HomeMy WebLinkAbout1950 TAMARACK AVE; ; CB910956; Permit---~--------._www_,rm __ .,._,. _____ iiiiiliiii,....-.;-1 ___ ;,;i •-----•
B LI I L D I N G P E R M I T Permit
Project
Development
No: CP.910956
No: A910111:l1
No:
06/24/91 10:22
Page 1 of 1
Job Address: 1950 TAMARACK
PeLmlt Type; MISCELLANEOUS
Parcel No:
Valuation: 0
Construction Type: NEW
AV
Occupaucy Group: Class Code:
Description: CONCRETE STEPS COMMON AREA
Str:
: ACROSS FROM HOPE SCHOOL -TRAILS HOA
Appl/Ownr : FULCHER, MIKE
4220 #232 LA PINATA
OCEANSIDE, CA 92057
*.,.. Fees Required
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee 1
* MISCELLANEOUS TOTAt
CITY OF CARLSBAD
619
Fl: Ste :
30· ()'~ .,
az _ Lf g~
~tdtU : :':):,IIED
Applied: Ob;24/91
Apr/Issue: 06/24/91
Validated By: DC
967-6505
.00
.00
10.00
**le
Ext fee Data
10.00 STEPS
10.00
2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161
PERMIT APPLICATION PLANCHECKNO. q/-f,s G
City of Carlsbad Building Deparhlent
2075 Las Pal..., Dr., Carlsbad, CA 92009 (619) 438-1161 EST.VAL'-------------PLAN CK DEPOSIT _______ _
VALID.BY __________ _
I. P£RMII hPE
A -Li COmmerc1al
B -□ Industrial
U New Bmldmg
□ New Building
Li tenant Improvement
□ Tenant Improvement
DATE
C -□ Residential □ Apartment □ Condo □ Single Family Dwelling □ Addition/ A1teration
LI Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical □ Plumbing
□ Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other
FOR OFFICE USE ONLY
mt o. ase o.
C2 Pe I
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Add~ Envelope
SCRIPTION OF WORK () ~ s-r£.isr-;::J J
1 1 eren rom app ,can
NAME #[i/,(~ /2,, tt:,A---e-(1--rDRESS
CITY STATE ZIP CODE
4. XPPilCAN I
NAME
UCONiRACIOR □AG£NI FORCONIHACIOR
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
NAME rir,-1/ 1 L..s, /Jevd ~DRESS
4r:I[lTYiJilTmli::"11rnf _______ s_TA_TE _____ zI_P_c_o_D_E ______ D_A_Y_TE_LE_P_H_O_N_E _________________ _
NAME
CITY STATE
STATE LIC. #
ADDRESS
ZIP CODE DAY TELEPHONE
LICENSE CLASS CITY BUSINESS LIC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WOitkERS WM'.PE.NSA:IIUN
Workers' Compensat10n Declarat1on: I hereby aflirm that I have a ceruhcate of consent to seif-msure issued by the btrectorof 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 COMPANY POLICY NO. EXPIRATION DATE
Cercthcate of Exemption: I certtfy that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of C-alifomia.
SIGNATURE DATE
8. oWNRk-B0IWEll mt!LKRX:lluA
0Wner-Bu1lder DeciaratJon: I hereby affirm that I am exempt from the COntracto?s License Law for the foilowmg reason:
□ I, 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
offered for sale (Sec. 7044, Business and Professions Ccxle: 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.).
□ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Ccxle: 11te 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 Ccxle for this reason:
(Sec. 7031.5 Business and Professions Ccxle: 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, commencing 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 [$500]).
SIGNATURE DATE
COMP1£1£ IHI$ SECIIUN FUR NUN-RESIOENliAL B0ILOING PERMll'S ONLY:
Is the applicant or future building occupant required to submit a business plan1 acutely hazardous materials registration form or risk management and
prevention program 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?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES □NO
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OFOCDJPANCY MAYNITT BE ISSUED AFl1!R JULY 1, 1989 UN1J'.SS THEAPPUCANT
HAS MET OR IS MEETING THE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND THE AIR POlllJTION ffiNTROI. DISllUCT.
9. WNSIROCIION i.ENDING AGENCY
I hereby afhrm that there 1s a constructmn lendmg agency for the performance of the work for which this permit 1s issued (Sec 309?(1) Civil C&ie).
LENDER'S NAME LENDER'S ADDRESS
JO. APPIJCAIH cFJlliFICAfiON
I certify that I have read the apphcauon and state that the above mlormat1on 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 c.arlsbad to enter upon the above mentioned property for inspection
purposes. I AI1'D AGREE ID SAVE !NDF.MNIFY AND KEEP HARMLESS THE CllY OF CARISBAD AGAINST ALL LlABlllTIES, JUDGMENTS, CDSTS
AND EXPENSES WIIlCH MAY 1N ANY WAY Aa:RUE AGAINST SAID CllY 1N ffiNSEQUENCE OF TIIE GRANTING OP nus PERMIT.
OSHA: An OSHA permit is required for excavations over S'O" 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 is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is sus~nded or abando ed at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
DATE: 6-,;1._ '-(-'f /
TE: File YEIJ..OW: Applicant PINK: Finance
CITY OF CARLSBAD
INSPECTION REQUEST
PERMIT# CB910956 FOR 06/25/91
DESCRIPTION: CONCRETE STEPS COMMON AREA
ACROSS FROM HOPE SCHOOL -TRAILS HOA
TYPE: MISC
JOB ADDRESS: 1950 TAMARACK AV
APPLICANT: FULCHER, MIKE
CONTRACTOR:
OWNER:
REMARKS: MH/MIKE/967-6505
SPECIAL INSTRUCT:
TOTAL TIME:
PHONE:
PHONE:
PHONE:
INSPECTOR AREA PY
PLANCK# CB910956
OCC GRP
CONSTR. TYPE NEW
STR: FL: STE:
619 967-6505
CD LVL DESCRIPTION ACT COMMENTS
_11 __ sT--~F"tic-::eg""'%Z:}r-17~' c___d,_:a_t1:_·:0_n_f_Pi._· e_r_sW __ c ___ &tJ ____ ;zJ;_0_-_·-'-~----·_-_c,-__ £_~ __ -
---__,f_-"--'--=-----------1-IIJ:_
------------------
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS