HomeMy WebLinkAbout1241 TAMARACK AVE; ; 81-432; Permitin z 0 j:: < ac: :s u w C
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0 I l\enllly affirm th■l I am licensed under
provlalona ot Chaple< 9 (commencing with
Section 7000) of OM!llon 3 of the Business
and Professions Code, and my license Is In
lull force and effect. Lie No _____ Class ~ -----r-
I he<et>y affirm that I am e,empl from the c6n-~:r~~= ~ ~.~.:~~~~~ county whteh requlfes a pennlt to construct
alter. 1mp,cwi, demofi5.h, or repaw any structure.
p,io< 10 ,ts ,ssuaoo. also requf,es 11\e applicant tor
suet, pem11t lo Ille • signed statement that he ,s
hcen$<1d pu<$Ua11I to lhe prov,s,ons 01 •he Con·
tractor·• Locense Law (Cl'lapte< 9 commencmg wrth
Seclion 7CO) of O1Y1s1on 3 of the Business and Pro· ,..._.ion, CodeJ or tl\al ,s e,empt therefrom ana I.he
bas" tor Ille alleQed e•emp11on ,-ny v,olation of
Secuon 70315 by an apphcant tor a perm,! .subjeets tne apptlcllnl lo a Cml penalty of not more lhan hve
hundled dollar$~
0 I, as owner of the property, or my employees
..,Jlh wages JS their sore compensa.hon. will do the WOii<, and the slruclure ,. nol tn1eooed or ottered for
~• (Se<: 7~. Business and Profess,or,s Code
The Contractor's Locense uw does not apoly 10 an -of property who builds or improve,; thereon and who does suer, WOOl h1msetl or through hIs own
e-mpto)'ee'S. provtded that such ,mproveme:its are
not ,nte<lde1 or oll"'ed lor sate II, --· ltle tM.ul<hng or 1mprovemen1 1s sold w1th1n one ye.ai, of
comp~hon, the owner-OUllder w;II have. the burden
of proy1ng lhal he dtd not t,u1kt OJ improve fOf the putp05e or sale!
□ I. .as owner of the property am exclusrvety conlractinsa w1tt1 hCensed cor,~tors to construe.I
the P(Of&CT {Sec 70U. Business and Ptotess,ons Code The Contractor·• license u w does no• aoply
10 an owner of property who bu1k:Jis Of improves ~=,:: 7.:nc:~~!~~~ ~~~h~,~~~~:~-: ~ense I,
0 lamnemplunOerSec ___ .B &PC
lor 1n,s re.-aSOfl
□ I '1eret,y afhtm tnat I ha.re .a ce<t1tfC.8te of consen1
10 self•1nsure, o, a cenihcate ot Workers Compen$iihon Insurance. or a cer1i11ed copy thereof
jSec. 3800. Labo< COOe)
POLICY NO -----~
COMPANY ~~
~y IS lded wtl" IM crly ~
D Cert1f1ed copy ,s he-,eby lurn•shed
CEATlflCATtc OF EXE"'IFTtON FROM WORM.ERS' COMPENSATION INSURANCE
(This sechon need not be completed ii the perm,1
ts tor one hundred dollars fS HXlJ or lessJ
0 I cen,fy INI ,n the pertormar><:e of the woo to,
wh,ch l.h,s penn,1 ,s ,ssued, I shall no1 employ any
person m any m~nner so as 10 become sub1ec1 10
the WQ('kers· Compensation Laws ot Calltomla
NOTICE TO APPLICANT If, ofter malutq 11\•S Ce'1•
1tca.1e of Exempuon. you ~hould become subJect 1?
I.he Wof11.ers' Compenwtt0n p,o...1sf0R$ ol the~ Code. you must torthwilh comP'y with such
prov1s,ons or th,s perrrut sl'\all be deemed re\'Ok.ed
O I hereby alfirrn lr'lal there 1s a construc11on Ien0,ng agency tor Ihe perlo,mance o, the wolil. tor
wn,cn 1h,s penNt 15 issued (Sec 3097. C1v1I ~)
lender sName __________ _
Le-noer 5 AOCfres.s _________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT ~ FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBA BUILDING DEPARTMENT
1200 Elm, Carlsbad, Callfomla 92008 (714) 438-5525
JOB ADDRESS ------Iv</.., ' I ArN""\ A...12 ~ I/
OWNER"S NAME OWNER'S PHONE PRIME CO TRACTOR
(Y\ ( _j. ~\
""1 ; .;2o ~ :::u,. , O ;)_O c) , \
A.,_.r'LICATION & PERMIT
BUSINESS LICENSE It z. ==y ,--. ,.-(
CONTRACTORS PHONE •
r LICENSE NO.
~., ,,_; .....,. k . ..., L +-
STATE LICENSE "
G~L~¾
ZONE
PLitwv
STANDARD PLAN #
PERMIT NUMBER
~l--1}3L-~
SLOG USE CODE
LOT I BLOCt<. I SUBOIV1!10~ I ASSESSOR PARCEL NO. • DESIGNER ~
1-:o=-=e~~·~,':-:: itP-=:T.!.:-=-ON:-:--::-:OF=-~.-::~fil(~-.t,~....,-...,,.,. { .J~•:....· =--=...t._,,.--...;;..,:411("'..,;,Ac:::::f<:..J......_;::__: s=--=;__L_' _ _/,----II \"•, r j } " ;-, \, u O ( .t"-8
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BOrmFrGE
v□ NO
STORIES
TYPE
CONST
OCC LOAD FIRE SPA ceNsus TRACT I GP LAND usE I PARKING SPACE I RES UNITS I GRADING ~ERMIT ISSUED
YO ND
I REDEVELOPMENT
AREA
•□ ... o Nor Vah·d Un/t!ss Machint ~rrifit:d
QT/-PLUMBING PERMIT· ISSUE QTY. MECHANICAL PERMIT -ISSUE
fO EACH FIXTURE TRAP ( INSTALL FURN. DUCTS UP TO 100.000 BTU
I EACH BUILDING SEWER OVER 100,000 BTU -I EACH WATERrlEATER ANO/OR VENT -•.L1(') BOILER/COMPRESSOR UP TO 3 HP
) EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE
EACH INSTAl., ALTER, REPAIR WATER PIPE -------------+----------~--/ VENT FAN SINGLE DUCT
EACH VACUUM BREAKER MECH EX HAUST -HOOD /DUCTS --------+-------+----+---WATER SOFTNER REL O CA Tl ON OF EA FURNACE/HEATER
v--
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERM IT _ . 1/ ri I
PLAN CHECK "21, -rd , 11 II?! 'ii 1
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
I I _,_
l'l-
----------+-------11----+---------------------t--------Jt--------------------+-----------< EACH ROOF DRAIN (INSIDE) SOLAR t I _
TOTJ.L MECHANICAL STRONG MOTION t..r, L.f-S -TOT AL PLUMBING I FIRE SPRINKLERS
QTY. ELECTRICAL PERMIT -ISSUE ,,::'] A-QTY. SOLAR -ISSUE d~u,,
PUBLIC FACILITIES FEE
BRIDGE FEE
NEW CONST EA AMP/SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PK-) STORAGE TAN KS Carlsbad
EXIST BLOG EA AMP/SWT/BKR < ROCK STORAGE Encinitas
1 PH 3 PH' __,..-PUMP San D1eguito
REMODE L/ALTER PER CIRCUIT ., ( . -PLAN CH.ECK FEE San Marcos
TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI
lOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I
I HAVE CAREFULL V EXAMINED THE COMPLETED APPLICATION A~O PERMIT ANO 00 HEREBY Exp<rallon Every permtl t..ued by 1h418u~dtng Off•clal under ll>e prov,1,ons ot11,,s
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hmrtatoon end become null and vo,d II tt>e bu1ld1n9 or work authorized by suefl permit Is no1 commenced within 180 days from the date of such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit ot 11 th■ bulldtng or wort,. authonied by such permit 11 sllapended or
ISSUED: TO COMPLY WITH ALL CITY, COUNTY ANO STATE LAWS GOVERNING BUILDING CON abandOned al any tuna aft., tt1e -n, 11 -.;ed tor a oenod of 1Ri'I dav•
* AN 06HA PERMIT IS AE0UIRED FOR EXCAVATIONS OYER
~• 0" DEEP ANO O£M0UTION 01'1 CONSTmJCTION OF
STRUCl\lflES 0YEA 3 STOfflES IN HEIGHT
~~~C:l~!~~~~~RC~Eg~~fR~::~t A~~r~~~ Allt1t~s~~~~;_:~~~~~~~E~:rr :~g . ~~II r AT RE Jf. ft rn / um.ERO CONTRACTOtJ$,.. APPROVED BY
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE/'J(,.._ __ ~--"' ,tf r ~ ·
GRANTING OF THIS PERMIT '\ • ....-• _-.,; av PHONE O 1-.
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INSPECTION TYPE DATE INSPECT DR
BUILDING I ltw. )
FOUNDATION t\ \ '21'1 .,JW
' -REINFORCED STEEL I
I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME
SHEATHING I
FRAME I
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL 1,1,, {().,Rf P..A--
PLUMBING
. . w V
SEWER AND BL/CO I
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A
G. F. I. -SMOKE DETECTOR.
MECHANICAL I
DUCT & PLEM., REF. PIPING
HEAT-AIR COND. -SOLAR SYSTEMS --VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBIN'G
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED
X'}-lf~:l_
_.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE --CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO
FOU OATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI -
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONR'(
I
PILES CAISSONS
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-
INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT DATE, ECEIVEn
BUILDING ADDRESS: ocr1 :J 1981
CiTy OF
Bufh11ng i4R4seAo
PLANNING DEPARTMENT ent
. ZONE _ __.rz..~~__,LI _____ LOT SIZE ________ LOT WIDTH ________ _
UNITS ALLOWED ___________ UNITS PROVIDED ___________ _
PARKING SPACES REQUIRED GlG PROVIDED ___ fiA~JL-¥-=:------
% COVERAGE ALLOWED Dt~ PROVIDED u r ______ ,._______ -------IL-------
B U IL DING HEIGHT ALLOWED PROVIDED ----------
FRONT SETBACK: SIDE SETBACK: REAR SETBACK:
ALLOWED PROVIDED====o=:u=✓=====
INTRUSIONS ~ -----
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMMENTS; -'-tJ-l~A--=------------------------
ENGINEERING DEPARTMENT ~ ,c,jll ~p},.r,)
.R.o.w. _____ INDUSTRIAL WASTE~ ___ l ____ IMPROVEMENTS ______ _
SEWER CONNECTION DRIVEWAY LOCATIONS -------------------
GkADING PERMIT _______ EASEMENTS _________ DRAINAGE ____ _
LEGAL DES CR IP TI ON ___ ~~=-----1.fo: _ _....c,2, ____ ~~bf--6----==-cC-FF--,~/""-o_L---'''-----i..--_______ _
ADDITIONAL COMMitYTS 1
OK TO ISSUE-'\ UiI; DATE/(J_J/15wr OK TO FINAL ___ DATE __ _ V I Lj ----
FIRE DEPARTMENT
SPRI~KLING SYSTEM ___________ FIRE PROTECTION EQUIP. ______ _
FIRE ALARMS EXITS _______________ _
FIRE HYDRANTS LOCATION _________________ _
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE -----------------------
WATER DEPARTMENT
REQ~IREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE _______ _
I '
Prepared bys □ Bldg. Dept.
vGZ VALUATION AND PLAN CHECK FEE
PLAN CHECK NO. P/3'$ -2.,
BUILDING ADDRESS /;:2 '-:I/ 7F1-r7?,II H
APPLICANT/CONTACT ,8::;..;..,IJ.;.:...._;;.tu,=~t..L.L..!~,....;_::~
BUILDING OCCUPANCY _______ DESIGNER PHONE 7,.:29.37~5-
TYPE OF CONSTRUCTION ------===~ CONTRACTOR PHONE ""'
BUILDING PORTION BUILDING AREA 'VALUATION VALUE
MULTIPLIER
~/l/1Y1q /Sa::} q; ~ b~.s.;c;,
7
-.
Air Conditionin~
Commercial
Residential
Fire Sprinklers
Total Value 6J'S~ ~ I
:::7 _,., r ~ Building Permit Fee _____ ;;,;_,~_:;;;, ________ _
Plan Check Fee :i-11 . .:i..~----------------
COMMENTS: _________________________ _
1200 ELM AVENUE
CAALSBAD, CALIFORNIA 92008 Building Department
Qtitp of <tI:arlsflab
RESIIDITIAL ENERGY DESIGN CERTIFICATION
TELEPHONE:
(714) 729-1181
Permit No. ig·l ~ 3z_
Issue Date. ID/ '2€.> /f5,
. CERTIFICA1E .OF .ca~LIN.KE WIJH aJERG¥ COUSERVAIION DESJGU 8EQUIHEM8ffS
CONTAINED IN ARTICLE 1, PART 6, TITI£ 24, CALIFORNIA AU-1. UIDE
A ... c/ )_:,.. hereby certify that· I am fami"lia~
with the state ~nergy _cons~rvation standards ·mandated in
. . . .•· CAC Title 24, Section T20-1401 through T20~1406, and that the
· plans and other .documents submitted in support of the app~ication
,.
for a building permit at
Address ·
. ~~ :tt !--~v p _ tO'Zb'f-\tr(~f Cc ·1 .Assessor's Parcel Na\. --------=o=-a..,..t-ed ___________ _
comply with. all current requirements of these regulations.
. \
:Signature I ___ _,__....,. ____ ~ __ _...,__.:;._ ______ __, ..
T.i t 1.e:..._.-=--~~~-=---:--~:a...L,~~:::.c~~..,.--,,L!-.--2.::E""~-:::..:.,::::.::LJ,~~e....::v~·--· Architect, Enginee
. State License or Certificate No. ___ ~...;..;...< _-..... \_·_'7f-t__,,,,jB"""'(l_0_4-____ •
Date ___ l0_,__/_'1----'-7 ....... {-=,.~ ....... \_· __ •
Submit to the Building Department with permit application.
. t·
Form 78-101