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Home My WebLink About1789 RATCLIFF RD; ; 80-778; Permit,ATION ,n ,es- -~d et- ,,pt from the Con- ~I1e following reason .J Professions Code}, Any ... ,, requires a permit to con• ... nprove, demolish, or repair any ..... n .. 1ure, prior to its Issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or of- fered for sale (Sec. 7044, Business and Profes- sions 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 are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale}. '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ••ho builds or im- proves thereon, and who contracts for such pro- jects with a contractor(s} license pursuant to the contractor's License Law}. I am exempt under Sec .. _____ B. & P.C. for this reason, ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, o• a certificate of Workers· Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code}. POLICY NO~-----------COMPANY ____________ _ □Copy is filed with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hu?dred dollars ($100) or less). • I certify that In the performance of the work for which this permit is Issued, I shall not employ any persc>;,Jn any manner so as to become subject to u,e Workers' Compens,;;•lon Laws of California. ~OTICE TO APPLICANT: If, after making this Cer- ilficate of Exemption, you should become subject to the 'lll,,,i<ers' Compensation provisions of the Labor C<Jo\ you must forthwith comply with such ~~,;~~~t7P~~ ~~fr°RU~ON LENDING AGE~C~U I hereby affirm that there Is a construction len- ding agency for the performance of the work for C0ITY OF CARLSBAD-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO, I 17 1??1 9', · 1krfhnc ,L, l.1;:1 i:::, OWNER .. RJOB ADDRESS AV.ST. DATEY.OF AP/21CATION I r> -, .1 Ro f") " , c.Jr,i I 1('{1 I I 1/ 1lf1K1L ,S,,;,.,9.,l) I I I I .-;,;._/ ov owNER's PHONE PRIME CONTRACTOR 7 l\A,\,Q (' r f+;:)' , -/· ( 7-90' r'76ss {)0A}E72 MAILING ADDRESS OWNER'S RS ··-··--------/) IS A () c;::.. I t5""h ~ 70 Ii n?J CONTRACTOR'S ADDRESS LOT 4b BLOCK sy aolVISION A.~tESSOR'S PARCEL NO. / C-J}, I){'(} EJiff l.l \ft),,_ I I I I I I DESIGNER .L__1 I DESCRIPTION OF WORK s !J11-1.11 /fl~ . f'/'J6L I DESIGNER'S ADDRESS APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. L ICENSE PERMIT NUM8ER STATE LICENSE f1--97 k CONTRACTOR'S PHONE ST ATE LICENSE DESIGNER'S PHONE t.,JI I.,., I 0.1::113 0 8/27/ CENSUS TRACT GP LANO USE ZONING I RES. UNITS PARKING SPACE Jt. ~ NUMBER Of" STORIES Not Valid Unmu Machine Cmifi«J BLDG SQ. FT, BLDG USE .,,, QTY. -::- PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER EACH WATER HEATER ANO/OR VENT EACH GAS SYSTEM 1 TO 4 0 UTLETS EACH GAS SYSTEM 5 0 R MORE EACH INSTAL., ALTER, REPAIR WATER PIPE EACH LAWN SPRINKLER SYSTEM WATER SOFTNER ISSUE TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT/BKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 OA YS) TS STTF occ. GP I STANDARD PLAN II lk~A:1_1l TYPE CONST AMT. QTY. -.2.nx 4 ./) /'I 'C" ,.::')_nr "LOO MECHANICAL PERMIT INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3-15 HP BO I LE R/COMPRESSO R 16-30 HP VENT FAN SINGLE DUCT MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER ISSUE y~CONTRACTOR TOTAL MECHANICAL AMT. -II QTY. ~ AWNING MOBILE HOME PERMIT PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME 2-.00 I occ. LOAD 1 AMT. U~ T TT~'T'Tfll\1 • BUILDING PERMIT , r.U1Y SIGN PERMIT , AMT. PLAN CHECK ALL INCLUSl~rt: ....... TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR MICO-FILM STRONG MOT.ION : I I I I I . I I , I I . I I , I I . I I , I I · I I , I I . I I , I I ; I I • I I . I I. I ,DU ! ~ ~ > TOTAL ELECTRICAL CONTRACTOR / ~lb--~------t-----il TOTAL FEES PAYABLE I I I 1(/i~ I HAVE CAREFULLY EXAMINED T HE COMPLETED "'APPLICATION AND PERMIT. AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. l,ALSO AGREE TD SAVE INDEMNIFY AND KEEP HARM- LESS TH E CITY DF 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. •AN OSHA PERMIT IS REQUI RED FDR EXCAVATIONS OVER 5"-D" DEEP AND DEMOLITION OR CONSTRUCTION OF STRUCTURES OVER 3 STORIES IN HEIGHT SCHOOL FEE: AP,,CANT: StGNA~ ~ /.!.UA-GC"/ ~ ~~ OWNERrii' AGENT 0 A A /1 CDNTRACTOR!;J=,~~~ BY PHONE 0 DATE ~Br-f-g • SITE '10 ... ,,8 ADDRESS: OWNER: PERMIT NO: . . FIELD INSPECTION RECORD : - INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS • SET BACK • TOILET -C UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO INSTALL SUB FLOOR - -. SLAB FLOOR UNDER SLA~ PLUMBING . FOOTING• FORMS • SETBACK • TOILET ...... OK TO POUR CONCRETE ' .. FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK • PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK•· PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER 8c STEEL PLATE TIES/HEIGHT OF CHIMNEY - .·'1 • OTHER . TEMP POWER (POLE) SEWER GAS TEST SWIM POOL• STEEL BONDING • PRE DECK ~ • FENCE PREPLASTER SHOWN • FRAME • PAN J ~INAL INSP BY BLDG DEPT ·~ I I ·-/ - OTHER DEPT'S REQ COMPLETED I II, l'\A .A'~ ELEC METER-PERM-TEMP I Fl, I '/ V" II GAS METER-PERM-TEMP I ~ V . t ' ' CERT OF OCCUPANCY ISSUED 1200 [LM AVENUE CARLSBAD, CALIFORNIA 92008 TELEPHONE: _(714) 729-1181 This document will certify that I am aware of the provisions of the California Administrative Code, Title 24, Section T20-1406(c), "Swimming Pool Bea.ting", as shown on ·form DPL #297 . I understand that neither a swimming pool building permit using a fossil-fueled heater nor a plumbing/electrical permit for a new or replacement fossil-fueled heater will be issued until this certification is executed. For the swimming pool located at -:--::---:-;----;:---:---::---.---------,,-------=--(site address) I certify that all of the following requirements for fossil-fueled (or electric) swimming pool heaters. will be met: 1. Outdoor pools shall be equipped with a pool cover. 2. ON-OFF switch on outside of heater to allow shutdown without adjusting thermostat and start-up without relighting pilot light. 3 . 36" minim m length of pluwing provi(led between filter ct .. nC. heater to allow future solar installation. 4. After January 1, 1982, new heaters installed must have 75 % thermal effi~iency. 5. Time clocks installed to allow pump operation during off-peak demand periods (unless pump used for active solar). 6. Directional water inlets in pool for good mixing. Print Owners Name: Da IC) .c. CttR1. I Own ers Signature: '1u\-(_,t! Date: Print Contractors Name: r) 0 /J [."Jr~ ,(su i 1.. ,(} c-t? Contractors Signature: Date : Address: