HomeMy WebLinkAbout1145 TAMARACK AVE; ; CB950744; PermitB U I L D I N G P E R M I T
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Paqe 1 of 1
Job Address: 1145 TAMARAU~ AV Suite :
Permit Type: MISCELLANEOUS
Parc,::,l No: 206-2bl-17-llO
Valuation: 700
Construction Type: NEW
Lot #:
Occupancy Group : Reference#:
Description: REMOVE NON-BEARING WALL BE1WN
: BEDRM~, MOVE CLOSET WALL OUT-NO ELECT
Permit Nu : C895U744
ProJect No: A9S0107J
Dev,.::>lopm.=-nt No:
Status:
Applied:
Apr/Issue:
Appl/Ownz : RIGNEY, JENNIFER
1145 TAMARACK AV
rARLSBAD, CA
Entered By:
619-720-9417
ISSUED
06/1)7 /9 5
Ob/07 /'Vi
RMA
*** Fees Required
----------------------
Fees:
Adjustments:
Total Fees:
Fee description
Miscellaneous Fee #1
Miscellaneous Fee
* MISCELLANEOUS T
CITY OF CARLSBAD
2075 Las Paltnas Dr., Carlsbad, CA 92009 (619) 438-1161
t
. 0 (J
32.00
20.00
Ext fee Data
32.00 PERMIT
2U .OO ELECTRIC
52.00
20-00
PERMIT APPLICATION PIAN CHECK NO. crs 0
City of Carlsbad Building Department
2075 Las Palms Dr., Carlsbad, CA 92009 (619) 438-1161 FSf. VAL
"~OT I. PEitMI I IYPR PIANCKD!c..'2
VAUD.BY A-
DAT!! . 17 /{,I•-
From List 1 (see back) give code of Pennit•Type: ____________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure•Type: ____________________ _
Net Loss/Gain of Dwelling Units
2 PROJECf INFORMA110N FOR OFFICE USE ONLY
Bu,ldmg or Suite No.
mt No. Phase No.
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report D 1 Addressed Envelope
DAY TELEPHONE
NAME (last name first) ADDRESS
CI1Y ZIP CODE DAY TELEPHONE
NAM;J!,ast name first~
crri__b \s ~~l I
CI1Y STATE ZIP CODE DAY TELEPHONE STATE UC.#
7. WukkEkS' tnMJSENSA'I ION
worKers' compensat,on Ueclaration: I hereby affirm that I have a ceruhcate ot consent to seif-msure issued by the Director 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 POLlCY NO. EXP IRA 110N DA TE
□
I certify that m the performance of the work for which this permit 1s 1ssu,:!d, I shall not employ any person many manner
the Workers' Compensation Laws of California.
DATE ·,
c ere am exemp rom e n rac o s cense :i.w for the followmg reason:
I, as owner of roperty or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (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 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 this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a pennit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed !:tatement that he is licensed pursuant to the
provisions of the Contra tor's license Law (Chapter 9, commencing with Section 7000 of Divi~.ion 3 of the Business and Professions Code)
or that · exempt th f and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a pennit
· ts the i:licant t nalty of not more than five hundred dollars [$500]~
SIGNA DAT!! {J)
t required to submit a business plan, acutely haza ous m terials registration form or risk management and
, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act?
NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□ YES □ NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
0 YES □ NO
IF ANY OF TIIE ANSWERS ARE YES, A FINALCERTIFICATI! OF <Xn!PANCYMAYNUf BE ISSUED AFfERJULY 10 1989 IJNIBSS nm APPUCANT
HAS Mirr OR IS MEETING nm REQUIREMENTS OF nm OFFICE OF EMERGENCY SERVICES AND nm AIR POILU11ON mN11lOL DISl1UCT.
9. WNSIRUCIIUN LENDlNG AGENCY
I hereby afhnn that there 1s a construction lending agency for the performance of the work for wfoch this permit 1s issued (Sec 3697(1) Civil Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPLICANI CERliFICAIION
I certify that I have read the apphcat10n and state that the above mformauon 1s correct. I agree 1:0 comp)y with all City ordmances 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 AI.'iO AGREE 1U SAVE INDEMNIFY AND KEEP HARMLESS nm CTIY OF CARlSBAD AGAINsr AIL UABILITIES, JUDGMENTS, CDSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINSf SAID CTIY IN CDNSEQUENCE 0/' nm GRANTING OF TIIIS 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 e:xpire by limitation and become null and void if the
building or work authorized by su rmit i ot com need within 365 days from the date of such pennit or if the building or work authorized by
such permit is suspended or ndo data ft the work is commenced for a period of 180 days (Section 303(d) Unifonn Buil ·n ~1,-
APPUCANTS SIGNA \ DATE: l )
OW: Applicant PINK: Finance
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