HomeMy WebLinkAbout1589 TAMARACK AVE; ; 83-327; Permiten z 0 ~ a: ~ 0 w Cl
,r: r:v(" hereby affirm that I am licensed under
o [ ~vi1ion1 of Chapter 9 (commencing with
~ Section 7000) of Olvlelon 3 of the Business ◄ and Profe11lons Code, and my license Is In
~ full force and eff!Cl, t)-/ z Loe No ~L/--Cl•ss
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I herel>y affirm I/lat I am exempt from the Contra<:·
tor's License Law for the following reason (Se<:. 7031.5 Business and Professoons Code. Any city or coonty whlcll re-
qwes • penrut to a>nstruct, alto,. Improve. demolish, or repair any structure. pnor to its issuance ~so requires the ap--
phcant for such pe,mrt to hie a Signed statement that he Is licensed pursuant to the prOYlsions of the Contractor's License Law (Chapter 9 commencing wilh Sec1ion 7000 of
llMsoon 3 of lhe Sus,ness and Professions Code) or that Is ex·
empt therefrom and the basis tor the alleged exemptoon. Any Y!Olalion of Se<:toon 7031.5 by an applicant for a permit sub-
jects the applicant 10 a cMI penalty of not more than five hun-dred dollars ($500)
0 I. as owne, of lhe prOl)efly, or my employees with wages
as !heir sole compensation, will do the work. and the struc-ture is not intended or offered for sale (Sec. 7044, Business
•nd ProfesSIOOs Colle; The Contractor"s License Law dOes
not apply to an owner of property who builds or improves
thereon and who does such work homsen or lhrough his own
employees, provided that such Improvements are not Intend· ed or offered for sale 11. howevtf, the building or improve-
ment rs sold wrthon one year ol cOffl!)lelJon, the owner-builder WIii have the burden ol pra,nng that he did not buikl or im•
prove for the purpose of safe).
0 I. as owner ol the property, am excfuSMtly contracting
with licensed contnctors to construct the prllfetl (Sec 7044, 8uStness and Professions Code The Contractor's License
Law does not apply to an owner of property who builds or Im· proves thereon. and who contracts for each projects with a contractor(s) license pursuant to the Contra<:tor's License Law).
0 As a homeowner I am improving my roome, and the follow· Ing condotoons exist: t lt:"' ~ ~ .:1: r..'°' ~le months
3. r':.1.° ':'pc~~of :,•: :'!ption during the last three years.
0 I am exempt under Sec.------, B & P.C. tor this reason
r-/. hereby affirm tha1 I ha't'e a cer11ftcate ot consent
~~~If-insure. or a cen1t1ca1e ot Workers·
Compensatt<>n Insurance. Of a cert,hed CoPY thereof
!Sec 3800. u bo< Code>
POLICY NO ~ }>C'fte,,C.---
COMPANY 6 'ie_,n_/>p
~ Copy 1S ftl th lhe city
0 Cenihed c y ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This HCltOO need not be completed 11 the perm11
,s fOf one huncted ~lats (S 100) o, less}
0 I certify that ,n lhe pert0<mance ot wOOl for wtuctl lhlS pemut IS ISSuec:1, I shall n e1_7tploy any
~son 1n any fT\¥\ner so as to sub1ect 10
the WM.ers· Compensation Uw t Cahtorn,a
fer malon; this Cen,.
______ ._ -~-_ ,-~-_1.11d t>ecome subJect t?
the WOOle<s' Compen~t P,OVISK>nS of the ubot
Wtlh comply Wllh sucn 111 shall be oeemed revoked
0 I hefet{y affirm lhal th~re, a construction lending ~ncy tor the perl()f e ol the w()(l,I. tor
wtuch this permit 15 issued 3097, C1v1I Code)
I USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
--------------JOB ADDRESS
/5c?7 Lomn'£//cL
AV,ST.IOATE OF Al't'LICATION
RO. '7--29-fY
BUSII\IESS LICEI\ISE #
j,/4_
VALUATION PERMIT NUMBER
/ 3.50,
OWNER'S NAME ------
C . <-:;-,4 !I ~J.J½.-R.S 1 OWIIIE R'S PHONE
7Z-t/-9s77
CONTRACTYR ;:_ -5, H A"'--s~IL
~CTORS PHONE t
CotJ'],---1 <J35' 1771
ZON ·J-J27
OWNER'S MAILING ADDRESS
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CONTRACTOR'S ADDRESS
13--z:?--Bf-1L -!i!;,--7'"/~
LICENSE NO.
I&-/ "3Zh:Jl1
I BLOG USE COOE PLAN L O.#
--~----.-::;-:--;-:::-::::-;-;;-;:~;;-----r.,.,:ssssiEE!SIBSOORRFP',\ARRCciEEiL:JNNiOi DESIGNER
LO • BLOCK SUBDIVISION .;lo-i I ~o S'O 0v l..1.~~ I,~✓~·~-<;,~. ~5~L,~~~/)~_,::_ ________ -tDESIGiNER'S~i0NiE7r------~--~~-=------~-=-J )t.L ___ ..,.,..,:-:-c=l-------L-l\~~~~~~=-=-:,1,::---;;;;-:::~ I /y,,. DESIGNER"S PHONE oEscR1~10NoFwo/JI'--.? /) ~ c;>~ /Je,,-. J ?,/J:::../oS-l.R-'i:./ oEStGNER"SADDRESS ~ ./ltA{/1!,, _ ,.., I l~-(_;:c)t}ffC-,¥,>-fC..,Q) --L..::::.::=;;.;..=:;..----il ,,------
LICENSE # STANDARO PLAN # ) BUILDING SQ. FOOTAGE I
~~,.,.-ai,e~
0001B&ii,·--: 7.~SV 83 us~ao j rae; .. ~ F/P FL A ELEV.
vO NO
----mr-I occ GP
STORIES
EDU .. ,-__ ._.._ ----
CENSUS TRACT ·1--GP LAND USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED
YO ND I REDEVELOPMENT
AREA
vO 1110
TYPE
CONST
DCC LOAD FIRE SPA
vO 1110 Not Valid Unlffs Machine fJrtifi«f
QTY.I PLUMBING PERMIT -ISSUE -7£'°-QTY.I MECHANICAL PERMIT -ISSUE S'-SUMMARY/ACCOUNT NUMBER -.;--,,.
EACH FI XTURE TRAP 7 INSTALL FURN. DUCTS UP TO 100.000 BTU I I BUILDING PERMIT 01-00-00·8220 23 ..... U Cl
EACH BUILDING SEWER
EACH WATER HEATER ANO /OR VENT
OVER 100.000 BTU SIGN PERMIT 01-00·00-8221
-BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806 is . }3 a 1
£,
EACH GAS SYSTEM I TO 4 OUTLETS BOILER /COMPRESSOR 3-15 HP I I TOTAL PLUMBING 01·00-00·8222 -.-
EACH GAS SYSTEM 5 OR MORE
EACH INSTAl .• ALTER. REPAIR WATER PIPE
-+-------f----+-METAL FIREPLACE I I ELECTRICAL____ 01-oo-oo-a223 I , a. :::r
VENT FAN SINGLE DUCT MECHANICAL 01·00·00-8224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS MOBILEHOME 01·00·00·8225
WA TEA SOFTNER ------,-------11---;-R-E-LOCATION OF EA FURNACE/HEATER M081LEHOME PARK INSP
EACH" ROOF DRAIN (INSIDE) SOLAR .Ql:00.:00:8226
I----TOTAL PLUMBING -C-_
TOTJ;L MECHANICAL STRONG MOTION 80-92·33·0519
FIRE SPRINKLERS 01-00·00-8227
QTY. ELECTRICAL PERMIT -ISSUE .S--QTY. SOLAR · ISSUE PUBLIC FACILITIES FEE 32-00·00-8923
BRIDGE FEE
NEW CONST EA AMP/SWTIBKR < COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 80-92·21-0519
EXIST SLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 80·92-22·0519
1 PH 3 PH PUMP
""'"'""'' "' """" I ~ TEMP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY (30 DAYSI ------,11-=--+----cc=---~~ I ~ :l/2:r I I
San Oie-9.uito 80·92·23-0519
San Marcos 80·92·24·0519
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TOTAL ELECTRICAL -r /0 TOTAL SOLAR -. TOTAL FEES PAYABLE l 9-3,g O
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I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH ALL CITY. COUNTY ANO STATE LAWS GOVERNING BUILDING CON·
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. 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 SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT.
El pi ration Every permit ••ued by the Budding ONlcial under the prov114on1 oftl111
Code shall exp,re by hm,talfon and becon. null and void If the butlding or wort
aulhonzed by such permit II not commenced wolhon 180 deyl from the dale ol lUCfl
perm,t. or ,I the budding or work aut~ by ouch permit 11 --or
* AN 08HA PEMIIT IS AEOUlflED FOIi EXCAVATIONS OVER s· O" DUP ANO Dbl0UTION OR CONSTRUCT10N OF
STIIJClUflfS OV£R 3 STORIES IN HEIGHT .!
~ It time after the work II com..-ced for a od f 1 .
APPLICANT IGNATURE ZT. ;J. OWNER □
;.<I'-~ ,:~U,) □
1-:c
DATE ~
· 1?,__1.1-r
-.. ----· ----------------INSPECTION TYPE DATE INSPECTOR
-. BUILDING
FOUNDATION I
REINFORCED STEEL ---
MASONRY
GUNITE OR GROUT
F_LOOR & CE_ILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
' INTERIOR LATH & DRYWALL
PLUMBING --
SEWER AND BUCO
PLUMBING UNDERGROUND I
PLUMBING TOP OUT
TUB AND $HOWER PAN '
GAS TEST
ELECTRICAL '
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC f.
I
ELECTRIC SERVICE I.
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS ' -BUILDING ~-Zl·WJ ~
SPECIAL CONDITIONS -
CERT OF OCCUPANCY ISSUED
J
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
REQ IF INSPECTOR'S INSPECTION CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR TO -FOUNDATION INSP
STRUCTURAL CONCRETE --
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING .
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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INSPECTOR'S NOTI:S ------.. ---
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