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HomeMy WebLinkAbout1199 TAMARACK AVE; ; 81-123; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi• 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 Ille a signed state- ment that he is licensed pursuant to the provi- sions 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 civil penalty of not more than five hundred dollars ($500). □ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or of- fered for sale (Sec. 70-44, 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. II, 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. 70-44, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property -.•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 reaso,~------------ Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate or con- sent to self-Insure, o, a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO ____________ _ COMPANY ___________ _ □Copy Is filed 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 lr;dor one hundred dollars ($1!JO) or less). I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In an) manner so as to become subject to the Workers' Compensation Laws of California. NOTiCE TO .,.PPUCANT: II, after making this Cer- tificate of Exemption, you should become subject to the Workels' Compensation provisions of the Labor Code, you must forthwith comply with such PfOvlslons or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len• C ITY OF C ARL SBAD-BUILDIN G DEPARTME N T USE BALL POINT PEN ONLY HO. t ,l ~ OWNER OWN CENSUS TRACT eLDG USE UTY. PLUMBING PERMIT EACH FIXTURE TRAP EACH BUILDING SEWER APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 AV, ST. RD 2, "1G RESS \~l 4, ((br~\(6 M~ APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. OESIGNER•s PHONE PERMIT NUMBER ~/-/1, '3 l./16/81~76~ 0001i769'-4/l6/8l • -! ..... ,.,-_·,. ,,. t,·- NG SPACE NUMBER OF STORIES Not V•lid Unlllss Machin, Cartifi«I occ. GP I STANDARD PLAN II PLAN ID II ?L-1:D TYPE CONST OCC. LOAD AMT. QTY. MECHANICAL PERMIT AMT. INSTALL FURN. DUCTS UP TO 100,000 BTU OVER 100,000 BTU BOILER/COMPRESSOR UP TO 3 HP ge.ci_ J 98iC'I BOILER/COMPRESSOR 3-15 HP BOILER/COMPRESSOR 16-30 HP VENT FAN SINGLE DUCT .,_ .,.. 17 1"2.--{) 4.- EA WATER SOFTNER 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 POLE 200 AMPS OVER 200 AMPS TEMP OCCUPANCY (30 DAYS) TOTAL ELECTRICAL CONTRACTOR MECH EXHAUST -HOOD/DUCTS RELOCATION OF EA FURNACE/HEATER ~ _.J . TOTAL MECHANICAL CONTRACTOR AMT. QTY. MOBILE HOME PERMIT AMT. AWNING PORCH SET-UP RAMADA, CABANA FENCE OVER 6' TOTAL MOBILE HOME oO _,,, I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO HEREBY CERTIFY THAT ALL INFORMATION HEREON rs TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT rs ISSUED; TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM- LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE ·AN OSHA PERMIT rs REQUIRED FOR EXCAVATIONS O 5'-0" OF THE GRANTING OF THIS PERMIT. SIGN PERMIT TOTAL PLUMBING ELECTRICAL MECHANICAL MOBILE HOME SOLAR OWNER□ CONTRACTOR□ b.t::i:NT n av DUl"\"-I C n 'J ! ~ ~ ~ j::: ~ Q. V) ?;; BP . TLi.:1 SITE l · 8 1-i-;P-;> ADDRESS: " OWNER: P ERMIT NO: ' ¢ {' \ FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR"s NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK • TOILET UNDER FLOOR PLUMBING ,\ ., ~ . C : C . UNDER FL OOR HEATING· •;•• :, J '1 ~ ; .... ·oK TO INSTALL SUB FLOOR , -~--I .. I·' ' , ~ _i. -,,, . ' , . • SLAB FLOOR ·' UNDER SLAB PLUMBING .. FOOT! NG • FORMS• SETBACK • TOILET < ~ I OK TO POUR CONCRETE i .• ' -,, .. FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING '' . ' FRAME OK • PLACE INSULATION -...... INSUL'..ATION OK • PLACE WALLBOARD WALLB.OARci OK • PLACE TAPE 'i -., EXTERIO"R L ATH OK• PLACE STUCCO •' FIREPLACE -_.:., ...... _, .:.:. ' ... _ .,· :.•· .,_j. - DAMPER &STEEL \ ~ -PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER (POLE) SEWER GAS TEST ' SWIM POOL • STEEL BONDING •. • PRE DECK ~ ... ._ ,, '· • FENCE PREPLASTER - SHOWN o, FRAME . -,.. -' a • PAN 'i,;, ~ FINAL INSP BY BLDG DEPT /1 A - OTHER DEPT'S REQ COMPLETED ,.h I I\ I/ ~I/., ' ELEC METER-PERM-TEMP I ;-y h I A J.Y ' G AS METER-PERM-T EMP J a;. '•, , 1/Vt'-\ .. I •. l/ • : ! '~\ _/~~·: l"l' •• f CERT OF OCCUPANCY ISSUED ,, ' .• "' - , ,c;UUt:ST FJ)R INSPECTION TIMEc_• -~-- INSPECTO:--. ---,1'-"'nf'-'--A---· -✓----PERMIT NO, _______ DATE:-~_3-<f._,#L~--- OWNER _______ --:cc----------,----------------- ADDRESS #~? ~ g 0 REINFORCING STEEL 0 MASONRY 0 GROUT· GUNITE D FLOOR AND CEILING FRAME 0 SHEATHING 0 FRAME 0 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 D SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY ,!{:.-~.~ ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT D G.F.1. 0 SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTION AIR 0 PATIO D SIGN 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL □WEDNESDAY □THURSDAY RIDAY SPECIAL INSTRUCTIONS __ _,_~=-"-"=-----~----------------- REQUESTED BY /cf.,,2L ~ PHONE NO 7.?-~J3 73 ' ' PERSON TAKING REPORT LM > nt:.UUEST FOR INSPECTION INSPECTOR • -~ PERMIT NO.fi.,.,/Y 3 OWNER _______________________________ _ ADDRESS BUILDING D FOUNDATION D REINFORCING STEEL 0 MASONRY D GROUT -GUNITE 0 FLOOR AND CEILING FRAME 0 SHEATHING ~FRAME 0 EXTERIOR LATH 0 INSULATION 0 INTERIOR LATH OR DRYWALL D FINAL \ PLUMBING ') -. ----□ UNDERGROUND PLUMBING D UNDERGROUND WATER '©OUGH PLUMBING /□ TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST 0 WATER HEATER D FINAL ELECTRICAi! 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND ~OUGH ELECTRIC 0 POOL BONDING 0 ELECTRIC SERVICE 0 CEILING HEAT 0 G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS 0 COMBUSTIO~A D PATIO // ~ □SIGN /~, 0 GRADING 0 DRIVEWAY 0 CONDITIONED AIR SYSTEMS 0 REFER PIPING D FINAL READY FOR INSPECTION: D MONDAY D TUESDAY DA.M. □THURSDAY □FRIDAY 0P.M. SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY 4 ,.J/ ...__,.. J,I'~ PHONE NO. »J:Ji!!i( J,...- PERSON TAKING REPORT• ' ev--f ~ 4/-? ,<u ~ • • ~ ~ a1c.,?,~~ _,/41~ Kt:UUEST FOR INSPECTION TIME: -7:-yc,, INSPECTOR /2,✓-c. ,-PERMIT NO. <(/-/·-:2--~DATE:;;, -Y-?/' ---_7 ... ~~~,-.+-------~----! OWNER _______________________________ _ BUILDING □ FOUNDATION 0 REINFORCING STEEL 0 MASONRY □ GROUT -GUNITE □ FLOOR AND CEILING FRAME □ SHEATHING 0 FRAME .~EXTERIOR LATH i;:i,1NSU LA TION , □ INTERIOR LATH OR DRYWALL D FINAL PLUMBING 0 UNDERGROUND PLUMBING 0 UNDERGROUND WATER □ ROUGH PLUMBING 0 TOP OUT PLUMBING □ SEWER AND PL/CO □ TUB OR SHOWER PAN □ GAS TEST □ WATER HEATER D FINAL READY FOR INSPECTION· DMONDAJY □TUESDAY DA.M. ~~ ELECTRICAL □ TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND 0 ROUGH ELECTRIC 0 POOL BONDING □ ELECTRIC SERVICE D CEILING HEAT D G.F.1. □ SMOKE DETECTOR D FINAL MISCELLANEOUS 0 PLENUM AND DUCTS □ COMBUSTION AIR 0 PATIO 0 SIGN 0 GRADING □ DRIVEWAY □ CONDITIONED AIR SYSTEMS □ REFER PIPING D FINAL □WEDNESDAY D THURSDAY D FRIDAY SPECIAL INSTRUCTIONS _________________________ _ REQUESTED BY _________________ PHONE NO. _______ _ PERSON TAKING REPORT _______ _ dt 01c ..,.. ~ r1 'o/µJ!f . : C-r--/:;' REQUEST FOR INSPECTION ....----TIME:_·--.'"'--/_,_,·..:,_ . ...:,:.c__ __ INSPECTOR. ·· ~y ~ 7 ✓ (7_/:2-, PE RM IT NO,__._f.L/-.,_, __ .,_ __ -=.._)DA TE: OWNER _________________________________ _ BUILDING 0 FOUNDATION 0 REINFORCING STEEL D MASONRY D GROUT -GUNITE D FLOOR AND CEILING FRAME D SHEATHING 0 FRAME D EXTERIOR LATH D INSULATION 0 INTERIOR LATH 0 D FINAL PLUMBING DRYWALL D UNDERGROUND PLUMBING D UNDERGROUND WATER D ROUGH PLUMBING 0 TOP OUT PLUMBING 0 SEWER AND PL/CO 0 TUB OR SHOWER PAN 0 GAS TEST D WATER HEATER D FINAL READY FOR INSPECTION: ELECTRICAL 0 TEMPORARY SERVICE 0 ELECTRIC UNDERGROUND D ROUGH ELECTRIC D POOL BONDING D ELECTRIC SERVICE D CEILING HEAT D G.F.1. D SMOKE DETECTOR D FINAL MISCELLANEOUS D PLENUM AND DUCTS D COMBUSTION AIR 0 PATIO 0 SIGN D GRADING D DRIVEWAY D CONDITIONED AIR SYSTEMS D REFER PIPING D FINAL □THURSDAY D FRIDAY SPECIAL INSTRUCTIONS ___________________________ _ PHONE NO .. ___ ..,:,.--=~+---~- PE RSON TAKING REPORT __ .;,.r.2 _ _.:,.....---'---- .. / INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT BUILDING ADDRESS: //ff~ DATE: ___ ........,..........,~.....,...,..._ __ MAR 3 0 1981 CITY OF CARLSBAD Bulldlng Department PLANNING DEPARTMENT t ZONE __ ~{&_-...... \ ___ ~\LOT s I ZE ________ LOT WI DTH. __ ,µ.D.1-1.____ ____ _ UNITS ALLOWED ___________ UNITS PROVIDED ___ __,,__ _______ _ PARKING SPACES REQUIRED PROVIDED_~~~,_,_ ______ _ % COVERAGE ALLOWED ----~--+;c~~~,6,;.-______ PROVIDED ---,~~i,"~~•~,------- BUILDING HEIGHT ALLOWED 33' PROVIDED -~ FRONT SETBACK:• ALLOWED ~Q PROVIDED ;1' lt INTRUSIONS / ,- LANDS CAPE & IRRIGATION PLAN SlDEJOETBACK: REAR SE~~CK: ;§-jt: COMMENTS: -+'N"'--f\ ...... e __________ _ ENVIRONMENTAL PROTECTION REQ: ~N~o~f-~fl.©>=-=~~~~------------- OK TO FINAL DA TE ------------- ENGINEERING DEPARTMENT R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ , SEWER CONNECTION $D().S DRIVEWAY LOCATIONS ___________ _ GRADING PERMIT ---~----EASEMENTS DRAINAGE n -------------- LEGAL DESCRIPTION /?a-uu.1 I;( & /IJ2..b&- ADDITIONAL COMMENTS _____ tJ _____________________ _ FIRE DEPARTMENT SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. ------------------- FIRE ALARJl!S EXITS _______________ _ FIRE HYDRANTS LOCATION _________________ _ ADDITIONAL COMMENTS OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ___ _ '============================================================================== WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _ • BN FORM 116 JUN 1 6 1981 BIA FORM 1,ao ITV OF c LSBAD INS U l AT ION C . '. TI FICA TIO N Buildi.w . ~211L . f 'th th I . (C ,., • Ad .. 1n1s 1s to ce try'tnat, m con onnance w, e current energy regu at1ons a I om,a mm1s- trative Code, ntte 25, State of California*) and approved plans, insulation has been installed in the building located at: Carl sbad San Die ';O City 1199 Tama r ac k Slr'NC Ne. (II An1l1i111l 1.41 ,...,,,.., Trod 111. DESCRIPTION OF INSTALLATION ROOFS Txpe of Material ________ _ Manufacturer __ _ ____ Thicknes ___ R Value•• ___ _ (Or r,.., llomel EXnRIOR WAL~ibe r-l ass J -i. '"\l n 11 Type of Material, _________ Manufacturer,'--_______ _,_.ThidnesY-~2.._._R Value••- 1or Tro•• llomel CEILINGS IATTS: f i ber l a ss Type of Material , , '-• J 61" Manufacturer ___ -_1_·-____ Thickness ;, Sq. Ft Coverl'd -~ 19 :or T,..,, 11,-1 SLOWN: Type of Material, __________ Manufacturer ________ ...Thickne_u ___ No. ears __ _ co, Tro" ,.,_, Wt/Ba,.,i-, ___ Sq. Ft. Covere, _____ R Value .. __ ROORS Type of Material, _________ Manufacturer ________ Thicknes. ____ R Value••-- 10r TIMI""""' SUI ON GRADI Type of Materia._ _________ Manufacturer ________ Thicknes, ____ R Value•• __ co, Troff No""I 'Nidth of Insulation lnciles FOUNDATION WALLS (If required) Type of Material_________ "1anufacturer ________ Thicknes,.._ ___ R Value••-- 10, T'"o 11•""1 REMARKS (If desired) __ General Contractor (Builder,_ _______________ !..icense Number __________ _ By ________________ ntt.._ __________ _ Oat.._ _______ _ __ S_an-'-'--'M..;...ar.c=...::;C....;;0...:S:_I=n=s"-'ul=a=t..:.=i-"o .... n..___ License Number !-8 a o 12 !St•• "SAIi[" if -• 11 ~I c-, 1 •C•IUe,ftie .A_,.i11htretf•• Cede. !t1t.,..y httwletfM Staft~I, 4-ci•rett "C.-•tle111ce. u, .. c.-.,.,,.,. •' ffil• ;,.,,.llatl-ef i11e11tllltf•. • c.H cwttfyifte lfl•t rM iN,wte'4efl '-•• lteefl i11,.,..IM 111 c.e-.f~ wHlrl rtl• ,._.;,_..,_ .. f1f ,._... ,._•f•ri•t ,MIi M c.e,,-...... ..-4 eMCVfM Ir, ,.. i11111leri ...... uc:.tw 1H tt, ttte hllW. n 1, huutetiefl C9411t•Uet1re ,_.. •'-•fl M ...... et• Uftt.iatMlt lec■tf• wlf'tll11 PM 4 ... 11"9,''J ( .. I Voh,e it .,_ IIJtMture ef the rethteMa ef • ,. • ._ ... .., b•U41ffttl , .. .....,., te ,.._ ,. ..... ef ...... rJ.e ,..,.,_,.. •ef• (II_, ..... ,-, il'tttlflotieAI 1111 .. I lMf i11cttfN ...-, ••f• fw ,_,.ecfi•e #wci"'9.J Date June 1 .-39 81 ua1" ,._ s.c. 1Hn ., "'-""'"' ..... s.,..., c:.. ., '"-s1o,. ., c-;,.,,.,., ...... tenffltC9te .. KnllMflci, ., thflilff cwti,.ml• 'Mt ..... ,, , .... 1tn,ctN ,. ... ,. ,...,.., • .,.n,_.... "...... tti.... • ....., ,..i~•• ilwelli,._ It h-e9it•·I• thell M i11vM It,. 1ri.dl • bi•ildifll de...,,rtt•t wnl•u ,_ ttr•Cf11tf'9 ., 1 .. ,, ••tltftet ltt• ,wlltt•w• ~, i, .. uletl.-. ,,... • .,,., ••laitlhiteiilf ,.,,,.,.,., te ffllt dteot•. '' Form 116 -: BUILDING NEWS, INC., 3055 Ovtrfffll Ave .. Los Angeles, C~lif. 900J4-J21Jl 870-9871 . .. form 14~~ BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC., 1571 Beverly Blvd., Los Angetts. Calif. 9002µ2131625-5771 ( .· ,·. ' - -~~- . . ... i.·::> [LIA AVENUE CAntsr,1,1>, C:/,Lll'OIINIA !)2J03 RESIDENTI1\L V1\LUATION CHART Living Area. ______________ 3__,_(_.C,,;:;:_ __ x ~~,,~ · IP -Ga~.ed2u:ruf~ /;).f X X Covered Porch -----------------------~ Covered Patio --------------------------X Balconies X Each Bathroom over·3 X Each F ireplac e over 2 _. ________________ _ X Retaining l'lalJ.s · X Air ~oi'idi tioning _____________________ _ x · 4.00 4.00 6.50 1,900.00 1·, soo. 00 TClt:PIIONf:: (7M} 7W-11D1 - 'l'otal Valuation_-'------------------------~ .. • .. Plan Check Fee (SO ~ ·of bldg. perniit fee Conc1orniniums"6S%) .- . . • .. rorr.t \',illl,rmm $1.0~ lo $::i00.00 ~!jC,l,Q(J lo ~2.000.00 Total fees $5.00 .. $5.CO for th first $:i00.00 pltl~ $1.00 for r.:u:h :1,lllitional. SJOn.r,:, c,r (r:-.c- lion tlic:rrc,f, lo ~ml inchulin;: ~2.00:> . 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