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Home My WebLink About1365 TAMARACK AVE; ; 80-494; Permit~NSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in lull force and ef- fect. OWNER-BUILDER DECLARATION D I hereby affirm that I am exempt from the Con- tractor's License Law for the following reason (Sac. 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 live hundred dollars (SSOO). □ 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 (Sac. 70-'4, 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. If, 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 prefect (Sec. 70«, 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(sl license pursuant to the contractor's License Law). I am exempt under Sec. _____ B. & P.C. for this reason, ____________ _ Date Owner ✓wORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of con- sent to self-insure, or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). POLICY NO, ___________ _ CO!J1PANY ___________ _ \1?1copy is flied with the city. □Certified copy is hereby furnished. ,(:ERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed II the per- mit Is for one hundred dollars ($100) or less). I certify that In the performance of the work for wM:h this permit is issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of Calllornla. NOTICE TO APPLICANT: If, alter making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I h-•hw •ffl""' th•t th-• I• • rru"1Jltn1r-tlnn 1_,... CITY OF CARLSBAD-BUILD ING DEPARTM ENT USE BALL POINT PEN ONLY APPLICATION & P ERMIT 1200 ELM AVENUE (7 14) 438-5525 NO. ... JOB ADDRESS AV. ST. !°ATE OF APPLICATION I 1-:2.!C:1-<"1 1t1AIM16..,P1A..rC.1r'1 I I I I I I I I I I I I I I I I I R~ OWNER OWNER'S PHONE PRIME CONTRACTOR ~e., ~~f!..g. '&ALt:,~ Alp 12..vdn--<'.' OWNER'S MAILING ADDRESS co~f RACTOR 'S ADDRESS -sA~e. APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. IIUS. LICENSE PERMIT NUM8ER o<.d~J'3 fo-Yfj ST ATE LICENSE '2-.2>¾1U..J ~ -J .~.A.,.., .. I~, r"\t-,..._,.,.._ n/1,,.,-, 4 ') LOT IILOCK ~IV)i;N / ~oE"7R'~.5~~aO. I ~~ DESIGNER ~ ,,._ 0 /29 / 9':!76~r.j 3;.~1· DESCR~L~"M o,-l --:;::~C::: --r-r'2.-. ...__ \ .... l'f"?:: --DESIGNER'S ADDRESS DESIGNER'S PHONE -w,,...., J II!::'.~,,~ .J 1"-U.. ... r M:::'. ---. CENSUS TRACT GP LAND USE ZONING i RES. UNITS ~~RKING SPACE # I HUMBER OF STORIES . f t-__ Not Valid Unltlss MachiM CMtifild BLDG SQ. FT. BLDG USE occ. GP I STANDARD PLAN# I PLAN ID II I TYPE CONST I occ. LOAD I OTY. PLUMBING PERMIT AMT. OTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP ~ .~ INSTALL FURN(DUCTS UP TO 100,000 BTU EACH BUILDING SEWER '-OVER 100,000 BTU - EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSO~P TO 3 HP I EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR l15 HP EACH GAS SYSTEM 5 OR MORE BOILER/COMPRESSOR 1\-30 HP .,.-- EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN Sl~!GLE DUCT ............. /SO-O· EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOO/OUCf S VALUATI ON : ./ WATER SOFTNER RELOCATION OF EA FURNACE~TER BUILDING PERMIT T I . 1 vb,,..- TC::C::Tlli' ~-n r T C::C:: TW. -=l• "" SIGN PERMIT I . I I I TOTAL PLUMBING ~~ TOTAL MECHANICAL PLAN CHECK I I 1 _Y. I ' CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT •, I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I t?;.q OTY. AMT. OTY. MOBILE HOME PERMIT ELECTRICAL I 1'7~ NEW CONST EA AMP/SWT/BKR AWNING .. MECHANICAL I f I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMPISWT/BKR SET-UP SOLAR I I I I 1 PH .25 3 PH RAMADA, CABANA I . I I I REMODEL/ALTER PER CIRCUIT s. r1 FENCE OVER 6' I I I I TEMP POLE 200 AMPS TOTAL MOBILE HOME MICO-FILM I . I I I OVER 200 AMPS eo -1-...-rs--TnA-1-; A,., I . I I • ;,5il) TEMP OCCUPANCY (30 DAYS) J I . . I I I Tc::c::rn;~ -') .('\ ('\ TC::C::TW c:; nn I ' I I I TOTAL ELECTRICAL 1~ TOTAL FEES PAYABLE I . :;1, ·-~ CONTRACTOR ' I I SCHOOL FEES : I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, AND DO 'AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT AND I 5'-0" DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY AND AGREE IF A PERMIT IS ISSUED;TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER r-A 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 OF THE GRANTING OF THIS PERMIT. OWNER□ - "" ~ < Cl ~ > ~ i= ~ ~ Vl ~ A?:';f :l~:rUiJ~' AGENT 0 CONTRACTOFf!'.:llCPPROVE°P ~ DATE BY PHONE er, .!!,f ' t I f", 2,..1 -~ ,SITE ,;.· . . . -<(IJ~CfC/ ADDRESS: . , ... ~ OWNER: PERMIT NO: \ 'I FIELD INSPECTION RECORD ' • - INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR , , FOUNDATION• FORMS • SET BACK • TOILET UNDER FLOOR PLUMBING I ,. .. l . -:-'Jr_ /-'. . L ' ! ~ ' ; -. ' C UNDER FLOOR HEATING ---~ " -.. ~ ~--~., ... ,,,,_.._-:; -J.t.\ L ;. ,.,-L:: ' ~ , ,. , ... . OK TO INSTALL SUB FLOOR - ' '. f • ) I ~ 4 _-;~ '•.6 ...... ,c., • -~-J,.l-1 \r.' SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS • SETBACK• TOILET OK TO POUR CONCRETE . FRAME ROUGH ELECTRICAL ROUGH PLUMBING , ROUGH HEATING/VENTILATING ' FRAME OK• P LACE INSULATION INSULATION OK • PLACE WALLBOARD . WALLBOARD OK • PLACE TAPE . --: ' EXTERIOR LATH OK • PLACE STUCCO . FIREPLACE --, .. ,. DAMPER & STEEL - PLATE Tl Es/HEIGHT OF CHIMNEY . OTHER ; TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING C • PRE DECK • FENCE PREPLASTER SHOWN • FRAME • PAN . , . ~~ FINAL INSP BY BLDG DEPT '7/3/J(J 7v-":f:-' OTHER OEPT'S.REQ COMPLETED If I (/ . ELEC METER-PERM-TEMP .., GAS METER-PERM-TEMP , .. CERT OF OCCUPANCY ISSUED V LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provi• sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in lull 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,Buslness 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 file a signed state- ment that he is licensed pursuant to the provl· sions of the Contractor's License Law (Chapter 9 commencing with Seclion 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 live hundred dollars ($500). □ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of· fared for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who bulids or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. If, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not bulid or improve for the purpose of sale). ':JI, as owner of the property, am exclusively con- tracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not ap- ply to an owner of property ••ho builds or Im· proves thereon, and who contracts for such pro- jects with a contractor(s) license pursuant to the contractor's License Law). I am exempt under Sec _____ B. & P.C. for this reason. ____________ _ Date Owner ✓ WORKERS' COMPENSATION DECI I hereby affirm that I have a certifi~e sent to self-insure, or a certificate ,o __ IQ Compensation Insurance, or a ce1JI e, thereof (Sec. 3800, Labor Code). POLICY NO 1~..,.. "I ~ \ _C9'-1PANY I \ \.6"eopy is filed with the city. 4' D Certified copy is hereby furnished. 'tERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed If the per• mit Is for one hundred dollars ($HJ!)) or less). l,:;ertlfy that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the Workers' Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer• tlficate of Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction len- CITY OF ::ARLSBAO-BUILDING DEPARTMENT USE BALL POINT PEN ONLY APPLICATION & PERMIT 1200 ELM AVENUE (714) 438-5525 NO. JOB ADDRESS AV. ST• 1DAT1F i/LICATION \ ,~,c,,_ ~ .,1iA.,M1A1 T2,Ar J(, I I I I I I I I I I I I I I I I I R~ 7 Yj y() OWNER OWNER'S PHONE PRIME CONTRACTORJ tit.~ ....t j .. .,,. S?. ~pJ_ 1...,-1'~,....(Y -pJ p 1\4. /\ A-.--~-- OWNER'S MAILING ADDRESS ;;g-~\0o~;w ~tv.n ~ 1l't..,1..\,P, -..JI , .... LOT BLOCK I SUBDIVISION 6, AS~1'a,SOR'S '?_ARC EL NO. DESIGNER ,D , 1 '...t,,,1n1 • ,,z.,e,_ I -DE~~~;p ~I cC" *" /"-A-£. L,J?:. DESIGNER'S ADDRESS I ,...,.. ..... J ~,-,~s;:::--. ~ --.A -,_ "1?0 .. C ENsut TRACT GP LANO USE £0.NING I RES. UNITS I APPLICANT TO FILL IN INFOR - MATION WITHIN RED LINES. BUS. LICENSE PERM IT NUMBER olt;J-/..?3 STATE LICENSE /1~1r;1 fJ ~~~b 'l:>J CONTRACTOR~~ l4-~~~.., I ST ATE L ICEl<SE 7/02/80 383 OCUI 383 7/02/~r, - DESIGNER'S PHONE acar 383 01 · . - .. >.J·, :,.r- '1/J:l~ I I PARKING SPACE # ,~,.. -F-1- I NUMBER OF STORIES Not V•lid Unless M•chin• c.rtifilld BLOG SQ. FT. BLOG USE DCC. GP I ST AN OARD PLAN It I PL~--L/ 1V 41 TYPE CONST I occ. LOAD I QTY. PLUMBING PERMIT AMT. QTY. MECHANICAL PERMIT AMT. EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU EACH BUILDING SEWER OVER 100,000 BIU EACH WATER HEATER ANO/OR VENT BOILER/COMPRESSOR UPTO 3 ~,.....-- EACH GAS SYSTEM 1 TO 4 OUTLETS ;;;i..~ BOI LER/COMPRESSOR 3_;).5-lfP . ' ,. EACH GAS SYSTEM 5 OR MORE -BOILER/COMPR~ 16·30 HP EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN..slfiGLE DUCT EACH LAWN SPRINKLER SYSTEM MECfrEXHAUST -HOOO/OUCTS VALUATION: WATER SOFTNER ..,RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I . I I I TC:: C:: Tlli' 1 ()( TSSTTF. 1-() () SIQN PERMIT I ' I I I TOTAL PLUMBING ~ TOTAL MECHANICAL PLAN CHECK I I I I . CONTRACTOR CONTRACTOR ALL INCLUSIVE PERMIT I I I ELECTRICAL PERMIT AMT. TOTAL PLUMBING I 15-c>to QTY. AMT. QTY. MOBILE HOME PERMIT ELECTRICAL I I I NEW CONST EA AMP/SWT/BKR I? AWNING _/ MECHANICAL I I I 1 PH .25 3 PH PORCH MOBILE HOME I I I EXIST BLOG EA AMP/SWT/BKR . SET·UP / SOLAR I I I I / ' 1 PH .25 3 PH / RAMADA, CAB~NA I I I I REMODEL/ALTER PER CIRCUIT / FENCE Q.IIER 6' I . I I I TEMP POLE 200 AMPS ./ To_J;A'(. MOBILE HOME MICO-FI LM ! ' I I I OVER 200 AMPS ./ V stronq moti on I I I : I TEMP OCCUPANCY (3jl,ff'AYS) / I I I I ISSUE / 2.00 ISSUE 5 .00 I I I I TOTAL ELECTRICAL TOTAL FEES PAYABLE I CONTRACTOR I I I 15.c'rZ' I HAVE CAREFULLY EXAMINED THE COMPLETED "'APPLICATION ANO PERMIT. AND DO """ o,"j"""';~ mmno•s om SCHOOL FEES: HEREBY CERTIFY THAT ALL INFORMATION HEREON IS TRUE ANO CORRECT ANO I ~o, c,n OS •s.aomo• o, FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY. V 3STOR EIGHT COUNTY ANO STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM-ty~~' LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, COSTS AND ./ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT'S SIGNATURE_. OWNERQ CONTRACTO:: 'APPROVED,.(,/~ , J.✓/vf6 DATE - ✓ i ~ ~ i= u w 0.. .,, ~ ' - SITE 5<'n--~ q v--Y.Y ADDRESS: OWNER: PERMIT NO: • FIELD INSPECTION RECORD -. -. -. -- INSPECTION DATE INSPECTOR INSPECTOR'S NOTES f WOOD FLOOR . . 1 FOUNDATION• FORMS• SET BACK• TOILET - UNDER FLOOR PLUMBING -. .. ~ ' .·, \ ---~ :~ ~"'--------,.-. . -- UNDER FLOOR HEATING .. )-\ ~ ' .. -,.·" j ~ • ,· C O • \ •1 • f ( .. .-_ "I i:;,;_ -" "' . .,, .; -· ., OK TO INSTALL SUB FLOOR --~ -~.., ... • --= --"1 ~.,-. ," .. \ . ~ ... ~. ( ~~ ... -~ --~v·-... -' . -. -. ,. ': -' SLAB FLOOR UNDER SLAB PLUMBING FOOTING • FORMS• SETBACK • TOILET OK TO POUR CONCRETE ' FRAME ROUGH ELECTRICAL -- ROUGH PLUMBING ROUGH HEATING/VENTILATING . - FRAME OK• PL ACE INSULATION -- INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE . - EXTERIOR LATH OK • PLACE STUCCO .. FIREPLACE •• 1 DAMPER &STEEL PLATE Tl Es/HEIGHT OF C HIMNEY ' e OTHER TEMP POWER (POLE) SEWER GAS TEST SWIM POOL • STEEL BONDING • PRE DECK • FENCE PREP LASTER SHOWN • FRAME . • PAN ~ FINAL INSP BY BLDG DEPT OTHER DEPT'S REQ COMPLETED l . :V..._ -ELEC.METERC.PERM-TEMP , l i~ 1fll lN\/\<1\7'»" - GAS METER-PERM-TEMP l Q V \' ' \ ~ \ ' I \ ~ .;., .. ' ·;--:. - I . ',. -.. --. ,,, ,I'' ' CERT OF OCCUPANCY ISSUED 1 .. ) INTERDEPARTMENTAL INFORMATION SHEET BUILDING DEPARTMENT ----- BU IL DING ADDRESS: ,ilt..s=: .ltzma Cl./'l Cl Ju PLANNING DEPARTMENT MAY Q ~ 1980 CITY OF CARLSBAD Building Department ZONE LOT SIZE LOT WIDTH ----------------------------- UNITS ALLOWED ____________ UNITS PROVIDED ____________ _ PARKING SPACES REQUIRED PROVIDED ------------ ! % COVERAGE ALLOWED _____________ PROVIDED __________ _ •BUILDING HEIGHT ALLOWED PROVIDED FRONT SETBACK: ALLOWED PROVIDED ------- INTRUSIONS SIDE SETBACK: LANDSCAPE & IRRIGATION PLAN COMMENTS: ENVIRONMENTAL PROTECTION REQ: SCUOOL PoE.S: ADDITIONAL CO P. r. ENGINEERING DEPARTMENT ~.&1!1.i<~ REAR SETBACK: R.O.W. ______ INDUSTRIAL WASTE _______ IMPROVEMENTS _______ _ SEWER CONNECTION DRIVEWAY LOCATIONS --------------------- GRADING PERMIT EASEMENTS __________ DRAINAGE ____ _ LEGAL DESCRIPTION fr7'· /CJ' I 4 d' #-,:,) 0 ( -2 (tj ;LL ADDITIONAL COMMENTS _____________________________ _ DATE "S• J ~1:1 PWI ____ OK TO FINAL ____ DATE ___ _ FIRE DEPARTMENT SPRINKLING SYSTEM ---~--------FIRE PROTECTION EQUIP. _______ _ FIRE ALARMS EXITS ________________ _ FIRE HYDRANTS LOCATION __________________ _ ADDITIONAL COMMENTS • OK TO ISSUE: _____ DATE _______ OK TO FINAL ______ DATE ____ _ WATER DEPARTMENT REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _