HomeMy WebLinkAbout1820 WEST CLIFF CIR; ; 84-608; Permitt;f[
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O I hereby affirm 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 e!~~
Lie No t-2,/ ~ Class ~6.....,/ __ _
I hereby affirm that I am exempt from the Contrac· tor's license Law for the lottowmg reason (Sec. 7031 5
Business and Profess10ns Code: Any city or county wh1cti re-quires a permit to construct, alter, improve, demohsh, or
repair any structure, prior to ,ts issuance also requires !heap-pt1cant lor such permit to fife a signed statement that he 1s
licensed pursuant to the provisions ol the t:ontracto(s License Law (Chapter 9 commencing with Section 7000 ol
01v1s10n 3 of the Business and Professions Code) or that 1s ex-empt therefrom and the basis for the allegea exemp11on. Any
v1olat1on ol Section 7031.5 by an applicanl !or a perm11 sub-1ects the applicant to a civll penalty ol not more than live hun-
dred dollars ($500).
IJ I, as owner of the property, or my employees with wages
as their sole compensation, wm do the work, and the slruc·
ture 1s not intended or ollered !or sale (Sec 7044, Business
and Proless1ons Code: The Conlractor's License Law does not apply 10 an owner ol property who bwlds or improves
thereon and who does such work himself or through his own
employees. provided that such improvements are not intend· ed or ollered for sale. It, however, the buildmg or improve·
menl 1s sold within one year of completion. the owner-bwlder will have the burden of proving that he did not build or im-
prove for the purpose ot sale).
D I, as owner o1 the property, am exclusively contracting with licensed 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 im-
proves thereon. and who contracts for each projects with a contractor(s) license pursuant to the Contractor's license Law).
0 As a homeowner I am improving my home, and the follow-ing conditions exist: t. The work is being performed prior to sale. 2. I have lived in my home tor twelve months prior to completion of this work.
3. I have not claimed this exemption during the last three years.
□ I am exempl under Sec. ______ , B & P.C.
for this reason ------------
Xi hereby all1rm I hat I have a certificate ol consent
to self-insure. or a cert1t1cate of Workers·
Compensa110n Insurance. or a certified copy !hereof
(Sec 3800, Labor COdel
POLICY NO ~-
COMPANY ~ Copy IS hied Wtlh !he Ctly f
D Cert1!1ed copy ,s hereby tu shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the perm,1
1s tor one hundred dollars {S l())J or less)
D I certify thal m the performance ol the wor1i:. tor
whtch this permit 1s 1ssuect I shall no1 employ any
person 1n any manner so as 10 become sub1ec1 to
the Wor1(.ers· Compensation Laws of Calltorn•a
NOTICE TO APPLICANT II. alter mak1n, lhlS CM1
t,cale ol Exemp11on. you should become sub1ec1 I'>
the Workers· Compensation provisions ol the Labor Code, you mus! forthwith comply w,1h such
provisions or lhis permit shall be deemed revoked
0 I hereby affirm 1ha1 1here ,s a cons1ruc11on
1end1ng c19ency tor the per1ormance ol the woOI. tor
which 1h15 permit 1s issued (Sec :y:y:)7 C,v11 Code1
Lenders Name __________ _
Lenders Address _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT IV
1200 Elm , Carlsbad, California 92008-1989 (619) 438-5525
JOB A OORESS A V. ST. RD. NEAREST CROSS ST. I D1Ti :~1~a;N1 BUSINESS LICENSE # I ALUA TION PERMIT NUMBER
/~2. l,/}EsTcLi~~ w,er /4L/S;t/E.5 PL C,,lk.t(.4',4,F) 0033/qOC ~ b3c:)
~ BLOC K I SUBOI VISION I ASSESSOR P'~RC_ NO./ 7 CONTRACTOR CONTRACTORS PHONE • ZONE ~-li2DB z."7-r-G/)~l}R ,-1, muueJ 72-t/'-~£73~ OWNER'S NAME I OWNER'S PHONE Jofw G. l+~w ,'p(.j) L/-31'-7 f/9 o CONTRACTOR'S ADORESS LICENSE NO. PLAN 1.0. # BL OG USE COOE
2-~@;o /Jib /J;c,o I>/(_ Wc..sbtk) '-l-21 7J>cr ?ooc... ,.
OWNER'S MAILING ADO RESS
l/7--D ttJeJTC.Ll//1 ~ff , {/l-,,tt.56,4-4,,c/f OESIGNER LICENSE " STAN DARO PLAN # BU:r;:;;OOJt,
OESCRIPTION OF WORK >"" /,H,,r Ht /4/c tf~ DESIGNER'S AOOR ESS OESIGNER'S PHONE
-F/P FLA ELEV. NO EDU T I bl ~ OCC GP I STORIES L I '/ I 4 • vO NO -----
CENSUS TRACT I GP LAND use I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REOEVELOPMENT TYPE OCC LOAO FIRE SPA
AREA CONST
YD N D YO NO vD NO Not Valid Unlers Machine Certified
QTY PLUMBING PERMIT - ISSUE 7~ QTY. MECHANIC AL PERMIT -ISSUE 3-SUMMARY/ACCOUNT NUMBER
EA CH FIXTURE TRAP . INSTALL FURN . DUCTS i.JP TO 100,000 BTU BUILDING PERMIT 01-00-00-8220 ~~-5t"'\
EAC H BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-00-00-8221
I EACH WATER HEATER ANO/OR VENT ~ ~ BOI LE R/COMPRESSOR UP TO 3 HP PLAN CHECK t::a. l l • '2-7-~00-00-8806 -~ -I EACH GAS SYSTEM I TO 4 OUTLETS n Lt:-. BOILER /COMPRESSO R 3-15 HP TOTAL PLUMBING 01-00-00-8222 1-J ~ -EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223 ,>?ho -I '7 -·':7"" VENT FAN SINGLE DUCT MECHANICAL --EACH INSTAl . ALTER , REPAIR WATER PIPE 01-00-00· 8224 --~-
I EACH VACUUM BREAKER ~ -~ ME CH EXHAUST HOOD/DUCTS MOBILEHOME 01-00-00-8225
WATER SOFTNER RELOCATION OF EA FU RNAC E/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR n1-nn-nn-R??fi
TOTi;L MECHANICAL STRONG MOTION 80-92-33-0519 IA~ -
TOTAL PLUMBING I I -, . &,t_ FIRE SPRINKLERS 01-00-00-8227
s=-QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 32-00-00-893)
Q T Y. ELEC TRICAL P ERMIT -ISSUE
BRIDGE FEE
NEW CONST EA AMP SWl BK R COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80-92-21-0519
EXIST BLOG EA AMPISWT BKR ROCK STORAGE Encinitas 80-92-22-0519
1 PH 3 PH PUMP San Dieguito 80-92-23-0519
~ REMODEL ALTER PER CIRCUIT I C:.. -PLAN CHECK FEE San Marcos 80-92-24-0519 --TEMP POLE 200 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 \ ~~ .<o3 'JI).-
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND DO HEREBY Expiration Every permit issued by the Bu1ld1ng Off1c1al under the prov1s,ons otth1s * AN OSHA PE~il IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by ltm1tat1on and become null and void If the building or work 5· O" DEEP AND DEMOUTION OR CONST~TION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced within 180 days from the date of such STRUCTURES OVER 3 STORIES IN HEIGH
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON· ~~~';;~On~
1
~t t=~Y ~~~~'~Pis~~h=~~r:~!hc°~~~e~fe~~~~ l~~~~d1~,s~:b~a~~d or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ~ , ]t; CONTRACTO~ APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND APP CANTS SIGNA ~~-OWNER 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE i ~ BY PHONE 0 1 ,i~ \ · edl GRANTING OF THIS PERMIT ,-. ~-~j
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TYPE DATE INSPECTOR . -~ ; I 'ZLf-O~og' BUILDING I
FOUNDATION I FIELD INSP ECTION RECORD I ' ':2-»'~ -7( REINFORCED STEEL I ,! ~ i7 / ./ I y REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I ~ REO IF INSPECTOR S
GUNITE OR GROUT I 1·2.:~\, A'"~ INSPECTION CHECKED APPROVAL DATE •
FLOOR & CEILING SUB FRAME I
I SOILS COMPLIANCE
SHEATHING D ROOF D SHE!AR PRIOR TO
I FOUNDATION INSP FRAME I
XTERIOR LATH STRUCTURAL CONCRETE I OVER 2000 PSI
INSULATION PRESTRESSED I CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE I
PLUMBING I FIELD WELDING
SEWER AND BUCO .01PUCO I HIGH STRENGTH I
UNDERGROUND D WASTE D WATER BOLTS
TOP OUT D WASTE D W,1\TER SPECIAL MASONRY -
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS '
D WATER HEATER D SOLAR WATJ"ER·
I
I
ELECTRICAL I ,,
D ELECTRIC UNDERGROUND D VFFER ,
ROUGH ELECTRIC I
□.,ELECTRIC SERVICE D TEMPO~ARY ,,,..--. -
BONDING 1:1!POOL I ~~'C
' I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPIN,G
HEAT -AIR COND. SYSTEMS I
I VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECT~~N WHEN ALL APPROPRIATE -; i
ITEMS ABOVE HAV BEEN APPROVED.
fa V [
FINAL I
I . ~
PLUMBING ,. I
ELECTRICAL I I I .Al
I /0/11 /f.& &[]? ' -MECHANICAL I .
GAS I I I -
BUILDING I
I
SPECIAL CONDITIONS ,. I
I
I
FINAL BUILDING INSPECTION
4-08 -22-88
PLAN CHECK NUMBER: DATE:
PROJECT NAME:
1820 tcllff Ct.
ADDRESS:
PROJECT NO.: UNIT NUMBER: PHASE NO.:
TYPE OF UNIT: NUMBER OF UNITS:
CONT ACT PERSON:
unk
CONTACT TELEPHONE:
bid I n I
INSPECTED ~ DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
INSPECTED DATE
BY: INSPECTED: APPROVED DISAPPROVED
Rev. 1186 WHITE: Suspense BLUE: Water Distri ing -CANARY: Utilities PINK: Planning GOLD: Fire