HomeMy WebLinkAbout255 TAMARACK AVE; ; 83-222-2; Permit"' z 0 ~ C a: C ~ 0 ..,
0
a: ..,
0 ~ 5 ~ .., z 3 0
z 0 ~ C "' z ..,
A. :I 0 0
"' i,c ..,
>C a: 0 3
il
,y affirm that I am licensed under
,a of Chapter 9 (commencing with
7000) of Division 3 of the Business
oofeaalons Code, and my license is in
lorce and effect.
No------Clm
' I hereby allirm lhat I am exempt from lhe Conlrac-
lor's Locense Law lor the lollowmg reason (Sec 7031 5 Business and Professt0ns Code. Any city or county which re-
quires a permit to conslrucl. al1er. improve. demolish. or repa,r any structure, priOr to ,ts issuance also requires ?heap-
plicant for such pernut to tile a s19ned statement lhat he IS lteensed pt,Jrsuant 10 the provis!Ons of lhe Contractor·s
license law (Chapler 9 commencing w1lh Section 7000 ol Division 3 of the Busmess aoo Prolessions Code) Of !hat is ex-
empt therefrom and the basis for the allegeo exempuon. Any v1otat1on of Sechon 7031.5 by an applicanl for a permit sub-
jects the applicanl 10 a clv,t penalty of not mofe than five hun-
dred dollars ($500)
O I, as owner ot the property, Of my employees wl1h wages
as their sole compensahon, will do the work, and the struc-
ture is not intended oc offered !or sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does
no1 apply to an owner of property who builds or Improves
thereon and who does such work h1mselt or lhrough his own employees, provided that such improvemenls are not intend•
ed or ottered for saJe. 11, however, the buikJ1ng or improve-ment is sold wtthin one year of complelion, the owner-builder
will have the burden ol p,ovmg thal he did not build or im• prove for the purpose ol sale).
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the profect (Sec 7044,
Business and Professions Code: The Contractor's license
Law does not appty to an owner ot property who builds or im· proves thereon. and who contracts tot each projects with a
contractor(s) license pursuant 10 the Contractor's License Law).
D As a homeowner I am improving my home, and lhe follow-ing conditions exist: 1 . The work is being performed prtOr to sale.
2. I have lived In my home for twelve months
3. r:v~ ~::i~:l~of ,1:: =~plion during the
&a.st three years.
D I am exempt under Sec. ______ . 8 & P.C.
!or this reason
□ I hereby affirm that I ha·-1e a cert1ftca1e of consent
to self·1nsure, or a cert1t1cate ot Workers·
Compensatfon Insurance. or a cer1,t1ed copy thereof
(Sec JIIOO, Labo< Code)
POUCYNO C
COMPANY ~ □ Copy IS flied Wl'll"I : Ctly
□ Cert1fted copy Is tlereby fum,sl'led
CERTIFICATl OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section nee<I no1 be completed 11 ll'le permit •s tor one hundred dollars (S 100) o, te,ss)
0 I certify !hat In the performance ot tl'le work to,
wh,ch this permit 1s issued. I shall 001 employ any
person in any manner so as to become subIec1 10 the Workers· Compensation Laws of California
NOT.CE TO APPLICANT If. after malun-;, tnIs Cert•
hcate ot E•emp11on. you stlould beeome subIec1 1?
the WOl"kers· Compensation p,o..,1s1ons ot the~,
Code. you must fortl'l~·•lh comply with suctt
pro..,IsIons or this permit shall be deemed ,evoked
D I hereby affum that there 1s a construcllon
tend,~ agency tor 1he perfo,mance of lhe wont for
which this perm,1 ,s ,ssued 1Sec 3097 C1v1I Godel
lenders Name ___________ _
Lenoer·s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICAI •N INFORMATION WITHIN SHADED AREA AND DECLARATIO~S.
