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Home My WebLink About1365 TAMARACK AVE; ; CB920167; PermitPERMIT APPLICATION PLAN CHECK NO. City of Carlst-:1 Building Depart111ent 2075 Las Pallll8S Dr., Carlst-:1, CA 92009 (619) 438-1161 FSf.VAL'"---------..,-,;-- PlAN CK DEPOSIT ___ -1(£.,-· _.,,,.74"'-~-- VAUD. BY ______ _,~ ........ -Z+--- I. PlfilMl I IYPE DATE ______________ _ A -0 Commercial LI New Building □ Tenant Improvement B -D Industrial □ New Building □ Tenant Improvement C -D Residential O Apartment O Condo D Single Family Dwelling D Addition/ Alteration D Duplex D Demolition □ Relocation D Mobile Home □ Electrical X,;1umbing D Mechanical O PCXJI O Spa O Retaining Wall D Solar □ Other ____ _ 2. PROJECf INJ-URMATION FOR OFFICE USE ONLY Building or Suite No. Nearest Cross Street LECAL DESCRIPTION Lot No. Subd1VIs1on Name/Number Dn11 No. Phase No, Cl !£CR BEWW 1F sOBMI 11 ED: O 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ;-,r; G "/'.~ SQ. Ff. # OF STORIES 3. WNIACI PERSON (if dillcrenf from applican[J NAME ADDRESS CilY STATE ZIP CODE DAY TELEPHONE ADDRESS :5'"J't)1• p_,/€-.S.7'1 y-..,~._,.,((7;·(, ZIP CODE t?;) '-", i1 J DAY TELEPHONE 7 ,;l CJ. ,r!)q 6 / LICENSE CLASS C .. -~ { CilY BUSINESS UC. # .5 d :/ t) 0 DESIGNER NAME ADDHE.SS CilY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WORkilltS' WMP£NSAIION Workers' Compensauon Declaration: I hereby albrm that I have a cert1bca1e of consent to sell-insure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Ceruhcace of Exemption: I cerufy that m the performance of the work tor which this penmt is issued, I shall not employ any person m any manner so as to become subject to th~or~ers' _compensation Laws of California. SIGNATURE~g_~11-,~~~.____.., 2 -~ I 1--t:.?-<.. s. OWNER-BU □ □ □ Owner-Bmlder Declarauon: I hereby alhrm that I am exempt Imm the Contractor's License Law tor the following reason: I, as owner of the property or my employees with wages as their sole compensacion, will do che work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions 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 offered for sale. If, however, the building or improvement 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.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's license Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). I am exempt under Section ________ Business and Professions Code for this reason: (Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt cherefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001). SIGNATIJRE DATE cbMPLE1E THIS SECTION FdR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES ONO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a schCXJI site? □ YES ONO IF ANY OF nm ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY Nor BE ISSUED AFfER JULY 1, 1989 UNLESS nm APPUCANT HAS MET OR IS MEETING TIIE RF.QmREME.NTS OF TIIE OFACE OF EMERGENCY SERVICES AND 11IE AIR POLUITION CDNTROL DISIRICT. 9. WNS-ntOci loN LRNOING AG£Nt:V I hereby alhnn that there 1s a construction lending agency tor the performance of the work for which this permit 1s issued (Sec 3697(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS IO. APPLICM(f CEltl'IMcA'noN I ceruly that I have read the apphcauon and state that the above mlormauon 1s correct. I agree to comply wnh au City ordmances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE 1U SAVE INDF.MN&Y AND KEEP HARMLESS TIIE CTIY OF CARISBAD AGAINST AU. UABIUTIES, JUDGMENTS,. CDSTS ANO P.XPENSF.S WIDCll MAY IN ANY WAY ACillUE AGAINST SAID CTIY IN CDNSr,QUENCE OF TIIE GRANTING OF nus pERMTf_ OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized by such permit is not commenced within 365 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). /7 . --DATE:~-i'-1-'id / '---. ~,-yt,,/4kt . ..e·-· WHITE: File UNSCHEDOLEP INSPECTION O ~ DATE ;; -I'S?-<Jc)_ INSPECTOR_-r-fA-----·-if-~------- PERMIT # r; c} -/ {J 7 PLANCK # JOB ADDRESS (3b5" {4/11,,Q/t,deL ----- TIME ARRIVE: TIME LEAVE: --------- CD LVL DESCRIPTION PERMITS 6/15/89 C l,IJ-5 I ,A ~ b I f-lb~AJ JB,d f1~ ACT