HomeMy WebLinkAbout1529 TAMARACK AVE; ; 86-609; Permit~
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license is In
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I hereby al11rm that I am e:xempt from 1he Conlrac· tor's lteense Law for the lollowmg reason (Set 7031 5
Busmess and Professions Code Any c,ty or county wh1cr. re· quires a permit to consuuct. aller improve. demolish, or
repair any strncture. prior to its issuance also requires !heap· phcant tor such oerm11 to hie a s1Qnecl statement that he 1s
ucensed pursuanl to the prov1s1ons ol the con1ract0f s License Law (Chapter 9 commencing with Sec11on 7000 of O,v1s1on 3 of lhe Business and Professions Code) or !hat ,sex-
empt therefrom and the basis tor rhe al'egeo exemption An'/ v1olat,on ol Section 7031 _ 5 by an applicant for a perm,1 sub·
Iects the appltcant 10 a CIVIi penally ot oot more lhan five hun-
dred dol~IS ($500)
r I, as owner ot the property, or my employees w,th wages
as !heir sole compensallon, will do the WOfk. ana lhe struc-
ture IS not mtended or olfered !or sale (Sec 7044 Business
and Profession!. Cooe The Contraclor's License Law does not apply to an owner of property who bu11ds or improves
!hereon and who does such work h1msell or 1hrough his own employees, provided that such improvements are not tnlend·
ed or offered IOf sate II. however. the bu1ldtng or 1mprove-
men1 1s sold w1lhm one year ol completlOO, the owner·builder
will have the burden of proving lhal he did not build or im·
prove for the purpose ol sate)
0 I, as owner of !he property, am excius1vely contractmg wrth licensed conlractors to conslrucl the pro,ect (Sec 7044, Business and Profess10ns Cooe. The Contractor's license
Law does nol apply lo an owner of property who bu1:ds or im-proves thereon. and who contracts lor each protects wllh a contractor(s) lteense pursuant to lhe Contraclor's license Law)
0 As a nomeowner I am improving my home. and 1he follow mg condit10ns exist
1 The work 1s bemg performed prior to sale 2 I have hved m my home for lwelve moolhS pnor to comple110n of lh1s worlt.
3 I have nol claimed this exemphon during the las! three years
D I am exempt under Sec _____ _ B&PC for this reason ____________ _
LJ I hereby aff,rm lhat I have a cer11f1ca1e of consent to ·~,--X I self-insure. or a cerhflca1e of Workers Compensa11on In-
t :~:~: :~• ce'fC7 2i'6981Q4 a· LabOr COde)
~MPANY Maryland casualty
-----yeopy is ftled w1lh lhe Cily
c:'~certlhed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE
1Th1s section need not be completed 1t the permit
is for one hundred dollars (S1C)O) Of less)
D I cenify that in the performance of the work for wtuch
this perm,t is issued. I shall nol employ any per$0n in any
manner so as to become sub1ect to the WOfkers· Campen•
satlon Laws of California.
NOTICE TO APPLICANT: If, after making this Certificate
of Exemption. you should become subjecl to the Workers·
Compensation p,ov1sions of the Labor Code. you must
for1hw1th comply with such provisions or this permit shall
be deemed revoked.
i[ D I hereby affirm that there is a construction lending
agency tor the performance of the work tor which this per-
mit is issued (Sec. 3097Nc)rfetel
Lender's Name ____________ _
Lender's Address ____________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ----··--. -···· -----·---.... -·-·
CARLSBAD BUILDING DEPARTMENT APPU~ATION & PERMIT Carlsbad, California 92008-1989 (619) 438-5525 I"
JOB ADDRESS AV. ST. RO. NEAREST CROSS ST. I DATE OF 'IPPLICATIONI ~ '!)~SS LICENSE " VALUATION PERMIT NUMBER
1529 Tamarack Ave. Hi ah 1 ;::inrl nr c;. .~, _QC:
I C. G\_-~ <tfe,-
A177
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO CONTR'ICTOR CONTRACTORS PHONE • ZONE (o09
OWNER'S N'IME I OWNER'S PHONE J\.-1--~-~~--T\1·--L•---c:n, ., ,..,
CONTRACTOR'S ADDRESS J LIC~l'l'S'E NO:-_,-'-PLAN 1.0.-# BUILDING SO. FOOTAGE
Ron Norell 729-0821
OWNER'S MAILING ADDRESS ?Ql Q r,;:,nt-r;::i 1 ll.uc ,1,1')"),10
1529 Tamarack Ave. DESIGNER OESIGNER•s PHONE
DESCRIPTIO"-OF WOR ><
W;::it-cr U0;::i~0r nonl DESIGNER'S ADDRESS LICENSE NO.
~
..._ ' -. -F p F LR ELEV NO OCC GP EDU 61161:66'1 OB~ 1'fJ~OO
STORIES 0001 toer.f · · ~i\p 86 l:lel~Of vO NO --
CENSUS TRACT I GP LANO USE I PARKING SP'ICE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LO'ID FIRESPP
ARE'I CONST
y O N 0 vO NO vO NO Not Valid Unless Machine Certified
QTY. PLUMBING PERMIT -ISSUE $~ QTY. MECHANICAL PERMIT · ISSUE ..:3 / SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100 000 BTU / BUILDING PERMIT 001-810·00-00·8220
EACH BUILDING SEWER OVER 100,000 BTU / i. SIGN PERMIT 001-810·00·00-8221 ', --/ d\, 1 EACH WATER HEATER ANO OR VENT S? c;.r.i BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8806
EACH GAS SYSTEM I TO 4 OUTLETS ---t-BOILER/COMPRESSOR 3 15 HP / rtV. TOTAL PLUMBING 001 ·810-00·00·8222 f--$-lO. o::: / ~T -
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACt r ELECTRICAL 001 ·810-00·00·8223
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGL% / ({ MECHANICAL 001-810-00-00-8224
-MECH EXHAUST OO 'OUCTS A/ EACH VACUUM BREAKER T l MOBILEHOME 001-810·00-00·8225
WA TEA SOFTNER AELOCATl(J)l-1l'F EA FURNACEIHEA1ER/ MOBILEHOME PARK INSP
EACH ROOF DRAIN IINSIDEI / r SOLAB_ ___QQlJl 10·00-00·8226
/ TQT./;L MECHANICAL STRONG MOTION 880·519-92-33
I $10 .00 --
TOl A L PLUMBING FIRE SPRINKLERS 001-810-00-00-8227
QTY. ELECTRICAL PERMIT -ISSUE ~ QTY. SOLAR · ISSUE ./
PUBLIC FACILITIES FEE 332-810·00-00·8930 ~
NEW CONST EA AMP SWT BK R V COLLECTORS ,v SCHOOL FEE -DISTRICT
1 PH 3 PH / STORAGE TANKS / Carlsbad
EXIST BLOG EA AMP•SWT BKR / ROCK STORAGE / Encinilas
1 PH J Pr PUMP / San o,eouito
REMODEL ALT£A PEA ClfoCT)IT PLAN CHECK FEE / San Marcos
I TEMP POLE 200 AMIJ8"" /
I OVER 200 AMPV / LICENSE TAX 001-810-00-00-8162
I TEMP OC~NCY 130 DAYS) / MFF 880-519·92-5 7
I / / I
CREDIT DEPOSIT
:/ lOTAL ELEt:TRICAL I / TOTAL SOLAR TOTAL FEES PAYABLE l ~,n nn
I
I I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT AND DO HEREBY Expiration Every permit issued by the 8u1ld1ng Otf1c1al under the prov1s1ons of this * AN OSHA PEAM:T IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall eJtptre by llm1tat1on and become null and vo,d If the bu1ldm9 or work ~-O" DEEP AND OEMOLJTION OR C~STRUCTlON OF
I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit 1s not commenced w11h,n 180 days from the date of suet, STRUCT\JR£S OVER 3 STORIES IN HEIGHT
I ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERNING BUILDING CON ~~~~~~n°~ 1
!1
1:~v ~~~~':R.~;h:~~r:~!h:~~~e~le~0f~~ :~~r;;~'~,sr:rd"a~~ or
I STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANTS SIGNATURE Jf. OWNER□ CONTRACTOR 0 APPA&;; ~ DATE
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .s<..._y·C\...17 C2AIL.F-(o/,i-~ I GRANTING OF THIS PERMIT
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