HomeMy WebLinkAbout1569 TAMARACK AVE; ; 85-836; Permit.,, z 0 ;::: t C a:: C ..
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_,8, I hereby affirm that I am licensed under
p,O\llalon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is in
~~I ~~rc!!'jjflgt. Cl•• _C3_
I hereby affirm lhil I am eJCempt !tom the Conrrac-tor' s L,cense Law !Of ttie 10110~,ng 1eason (Sec 7031 5
Bus1rtess ano Profess.ans eoc,e Anv city o, county wh,ct. re a:.tf!S a perrn,1 to construct. a1!er 1r.iprcwe. demohsh. or rl?p.w any structure prior to ,ts issuance also requires !heap·
0'1tcant tor such oerm11 10 hie a s1oned statemenl lhal he 1s
l:censed pursuant to !tie orov1st0ns of the t;omrac1or s License l•w {Chap!er 9 ~r,c1ng ¥r1lh SecltOn 7000 of ()fv,s,on 3 ot !he Bos,ness aflO Professt0ns Coce, or Iha! ,so
~pt thefelrom artd 1tte basis for 1~ a11ege0 exernplion Any
vl0la110n ol Section 7031.5 by an applicant for a perm11 suo· 1ects the aophcant to a c1v11 penally ot not more than lrve hun
dred d~ ars ,s5001
I, as OYwner ot the property, or my empioyees w•'.t\ wages
as therr so1e compensa110n w,n do lhe wDfk. and lhe struc-
lure ts no! intended °' ollered !or sale (Sec 7044 BuStness
and Protess,om. COOe The Con1ractor' s License Law does 001 apply to an 0\111,f'lef ot propeny who builds o, ,mproves
thereon and who does such WOOi: r,,mse11 or tnrough h,s own employees. provided that such improvements are not intend
ed or ollered tor sale II, however, the bu1!c1tng or 1mprove-
ment 1s SOid w1th,n one year o1 complet,oo. the owoer-ou•lder wi,n have the burden of proving ll'lal ht did nol b.i,ld or 1m• pcowe tOf tl'>.e purpose ot sa:eJ
..., I, as owner of the property, am exclusively contracMg wnh licensed contractors 10 construct the pro1ec1 (Sec 7044
Business and Prolessions Code The Conlractof's uce,se Llw does not app!y to an owner ot property who bu11ds Of ,m p,ovn lhefeon. and -who contracts tor each Pfotects w,th a contractor(s) lteense pursuant to lhe Contractor·s Lteense Law)
As a hoo'teowner I am improving my home. and the lolJooN ,ng concM)()flS ex,s1
1 The wonc: 1s being per1ormed prlOr to sate
2 I have hved in mi hOme tm IweIve months pnor to complehon o1 this work
1 have n~ clalfre(J lhIs exemption dunng !ht last three years
D I am exempl under Sec ______ • B & PC
for this reason _________ .,.... __ _
~I hereby afl,rm !hat I na-.,e a c,
to sell msure. or a cer11r,cAe ot Workers
Compensation Insurance or~ cer11t1eo coPv !hereof
(Sec 3800 Labo< Code)
POLICY NO 'IC621698048
coMPANY Maryland Casualty
J( Cooy 1s hied with the city
0 Cert,tied copy Is hereby lurn1she<J
USE BALL POINT PEN ONLY & PRESS HARO
CARLSBAD BUILDING DEPARTMENT
12DO Elm. Carlsbad. Cal1forn1a 92D08·1989 (619) 438·5525
JOB ADDRESS
1569 Tamarack Ave.
LOT BLOCI( ] SUBOI V•S ON
OWNE H'S NAMI
D.H. Crawford
AV ST RO. NEAREST CROSS ST
Highlarrl Dr. -I ASSESSOR PARCEL NO ..lo, 1 ~o '+ 51 Oo CONTRACTOR
Arlen Foster
coN-RAC·oR·s AOI RESS
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
l°A ;~ ;;;;~l;A Tl ON I 8177
VALUATION
CONTRACTORS PHONE•
697-4151
ZONE
)>€~IT N UMBER
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LICENSE NO PLAN 1.0. # BLOG use CODE I 729_o;;;;s PHONE
011'1,'\l p·s I\/IA NG ADDRESS 2819 Central Ave. S.V.92077 443348
1569 Tamarack Ave. 92008 DES GNER CfNSE " STANDARD PLAN• BUILDING SO FOOT AGE
OESCR•PT ON OF WORI(
OESIGNER·S ADDRESS OESIGNER·S PHONE
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Water heater replacarent u1r~1ess~e~ ro,oo! C
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CENSUS TRAC1 GP LANO USE PARl(ING SPACE RE S UNITS
QTY. PLUMBING PERMIT· ISSUE _7_._S_Q
EACH FIXTURE TRAP
EACH BUILDING SEWER
1 EACH WATER HEATER AND OR VENT 2.50
F,P F LR ELEV
v□ "□
GRADING PERMIT ISSUED REDEVELOPMENT AREA
YO ND ,□ .. o
QTY. MECHANICAL PERMIT · ISSUE
INSTALL FURN DUCTS iJP TD 100.000 BTU
OVER 100.000 BTU
BOILER COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM I TO 4 OUTLETS ~-·--ll--~ILER1COMPRESSOR 3 15 HP __,,,,,,,,,.
Nb
STORIES
TYPE
CONST
OCC GP EDU
OCC LOAD FIRE SPP
YO NO Not Val,d Unkss Machine Ctrtd1ed
SUMMARYMCCOUNTNUMBER
BUILDING PERMIT 01 ·00·00·8220
SIGN PERMIT 01·00·00·8221
PLAN CHECK 01 ·00·00·8806
TOTAL PLUMBING 01 ·00·00·8222 10.0
I I EACH GAS SYSTEM ~ OR M_O_R_E __ _
EACH INSTAl ALTER. REPAIR WAT ER PIPE
EACH VACUUM BREAKER
METAL FIREPLACE
MECH EXHAUST -t I ............... . ELECTRICAL 01·00·00·8223
MECHANICAL 01 ·00·00·8224
MOBILEHOME 01 ·00-00·8225
WATER SOFTNER RELOCATION gyiA FURNACE HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN I 'JSIDEI 7 SOLAR _fil:OO·OO:B22.6.
TDTt;L MEC HANICAL
TOTAL PLUMBINC. T 10.00 I-STRONG MOTION 80·92·33·0519 I-
FIRE SPRINKLERS 01·00·00·8227
QTY. ELECTRICAL PERMIT · ISSUE QTY. SOLAR · ISSUE
PUBLIC FACILITIES FEE 32·00·00·8930
BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE · DISTRICT
I PH 3 PH STORAGE TANKS Carlsbad 80·92·21·0519
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CERTIFICATl OF EXlMPTION FROM I EXIST BLDG EA AMP SWT BK R ~ WORKERS COMPENSATION INSURANCE
ROCK STORAGE Encinitas 80·92·22·0519 u:
(Th,s sec1ton need nol be completed 1f Ine permit I 1 PH 3 PUMP San 01egu110 80·92·23·0519 tS !or one hundred OOllars ($1001 or less\ I
0 I cen,ty 1nl1 1n the perto,mance 01 the ..,,o,,., to, I 1----i----------"c. PLAN CHECK FEE San Marcos 80·92· 24·0519 C Cl> Cl> wn,cn tl'l,s pem,11 1s issued I shall not empI0,. an.,. I
iti;~;e~Y~~~,sa~o~5 ~w~~~C!1.f~,~;:1 10 I t----1-------:r -------------+--------ll----+-----______________ _,_ ___ _
LICENSE TAX 01·00-00-8162 (3
NOTICE TC>APPLICANT ti atIe, malo.1n1 ll'\IS Cert,
tic.ate ot EAemp11on Y°'-' snoukJ t>ecome sun,ec1 ,.
the Wof'kers Compens.t1on prov,stans ot the L.l00f cooe you mus1 IC>f1h\o\,11n comply w11h such
prov,s,ons or ll'us permII shall be deemeo ,evoke<J
0 I hereby attum 1na1 !here •s a c.ons1ruc1,on
1ene,no agency 10, the performance ol 1he wor1t. 10, WhtCh lh•S pe-,m,1 ,s ,ssueo 1Sec 3097 c .... , Cooe,
l enoer s N.ime ;1/4'12S:,.
Lenoer s Address __________ _
MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELELlRICAl 1 fOTAl SOLAR TOTAL FEES PAYABLE I 10.00
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT" AND DO HEREBY Exp,rat,on Every permll ,ssued by the Building Q(ltc,al under lhe prov,s,ons or th,s * AN OSHA PERM:T lS REQUIRED FOR EXCAVATIONS OVER
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CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall exp,re by llm,tat,on •nd become null •nd vo,d If the buoldmg or work :;· o· DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS aulhor,zed by such perm,t ·snot commenced w,lh,n t80 days lrom th8 date of such STRUCTURES OVER 3 STORIES IN HEIGHT Cl>
ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON ~~~;;.,n°:o '!t':~ t~~•~-~:h:~~r:~tcO.:~~eit~~~~ rr;::;,i'~,•~w:aded or E
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND . APPROVED BY r 3:;
KEEP HARMLE·S· S THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~PPLIC S SIGN.ATURE lf-OWNE. RO CONTRACTORj2> /4 D:?
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ /) ...,;--/7 -· . ~ B [J /1/, .,,__/,
GRANTING oF THIS PEllMIT a"1'7V ~.::.-t., ~ v PHONE 1/ 1/ A
TYPE DATE INSPECTOR ...... -~
BUILDING I
I
FOUNDATION I FIELD INSPECTION RECORD I
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES I
INSPECTORS I
INSPECTION REQ IF DATE I CHECKED APPROVAL
FLOOR & CEILING SUB FRAME
SHEATHING D ROOF D SHEAR
FRAME
I • SOILS COMPLIANCE I PRIOR TO I FOUNDATION INSP I
EXTERIOR LA TH STRUCTURAL CONCRETE I
OVER 2000 PSI I
INSULATION I
INTERIOR LATH & DRYWALL
PRES TRESSED I CONCRETE I
POST TENSIONED I CONCRETE i
PLUMBING I FIELD WELDING I
SEWER AND BUCO D IPUCO
UNDERGROUND D WASTE D WATER
HIGH STRENGTH I
BOLTS I
'
TOP OUT D WASTE D WATER SPECIAL MASONRY I
TUB AND SHOWER PAN I
I
GAS TEST PILES CAISSONS I
D WATER HEATER D SOLAR WATER I
I
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' ELECTRICAL I
D ELECTRIC UNDERGROUND D UFFER I
ROUGH ELECTRIC I
I D ELECTRIC SERVICE D TEMPORARY I . .;
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING I
I r•
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
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CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE I I
ITEMS ABOVE HAVE BEEN APPROVED -FINAL /
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PLUMBING . ' ll½
ELECTRICAL \7 ~ ,)
MECHANICAL l I , ~ I /
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GAS ,v 7J I
' BUILDING \ I
SPECIAL CONDITIONS I ..... I
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