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HomeMy WebLinkAbout2811 TAMARACK AVE; MP; 81-503-6; Permit.,, z 0 ~ ac ,c ..J :rl a IC I[ 0 u ac "" a ..J :i • ii "" z ~ 0 z 0 ~ ~ z "" IL ~ 0 u .,, ic "" "' ac 0 ~ 1[ 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 ~ ,"~ \../ ., ~ u: >, ;;; 0 0. E a, I- I -0 0 (!) -~c: '<ll -~ a. 0. 4'. I -"-c: a: 0 rn rJ) a, rJ) rJ) 4'. I ;;; .2 ai >- rn rn a, 0 0 a: <1l «i 0 ~ a, 0 C: <1l C: u: C: a, ~ (!) 0 u a, 0. rn C: ~ .c: s: 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 ' ' ·-· ' - I ' , I , . ' ---.. ) ti )