HomeMy WebLinkAbout160 TAMARACK AVE; ; CB881613; Permit.,, z 0 ;;::
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0 I llereby affirm that I am licensed under
provl1lon1 of Chapter 9 {commencing with
Section 7000) of Division 3 ot the Business
and Pro!Halona Code, and my license Is In
lull l0<ce and effect.
I hereby afhrm lhal I am e11:empt from lhe Contrac· tor's license Law tor the tonowmg reason (Sec 7031 5
Business and Protess1ons Code Any city or county wh1c.t, re·
quires a perrml 10 construct, alter. improve demohsh. or
repair any structure, prior to its issuance also requires !heap·
plicanl for such permit to hie a s19.ned s1a1emen1 that he 1s
lans~ pursuant 10 lhe p,ov1s10ns ol lhe Conlrac1or s ltcense uw (Chapter 9 commencing w1th Section 7000 ol
Olv1s1on 3 or lhe Busmess and Professions Code) or that ,s elt-empt lhefetrom and the basis lor the a11egeCI exemption Any
VJ01a11on ot Seel.on 7031.5 by an apphcant tor a perm11 sub·
1ects !he applicant to a c1v11 penally ol no1 mOJe lhan live hun-
dre<I d~ialS ($5001
I I, as owner of the property. or my employees with wages
as 1tte1r SOie compensatton will do the work. and lhe struc-
lure 1s nol intended or altered lor sate (Sec. 7044, Business
and Proless,ons Code The Contractor's L,cense Law does nol apply to an owner of property whO bwlds or 1m~roves
!hereon and who does such work tnmsett or through hrs own
employees. provided that such improvements are n01 intend-
ed or ollered !Of sale If, hOwever, the building or improve·
men1 ,s sold w11h,n one year o1 completion, the owner-bo1lder will have the burden o1 proving tt\al ne did nol build or im-
prove !or the purpose 01 sale)
I I. as owner ot the property. am exclusively conlracllng
wllh llcensed conlractors to conslruct the proiecl (Sec 7044,
Business and Protess10ns COde The Contractor·s License Law does no1 apply 10 an owner of property whO butlds or im•
proves thereon. and who conlracts 104' each proteets with a contractor(s} hcense pursuant to lhe Conlractor's License Law)
17 As a homeowner I am improving my home. and the loll ow ing con<hhons exist
1 The work 1s being performed prior to sa6e 2 I have lrved 1n my home lor twelve monltls pnor to completion of this WOl'k
3 I have not clatmecl lhts exempbon dur,ng lhe last three years
D lamexempt unde1Sec _______ B&P C.
IOf lh1s reason
0 I hereby alflfm that I ha'le a certihcale of consent to
sell-insure. or a certificate ol worl(ers· Compensalion In-
surance. or a certified copy thereof tSec 3800. LabOr COde)
POLICY NO
COMPANY
~ Copy IS filed with the city
D Cer11fied copy 1s hereby f'urnlshed
CERTIFICATE OF EXEMPTION FROM
WORKERS. COMPENSATION INSURANCE
(This section need not be completed it the permit
,s lor one hundred dollars tS100) Of ress)
0 I certify that in the performance of the work for wtucn
t1·11s permit ,s issued. I sttall not employ any person In any
manner so as to become subject to the Wo,kers· Compen-
sation Laws of California.
NOTICE TO APPLICANT; If, after milking !his Certificate
of Exemp1ion. you snould beeome sub1ect to the Workers·
Compensation provisions of u,e Labol Gode. you must
forthwith comply wilh such provisions or this permit snail
be deemed revoked.
0 I hereby atllfm that there is a construction lending
agency for the performance of Ille work for whlcrt lh1s PM•
mit is issued (5ec. 3097. Civil Code)
Lender's Name ____________ _
Lender's Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ------.... -·-···"" .. -. ---··-··-· -······ .. ·-·-.. -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT , . 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RO. THOMAS BROS NO. I DATE OF APPLICATION! BUSINESS LICENSE # VALUATION PERMIT NUMBER
lf.o 7lfl.( 11-I< AC r ,tvc, 11~-SI ~/'7.S-els
LOT BLOCK I SuBoiv Is,oN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE • 88/&>t:3 OWNfR"S NAME I OWNfR"S PHONE CZ..NE/<-lf,t:7ql-l)e,Z_ .-
,&,<;., (51<.,, Y~2J).r ~b -1o7:)-CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE
"7'So OWNER'S MAILING ADDRESS
f'3iOf':-C~£ t et,/< ti WA-v ~ .• J",/), 9.J/:,l-t, DESIGNER DESIGNER"S PHONE
DES~IPTIO~/ WORK C:: r, 'I /VI /V C.. /,1JA-L.L. DESIGNER"S ADDRESS STATE LICENSE NO 3448 12/05/88 0001 01 02
/ __ 1"'t,J ~ EldPat 135-~
' F/P FLR ELEV. NO DCC GP EDU
STORIES
vO NO --I CENSUS TRACT I PARKING SPACE RES UNITS I GRAOING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPR
AREA CONST
y D N D vO NO vO NO Nor Valid Un~s Machine Ctrrified
QTY. PLUMBING PERMIT · ISSUE 7 -o/J QTY. MECHANICAL PERMIT · ISSUE /S:00 SUMMARY/ACCOUNT NUMBER
-
EACH FIXTURE TRAP __ .. INi"MLA.t(ll)I un, 1S IP TO 100.000 BTU tlUILUINll ~t HMIT 001-810·00-00-8220 7'{;,./-
EACH BUILDING SEWER l .J] I.I .£1.L:.. .L'---ovER 100.000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WA TEA HEA TEA ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810·00·00-8891 s-~-
EACH GAS SYSTEM l TO 4 OUTLETS \11ll li)Ef11C1)M~ll~R 3 l 5 HP TOTAL PLUMBING 00 i ·810-00-00-8222
EACH GAS SYSTEM ; OR MORE MET AL FIREPLACE -ELECTRICAL 001·810-00·00-8223
EACH INSTAL . ALTER. REPAIR WATER PIPE --u.. vw/1 ---MECHANICAL 001·810-00-00·8224 -·--~-c:lM(io)lllt'Yi>• EACH VACUUM BREAKER --· MOBILEHOME 001 ·810·00-00·8225
WATER SOFTNER II .. ~-RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN (INSIDE I DRYER VENT STRONG MOTION 880-519-92·33 1-
TOTJ;L MECHANICAL FIRE SPRINKLERS 001 -810-00·00·8227
TO l AL PLUMBINL l PUBLIC FACILITIES FEE 320-810·00-00-8740
BRIDGE FEE 360·810-00·00-87 40
QTY. ELECTRICAL PERMIT -ISSUE 5-CO QTY. MOBILE HOME SETUP PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl 8KR CAR PORT TIF 312·810-00·00·8835
l PH 3 PH AWNING LA COSTA TIF 311-810·00·00·8835
EXIST BLOG EA AMPISWT BKR GARAGE FMF
l PH 3 PH LICENSE TA X 001 ·810-00-00·8162
REMODEL ALTER PER CIRCUIT MFF 880-519·92·57
TEMP POLE ?00 AMPS
OVER ?00 AMPS
TEMP OCCUPANCY 130 OAYSI
CREDIT DEPOSIT
TOTAL ElEClRICAL I TOTAl TOTAL FEES PAYABLE l 1/'J ~ ~
I HAVE CAREFULLY"EXAMINED THE.COMPLETED • APPLICATION ANO PERMIT ANO 00 HEREBY E xp,ration E~ perm,! rssued by the Budd,ng Ollrc,al un-the provIs,on1 ol th11 * 4N OSHA P£AlrlIT IS AEQUIRED FOR £XCAVATIOHS OVER
CERTtFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shell axp,re by llmrtat,on end bacome nuU and vOtd It the buIldrng or work s· o·· DEEP ANO OElttlOUTION OIi CONSTRUCTION OF auU'IOf'tZed by auch permit 11 not commenced w1thtn 180 days horn the date t:>f such DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT I!> permit. 0< ,1 the l>Utldl:;x:' work aulh0<1Zed bv euch perm,t II auspended or STflUCTUflES OVER 3 STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON a-at env 1,me • the work II commenCed for a 1>11rl0d ol HID .._.
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT"$ SIGNATURE Jf-OWNER□ CONTRACTOR 0 APPROVED BY 10";,/s/~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ r 1 ~, l'f I BY PHONE rJ GRANTING OF THIS PERMIT '----~ _/7.,,r ..
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TYPE I DATE INSPECTOR I
BUILDING ?
I. '"'• i
(1 ,Q., ~)S \ l., l ~
FOUNDATION I ,.. • rL~ n~ FIELD INSPECTION RECORD ..
REINFORCED STEEL I L '-•~• •• r ,., ~
I
MASONRY I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES .. -c .. ..
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING D ROOF D SHEAR SOILS COMPLIANCE
PRIOR TO
FRAME I
,c;. FOUNDATION INSP
EXTERIOR LA TH .,
I
STRUCTURAL CONCRETE
' OVER 2000 PSI
INSULATION I PRES TRESSED
' INTERIOR LATH & DRYWALL I
I
CONCRETE
POST TENSIONED ..... CONCRETE
PLUMBING I FIELD WELDING .
□ SEWER AND BUCO D PlJCO .........
HIGH STRENGTH
UNDERGROUND D WASTE □:WATER
TOP OUT D WASTE D WATER
BOLTS
SPECIAL MASONRY
TUB AND SHOWER PAN '
..
GAS TEST I
I
D WATER HEATER D SOLAR WATER
PILES CAISSONS • -L-. -• • :i'!./ -?~.ll.. ,r, .... -.. . --.; t l·c,t
I
ELECTRICAL I
\ .
D ELECTRIC UNDERGROUND 01 UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
~ . .. .• r:-. ~'T'" .... '_., , ' I i .. •
D BONDING D POOL I
I
MECHANICAL I
_1
D DUCT & PLEM ., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I \_ -.. -· -.. -
VENTILATING SYSTEMS ! -. ' }
!
I
·•._h vr -,'"'\ '"'
i1v6 ,:'1 £\e& ooc ,')! OS
CALL FOR FINAL INSPECUON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I . . . ... -. -·--PLUMBING I A
ELECTRICAL . 9 . .\ I ' MECHANICAL j -I f'--,
GAS . \~ \ \I '
'" ,~· _, #
' ' . . .
. •
BUILDING . \ ~ \ ' SPECIAL CONDITIONS , V\ ~
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