-10 0 S-0 D /i-v CONTRACTORS PHO"'E • ZONE
ow .. EA'S NAME. I 12 9:2:tsN:g CONTRACTOR'S ADDRESS I LICENSE NO I PLAN 1.0. ll
0
WM SA A~7;;:AE£ • Tllo 1vl A 5 DESIGNER DESIGNER'S PHONE
15~E:MIT NUMBER ii
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BUil') SZJ_;;; I~ <.')
OESCR•PT -ON OF WORK 9/031861619 .,._/_B_6_8_.--=7,=-~-L-,-,s-A-D-~->--P-R.-, __ C_A_i_s-~,,-~-:o_E_s,_GN_E_R·s_A_D_DR_E_ss _______ ..,._L_1c-EN-sE_N ... o___ ~o~ ·13 :f ij .. ·p1r31 !d ~~iR .~M a. a. <{ ~ C' /:J ' fJ ~ 0 0 ~ PATJ O (! () V£/L :~ NO FLR_::. sTi~Es occ GP EDU ~ ~ J ~ / 3-'j i
GP LAND usE PAAK•NG SPACE RES UNITS GRADING PERMIT ,ssuED REDEVELOPMENT TYPE occ LOAD FIRE SPA on Ir~ I 9 a 1
AREA CONST
CENSUS TAACl
I eiostB! a: 1 O N O v O ..,,0 vO NO Not Valid Unless Machme Certditd
QTY. PLUMBING PERMIT · ISSUE 12 QTY. MECHANICAL PERMIT · ISSUE J~ SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I I INSTALL FURN DUCTS UP TO 100 000 BTU I I BUILDING PERMIT 001·810-00·00·8220 ~~-'10
1--EACH BUILDING SEWER I . _ __ ovE~l_o_o._oo_o_BTU . SIGN PERMIT 001·810·00·00·8221_
EACH WATER HEATER ANO OR VENT I . BOILER/COMPRESSOR UP TO 3 HP • PLAN CHECK 001·810·00-00-8806_
--::u::ok
EACH GAS SYSTEM I TO 4 OUTL~S __ j . BOILER/COMPRESSOR 3 15 HP . TOTAL PLUMBING 001·810·00·00·8222
METAL FIREPLACE . ELECTRICAL 001·810·00·00·8223 EACH GAS SYS!EM 5 OR MORE
EACH INSTA~. ALTER, REPAIR WATER PIPE -----EACH VACUUM BREAKER
--·-VENT FAN SINGLE DUCT --I I MECHANICAL 001·810·00·00·8224
MOBILEHOME 001 ·810·00·00·8225 ME CH EXHAUST HOOD DUCTS
WATER SOFTNER RELOCATION OF EA FURNACE1HEATER MOBILEHOME PARK INSP
EACH ROOF DRAII\/ ,NSIDE I
TOTt;L MECHANICAL
_ OQ_l ·810·00·00·822_6 -+---------; SOLAR
'QTY.
TOT Al Pl UM81NG l
ELECTRICAL PERMIT· ISSUE
NEW CONST EA AMP SW! BKR
l PH 3 PH
EXIST BLOG EA AMP SWT BK R
1 PH 3 PH
REMODEL AL HR PER CIRCUIT
TEMP PO LE 700 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI
TOTAL ELEtTRICAL l I
s-QTY SOLAR · ISSUE
COLLECTORS
STORAGE TAN KS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOTAL SOLAR
I-STRONG MOTION 880·519·92·33 -
FIRE SPRINi<LERS 001·810·00·00·8227
PUBLIC FACILITIE5_fEE 332·810·00·00·8930 1-----------1
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San D1~u1to
San Marcos
LICENSE TAX 001 ·810·00·00·8162
MFF 880·519·92·57
CREDIT DEPOSIT
TOTAL FEES PAYABLE l l3,r.lL
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION ANO PERMIT" ANO 00 HEREBY Expiration Every perm11 •Hued bytne Bu1ld1ng Ott,c,at under tne pro•1s,ons ol 1h19
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code snail expire by ilm,tat,on and become null and ,o,d ti tne buold,ng or wor• * AN OSHA PERMIT IS RfOUIAEO FOfl EXCAYATIOffS OYER
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT IS autnonzed by sucn permit ,snot commenced w1th1n 180 days lrom tne date ,>f such permit. or 1f the budding or work autho,1zed by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY, COUNlY ANO STATE LAWS GOVERNING BUILDING CON• abar>do tan time after the work ,s commenced for a nod ol 180 di
STRUCTI0N WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS A AP CAN S SIGNATURE If-~ONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH ~
GRANTING OF THIS PERMIT ~ _ B HONE 0
s· O" DEEP ANO OEMOl.lTIOff OR CONSTRUCTION OF
STRUCl\JRES OYEA 3 STORIES IN HEIGHT
APPR,1ED BY
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TYPE I DATE INSPECTOR
BUILDING I
.
~--ld-"7 \ .. I -
FOUNDATION I
I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
MASONRY I
GUNITE OR GROUT I
I
INSPECTORS -~ ,.
INSPECTION REO IF DATE ~
CHECKED APPROVAL ... ~
SUB FRAME D FLOOR D CEIL!.ING
SHEATHING D ROOF D SHEAR
FRAME ' I
EXTERIOR LA TH I
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
I
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
D SEWER AND BUCO □ Ppco
UNDERGROUND D WASTE □1WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPEC'AL MASONRY
TUB AND SHOWER PAN I
GAS TEST I PILES CAISSOl'.S
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 1 UFFER
ROUGH ELECTRIC I
..
' .
D ELECTRIC SERVICE D TEMPCORARY .
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPl~G .
r· .... ,. . .--, u [ .,
...___... • .J • .,.,, ........
HEAT -AIR COND. SYSTEMS I ~· \ ¥. -.
VENTILATING SYSTEMS I . ..
I
-; ' .. -•"' I -•t -
I
CALL FOR FINAL INSPECTVON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE 85EN A-PPROV.ED. . 1
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' ..
FINAL I 't
PLUMBING , '
ELECTRICAL
MECHANICAL
GAS -~ .
BUILDING
SPECIAL CONDITIONS
....
<
PLAN CHECK NUMBER /Ji 1 ADDRESS / j bf fJ ~~ DATE d -J--J?t
PLANNING: TYPE OF STRUCTURE_~_fJ_T_/_O _____ ;,..._. __ _
a: ....,
3 u.J
SCHOOL FEES: SAN DIEGUITO --------CARLSBAD _______ _
% COVERAGE. __________ _
BUILDING HEIGHT ----------FENCES/WALLS __________ _
TWO CAR GARAGE ·-----------
ENCINITAS --------
SAN MARCOS _ __,... ____ _
REQUIRED SETBAC~----~
FRONT ---------
SIDE ---------REA R ________ _.,;
> ~ COMMENTS: ~ ~ --------------------------~
""oz □ REDEVELOPttENT A?PROVAL REQUIRED: ______________ .:.,._ _ _;
u.J-s~□
~ ~ □ LANDSCAPE PLAN COMMENTS: ---------------------
ENVrner:;-,j,NTAL RC:QUIREO: ________________________ _.,;
ADDITIONAL COMMENTS: --------------------------
ENGINEERING LEGAL DESCRIPTION VERIFIED? ____ A.P.N. CHECKED?_
P.F.F. _______ PARK IN LIEU ________________ _
R.O.W: IMPROVEMENTS: ---------------•
_______________ E.D.U: -------------:
SEWER:
LATERAL: DRIVEWAY:
0:: ...., GRADING PERMIT: 3 u.J -....,
> I-DRAINAGE: u.J < Cl: C
~ □ EASEMENTS: ADDITIONAL COMMENTS:·
-c □ I-L.J
UCI:
~5 □ o:: er Ou.I u ci:: OK TO ISSUE: DATE:
* ENGINEERING INSPECTION REQUIRED: _______ -1-.---------
PUBLIC ~ORKS INSPECTOR: ___________________ _
FINAL OK: -----------DATE: ___________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS, CURB CUT, DRAINAGE, ETC.)