HomeMy WebLinkAbout1821 RATCLIFF RD; ; CB982415; Permit~-B U I L D I N G
08/03/98 10=18
Pe~qe l of 1
P E R M I T
Suite:
Lot#:
Permit No = CB982415
Project No: A9803192
Deueloprnent No:
34 .00
Job Address: 1821 RATCLIFF RD
Permit Type: PAT I O/D ECK
Parcel No= 156-270-07-00
Va l uat ion: 798
Occ upancy Group:
De~c riptlon: ENCLOS ED PATIO 110
: ICBO ENCLO SURE-NON
Reference#=
SF
9652 08/03/98 0001 01 02
C-PRNT
Constr uct i on Type= NEW
Statu5: ISSUED
Applied: 07/30/98
Apr/Issue= 08/03/98
Entered By: .Jl'1
432-2002
HABITABLE SPACE
Appl/Ownr : Al PA TIO ENCLOSURE
28 29 E VA LL EY PRKWY
ESCONDID O CA 92027
*** Fee!:', Requ 1 red
Fee-!=•=
Adjustments=
To tal Fees=
***
760
Fees Collected & Credits
o al
Tota l
.00
.00
31+. 00
***
Fee de::,cription
(4:;i l ntle
Un it=• Ext f ee Data
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
20.00
13.00
1. 00
34 .00
.-F,NAL AF 1-. ·OVAL
'j!_
CLEARANCE
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
-
PERMI◄ APPLICATION
FOR OFFICE USE ONLY
PLAN CHECK NO. Cff6LL(t5
CITY OF CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad CA 92009
(760) 438-1161
EST. VAL. --1-,J-IJL-..,...,rr,r-;-:-T-
Plan Ck. Deposit==.--..L.-'-'.._.1,,<,_
Validated By_....,._..,_,_¼-+...,.,-,,--17""'1':r
Date ________ ..l...jf--'~"'-lc-":.i.,..
Address (include Bldg/Suite #) Business Name (at this address)
I ?F ¢ I B_AT<"L /FF"
Legal Description Subdivision Name/Number Unit No. Phase No. Lot No. Total # of units
meP 19'-li./
Existing Use Assessor's Parcel #
~ Proposed Use
I
!SG.-0-SF 10
# of Bedrooms # of Bathrooms
Name
il!iliil~!l!ifr;',;,l!l!Jt;iiiij!!i/~~!!lii,
L
5
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500]).
-10 s ~~, 1; VALLl!Y , ca :P 1:>o oJ.7 ~~-oc
N me
Stete Ucense # 4> 'Jl :J. '/ l? '3' License Class __ /!,=--------
City State/ljp Jelep o
City Business License # fie
Des;gner Name It!/!,() sa14 /J Address City State/Zip Telephone
State License # _________ _
i;i;iiiM-l~l!il~%~~filliilit:4£Us?~;:~L::;;;:Jtfa'.D'.~t,1·;;.'i:::-1::l: 'i'.i!ltt.::i;'.:;::
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
0 I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company----~=====:::=====----------Policy No. Expiration Date _____,
(THl~ECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESS)
&I""" CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any parson in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallure aecure workers' compensation coverage Is unlawful, and shall subject an employer to criminal penalties and civil fines up to one hundred
000), In addition to a cost of compensation, damages as provided for In Section 3706 of the Labor code, interest and attorney's fees.
DATE 7 /-3 0 I 'i$'. .. ,.,., .... ,,.,. . .,,. '""~"'' G:/· ~·;·:-·T'.' :<:-----· ..... :.:·. SIGNATURE
~lll
I hereby affirm that I am exempt from the following reason:
D I, as owner of the property or my employees with wages as their sole compensation, will do the work and the stry_cture is not intended or offered for sale
(Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of pro~O-builds or improves thereon, and who does
such work himself or through his own employees, provided that such improvements are not intended o ad for sale. If, however, the building or improvement is
sold within one year of completion, the owner-builder will have the burden of proving that he build or improve for the purpose of sale).
0 I, as owner of the property, am exclusively contracting with licensed contra o construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who b or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
0 I am exempt under Section _____ _
1. I personally plan to provide the major labor an terials for construction of the proposed property improvement. D YES ONO
2. r a building permit for the proposed work.
3. g person (firm) to provide the proposed construction (include name / address I phone number / contractors license number):
4. I plan to provide po · s of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractor ense number): ________________________________________________ _
5. e some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone number / type
PROPERTY OWNER SIGNATURE
-IIHfflllm ,
Is the applicant or future building occupant required to submit a business plan, acutely hazardous mattori$....,,ol!ltcraiitiioion form or risk management and prevention
program under Sections 25606, 25533 or 26634 of the Presley-Tanner Hazardous Substanc D YES D NO
Is the applicant or future building occupant required to obtain a permit from th 0YES0NO
0YES0NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFIC F OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY ICES AND THE AIR POLLUTION CONTROL DISTRICT.
11~-~r
I hereby affirm that there is e onstruction lending agency for the performance of the work for which this permit is issued (Sec. 3097(i) Civil Code).
LENDER'S NAME £ LENDER'S ADDRESS
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND 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 GRANTING OF THIS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or
work authorized by such permit i ot commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended
or abandoned at any time after e ork is commenced for a eriod of 180 days (Section 106.4.4 Uniform Building Code).
APPLICANT'S SIGNATURE DATE
PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB982415 FOR 08/06/98
DESCRIPTION: ENCLOSED PATIO 110 SF
ICBO ENCLOSURE-NON HABITABLE SPACE
TYPE: PATIO
STE:
PHONE: 760 432-
PHONE:
INSPECTOR AREA
PLANCK# CB982415
OCC GRP
CONSTR. TYPE NEW
LOT:
02
JOB ADDRESS: 1821 RATCLIFF RD
APPLICANT: Al PATIO ENCLOSURE
CONTRACTOR:
OWNER: PHONE: ~
INSPECTOR ----,,£--.\--....:::.:s;.---0 __ _ REMARKS: C/RUSS/432-2002
SPECIAL INSTRUCT:
TOTAL TIME:
--RELATED PERMITS--
CD LVL DESCRIPTION
PERMIT#
CB973756
SE970227
TYPE
RAD
SWRSD
STATUS
ISSUED
ISSUED
ACT COMMENTS
19 ST Final Structural ,Al __________ _
29 PL Final Plumbing
39 EL Final Electrical
49 ME Final Mechanical
--------------------------------------------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION
080498 Final Structural
,
ACT INSP
NR DH
COMMENTS
NO ONE HOME-NO CARD-ELEC NR
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C.ARL50AD CA 9~co'if' I
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APN /54.-.:?70-07
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