HomeMy WebLinkAbout237 TAMARACK AVE; ; 85-188-2; Permit.,, z 0 ;:::
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"'5ct I hereby affirm that I am licensed under
Vovlalona of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
fullfo~~'3 6-1 Lie No ,, Class ----
I hereby alflrm lhat I am exempl from the Contrac·
!or's License law tor the fottowing reason (Sec 7031 5 Business and Professions Code· Any ctly or county which re-Quires a permit to construct, alter, improve. demohsh, or
repair any structure, prior tolls ,ssuance also requires !heap·
pkcant tor such permit to file a signed statement lhal he 1s
hcensed purStJant 10 the provisions of the Contracto(s License Law (Chapter 9 commencing with Sec1,on 7000 of
0wis1on 3 of the Busmess and Professions Code) or thal 1s ex·
empt therefrom and the basis 1of the alleged exemption Any v104abon o1 Section 7031.5 by an apphcant for a perm11 sutt-1ec1s the applicant to a c1v1~ penalty of not more lhan hve hun-
dred dollars ($:-,00).
0 I, as owner of !he property, Of my employees with wages as their sole compensation. will do the work, and the srruc-
lure Is not 1n1enc1ed or offered lor sale (Sec. 7044, Business
and Profess10ns. Code The Contractor's Lteense law does ~;r:tt1n:,o .:;o ::rs~~r=kn~1:!::1 ~~i:~~~h~ftC:~
employees, provided lhar such improvements are nol tnlend-
ed or altered tor sale. II. however, the bu1Mj1ng or improve-
ment ,s sold w1thrn one year of completion, ttie owner·bwlder will have the burden of provmg Iha! he did not build or im-prove fo, 11,e purpose of sale)
D I, as owner of the property. am exclusively contracting
with hcensed contraclors to construct the pro1ect (Sec 7044,
Business and Profess10ns Code Tl'le ContractOl'·s license Law does not apply to an owner ol property who builds or 1m· proves thereon. and who contracls for each proiects with a
~r,ctor{s) license pursuanl to the Contractor's License
□ As a homeowner 1 am improving my home. and the !~tow ing conditions exist t. The WOfk is being performed pnor to sale 2. I have lived 1n my home tor twelve monlhs prior to completion ot this work
3 I have not claimed lh1s exemp11on during the las! lhree years.
□ I am exempl under Sec. ______ , 8 & PC
tor this reason
□ I hereoy aft.rm 1nat I ha.,e a cert1f1cate ol consenl
to self insure. or a cert1f1cate of Workers
Compensa.t,on Insurance, or a cen1hed copy thereot
(Sec 3800. Lat>or Code)
POUCY NO ?>'145"~«5"-SI 1
COMPANY -9~ ~ ~p,$11:NS,6.'1\ot"I
)!(.eopy1s\~1ly FvHP
D Certil•ed copy •s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE
(This section need not be completed 1I lhe perm11 ,s to, one hundred OOllars ($100) or less)
0 I certify that tn the perto,mance ol tne work ror
'Nh1ch rh1s perm11 1s issued, I stlall not employ any
person ,n any manner so as 10 beeome su01ec1 to
!tie Workers Compensa11on Laws of Cahtorn1a
NOTICE TO APPLICANT If. alter makin-;J lh1s Cert1
hcate of Exempllon. you shouk:1 Oecome sub1ec1 ,.,
the Workers Compensa11on prov1s1ons ot H'le Labor COde. you musl tortnw1th comply w,th such
provisions or ttus perm,t shall oe deemed re1,okecJ
0 I hereby affirm 1na1 there 1s a construcr,on
1end1ng ~ency to, tne perfo,mance ot lhe work to,
which 1n1s perm11 •S 1ssue<l 1Sec .3097 C1v1I Code1
Lenders Name ___________ _
Lender_, AO<J,e:ss __________ _
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USE BALL_pOINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS. -----------------------------
~ )?Jq ~ "' ~!~1~~~!Pad~C~1!1~r~!~2~R9~r!~1~.s~~T APPLIC~IO~ ~ ~~MIT
JO y!Jf ~ AV.ST.RO. N~~ 1;T.:u~~1 Bt;;~~Ll;NSE:l_/~7:;;,~
PERMIT NUMBER
11~1f>t ,-V LOT BLOCK I SUBDIVISION j ASSESSORPARCELNO. CONTRACTORM,.K'2.. ...s-7rlJ,.J/:) CONTRAz~~.~~1/,r
\O ~ -~ -o-u,-t:1&0 1-on ~~ ~ vi. , l / ,,,:J, .... .,, • ·'1
OWNER"SNAME , OWNER"S P>tONE\ -,1-,. '.J • • -
'-'AM\:;'$ (~~') ~-z..,~z,. CONTRACTOR'S ADDRESS ~J.d>~. lb LICENSE NO. PLA N I.D. # -BLDG USE CODE \1 ----. t::::QJ~ 0-/' ~ 1 -->... I 'l-4~o3 OWNER'S MAILING ADDRESS -.,.. -I~
'5f&J -~,H ~\~A t' ../"s/2.J 6 el::£> U:>. DES~~//30'=, LICENSE ,, STANDARD PLAN# BUl~O. FOOTAGE ,~~, DESCRIPT ON OF WOR K 1:S~ ~-z_ 4-De::>\~ 00 , DES,GNER'S ADDRESS DESIGNER"S PHONE
_!f ~rrMe,J;;. t/-lf~ f7.o f!;(l'f-'z.40 /' _An 1 /' .,,, ~.:t"> 7'1A.-~
--F/P FLA ELEV. NO r :p1 if-~fl--~ s~ vO NO --fJ181ULiff301:!6 73TG . · ( CENSUS TRACT I GP LANO USE I PARKING SPACE I RES;r.TS I GRADING PERMIT ISSUED I REDEVELOPMENT ffkf OCC LOAD FIRESPR
AREA ,~
y D ND v0 N vO "'Jl Not Valid Unless M~chine Certified
QTY. PLUMBING PERMIT· ISSUE C/f0 QTf" MECHANICAL PERMIT· ISSUE 3-SUMMARY/ACCOUNT NUMBER -,..,. ~ACH FIXTURE TRAP /MrJ 1~0_,.., }\...\ . -u--INSTALL FURN. DUCTS iJP TO 100,000 BTU
,, ___
BUILDING PERMIT 01 ·00·00-8220 ~~2 -J EACH BUILDING SEWER -, ~ ... ,r:. OVER 100,000 BTU SIGN PERMIT 01-oi ~-8221 ,. 01-01 ~/.,J. 4J ~ EACH WATER HEATER ANO/OR VENT/-~• 1 -i...._,t. BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK ~-8806
'tl.. EACH GAS SYSTEM 1 TO 4 OUT LETS L _/_C>. -801LERICOMPRESSOR 3-15 HP TOTAL PLUMBING '\ 01-0j ·00·8222 I I I, :..r,.,
EACH GAS SYSTEM~ OR MORE ~, METAL FIREPLACE ELECTRICAL ., 01-g1 h00-8223 -EACH INSTA~. ALTER, REPAIR WATER PIPE X VENT FAN SINGLE OUCT ,,. -MECHANICAL ~ 01-qo-do-a224 ~"' -EACH VACUUM BREAKER -MECH EXHAUST HOOD'OUCTS MOBILEHOME "',, 01 {)~·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP 'j "
EACH ROOF DRAIN (INSIDE) SOLAR " \ 01-00-00-R??fi
TOTt.L MECHANICAL STRONG MOTION "'-. ) 80·92·33·0519 J/),J.'!J
TO I AL PLUMBING I II I -'11'. ~-FIRE SPRINKLERS 01 ·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE £"-QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32·00·00·893'.l
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTJllCT
1 PH 3 PH STORAGE TANKS Carlsbad ,,r 80-92·21·0519
EXIST BLOG EA AMP1SWT BK.~ l ROCK STORAGE Encinitas 80·92-22·0519
1 PH .J-?!FH PUMP San Dieguito 80·92·23-0519
R_p,100EL ALT~l.MCIRCUIT PLAN CHECK FEE San Marcos 80·92·24·0519
_/EMP ~0.1/!f 20ft'AMPS
O~E0)11"AMPS LICENSE TAX 01-00-()9-8162 ,-"'l--,d -,,~ -~
T/MP OCCUPANCY (30 DAYS) MFF B0-92-57-0519 If--!.. 1S ~ -~ 1..1-z,.D -..
CREDIT DEPOSIT L -;,, i+.-,..;r I)
TOTAL ELE CTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I 7i,,.r, 11 -
'
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY Exp,rahon Every permit issued by the Building Ofhc1al under the prov,s,onsof this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL iNFORMATION HEREON INCLUDING THE Code shall expire by ltmuation and become null and void If the building or work s· o· DEEP AND DEMOt.lTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorized by such permit 1s not commenced wt1hin 180 days from lhe date of such STAUCTIJRES'OIIER 3 STORIES IN HEIGHT
ISSUED. TO COMPLY WITH ALL C!TY, COUNTY AND STATE LAWS GOVERNING BUILDING CON ~~~~~n°.:d 1
!11~~v ~~~:';He~~h=~~,:~!hco~~~e:le~f~~ ;>6~';;~1~r5~~~~1 or r ' STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGRE: TO SAVE INDEMNIFY AND PP , ~p~ ;11/s.r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ~;9:-Jf. ',/ .,/}_, OWNER O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ;f" _,._ -¾ BY PHONE 0 GRANTING OF THIS PERMIT .,. --~
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TYPE
BUILDING
FOUNDATION
REINFORCED ST~L
MASONRY ~:r-:tvwv<v
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SH~R
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
SEWER AND Bt:/CO
UNDERGROUND
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN
GAS TEST
D WATER HEATER D SOLAR WAJ°ER
ELECTRICAL
D ELECTRIC UNDERGROUND D l!.IFFER
ROUGH ELECTRIC ' ~
D ELECTRIC SERVICE D TEMPOFl!AftY
D BONDING D POOL
MECHANICAL
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS l :,
DATE
.... · .... . .
1L
INSPECTOR
''t..-,,
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VB BEEN APPROVED.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
II~
L,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRElNG-T.ri
BOLTS ··-·
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SPECIAL MASONRY
"
PILES CAISSONS
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City of Carlsbad
CERTIFICATE OF OCCUPANCY
BUILDING DEPARTMENT
VALIDATION
1200 ELM -438-5525 You are required by law to complete and return this form to our office.
Address where Business
will be conducted ramarack Bl dg . # 2 (4 unit Apt.) Building 8 5-188-2 Permit No.
Name of Occupant
Address of Home Office of
Occupant if different from above
Owner of Building
Type of Business
Describe exact use of all portions of each building and lot
Previous use of Building New
Type of flammable or explosive liquids to be used, if any
p
Business
Phone
Home Office
Phone
Address 58Q ltA'I Beech A:v , Phone 729-2192
I certify that I have read the statements contained in this application; that they are true and correct, and that I make this statement under penalty of perjury.
Dated this 11
Signature of Applicant
Use Zone r'l Occupancy Group I
Planning
Department Date Approved By
Engineering
Department Date Approved By
Fire
Prevention Date Approved By
Health Department Date Approved By
Building
Department Date .... ,1,., Approved By
Signature of Building Official
White -Building Dept. Yellow -Applicant Pink -Finance Gold -Fire Dept.