HomeMy WebLinkAbout2811 TAMARACK AVE; MP; 81-503-6; Permit.,, z
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0 I hereby a11Irm 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 effect. Lie No _______ Class _____ _
I hereby att,rm that I am Hempt from the Con-~!<>;'~~!~:::~:~.~~.~~~~~~~
county which requires a permit to construct
alter, improve. demohsh. o, repair any structure,
prior to Its issuance aJso requires lhe applicant tor
such pe(TTUt to Ille a signed statement that he ,s hcensed pursuant to the prov,s,ons ot the Con-
tracto,'s License Ulw (CNPter 9 commencing with Sect.on 7000 of 01v1st00 3 of the Business and Pro-
fessions Code) or that 1s exempt therefrom and the
basts for the alleged ei:emptt00 Any YK>lahon of Section 7031,5 by an applicant for a perrmt subjects
tne apphcant to a c,v,1 penalty of not more than five hundred dollars ($500)
□ I, as owner ol the pr()perty, or my empk>yees
,.,th wages as thelf sole compensa1ton, w,11 do the
wont, and the structure 1s not intended or offered tor sale (Sec 7°'", Business and Protess,ons Code
The Contractor's License Law does nol apply to an
owner of property who bu1tds or improves thereon
and who does such wortl. himself 0< through his own
employees, provided that such 1mproveme:its are not 1ntende1 or offered for sale If, however. the
building or improvement ,s sold within one year ot complellon. the owner-builder will nave. the burden
of prov1r19 that he did not build or improve for the
purpose ot sate)
C I, as owner of the propeny, am exclusively
contracting with licensed contractors to construct the P'OJect (Sec 7044, Business and Professions
Code: The COntractor's License Llw does nol apply
to an owner of property who builds or improves
~:'~i~ 7'~nc:'~~!~~~ -:f h~r~~~~::.: license Llw).
□ I am exempt under Sec
for this reason
__ .B &PC
D I hereby afhrm that I l\a't'e a cen,heate of consent to self-insure, or a certificate of Workers·
Compensation Insurance. or a cert1l1ed cooy thereof
(Sec 3800. Labor Code)
POLICY ND _______ _ __ _
COMPANY
□ Copy IS hied with the City
□ Cert,f1ed CoPY ,s hereby tum1shed
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed ,t lhe permit
1s IOf one hundreo dollars (SH)O) or less)
O I cen,ty that 1n the perlormance ot 1he wQtk for
wtuch this pemut is issued, I shall not employ any
person in any manner so as 10 beeome subJe<:.t to
the Workers' Compensation Laws of Gallforn,a
NOTICE TO APPLICANT If. atter makin, ttl1S Cert,
hcate of Exemption, you should become sub1ect t'l the Workers· Compensation prov1s,ons of 1ne Labof
Code. you mus! forthwtlh comply with such
provisions or ttus permit shall be deemed revokeo
O I hereby affirm that there ,s a construction
1end1og agency tor the performance ot the wo"'-for
wh1cti this permit 1s ,ssueo (Sec XJ97. C1v1I Code)
Lenders Name ___________ _
Lender's Address __________ _
USE BALL POINT PEN Q") & PRESS HARO 0 APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA M ' .. OECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADDRESS
"2.4811 ,~ A-,f!,,4<.K. _P..v €. ___ JY\f_
OWNER"S NAME
P~,Fr~-s C«-r;rt.J ,: I OWNER'S PHONE
2C,cy -~10()
OWNER'S MAILING ADDRESS
~'fOO ~-=y 5r. 5.P C '4t.;F, Cfl..110
LOT 1BLOCI< ruifo~VIS~ON l ASSESSOR PARCEL NO.
DESCRIPTION OF WORI<
/YI~~ f'
fctt-::,:J'llt..A~/:{T/IJ#-1
AV. ST., DATE OF APPLICATION RO. //-12.-?/
-----
1 x•ME C~N~RACTOR
WA<..1r-lt. ~/N~.s
CONTRACTOR"S ADDRE~S ac,,,.~ wn,,,.-.Jt~ ~-
DESIGNER
DESIGNER'S ADDRESS
F/P FLR ELEV.
vO NO
1W
STORIES
TYPE
CONST
BUSINESS LICENSE # I VALUATION
CONTRACTORS PHONE• ZONE
2.c;t.-SCJ4' L
LICENSE NO. PLAN 1.0. #
A.2"oz 3{ ..
STATE LICENSE It I STANDARD PLAN#
DESIGNER'S PHONE I I 1 / 12/81291
OCC GP EDU
OCC LOAO I FIRE SPA
I PERMIT NUMBER SI-
"°3-lo
BLOG USE CODE
I BUILDING so. FOOTAGE
27.0
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED
y O N 0 I REDEVELOPMENT
AREA
vO NO vO NO Not Valid Unlffs Machine Certified
QTY.
QTY.
PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT. ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TD 100,000 BTU I I BUILDING PERMIT
EACH BUILDING SEWER I OVER 100,000 BTU SIGN PERMl1
EACH WATER HEATER AND /OR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK
EACH GAS SYSTEM l TO 4 OUTLETS I I I BOILER/COMPRESSOR 3-15 HP I I TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE I I I METAL FIREPLACE I I ELECTRICAL
EACH INSTAL .• ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER I I I MECH EXHAUST -HOOD/DUCTS MOBILEH0ME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) I II I I I SOLAR
TOTI.L MECHANICAL STRONG MOTION
TOTAL PLUMBING I FIRE SPRINKLERS
PUBLIC FACILITIES FEE
ELECTRICAL PERMIT • ISSUE TY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT1BKR ()0 ~ COLLECTORS SCHOOL FEE· DISTRICT
~, .-r
I
---r-------ri------------------t-----------1 l PH 3 PH STORAGE TANKS • Carlsbad
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE I D Encinitas
l PH 3 PH PUMP I U San Dieguito
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE I If San Marcos
TEMP POLE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI -
TOTAL ELECTRICAL I 1,-'7 -lf-TOTAL SOLAR TOTAL FEES PAYABLE l 2:7---
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND ~AMIT" AND DD HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE 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 CON
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT 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
E•p,rabon E¥ery permit•-by the Building Off1c1al under the provIsIon1 of 1h11
Code shall ••Pl•• by lim1ta11on and become null and vo,d If the bu1ld1ng or work authorized by ouch permit Is not commenced wIthm 180 days from the date of such pe,m,t, or ,r the building or work authorized by such permit 11 auapended or
abandoMd at any time •"-""-work II commenced lor a period 9_f 180 11.av•
* AN OSHA P£FIM~ FOIi EXCAVATIONS OYER 5' O" DEEP ANO OR CONSTIM:TION OF
STAUC'TUAES 0Y£ 3 IN HEIGHT
-----··----
APPL. 1_9-.ANT~~TUA¼ ~. --~ OWNER O CONTRACTOR o-f"!O'PROVED B~
~ ll1v~ BYPHONE D ~ ,"~
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INSPECTION TYPE DATE -INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL --
MASONRY I
GUNITE OR GROUT '
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH INSULATION
INTERIOR LATH & DRYWALL
PLUMBING -
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT ;
-TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A
G. F. I. -SMOKE DETECTOR. I
MECHANICAL '
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBIN.G -ELECTRICAL I · ll,f/1.-~
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPf •1CY ISSUED ~
2)'/--5o3 -~
FIELD IN SPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL ~
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
I
PILES CAISSONS
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