CARLSBAD BUILDING DEPARTMENT A,. -~ TION & PERMIT ~~
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525 ~
JOB A0ORESS
?.55 T&-IW~J?,K"~
AV. ST.RO. NEAREST CROSS ST. I-DATE OF APPLICATIONJ VALUATION PERMIT NU~
"V-1,.," SUBDIVISION ''Yi <£fl I,,' t_
ZONE ;
LICENSE NO. PLAN t.D. #
~0::;\::;, 7C-.11.10 ;4-126 0 '-✓~~~ ,9111-··---·-· ---···-·---·
-r. Deµ!..5
LICENSE # I STANDARD PLAN#
~~b~AGE
;_ _.,_ ~(2_ ..... ~~ Ds;~re-Q)yz/_{)/1;;G7;•:;;~ --~-------------~,;r, Th £..,,, ,s;, ,.1~
CENSUS TRACT GP LANO USE I PARKING SPACE
QTY. PLUMBING PERMIT -ISSUE
l~EACH FIXTURE TRAP
__l_l EACH BUILDING SEWER
~ EACH WATER HEATER ANO/OR VENT
--,,: I EACH GAS SYSTEM I TO 4 OUTLETS
EACH GAS SYSTEM 5 OR MORE
EACH INSTAL .. ALTER. REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING I
QTY. ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP/SWTiBKR
I PH 3 PH J2_
EXIST BLOG EA AMP/SWT/BKR .~i-"
IPH _n~
REMOOEL 'ALTER ~UIT
~ POJ.I_J07).fls
~~·
~CCUPANCY (300AYSI
V
AES UNITS
-1e ~~ ~ -'-~ .lll,,.
J..o.--
~_,
s=-
F/P FLA ELEV.,
vO NO
GRADING PERMIT ISSUED
YO ND
REDEVELOPMENT AREA
vO NO I
QTY. CL MECHANICAL PERMIT -ISSUE
"IE INSTALL FURN. DUCTS UP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
y_ BOILER/COMPRESSOR 3-15 HP
METAL FIREPLACE
-~ VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION Of EA FURNACE/HEATER
TOTf;L MECHANICAL
QTY. SOLAR · ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FE a 7 Ov11'1 1f 0 I fl I ~ I v~ I. ,...-JP:: ~11// 1
C :,JP ~)
l ---;:m-I occ GP I EDU STORIES !:. 30 I TYPE I occ LOAD I FIRE SPA CONST
vO NO Not Valid Un~s Machine Cerrifi«J
.3-SUMMARY/ACCOUNT NUMBER
_J_~ ·-' BUILDING PERMIT 01·00·00·8220
SIGN PERMIT 01 ·00·00·8221
PLAN CHECK 01 ·00·00-8806
TOTAL PLUMBING 01-00·00·8222
-1::k-ELECTRICAL 01 ·00-00-8223
Jh-MECHANICAL 01 ·00·00·8224
MOBILEHOME 01 ·00-0Q·B225
MOBILEHOME PARK INSP
?.S::-
SOLAR Ol ·OO·OO·ll226
STRONG MOTION 80-92·33·0519
FIRE SPRINKLERS 01 ·00·00-8227
.,,,,.
X.:,.-3
PUBLIC FACILITIES FEE 32·00·00·8933 -Z.~'Z.. -
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad ~ 80-92·21·0519 -Encinitas 80-92-22·0519
San Oieguito 80·92· 23-0519
San Marcos 80·92· 24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT Z ~.r '7, q1,/,
i,-,
TOTAL ELECTRICAL l TOTAL SOLAR TOTAL FEES PAYABLE l ' . ,, ?t,(}, ,~
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT'" AND DO HEREBY E•pualion Everypenn,t IAU8dbylllelluilcling0ffictalunderllleprov,11onsoftNs * AN OSHA PEAMIT IS AEQURED FOR EXCAVATIDNS OVER
CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE eo,:: shall e•p,re by llm,tallon and become null and v0td II the bulld'"f. or woni 5· O" DEEP AND OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTtfl:R CERTIFY ANO AGREE IF A PERMIT IS aut orized by such permit ,a not commenced within l80daya from the oa 8 ,)f ouch· STIIJCTUAES OVER J STOAIES IN HEIGHT
ISSUED: TO COMPLY WITH All CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON·
ST RUCTION. WH.ETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND l\=~~e::..;i~z..::~~~~~~~=7 :=:::!~~~~!!!.J!!..!.!!!l..-~!lioor;k::-1"':A:O:P~P~l~"~E~D~B~Y---.-!". ---~~---..... 0--:'l"'.,._""':l"'"-
KEEP HARMLESS·THE'CtTY OF CARUIBAD AGAINST AI.L LIABILITIES, JUDGMENTS. COSTS AN • ,
EXPENSES WHICH MAY IN ANY WAY' ACCIIUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING Of THIS PERMIT. LJ...l.t.:S.~::l~~:::~-----------J ~ -\ 7
Q)
u:::
>-;;;
0 a. E
Q) .....
I
-0
0 C,
C m .!:2
a. a.
<i:.
I
_,,,_
C n:
0 "' "' Q)
"' "' <{
I
~ .Q
4i >-
ui
"' Q)
(.)
0 ri:
m co 0
~
Q)
(.) C m C u:::
::::..
C Q)
Q) a
0
ti Q) a. rn C
~ .c
!l:
I
TYPE I DATE INSPECTOR
BUILDING I
... . 483 ... ~d-;;l.--' :2. \\ I . .. -"
FOUNDATION I FIELD IN SPECTION RECORD
REINFORCED STEEL I
-REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I
GUNITE OR GROUT •
I
FLOOR & CEILING SUB FRAME I
~
INSPECTOR'S I
INSPECTION REQ IF DATE CHECKED APPROVAL .,-_. .,
''-. -~
I \, SOILS COMPLIANCE
SHEATHING □ ROOF □ SHFAR
FRAME T -. iZ .'7)b. ~N'l I
I :I" C......._/1)
EXTERIOR LATH I --/ l /
PRIOR TO "' . rOUNDATION INSP
STRUClURALCONCRETE .,
OVER 2000 PSI
INSULATION I \ /.
INTERIOR LATH & DRYWALL I h.,..?i,CJ..ti ~~
I ~ \ . -
PRESTRE'SSED
CONCRETE I
·fOST TENSIONED ... -; ~ -'-4 t --. 'CONCRETE
•· PLUMBING I / FIELD WELDING
SEWER AND BUCO □IPUCO I ......... i., ~,\ I
I V 71 >
UNDERGROUND □ WASTE □ WATEW I .I ..., ' -/
TOP OUT □ WASTE □ WATER 7 '7.A·~ ~ ~ -
TUB AND SHOWER PAN I b:?~~-I n.r-' ~
HIGH STRENGTH I -... ~~. --. -
BOLTS .
.-~-'"' .
SPECIAL MASONRY. . -. .:: • • < .. ,
I• . '
GAS TEST I
□ WATER HEATER □ SOLAR WATER
!
ELECTRICAL I !,..
PILES CAISSONS I . : --! . --l .. --· I ""~ I --• \ ... --
□ ELECTRIC UNDERGROUND D1UFFER I
ROUGH ELECTRIC I ' :;{~7.X, vi :/~ I
□ ELECTRIC SERVICE □ TEMPO RARY .
□ BONDING □ POOL I
. -.) . "' -· ' ~ . ..... ,;. ~-,, ,..,1 : ,i 4'-,\ ·, -. l ··-
~~ -~ . .
I .
'
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPlt,IG ~ -""-• l
HEAT -AIR COND. SYSTEMS I .
VENTILATING SYSTEMS ·~ . ' I '
' '-' ' . . ',,"."' .,, -c. ---
' \I,,-J,o C:,·." .! '
.. \ r " . . -"' . . . .. -~ .. -,, < -I
I ..
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIA 1°j
ITEMS ABOVE HAVE BEEN APPROVED.
-. • "l .. -' , ... ", ..
FINAL
PLUMBING .
ELECTRICAL .--I I ' . • .,;r .__I
MECHANICAL
GAS
f "'i . ; t ,· . -~--
BUILDING
SPECIAL CONDITIONS ,J"l"r ,. _\_
( '