HomeMy WebLinkAbout237 TAMARACK AVE; ; 84-678; Permit<II z 0 ;::
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O I ,..,.eby alllrm that I am licensed under
provlelona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proleaalona Code, and my license is In
lull force and effect.
L,c No ------Class
I hereby alliml 111>1 I am uempt lrorn 11,e Contrac·
IOr°s License Law IO< the lottow,"11 ,..... (See 1031 5 Business and Protessoos Code Any city Of counly whict1 re·
quires a permit to construct. alter, improve demolish, or repair any structure, prlOI' 10 its issuance also requires !heap•
pa.cant tor such oerlTht 10 tile a StQned stalemenl that he as hcenSed pursuanl lo the fXOY1St0ns of the conuactor s
L,cense Law (Cllapt.,-9 comrnenc,ng w11h Sect1011 7000 al Div,s,on J of the Business and Professions Code) or that 1s ex•
empl lherelrom and the basis for the altegeo e,cemp11on Any YIOlahon ot SectJOn 7031 .5 by an apphcant !or a permit sub-
,ects the appwcant to a CJ't'd penalty of not fflOfe than rive hun· dred dollars (S500)
0 I, as owner of the property, or my employees w11h wages
as their sOfe compensat«>n will do the work. and the slruc-lure 1s not intended Of offered kw Qte (Sec 70<44. Busmess
and ProltsSIOOS Code The Contractor s LICense Law does
not apply to an owner ot property who ou,lds or improv.s thereon and who does such WOfk himself or lhrough his own
employees. provided lhal such 1mprovtments ire not intend· ed or ollered tor sale II, however the bu,td1ng or improve-ment 1s 5°"' w1lhtn one year of complthon. the owner·bu11def
w,I havt the burden ot provmg that he did not build Of om· prOYO tor the PUlpost ot sale)
D I. as owner ol the property. am exclusively contracting
wllh liunsed contractors to coostruct the proiec1 (See 7044 Busuwss and Prolesstons Code· The Contrac:101 · s LJCense
L1w does not appty to an owner ol property who builds or lffl· proves thereon. and who contracts tor each pr~ects with a cootractOf(S) license pursuant 10 the Contractor's License Law)
D As• homeowner tam UTlpfOY1"1j my home, and lhe tallow
mg conditions exist t The work ,s t>eong per1ormed pr,or 10 sale 2 I have lived in my home tor twelve months
r:..!,o =~t~ol 11
~1~ :ption dunng the last th, .. years
D lamexemptunderSec ______ , B&P.C.
tor this reason
D I hereby affirm I hat I ha-1e a cen1t,ca1e ot consen1
to self insure. o, a cen1t1cate ot Workers
Compensa11on Insurance. or a cen,hed cooy lhereol
!Sec 3800. Laba< Code!
POLICY NO
COMPANY
□ Copy IS filed with the Ctly
0 Cer11f1ecs copy ,s hereby turn1shed
CEATIFICATl OF EXHAPTION FROM WORKERS' COMPENSATION INSURANCE (This secttOn need no1 be compleled 11 lhe perm,1
,s lo, one nundre<J dollars (S 100) or less1
0 I cen,ty that 1n the pertOfmance ot lhe wO"'-tor
which 1t11s pemHI 1s ,ssued I shall not employ any
person ,n any manner so as to become sub1ec1 10
the W()O(ers Compensation U ws 01 Cai.tom,a
NOTtCE TO APPUCANT II afler maktnJ ttus Cen1
hcaite ot E•emphon you should become subject t?
lhe W()t1(ers· Compensation pro-.,1s1ons of lhe Labar Cooe you must torth""1tn comol~ w11h such
provisions 01 1h1s permit shall be deemed re-..oke<J
0 I hereby aiffirm lhal there ,s a cons1ruct1on
ieno,no ~ency IOf' the per1ormance ot the llJIIOO tor
...,,uch lh1S perm1I 1S ISSue<J tSec 3097 C1v1I COOe1
Lender~ Name ___________ _
Lenders AOdress __________ _
USE BALL POINT PEN ONLY & PRESS HARD ----APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm , Carlsbad. California 92008-1989 (619) 438-5525
JOB AOOAESS AV. ST.AO. NEAREST CROSS ST
j°;;~~7::N1
BUSINESS LICENSE # VALUATION ~EAMIT NUMBER
..:l ~7 'TA,~--: ,e;tter AVE._ r--,'Et.A .sr. --e-
(o 1 ~ LOT BLOS ll:.:J'v,s10N ·~ ASSESSOlll'PARCEL NO CONTRACTOR , CONTRACTORS PHONE • ZONE //'J • , 'JCAA~ J.c. ,_ r, °'~ 0 t &<) Fl;ee OE~7: OWNERS NAME OWNER'S PHONE
.iA!n8.J F, WeJ'E/< 7:i4-1Jtl2 CONTRACTOR'S AOOAESS LICENSE NO PLAN 1.0 . # BLOG USE COOE
OWNER'S ""4A1 ~ NG ADDRESS
f"t-OA-KJl?A-C/+. r AP/ .f /IA-IJ OES,GNEA LICENSE ,, STANOARO PLAN # BUILDING SQ. FOOTAGE
I OESCAIPT10N OF WORK .,
~~rril-hJL· ,.,._ I ,-;"'"C..!,,• A./~ A//' ~ v c.A;>r' /SI;; OESIGNEA'S ADDRESS DESIGNER'S PHONE
I r , ,.. "' , r rr T -··-I &)I' OfM'tS4M rf/ct.E /JC-JOT, --I-F p FLA ELEV. NO OCC GP EDU
I STORIES
I vO NO --
I CENSUS TAACl I GP LANO USE I PARKING SPACE I RES UNITS I GRADING PERMIT ISSUED I AEOEVELOPMENT TYPE OCC LOAO FIRE SPA
I AREA CONST
I y D ND ,□ NO vO NO Nor Valid Un~s Machine Certifi«f
QTY. PLUMBING PERMIT · ISSUE '1 ,<:r: QTY. MECHANICAL PERMIT· ISSUE -~-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 01 ·00·00·B220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01 ·00·00·B221 -
EACH WATER HEATER ANO OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01 ·00·00·8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01 ·00·00·8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·00·00·8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01 ·00·00· 8224 -· EACH VACUUM BREAKER MECH EXHAUSl HOOD DUCTS MOBILEHOME 01 ·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-00-00-•oo•
TOT f;L MECHANICAL STRONG MOTION 80·92·33·0519
I ,__ ---·-TOI AL PLUMBING FIRE SPRINKLERS 01 ·00·00·8227
I
ELECTRICAL PERMIT· ISSUE QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·893) QTY. ..c;--BRIDGE FEE
NEW CONST EA AMP SWl BK R COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
EXIST BLOG EA AMP SWT BKR ROCK STORAGE Encinitas B0·92·22·0519
1 PH ] PH PUMP San 01eguito 80·92·23·0519
REMODEL ALltR PER CIRCUIT PLAN CHECK FEE San Marcos 80·92·24-0519
TEMP POLE 200 AMPS .l'l.~ 1 -: N J,h?.N' ~ e"e IIJA-IVELJ
OVER 200 AMPS LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYSI MFF 80-92-57-0519
CREDIT DEPOSIT ' lOTAL ElEt:TRILAL I TOTAL SOLAR I -..L' \ -TOTAL FEES PAYABLE -. . ..
HAVE CAREFULLY EXAMINED THE COMPLETED• APPLICATION ANO PERMIT. ANO 00 HEREBY Expiration Every permit issued t>ytneBu1ld1ng Ofhc,al under theprov,s,onsoftn1s * AN OSHA PEFWIT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•pore by l!m,tehon and become null end void If the buildmg or worlt. 5· O" DEEP ANO OEMOUTION OR CONSTRUCTION OF DECLARATIONS ARE TRUE ANO CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PEA....,IT IS autnor11ed t>y such permit ,snot commenced w•thm 180days from the date ol such STRUCT\JRES OVER 3 STORIES IN HEIGHT permit or 11 the buddin~ or work 1uthonz.ed by such perm11 ts suspended or ISSUED TO COMPLY WIJH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON al>andoned at anv t,me a er the work 15 commenced ror a oenod ol 180 dav•
STAUCTION, WHETHER SPECIFIED HEREIN DA NOT t ALSO AGREE TO SAVE INDEMNIFY ANO . OWNER□ CONTA!<CTOA 0 ~ROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS ANO ,n,,T S SIGNATURE ~
1.: 0 -.. \..\~a, Q. J ,d~nl~rt E)(PENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE _J.,,.~ rPIJ BY PHONE C,.. GRANTING OF THIS PERMIT ,.... ~.--, , ---,,.,,. es
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February 21, 1984
James K. Thompson, Fire Chief
Carlsbad Fire Departm~nt
City of Carlsbad
1200 Elm Avenue
Carlsbad, CA 92008
Dear Chief Thompson:
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This letter constitutes wr-ltten consent and authorfty for vou and % authorized
representatives to enter upon my real property located at 447 >-J,t;Q;t.A,CU __________ , in.the City of Carlsbad. You may utilize and burn all
combustible materials as part of the training program of the Carlsbad Fire
Department. There will be no cost or liability of any kind to individuals under
your supervision, the Carlsbad Fire Department, the City of Carlsbad, or other
participating agencies.
TI1is is to assure you that all fire insurance on the premises has been cancelled
anti all utilities have been disconnected.
I agree to leave the structures intact and nothing will be removed without
consent of the fire department.
I am aware that any trees, shrubs and plants in the immediate area of the struc-
" ture will receive damage from heat, smoke and fire, and I agree not to hold the
Carlsbad Fire Department responsible for loss or daniage to any surrounding \
vegetation belonging to me or on the same property as the structure to be burned.
I agree to have the remainirig non-combustible substances and materials removed
from the property within thirty (30) days of the razing of the building.
It is further agreed that if I do not remove the remaining materials from said
property within .the prescribed time limit, the City of Carlsbad may have the
work done, and I agree to r~jmbuse· the City for all costs,
mer
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