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Home My WebLink About1195 TAMARACK AVE; ; CB970597; Permit... AV 4 l l ur : R er r •#: FTRE AV.AGE, DWALT, TNTERI R D RS, REPLACE EXTSfING W NDOW Ar /(')wn JOE MOORE CO~ 'rTtON A 1 VA LEY C'ARL BAD, A R l ir 1 >';, ~ Fee 3e er pt1 n CLEARANCE __ _ #: CITY OF CARLSBAD V 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 A / Ext f e :, 0.00 PERMT'" 0. PERMIT APPLICATION FOR OFFICE USE 01)!1, Y PLAN CHECK NO. LZ.)517 CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit h},d> Validated By -jjM ., /. Date 3 P, ({ft 7 Addrus (include Bldg/Suite I) Businus Name lat this address) legal DescriPtion Lot No. Subdivision Name/Number Untt No. Phue No. Total I of units Assessor's Parcel I Existing Use -u.. I of Bedrooma # of Bathrooms 2-- Name Address City Telephone I Fax# p~cp,it,,;,i31::i,11,,.,w.:!iJ:8l4at<ii~~£Clll:w.11K''~Ef,11!!!iit~1f ti t Wt¥&%~~~~-.· 1 JOG /'VI.a-() j{'£--5~ ,-z., ( }11-I {e-y SC:: I I (( I I StateJZip Telephone# State/Zip Telephone # {Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alt«, improve, <ilMnotiah or repair any etructure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he is licensed puquant to the provisions of the Contractor's Ucense Law (Chapter 9, commending with Section 7000 of Division 3 of the Business and Profeuions Code) or that he " exemPt therefrom, and the basis for the alleged exemption. Any ~iolation of Section 7031.5 by any applicant for a permit subjects the applicant t9 a ·vt1 of not than five hundred dollars lt500U. fVLCOtf.€" onJsT 61z.. LJ /i;,-; Ml• C? a 3' 12e Name Address Ctty State License • 2;:@,7 2 -J, S-License Class _f-I~~-~----Ctty Business License# _______ _ Designer Name Address City State/Zip Telephone State License # --'S...------- ~..COM MTlOtu~.,:,~;~~~~1~·~~"~'~;:1Y~.~l~f,k~h'.:~:G~~~~~tifi:M]BS SffPPPtiF'li'JJl:!'tf~~~-~-)l~:..-'I..: Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations: O I have and will maintain a certificate of consent to self4nsure for worker■' compenution as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit ia issued. 0 I have and will maintain workers' compensation, u required by Section 3700 of the Labor Code, for the performance of the work for." which thia permit ti is&Ued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ PO,icy No.____________ Expiration Date. _______ _ (THIS~TION NE£D NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS lt100] OR LESS! e--CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit I• iuued, I ahall not employ any peraon in any manner so as to become subject to the Workers' Compensation Laws of California. WARNING: Failure to Ncure•work.,.' compenAtion coverage ia unlawful, and shall subjact an employer to crimkull ,-.tdea and dvil flnu up to ona tu'Mlred thousand doUar in to the coat of compensatJon, damages u provided tor In S■ction 3708 of the Labf¥ codl, lntWNt and attomev·a fen. DATE 3 -(2;:17 O 1, as owner of the property or my employees with wages as their sole compensation. will do the work and the atructure is not intended or offered for a■le (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 Hie. If, however, the building or improvement ls sold within one year of completion, the owner~builder will have the burden of proving that he did not build or Improve for the purpoae of Nie). 0 J, as owner of the property, em exchWv-,y contracting wrth licensed contractors to construct the project (Sec, 7044, Buaineu and Profualona Code: Tha Contractor's License Law does not apply to an owner of property who builds or improVN theraon, and contracll for auch projecte with contractor!•> lican■ed PUl&u■nt to the Contractor'& Ucenae Law). 0 I am exempt under Section ______ Busineu and Professions Code for this reason: 1 . I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I !have/ have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person lfirml to provide the proposed construction (include name / addreu / phone number / contractors licenae number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name/ address/ phone number/ contractors license number):. ____________________________________________ _ 5. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated finciude name I address/ phone numbe, / type of work): ______________________________________________________ _ PROPERTY OWNER SIGNATURE DATE al~:actlottEOR~UW)JtiQffllAJIJ.ljgN,r~INliirl,·f· Pl hfil®@S:f-iit½Yn%:·f.ie: l:!! !ti-:, s~~li~~:it or future l:a.ildir,w a.;cupant f,tquirltd 1,,:; a,1.1Lmit a bw.ineb4 µian, acutlNy hazaraaua materiata ragastrataon torm or risk management and prevention program under Sections 25505, 25533 or 25534 of the Prealer-T■nner Hazardous Substance Account Act7 0 YES O NO Is the applicant or future building occupant required to obtain• permit from the air pollution control dmrict or atr qualtty managemant district? O YES O NO ls the facilrty to be constructed within 1,000 feet of the outer boundary of a achool aite7 0 YES O NO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UH1..£SS THE APPUCANT HAS MET OR IS MEETING THE REOUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. iffl:!:tQ_N$:rRuen0NJ.ai~1NG'lt-G!NCY:'/'?'''"~~11til;~~~:;;"·i:,;:~~;,.,,: '.~:\':;~;;:~;,.,,~.' :-;-~i?~cJ?;\.· :. I_'.',~ • I hereby affirm that there is a construction lending agency for the parformance of the work for which thil permit ii JSSued (Sec. 309711) C'1vll Code). LENDER'S NAME _____________ _ 1$i:•• Al'PIJCANr-CERTIFICATION I certify that I have read the application and state that the above information is correct and that the information on the plans i& accurate. I agree to comply with all City ordinances and State laws relating to building construction. I hereby euthori:r:e represantativea of the Crty of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE. INDEMNIFY ANO KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SA.JD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is requirad for excavationa over 5•0• deep and demO,rtion or construction of atructurN over 3 atoriea in height. EXPIRATION: Every permrt lssued by the Building Official under the provisions of this Code shall expire by llmrtation and become null and void if the building or work authorizad by such permit i& n ommenc lthin 366 days fram the date of such permit or if the buiJding or wort authorized by such permit is suspended or abandoned at any time after work r period of 180 days (Section l 06.4.4 Uniform Building Code>, APl'UCANT'S SIGNATURE _.::-::;-;:;~~~?~~,,L.:d;ci~~'.:_~--------DATE 3 -( <( -f J YELLOW: Applicant PINK: Finance CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB970597 FOR 04/17/97 DESCRIPTION: FIRE DAMAGE, DWALL, INTERIOR DOORS, REPLACE EXISTING WINDOWS TYPE: MISC STE: INSPECTOR AREA PD PLANCK# CB970597 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1195 APPLICANT: JOE MOORE CONTRACTOR: TAMARACK AV CONSTRUCTION PHONE: 619 434-1203 OWNER: REMARKS: RS/JOE/434-1203 SPECIAL INSTRUCT: TOTAL TIME: CD LVL DESCRIPTION PHONE: / ~-~) PHONE: J"~ 2{!L INSPECTOl( ~~ ACT COMMENTS 1Jj___ ST Final Structural Ill/ ___ '-Jt_--- ***** INSPECTION HISTORY ***** DATE DESCRIPTION ACT INSP COMMENTS 032797 Interior Lath/Drywall AP PD 032497 Rough/Ducts/Dampers AP PD 032197 Rough Electric AP PD