HomeMy WebLinkAbout148 TAMARACK AVE; ; CB930687; PermitPERMIT APPLICATION PLAN CHECK NO. 3-,s,
City of Catlsbad Building Depart~t
EST. VAL ,foe!', o • 2070 Las Palms Dr., carlsbad, CA 92009 (619) 438-1161 ,,_.,.....__-:----.,.,-.,.,--\ -PUN CK DEPOSIT :t_ f • 4• .._.
VALID. BY ____ ~f"_O_P~~,-,-~-
I. PkkMtl DATE J I rt... ( 'iJ
A -U COmmerc1al Li New Bmldmg Li lenant Improvement
B -□ Industrial □ New Building D Tenant Improvement
C -.B'Residential D Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition U Relocation □ Mobile Home □ Electrical □ Plumbing
U Mechanical D Pool □ Spa □ Retaining Wall □ Solar □ Other
2. PRCllECf INFORMATION FOR OFFICE USE ONLY
BuiJdmg or Suite No.
Nearest Cross Street
llGAt DESCRll91 ION fut No. Subci1VJs1on Name/Number Omt No. Phase No.
CHECK BEWW IF S0BMII IED:
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi,
DESCRIPTION OF WORK ~ fL./.<..£ f' v,~,t~ EXISTING USE PROPOSED USE
SQ. FT. # OF STORIES
t,v, ,J ,u,0 .
No e/w<---3. WN ]At.I PFliSON (tf dlIIerenl from apphcant)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. APPIJCANI ucuN1ttAc1uK □AGENt FORWNtRACtUR )4:pwNER □AGENt FOR OWNER
NAME..J /1,U.E~ .,r. °S eJ S l>l ~ <-£ ADDRESS { Lj!: B Tft,t/ ~
CITY ~~a-\-SISo!.I> STATE {!>-A ZIPmDE9~c)1 ... ~ DAYTELEPHONE---,q4... ,-e.a::>-892,-SQ:.2::Z.
NAME
CITY ~ STATE
ADDRESS
ZIP CODE DAY TELEPHONE
NAME
CITY d) c.J N ~ ll--ST ATE
ADDRESS
ZIP CODE DAY TELEPHONE
STATE UC.# LICENSE CLASS CITY BUSINESS UC. #
CITY STATE ZIP ffiDE DAY TELEPHONE STATE UC.#
7. WORkEilS' WMPENSAllON
Workers' Compensation Declarallon: I hereby afhrm that I have a cert1hcate of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department {Section 3800, Lab. C).
INSURANCE ffiMPANY POLICY NO. EXPIRATION DATE
1s permit 1s 1ssu , s a no emp oy any person m any manner
ner-ere y a at am exempt rom e w or t e o owmg reason:
I, ner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale {Sec. 7044, Business and Professions Code: The Contractor's Llcense 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 offered 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 did not build or improve for the purpose of sale.).
D I, as owner of 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 improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's license Law).
□ I am exempt under Section ________ Business and Professions Code for this reason:
{Sec. 7031.5 Business and Professions Code: Any City or Counry which requires a permit to construct, alter, improve, demolish, or repair
to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed. pursuant to the
tract license Law {Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
t om, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
civil penalty of not more than five hundred dollars [$500]).
DATE 7·17-
nt or ture building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
rn under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES □NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
CYES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAYNITT BEJSSUEIJ AFTER.JULY I, 1989 IJNIJ!SS THEAPPIJCANT
HAS MET OR IS MEETING TIii! RF.QlllJIEMENTS OF TIii! OFFICE OF EMERGENCY SERVICES AND TIii! AIR POillfl10N CDNTROL DISIRICT.
9. WNSI KOCI lON IP.NDING AGENCY
I hereby afhrm that there ts a construcuon lendmg agency for the performance of the work for which this permit 1s issued (Sec 309'(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPiJCAN I CFltliPICA:liuN
I certify that I have read the apphcatmn and state that the above mformat1on 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP IIARMIBSS THE crIY OF CARJSIIAD AGAINST AIL IJABIIJTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY IN ANY WAY NJCRUE AGAINST SAID crIY IN CDNSF.QUENCI! OF THE GRANTING OF TIIlS 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
buildin ork~-by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such rmit I nded r a oned at any time after the work is commenced for a period of 180 days {Section 303{d) Uniform Building Code).
APPLICANT'S SI NATlJ DATE: ,, " / ?-L ~ -'" YELLOW: App 1cant PINK: Fmance
•
' PERirIT# .CB930687
DESCRIPTION: CHANGE OUT TWO
NO ELEC. WORK
TYPE: MISC
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 08/04/93
WINDOWS
INSPECTOR AREA PD
PLANCK# CB930687
OCC GRP R-3
CONSTR. TYPE VN
JOB ADDRESS: 148 TAMARACK AV STE: LOT:
APPLICANT: SEVERANCE, JAMES
CONTRACTOR:
OWNER:
REMARKS: MH/946-4659
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
PHONE: 800 882-8822
PHONE: • PHONE: ?in~
INSPECTO~ ~~
ACT COMMENTS
_11 __ sT_I_~_e_r_i_o_r_~_t_h_f_D_~ __ a_1_1 ____ ~ 6~~ pvt--&c r
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***** INSPECTION HISTORY*****
DATE DESCRIPTION
072993 Final structural
ACT INSP
CO PD
COMMENTS
FRAME OK/NOT FINAL
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