HomeMy WebLinkAbout260 TAMARACK AVE; ; 82-174; Permiten z 0 .:: C a: C ..,
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O I hereby( J that I am licensed under
pro-;lalona or..., ter 9 (commencing with
Section 7000) o Division 3 of the Business
and Professions Code, and my license Is In full force and effect. Lie No _______ Class ______ _
I hereby affirm that I am exempt from Ille Con·
~~~·~~~?=:: ~ ~f~~:~c!l.~~.~
county which requires a permit to construct
alter, iml)(ove, demofish, or repair ally structure,
prior to its issuance also requires the applicant fCH
such penmt to file a signed statement that he is
licensed pursuant 10 1he p,ov,sions of the Con-
tractor's Ucense Law (Chapter 9 commencing with SectK>n nxx, of Oiv1sf()fl 3 of the Business and Pro-
fessions Code) 0< that ,s exempt lherefrom and the basis for the alleged exemption. Any violation of
Sect,oo 7031.5 by an appllcant lo, a permit subjects
1ne .»t)hcant 10 a civil penalty of not mc>fe than five I hundred dollars ($500).
D I, as owner of the property, or my employees
,.,th wages as their sole compensation, will do the
wo,tt, and the structure 1s not intended or offered fO<
sole (Sec. 7044, Business ana Professioos Code:
The Contractor's License Law does not apply to an
owner of property who builds or improves thereon
and who does such woril: himself Of through his own
emptoyees. provided that such impr0Yeme:1ts are
not 1ntende1 or offe<ed for sale. If. however. the
bu1ld1no °' improvement is sold within one year of
completion, the owner-builder will haYe the burden
of proving that he did not build Of Improve for the
purpose of sale).
C I, as owner of the property, am exclusively
contracting with licensed contr~tors to construct the project (Sec 70M, Business and Professions
Code: The Contractor's license Uw does not ~ply to an owner of property who builds or improves
thereon, and who contrac·ts for each proJects with a contractOf{s) license pursuant to the Contract()(·s.
License Law).
D lamexemplunde<Sec _____ ,B &PC
torth1s reason ___________ _
0 I hereby affirm that I have a certificate or consent
to self-insure. or a cert1f1cate of Workers' Compensat10n Insurance, or a certified copy thereof
(Sec 3800. Labor Code>
POLICY NO --1\ -l'tl'
D Certified copy 1s. hereby furnished
CERTIFICA Tl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 the permit
1s tor one hundred dollars ($100) or less)
D t cert,ty that in the performance of the work fOf
which this permit 1s issued. I shall not employ any person m any manner -so as 10 become sub1ect to
the Wof'1c:ers' Compensation Laws of California I
NOTICE TO APPLICANT If. alle, makon1 this Ce'1•·
hcate of Exemption. you should beeome sub1ect I? the Wonc.ers· Compensation prov1s1ons of the Labor
Code. you must lorthw,th comply with such
prov1s1ons or this permit shaJI be deemed revoked
O I hereby aftum that the,e 1s a consuuchon
1enc:i,no aoency t()f 1he pef'fOffl\ance of the wort\ tor
which lh1s permit 1s issued (Sec 3097. C1v1I Code)
Lendef's Name ___________ _
Lender"s AOdress __________ _
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USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO Fill IN INFORMATION WITHIN SHADED AREA AND.-PECLARATIONS. ----------
G CARLSBAD BUILDING DEPARTMENT 0 APPLICATION & PERMIT {___}
1200 Elm, Carlsbad, California 92008 (714) 438-5525
Jo;;r,/s 11\ ,; ~ ~ "r'" .J ~ V(! ~ \ Jf Tf ,T::'F;:Lg;::ON1
BUSINESS LIC n # -µf cf:t;N t_--
PERMIT NUMBER
""l'1,, ;Iv,! , ... ,r I v .
p.-11f OWNER'S NAME KAf..ti I ~,.,,r::Ez~~ PR§I CONTRACTOR l.tJ rvJ,wl, ,,,,J -~ .. __ OAS ~,• ZONE
Pftftl.\vK + ~OJJ uafr.11, ~-b 'f1
OWNER'S MAILING ADDRESS CONTRACTOR'S ADDRESS UCEN8ENO.
PL71;;: _ I 7<J_ BLOG USE CODE
Jft,M'f.. "' fl'&o\l~ '3\ '6~ ~fJM\!. ,S"r.
LOT BLOCK I SUBDIVISION I ASSESSOR PAR'!ll NO. u DESIGNER STATE LICENSE # STA'tfOARO PLAN# f BU4LDtNG SQ. FOOTAGE ~4 '"70 !,.q O · ,fJD
DE~nr~WOR:s l ~ µ) ~ ..rtll f-lt 1-oo ~ a
DESIGNER'S ADDRESS DESIGNER'S PHONE I
~ 6i1 Vf t:. ,t ( sf\ rJ,-lt'6 ~ {rt£ . \
112 ~ -·----------------•~I --F/P FLA ELEV. NO ~~ EDU 6/cl/827526 eeG~se
13 '2. ·~'t-CLo~r: ,e vO NO ~ 00017526 ~/21/82 226~58 ' -
CENSUS TRACT I GP LANDNSE PARKINl; SPACE I RES UNITS I 'GRADING f'.ERMIT ISSUED I REDEVELOPMENT ~fff,) OCC LOAD FIRE SPA
AREA ,?t i_ ID v0 N"r'i. YO ND v0,N Not Valid Unlffs Machine IArtififfl ,
QTY. PLUMBING PERMIT -ISSUE "2~-4 QTY. MECHANICAL PERMIT · ISSUE 3,11 SUMMARY/ACCOUNT NUMBER -u. EACH FIXTURE TRAP /µ.-I INSTALL FURN. DUCTS UP TO 100,000 BTU ~-BUILDING PERMIT 01-000-4220 I 7/J, .,JI l
I EACH BUILDING SEWER ~-.... \1 OVER 100,000 BTU SIGN PERMIT /2 ~-000-4221
, --
EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECKff'1. //J f... q ~ 01-000-4806 //lfJr X j
I EACH GAS SYSTEM 1 TO 4 OUTLETS v.~{ If BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 ~ . ..m
EACH GAS SYSTEM 5 OR MORE I METAL FIREPLACE ~----ELECTRICAL 01-000-4223 h--
EACH INSTAL ALTER, REPAIR WATER PIPE 'J VENT FAN SINGLE DUCT ~-MECHANICAL 01-000-4224 rt--EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01-000·4225
WATER SOFTNER RELOCATION Of EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
., --TOTJ;L MECHANICAL STRONG MOTION 65-640-0519 I# ~1n
TOTAL PLUMBING I ~-'1-t:: /; ...... -,
FIRE SPRINKLERS 01 ·000-4227
PUBLIC FACILITIES FEE 25-000-4933 QTY. ELECTRICAL PERMIT -ISSUE ,..,.?,(IJ QTY. SOLAR -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT /BK R COLLECTORS SCHOOL FEE -DISTRICT
I PH 3 PH I STORAGE TANKS carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR 'f-n A-1/J --ROCK STORAGE Encinitas 65-624-0519
I PH 3 PH PUMP San Oieguito 65-625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ;-( -·. San Marcos 65-626-0519
TEMP POLE 200 AMPS /"' " -r1 r D OVER 200 AMPS . ) ' \.., _r,, -rt , "tr-EE:-~ , ,. I I tJ '4 . a.r
TEMP OCCUPANCY (30 DAYSI -"';\ r ; _, . , .
I ; ---. . -
TOTAL ELECTRICAL I TOTAL SOLAR ~1..1:. Lr, r:i -r· -z-.. vh , J j ,~. -TOTAL 'FEES PAYABLE • J • , ..
I HAVECAREFUU.Y EXAMINfm THE COMPLETED '"APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permit muec1 bytheBulkllng Otlk:ialunderllleptCMl!oneot'lllla * AN 0&HA PERMIT IS REQUalED FOR DICAYATIONS OYEII
CERTIFY1~ PENALTY -EIF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shall upira by Hmltation and become null and void. II 11111 ~or-' -Ser DEEP AND OElt10Un0N OR CQNSTIIUCT10N OF authortnd by aucll permit It not commenced within IIO days frNI h ol auclt DECLARATIO ARE TRUE AND CQRAECT AND t FURTHER CERTIFY AND AGREE IF A PERMIT IS '"9IL o, If the bullcll::ff or WOik autflo,izad by aucl1 permit ii or J STIIUCl\lREB OVER :I S10fllES .. HEIGHT
ISSUED: TO COMPLY WITH ALL CITY,-bouNTY AND STATE LAWS GOVERNING BUILDING CON-al anv 11,... a er the work ii commenced for a ~ nl 1811 --,
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
,m --s SlrTURE If. OWNER□ ~~ AP7 VED BY
Df6 / 7/2 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND , , ./1. EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ) ,., .. _.., .. .. ; 71 8i-GRANTING OF THIS PERMIT. \ I ~ I ~ c---.
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I INSPECTION TYPE I DATE INSPECTOR I r, ' -~ y x :J .., I ? L/-i , .. ~.~ 1
' BUILDING I
I', i, ..... Ii
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...
/1_,,,,,/lL ,;,--FIELD INSPECTION RECORD
FOUNDATION ........ -"
REINFORCED STEEL ;( lfl -· "" • ~ REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I INSPECTION REQ IF INSPECTOR'S ,
CHECKED APPROVAL DATE ~,~-~,?_ -~c,aVFf) 1 t-:=:11 f?'. F~i r,vJt-162 c.;:..
' IIGUNITE OR GROUT I SOILS COMPLIANCE ~t, ~-,... ---; ,-\ tt-l0 T,.,;,,., 01,\0.IL:=D \c;; AWA(2€ THAT
FLOOR & CEILING SUB FRAME I PRIOR TO I
I, FOUNDATION INSP l..)0f>TAl"5 Aoorf\o~ \S Nm--rt)~-l~ $A · SHEATHING
,J
STRUCTURAL CONCRETE
-
FRAME ' OVER 2000 PSI t;.:.i::::r r4...J() Dtz: I l)i:=f.V 'F. r-&-,.
EXTERIOR LATH lNSULATION I 7-?~.l),1, ol PRES TRESSED II
I CONCRETE
I 17., 7.,A,)32, u
INTERIOR LATH & DRYWALL (' ~--POST T~SIONED ' . CONCRE E '
PLUMBING I
I FIELD WELDING
SEWER AND BL/CO I HIGH STRENGTH ,..
PLUMBING UNDERGROUND I BOLTS
I
PLUMBING TOP OUT I SPECIAL MASONRY .,. l , • .j ---. ' -
TUB AND ~HOWER PAN ; \ .. Y
I GAS TEST I PILES CAISSONS
ELECTRICAL I
I
I \.~-TEMPORARY POWER I
~ .... _, --
ELECTRIC UNDERGROUND I \ :::1 ..._ \.S--c• .,
I • ...,. /!:.., I ~ •
ROUGH ELECTRIC I (P."\Cf:,' ~,'I 0\ I ~-\l' .. , ;
ELECTRIC SERVICE .,..; ' ~1' ~ -~--·~,. I
\ '" \. .. }("\ A I ~
_ BONDING ' ~ ' [;
~' ·" ,-......., ...,;
-....
G. F. I. -SMOKE DETECTOR' I
l ' MECHANICAL I\ I,_. ,II' l '°'. \-' ,. '
I \ L• \ ' ~-.... --
DUCT & PLEM., REF. PIPING . ~' \ \ .
. --<, ,_ -~
HEAT -AIR COND. -SOLAR SYSTEMS ::> \.) -\,._, \" ' . . \-~ J""-.. ~< .J I ,.-~ .... -
VENTILATING SYSTEMS ,... .. -l,.--t' .. ~__.__\.T t,.t· ~ '\J ' ~ -C
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE : •~ 1. Ii, I~--~-/ ~ '( , \
ITEMS ABOVE HAVE BEEN-APPROVED.
_..-, . :--,.,.
. '-~·• -
JOB SITE FINAL ,All ,-..
PLUMBING ~ \ \'✓/y f, r-.'"' • .\: ' . ('"-. ' ' -· 1 ... _... \. ... ·, ..._1
ELECTRICAL _,,,_. \~V r:J ,?.f',.11-,'/✓ '™' ~
MECHANICAL 1?'\,-Vv V ~\ , I " .,~ I. r-f-,. .• -' ..... -~ ' . J ...._ ,,,-' -~ • I, -.. ' -1-·: ~ ; ir
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~ -,... _. -'ti .
""' --c:-,· -,-. ,.. -~ ,, . _· ..
GAS l • . ,__ l'tl . '
BUILDING H ,_· l, I ,;t: \,-«J"' r--t-\ :' •-• C (o ~..; -I l~-l.t· . ... l 0 '~ _-,-.-~· \
SPECIAL CONDITIONS .. J (, •
•
CERT OF occur CY ISSUED i\
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Qtitp of Qtarlsbab
PLAN CORRECTION SHEET
plan1 received by plan checker..;.0=-= ..... ...:c~o:::..-
1nitial plan check completed~by
rn9[~0RD1 PLEAS£ READ
rlao check is limited to technical requirement,
c~ntained in the Uniform Building Code, Unifor~
Plumbing Code, Uniform Mechanical Code, National
Electrical Code and state laws regulating energy conservation, noise attenuation and access for
:he h.,,-.dicapped. The plan check is based on
r~gulat1on1 enforced by the Ouilding Inspection
~~pa r tment. You may have other corrections
bAsed on laws and ordinances enforced by the
?tanning Department, Engineeri ng D~pa rtment
or ot~er departments.
T~e items circled below need clari fication,
rod1f1cation or change. All circled items have
tc be satisfied before t he plan, will be in
conformance with the cited code1 and regulation■•
rer Sec. lOl (cl, 1979 Uniform Building Code,
the approval of the plan• doe, not permit the v 1olat1on of any state, county or city law.
A. PI.At.S
Please 111ake all correction■ on the original
tracings and submit two new sets of prints,
anJ any original plan s ets that may have been r eturned to you by the jurisdiction,
t c.:
To facil itate rechecking, please identify,
nex: to each circ led item, the sheet of
the plans upon which each correction on
this sheet has been made and return this
check sheet with the revised plans.
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APPLICANT COPY
CITY LOP! >
PLAN CHECKER COPY
6/r'ih Jl.fl5 _ __.pp::;'--LJ....!.....lL-I..Al, __ --.1
\ \J ------~,--l
.... --~1------------------------
----+------------------------•
1---~--------------------------1
-----· --------. -------------1
~------------------------------1
Dates ~/:i/'f:>-Jurisdiction &@st3/'1V
by, □ Bldg. Dept.
VALUATION AND PLAN CHECK FEE
PLA CHECK NO. £;2-/71/
BUILDING ADDRESS d,&;,0 7'?-J-M7)9R/9-e.i::
APPLICANT/CONTACT tJ1J?£JJ.5oJ./ VRl7P6--.PHONE NO.
BUILDING OCCUPANCY /2-.S --------
TYPE OF CONSTRUCTION \/-IV _...___;,__ __ DESJ°GNER PHONE ------
CONTRACTOR PHONE -----
ff
/lz:?.0/77t/YJ cJ te? qc:7,4a..c/tP
BUILDING PORTION :BUILDING AREA VALUATION VALUE
MULTIPLIER
-~70 ~ ,Lit,)· r //) ~ d-3 9t:/0
I
,
c--/ ~ ., /2 .c..,
F ..../ ✓V-✓I 1"2>!-f.l:P' kJ !:!!!--L/tft2-
Air Conditioning
Co:nmerc1al
Residential
Fire S-prinklers
Total Value d-0t/t>:::L
(
/7tJ, s-o Building Fermi t Pee ___________ _
Plan Check Fee / / tJ ' 75 3 ----------------. eo l /e c:_W-cf I I to . ;1 s-/J-r-
,5v.
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE: ---------
BUILDING ADDRESS: :ECEIVED
...
---... ---_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_-_--:-_-_-:_-_-_-_-_-_-_-_-_-_-_-_-_J~U-=-N-=--=-l-=-19_8=2-=--=--=
PLANNING DEPARTMENT .c1rv 06 eARLSBAo
b _ ./]__ Building Oepartmenf ·
ZONE __ 'r_.____-~J=r<-----LOT SIZE _________ LOT WIDTH ________ _
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED_~{d-LM$=+--------
% COVERAGE ALLOWED PROVIDED \ ----------------+--+4+--------
B U IL DING HEIGHT ALLOWED PROVIDED -----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED \L
PROVIDED ___ :'SJ _____ ' __ _
INTRUSIONS _____ _
LANDSCAPE & IRRIGATION PLAN COMMENTS: _tlLL.c~L:_ _____________ _
ENVIRONMENTAL PROTECTION REQ: -~u~+=.--=-=-L+-----------------
ADDITIONAL COMMENTS: ~~~ti~ ~~ ~
tW,,vlo..w. tiw> -~. a.M-m-4.
--;o Is s~ --¼=-'~ __ DA TE....,~--=--OK~NAL ________ DATE ____ _
.., ~~
ENGINEERING DEPARTMENT lV J.-3 I 7 V d.
R. 0. W . ______ INDUSTRIAL WASTE IMPROVEMENTS \ HlL;--_
SEWER CONNECTION ________ DRIVEWAY LOCATIONS -------~C~br: ,;-
GRADING PERMIT EASEMENTS DRAINAGE --------------
LEGAL DESCRIPTION_---=:---c:n--.--:::=-"""'-,i----7<,~-n::---=--,--;-----,f'I:=------ilt-,_~--==---
FIRE DEPARTMENT
SPRiliKLING SYSTEM ___________ FIRE PROTECTION EQUIP. _______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _
WATER DEPARTMENT
•IREQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _