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Home My WebLink About1199 TAMARACK AVE; ; 80-584; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provl• slons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is In full force and el• feet. OWNER-BUILDER DECLARATION DI hereby affirm that I am exempt from the Con• tractor's License Law for the following reason (Sec. 7031.5 ,Business and Professions Code), Any city or county which requires a permit to con• struct, alter, Improve, demolish. or repair any structure, prior to Its Issuance also requires the applicant for such permit to file a signed state- ment that he Is licensed pursuant to the provi· slons of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that Is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a .~;~:e:I :::h:o::~::~::v:r h::d::p::~:: ~!:s as their sole compensation, will do the work, and the structure Is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions 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 of• fered for sale. If, however, the building or Improve- ment 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). '.JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property 1•ho builds or im· proves thereon, and who contracts for such pro• jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec. _____ B. & P.C. for this reason ____________ _ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-Insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ___________ _ COMPANY ___________ _ □Copy Is flied with the city. □Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per- mit Is for one hundred dollars ($100) or less). I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Callfomla. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Wor%ers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit sha.11 be deemed revoked. -CONST.RUCTION LENDING AGENCY I hereby affirm that there Is a construction len• 1t • CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS RES. UNITS APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. PERMIT NUMBER ft'-s-rf n NUMBER Of' STORIES • -;i • ,I .XI.ST, sf ~ Not V•Hd Unltlss Machina c.rtifi«J BLDG SQ. fT. QTY. EACH FIXTURE TRAP EACH BUILDING SEWER TOTAL PLUMBING CONTRACTOR QTY. ELECTRICAL PERMIT NEW CONST EA AMP/SWT /BKR 1 PH .25 3 PH EXIST BLOG EA AMP/SWT/BKR 1 PH .25 3 PH REMODEL/ALTER PER CIRCUIT TEMP PO LE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR STANDARD PLAN It QTY. MECHANICAL PERMIT '.OCATION OF EA FURNACE/HEATER ssue TOTAL MECHANICAL CONTRACTOR AMT. QTY. AWNING PORCH 0CC. LOAD ~ /:f>tAS • tJ VALUATION: BUILDING PERMIT SIGN PERMIT PLAN CHECK ALL INCLUSIVE Pl AMT. II TOTAL PL!JMBING ELECTRICAL MECHANICAL MOBILE HOME -- SOLAR -- -- --MICO-FILM STRONG MOTION : TOTAL FEES PAYABLE I HAVE CAREFULLY EXAMINED T HE COMPLETED "APPLICATION ANO P~IT, ANO DO HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY ANO KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS ANO EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE •AN OSHA PERMIT ti REQUIRED FOR EXCAVATIONS OVER SCHOOL 5'-0 " DEEP AND OEt\tOLITION OR CONSTRUCTION OJ":) I A, -':2.., _ STRUCTURES OVER 3 STORIES IN HEIGHT \.T ~ 7 ~ FEES : 9-~/i.lr. &76• .ii'. OF THE GRANTING OF THIS PERMIT. CONTRACTOR□ RY PMONF n &,~~~I ! ~ ~ > ~ i= ~ a. V) ~ .. --SITE L ·, 'i?O.-sfSC-f ADDRESS: ' ~\ \ OWNER: • PERMIT NO: ' FIELD INSP ECTION RECORD -,:.. : INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION • FORMS• SET BACK • TOILET -' ' UNDER FLOOR PLUMBING .. . ~-------... ~ , ~ - UNDER FLOOR HEATING . -' -. ' . . .. • " , . OK TO INSTALL SUB FLOOR -' . . . l -. SLAB FLOOR '\::,... c/ ' .. _"~., • 'I> -•• :-.. ~-,.,. r.,. UNDER SLAB PLUMBING . . ' '-. \"." l ,,;.,v . FOOTING• FORMS• SETBACK• TOILET "i ,r . .,. ~-OK TO POUR CONCRETE -. . , '·· FRAME "' ' .~.,. ..... ' ROUGH ELECTRICAL ... .. .. • .. ' . ROUGH PLUMBING - ROUGH HEATING/VENTILATING ' :--.. ' -,..c. ' ' FRAME OK• PLACE INSULATION -·~ ·, ....... INSULATION OK•• •PLACE WALLBOARD ' -. WALLBOARD OK• PLACE TAPE": ... ...,,.,_ '• .... '· .... ~ ~ EX"[ERIQ.R LATH OK• PLACE STUCCO ··, ' -• ' l , ,, T -~ FIREPLACE -.-, - ' DAMPER 8: STEEL PLATE Tl Es/HEIGHT OF CHIMNEY . \ -..... OTHER 1 .... TEMP POWER (POLE) •., SEWER "" "i, GAS TEST \ .II ' ... hf'" • .... .... SWIM POOL • STEEL BONDING \ "· -- • PRE DECK " I ...... -. , • FENCE PREPLASTER "i , I SHO.WN. . FRAME (\ "' ' • PAN n \ l ' \ , - 'l V . • F INAL INSP BY BLDG DEPT . OTHER DEPT'S REQ COMPLETED \1 J ~ . "' ~ ! r~ ELEC METER-PERM-TEMP " : .. \. G AS METER-PERM-TEMP i\. ~ r / . •• i: A \; ' • ,!rJ-I o-,• :,,-.:. J 1:...-;._~ :• t \ ':'--· .,.. ___ , I\ O' , T, r:- CERT OF OCCUPANCY ISSUED • - KEOUEST FOR INSPECTION TIME_·-~-- INSPECTOR ___ -,~,,_Z ..... ,~-'<_· -;,_l4-,,_r ___ PERMIT NO_Jt_o_-.sc_J_· _f_·. _DATE: _+l~:l'-r;,'"""'/4,2<:2~--7 ~ , OWNER _____________ __,~----------------- ~- ADDRESS _ _,_/2.,,~'--"?~?_.,,__/ __ ""/--'. ;J~;-=-'-4.-,c-"",(fi""."""''.'.l'.··-··,.....,~i}=-1/----------------- <iful LDING ') D FOUNDATION 0 REINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING )ii.FRAME 0 EXTERIOR LATH 0 INSULATION • ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR 0 INTERIOR LATH OR DRYWALL \ D FINAL _jj ----v t □ FINAL I ,';J / '<j1/ PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL J MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: □MONDAY~~ □WEDNESDAY DA.M. ~ D THURSDAY D FRIDAY DP.M. SPECIAL INSTRUCTIONS _________________________ _ TIME-· ______ _ 'N""'--~--£--><----'--DATE: OWNER_~~11~~±'.!~~~~~~~±J---------- ADDRESS_,,__/.1,.._/-'q"----+1--.L/...L}o-"'-Lfa...:2-£1L.>-'%:.-""..L.....__ ________ _ / BUILDING [ll,{_J)l,IN DAT I ON ~EINFORCING STEEL 0 MASONRY 0 GROUT -GUNITE D FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME D EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER 0 FINAL READY FOR INSPECTION: ~ □TUESDAY DP.M. ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING D ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. 0 SMOKE DETECTOR □ FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL □WEDNESDAY D THURSDAY j?:cJil SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY,-~ PHONE NO. ~ PERSON TAKING REPORZ=-~=~--- \ ;;1~~~ v~· ~ 4)C0t, ~ 7: ~_/4/d/ Ci~ -AJ<A-A-~ ~~ REQUEST FOR INSPECTION 1NsPEcToR --( 0':<'."( PERMIT No. 'A0 -bt-{- TIMEc_· _q_,_:~~'-1...._ __ DATE:~1~-_f</_-fc~<>- owNER_·_---c'~~~~~b~_w~cn~th~1~;,....,-tf--~------ ADDRESS ___ m....,.t_Cf_C(~[(~~--a;\_•_f\._c,~\c(_-~0ad~-------- BUILDING D FOUNDATION L~J REINFORCING STEEL L-J MASONRY C GROUT -GUNITE 0 FLOOR AND CEILING FRAME ~:J SHEATHING yEJ:!AME <i;iQ, EXTERIOR LATH=:) 0 INSULATION «;B-INTERIO_R LATH D FINAL PLUMBING □ UNDERGROUND PLUMBING 0 UNDERGROUND WATER 0 ROUGH PLUMBING D TOP OUT PLUMBING D SEWER AND Pl/CO □ TUB OR SHOWER PAN D GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND □ ROUGH ELECTRIC 0 POOL BONDING □ ELECTRIC SERVICE D CEILING HEAT D G.F.1. 0 SMOKE DETECTOR □ FINAL MISCELLANEOUS 0 PLENUM AND DUCTS □ COMBUSTION AIR □ PATIO D SIGN D GRADING D DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL TUESDAY D WEDNESDAY D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS ___________________________ _ REQUESTED BY __ O~' .... l-'6~ _________ PH0NE NO. 'JJ:q-~ Cj:(, ) PERSON TAKING REPORT '?{Q ClU ~ f/ u/ /44f' tJ /4_ 7~ ~ • 7-1 .r-h L INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: PLANNING DEPARTMENT ZONE {C -1' DATE: RE C~E:a::-=1:-=-ocV-=-E =-o- JUN 001980 CITY OF. CARLSBAD Bulldlng Department LOT SIZE LOT WIDTH ------------------- UNITS ALLOWED UNITS PROVIDED ------------------------ PARKING SPACES REQUIRED PROVIDED ----------- % COVERAGE ALLOWED PROVIDED 'BUILDING HEIGHT ALLOWED __________ PROVIDED FRONT SETBACK: --?/'l I ALLOWED ~ PROVIDED 2~ 1 INTRUSIONS SIDE SETBACK: \0 LANDSCAPE & IRRIGATION PLAN COMMENTS: REAR SETBACK: z,o7 ENVIRONMENTAL PROTECTION REQ:~ _q~~-------------------- SClK)C)J. P£ES: S iT -it151JITIONAL CO P. P. PEBSt > OK TO ISSUE: _-¥--__ DATE(//7,LJ/eo TO FINAL ________ DATE ____ _ ENGINEERING R.O.W. IND IMPROVEMENTS --------------------- SEWER CONNECTION DRIVEWAY LOCATIONS --------------------- GRADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _ LEGAL DESCRIPTION"VAtJ:7Y'"~.#f -;-~~ti(L.J/j( ADDITIONAL COMMENfS~ P. P. FEBSs $ ----------------------- OK TO ISSUE:.YiC DATE C:,· ~LA) PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT ~~- SPRiliKLING SYSTEM FIRE PROTECTION EQUIP . ------------------- FIRE ALARMS EXITS _______________ _ FIRE HYDRANTS LOCATION ----------------~- ADD IT ION AL COMMENTS OK TO ISSUE: DATE OK TO FINAL DATE ----------------------- WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _