HomeMy WebLinkAbout111 TAMARACK AVE; ; 84-144; Permit~F, .. Q t'I[
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~eby affirm that I am licensed under :
provisions of Chapter 9 (commencing with 1 Section 7000) of Division 3 of the Business
and Profeulons Code, and my license is in I
full for,¥ :nd ..-Jletl ~ I Loe No;,-2,,~ Clm 6,-__ I
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I hereby alhrm lhat I am exempt lrom the Conlrac-I
~~~n!"s~a': P~!:S:n~~~:1°:;9c,fya;"'~~w:~~1re~ I
qurres a permit to COl'lstruci. atter. improve demolish or I rep,a•r •"Y structure. pro to its ,ssuance a1so requ,r !heap-
phcant for such pemut 10 t11e a signed stalement at he IS hcensed pursuanl 10 the ptOVls+ons ot the n1raeIor s Ltcense Law (Chapter 9 convnen<:1ng w,th ,on 7000 ol °"'"""' 3 ol lhe &mness lnd Protess,ons C J or Illa! IS ex-' empt lherelrom ind lhe t,as,s for lhe mpt,on Any ~t~: :PPS::1,:~3c~;i ~~~,:~~tam:; i~~: ~:
dred dollars (SSOO)
I. ,s owner al Ille P'-1Y. or employees w,th wages
as lhett' so&e compensatN>n. will o the work, and lhe slruc-ture Is not Intended or offered sale (Sec 7044. Bus1ness
and Prolm,ons Code The lr,ctor·s I.Jcense Law does
not apply to in owner ol oper1y wllo builds or 1mpr0Ye<
!hereon and who does su work h1msetf or through hrs own
employees, provided Iha such improvements are not intend-
ed or ottered '°' sale • however, the bu11dmg or improve· men1 ,s sokl within year of comptetlOF'I. tt,,e Ofmer·butlder
w•M have the bur of P,0¥111g lhal he did not build or ,m-prove tor the pu ot SJle)
0 I. as lhe P'-1Y, am excius,vely contr1<hng With s to tonslruct Ille p,o,ect (Sec 7044
Susi ns Code rne Con1rac1or·s Lteense Law d n owner ol p,openy who builds or un-proves ho con1racts tor each pro,ects wllh a con tr rsuanl to the Contracto( s Lanse Law)
r I am 1mprOY1ng rrry home, and the lollow Ihons exist
The work 1s being performed prN)f to sale
2 I have IM:d ., rrry home lor lwe!ve monlhs p,..-10 completion ol thts wo,k
3 I have not claimed this exempt10n dunng the
last three years
_______ 8&-PC
I ~ I ~,1:~~~~:m :,r;a1 ~ h~~:;.~:::~•cai,1 o~~~S:,~' I
Compensation Insurance. Of a cen,hed CoPy thereof I
(Sec 3800. ut>o< cooe1 I
POucv.ef}oo4 c2\ 6.3 I ~yN,:ls-~~ .~~:
0 Cen,hed cO()y ,s hereby turn1sl
CERTIFICATl OF EXlMPTIOI _ WORKERS" COMPENSATION INi URANCE
(This sec.hon need not be completed\! me pe,m,t
,s to, one hundred Oollai1s ($100) Of less)
NOTICE fa,.,,i('pPLJCANT II after makm~ this C,ert1
,l';emphon vou srx>uld t>ecome sub1ec1 ,,,
,ers Compen~hon p,cw1s,ons or the Ut>Of
y0u must f0f1h"A1th comoty w,tt, .suctt
Prov1s,ons or lh•s permit shall be oeemea revoked
0 I hereby attrrm IN! there 15 a con~truchon
1end1no ~ency to, thf!-~r10,mance ot the wO<k ro,
•h•Ctl 1h15 pe,rm,1 ,s ,ssued 1Sec _.,}097 C1v,I Cooe,
USE BALL POINT PEN ONLY & PRESS HARD ----APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
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APPLl9A_!ION ~MIT • CARLSBAD BUILDING DEPARTMENT I . 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 ., -JOB ADDRESS AV ST RD. NEAREST CROSS ST.
1;T:~PefoNI /ti_3:l(s3 4;z;;7:;1J PERMIT NUMBER
\ \\ "\A~ A\re ef-144 LOT BLOCI< I sueo1v1sjoN ASSfSSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE n ,~~toJ Rxx-s 7"4 3 2.&,C>b, OWNE R"S NAME
~::;:{;:~Nf C" .AL~ fof.2w t~ -Q... u\l --DF=~ co, ffRACTOR"S AODRESS LICENSE NO PLAN 1.0. # BLOG use COOE
166 ~l~t) Pn)L, ~:2&7t.PO 1 CnMM, SPA-OWNEA"S MA NG ADDRESS -I
P.n. ~ ~ _ fLA.t_J ,,.,"' .. ~o-cl\. ttllooB DE',tGNER LICENSE # STAN'91\R9 J!!.-"N # BUILDING SO. FOOTAGE ~H-6c-H-~feB~ C-t-?'od-1 DESCRIPT ON OF WOA~ ' ,
DEStGNfA·s ADDRESS DESIGNER'S P~ONE
-\~""tAL.L, ~"~"t"E-. 45ffi N)pc.,7
-F/P FLA ELEV NO OCCGP EDU
STORIES
vO NO --
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPA .. AREA CONST
YO ND vO NO vO NO Not Valid Unl"s Machine Certtfi«t
QTY. PLUMBING PERMIT· ISSUE "J~ QTY. MECHANICAL PERMIT · ISSUE 3-SUMMARY/ACCOUNT NUMBER ·-
EACH FIXTURE TRAP , INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00-8220 -,n, ~l.J
EACH BUI LO ING SEWER OVER 100,000 BTU SIGN PERMIT 01 ·00·00-8221 • -t EACH WATER HEATER ANO/OR VENT , ,;__,-,, BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK~// .Ai:, ~ ~ -, -• -
I EACH GAS SYSTEM I TO 4 OUTLETS I I/, 5r. BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBfNG 01 ·00·00·8222 'I'/ .. ~~ I ~-LJO -
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE ELECTRICAL 01·00·00·8223
VENT FAN SINGLE DUCT MECHANICAL r ...,.
EACH INSTA~. ALTER. REPAIR WATER PIPE 01·00-00-8224 -EACH VACUUM BREAKER MECH EXHAUST HOOOiOUCTS MOBILEHOME 01 ·00·00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF ORA1N !INSIDE) SOLAR 1!1-00-nn.oooc
TOTJ;L MECHANICAL ~RONG MOTION 80-92-33-0519 ~ '!?U_ fl/;~6c,. --~--
TOT Al PLUMBING I FIRE SPRINi<LERS 01·00·00·8227
s--QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00-00-8933 QTY. ELECTRICAL PERMIT · ISSUE BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
l PH 3 PH STORAGE TANKS Garlsbad 80·92·21-0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas 80·92-22-0519
I PH 3 PH PUMP San Diegu1to 80·92-23-0519
~-REMODEL ALHR PEA CIRCUIT /().-PLAN CHECK FEE San Marcos 80·92· 24·0519 -TEMP POLE 200 AMPS ;
OVER 200 AMPS '. LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI //Jp,-~ -
CREDIT DEPOSIT
TOIAL ELHTRICAL I 15¢'0 TOTAL SOLAR TOTAL FEES PAYABLE I 7s.so
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PfflMIT ANO DO HEREBY Exp.ration. Every pe,rn,t ,ssoed by t'"le Bu,ld1ng Ott1c1ai under th, prov151ons of thlS * AN OSHA PERMIT IS REQUIRED FOfl EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMAflON HEREON INCLUDING THE Code shall e•pue by hm•t1t1on and become null and void If the building o, work 5' 0" DEEP ANO 0£MOLITIOH Oft CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS autno,ized by .soch permit is not commenced w1th1n 180 days from lhe date of s .... ch STRUCT\JR£S OVER 3 STOftlES IN HEIGHT
ISSUED: TO COMPLY·WIT'"I All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON :;:,no~~. ·=~v ~~:1:X.i~h=~~r:~:h:~~~-~l~~~~ :e~~~·~tr:ro~~e:1 or STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO
~T'SSIG~ OWNER□ CONTRACTOR--~1;~ 1~:Z8,Bf ~EEP HARML€SS THE Cl1Y OF CARLSBAD ... GAINST ALL LIABILITIES. JUDGMENTS. COSTS ~
EXPENSES WHICH_ MAY It, ANY WA'( ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE (: GRANT!NG OF THIS PERMIT ~~ -----
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TYPE I DATE INSPECTOR ' --..
BUILDING I
I
I ~;-,J4Lf
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES '
INSPECTOR'S . ~
INSPECTION REQ IF DATE -CHECKED APPROVAL -
FLOOR & CEILING SUB FRAME I
SHEATHING □ ROOF □ SHEAR
FRAME I
SOILS COMPLIANCE \ -
PRIOR TO
FOUNDATION INSP
EXTERIOR LATH -I '" · .. ~.
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
INTERIOR LATH & DRYWALL I
PRES TRESSED
CONCRETE
POST TENSIONED
I CONCRETE
PLUMBING I
I FIELD WELDING
SEWER AfiD BUCO □IPUCO I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ ~ATER
TU6 AND SHOWER PAN I
HIGH STRENGTH
BOLTS
SPECIAL M~ONR'r .:_ •. ""· r ·--
GAS TEST ' PILES CAISSONS
□ WATER HEATER □ SOLAR W~TER • I ' l"
ELECTRICAL I
□ ELECTRIC UNDERGROUND □:UFFER
~ -:_ .
~-~~:J ---~, . ,. ~ .
.. ~ .. ...;l,. '\'.J --, t:: .• 1·•-.... .. :..i-f, ~ --~ .._., ...
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY .:: ._, \__ • 1.--~
'-'-·.... \. --
□ BONDING □ POOL I
I ~
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I ,_ -' -~ .o"'. ~ .. r, t, l
VENTILATING SYSTEMS -co . .
I -. -
I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS_ ABOVE HAVE BEEN APPROVED. ' .. . ' . lT\•·,·1· -' ~:; ' -, ,.j r_.,1 . ~ -
.. ----
FINAL I -
I 1 ...... ,., I"" ..... ... . ~-':, ... ,..,__ .......... ,..__,., . ~ t: ' PLUMBING I -. #, ') V .. ,
I
ELECTRICAL I
"
~-1 \ 1 .
I " .. ,_ \._-t,..·,:-MECHANICAL I
GAS I • r'. ,., .,,. ..
' BUILDING I
SPECIAL CONDITIONS I /
~S,p-~ I ,.~1.c;K -, -· ' •
PLAN CHECK NUMBEi{f--/f'f ADORES~ -~~
PLANNING: TV.PE O>ST~UCTURJ.k . \
a:: uJ 3 u.J
SCHOOL FEES: SAN DIEGUITO --------
CARLS BA D ___ ----1,__,,__ __
% COVERAGE _____ .....,__,._~1-+----
B U I LO ING HE I GHT ___ ---l.l-.J_...J__::::==:::=
FENCES/WALLS _____ .,._.._ _ _;_ __ _
TWO CAR GARAGE ·------------
ZONE: -----
FRONT --+-+-+---,1-i'-----
S IDE ---f---"J'----+-----
REAR ----------
;: ~ COMMENTS: __________________________ _
u.J <
c:::o n ~ □ REOEVELOPP1ENT APPROVAL REQUIRED: ___ ._f~L-,4,)_r ________ __;~--
6~ □ u.J .... ~~□LANDSCAPE PLAN COMMENT$: ______ .._rQ __ pr ____________ _
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ENVIRONMENTAL REQUIRED-'-: -----1-CZ ..... ~t--=-~-\--------------
ADDITIONAL COMMENTS.;,_:--------------------·--
OK TO rss;;-&-; DATE::3!?t18%t TO FINAL: ___ DATE: ____ _
**********************************************************************************-
ENGINEERING
P.F.F. y&>
R.O.l-1: 6'11 z 7
LEGAL DESCRIPTION VERIFIED? ,A/ID A. P. N. CHEC KEO't.Jt.?L
PARK IN LIEU ---.!.N.:__::D;__ ____________ _
IMPROVEMENTS: ~/J;....(L..,lfcc...>..-___________ _
_______________ E.D.U:
srnER: N(lt-
1
LATERAL: ~ DRIVEWAY: _ce:::::::::::~-----------
GRADING PERMIT: ------_-_-_--~-_-_-_-_-_-_-_-------
~ ~ DRAINAGE: __________________________ _
~ □ -o □ I-u.J u a::
u.1-
c::: :::::) □ cxo 0 u.J u o:::
EASEMENTS : -=~N~o~,J==(i============---ADDITIONAL COMMENTS: _______ _
OK TO ISSUE : _,...Q~C,4111=L-+------DATE: 1-/c, k+ I I
* ENGINEERING INSPECTION REQU==
PUBLIC ~!ORKS INSPECTOR: __ ~.::::_ ________ :s_--l,,,,_ _____ -_-_-_-_-_-______________ _
FINAL OK: _____ ?_____ DATE: ___ c: __________ _
* IF THIS ITEM IS NOT CHECKED, BUILDING DEPARTMENT WILL MAKE ALL INSPECTIONS
(DRIVEWAYS , CURB CUT, DRAINAGE, ETC.)