HomeMy WebLinkAbout270 TAMARACK AVE; ; CB930269; PermitCAL
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ANM. APPROVAL
INSP~ DATES/z · fy
CLEARANCE _____ ,
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
PERMIT APPLICATION . 0 PLAN CHECK NO. .
City of Carlsbad Building Department .
2075 Las Pal,..s Dr., Carlsbad, CA 92009 (619) 438-1161
. .
I. PEllMII i'YPE
A -U COmmerctal Li New Building D I enant Improvement
B • D Industrial D New Building □ Tenant Improvement
C -IJ'Residential D Apartment D Condo D Single Family Dwelling □Addition/Alteration
D Duplex □ Demolition □ Relocation D Mobile Home .Electrical D Plumbing
□ Mechanical D Pool □ Spa D Retaining Wall □ Solar □ Other
2. PROJECf INJ-URMATION FOR OFFICE USE ONLY
Buildmg or Suite No.
Nearest Cross Street
LEGAL DESCRIP I ION Loe No. Sulx11V1s1on Name/Number Omt No. Phase No.
□ 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
DESCRIPTION OF WORK 0
SQ. FT. # OF STORIES
3. WNIACI PERSON (If dnferenl from apphcan[)
NAME ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. Al'PUCANl ... CONiRACIOR □AGENI FOH CON IRACIOR
ADDRESS
DOWNER LI AGEN I l·UR OWN EH
NAME .Jirrt "-.lOBLE,
,_<;.\Zv~ STATE Q.A ZIPCODEC\70S°3 DAYTELEPHONE Lz30-\39 0
ADDRESS ~J7 O ,AM~ li!:)1\--1;'..,j(_ NAME NDE.. 'S~ f'IQ,I; s:z..
CITY C fl STATE(:_. ZIP CODE z DD i DAY TELEPHONE 2'1-
NAME ~DBLE-E.,(...E.QT..e1c.,, ADDREss ;J.f.!2 PL'fVl-\uUTl,\-
zir CODE 92.0 'i? 3 DAY TELEPHONE CITY \/l-S,A
STATE LIC. # (,,ZCJJ';Z.
STATE CA-
LICENSE CLAS~/ 0 CITY BUSINESS LIC. #
CITY STATE ZIP CODE DAY TELEPHONE STATE LIC. #
7. WoltkfilS' WMPRNSA:IION
Workers' compensauon Ueclaratmn: I hereby al11rm that I have a cert1hcate of consent to sell-msure issued by the btrector of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POLICY NO. EXPIRATION DA TE
□
□
□
Certificate of Exemption: 1 certify that m the performance of the work for which this permit 1s issued, l shall not employ any person many manner
so as to ome su~::: CoJil~ Lai 9r 31;rorn;a
arauon: ere ya 1rm t at am exempt rom t e w or t e o owmg reason:
I, as owner of the property or my employees with wages as thdr sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Conlractor's Ijcense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ________ Business and Professions Code for chis reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($5001).
SIGNATIJRE DATE
COMPLETE IHIS SECIION FOR NON-RESIDEN IIAL B0IIDING PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
□YES ONO
ls the applicant or future building occupant required to obtain a ~rmit from the air pollution control district or air quality management district?
□YES □NO
ls the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF TIIE AN~WF.RS ARE YF.S, A ~"INALCERTIFICATE OFoa:tJPANCY MAYNITT BE ISSUED AFTER JULY I, 1989 \JNIBSS TIIE APPIJCANT
HAS MET OR IS MEE11NG THE RF.QUIRF.MF.NTS OF HIE OFFICE OF EMERGENCY SERVICES AND TilE AIR POIJ.IJTION ffiNTilOL DISllUCT.
9. WNSIK0CIION LENDlNG AGENCY
I hereby afhrm that there 1s a construcuon lending agency for the performance of the work for which this permn 1s issued (Sec 3097(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
I 0. APPU(!AN I cEi I iFICAJlON
I ccrtiJy chat I have read the apphcauon and state that the above mlormat1on 1s correct. I agree to comply with all City ordinances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I Al.SO AGREE TO SAVE INDEMNIFY AND KEEP IIAllMIBSS 11IE CTIY OF CARISBAD AGAINsr All. UABILITIES, JUDGMENTS, CDSTS
AND EXPENSES WID□I MAY IN ANY WAY Aa:RUE AGAINST SAID □TY IN OONSH]UENCE OF TIIE GRANTING OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or abandone~at an time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPLIC'ANTS SIGNATURE \M.,L-, . DATE: 3 I 21 L't 3 I J
WHITE: File YEILOW: Applicant PINK: Finance
PERMIT# CB930269
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 05/18/93
DESCRIPTION: 100 AMP OVERHEAD TO UNDERGROUN
INSPECTOR AREA PD
PLANCK# CB930269
OCC GRP CONVERSION
TYPE: ELEC
JOB ADDRESS: 270 TAMARACK
APPLICANT: NOBLE, JIM
CONTRACTOR:
OWNER:
REMARKS: MH/JIM/630-1390
SPECIAL INSTRUCT:
TOTAL TIME:
CD LVL DESCRIPTION
AV STE:
CONSTR. TYPE NEW
LOT:
PHONE: 619 630-1390
PHONE: ¼ ;J_ .;\ PHONE: . ' A1L
INSPECTO~~'
ACT COMMENTS
_39-_E_L _F_i_n_a_1_E_1_e_c_t_r_i_c_a_1 _______ Af---------------
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***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS