HomeMy WebLinkAbout1649 TAMARACK AVE; ; 81-554; PermitCl) z 0 .:: C a: C ... 0 ... 0
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0 I hereby .. ,ilrm 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
full force and effect.
Lie No _______ Class
I hef9by affirm that I ;im exempt from the Con-
~~o;·~~c:':: ~ ~t~':,~l~~~~i~
county which requires a permit to construe t
alle<. 1,nproYe, demolish, or repair any structure,
pnor to its issuance also requires the applicant tor such penn,t to hie ai signed statement that he is
Hcensed pursuant to the prOY1sk>ns of the Con-
tractor's UCense Uw (Chapter 9 commencing with
Sectt<>n 7UJO of Otv1st00 3 of the Business and Pre>
fessions Code) or that ,s ex&mpt therefrom and the basts tor the alleged exempllon Any vt0tahon of SectlO<l 1031 5 by an applicant for a permit subjects
me appheant to a c1v1I penalty of not more than five hundred dollat$ ($500).
□ I. as ow-of the property, or my employees -.1th waoes as their SCHe compensation, will do the
work. and the structure ,snot intended or offered tor
sale (Sec. 70", Business and Plofessions Code:
The Contractor's License Law does not apcly to an
owner of property who builds or improves thereon ¥lei whO does such WOtk hims.elf or through his own
employees. prO'itded that such 1mprovemei\ts are not intende-1 or offered for sale. II. however. the
building or improvement 1s sold w1ttun one year of
completton, the owner-builder will have the burden of provmg that he did not build o, improve for the
purpose of sale)
□ I. as owner of the prC>perty, am exclusively
contract1rl9 with lteensed contr~tors to construct the p,oiect (Se<:. 70". Business and Plofess1ons Code: The Contracto,'s L,cense Law does not apply to an owner of praperty who builds or ,mpro..-es
~':'~t~ 7.:,c;'~~~~ ~~~t!r~\~.:~:-:
Ltcense law) .
□ I am exempt undef Se<: _____ , 8_ & PC_
torth1s reason ___________ _
□ I hereby affirm that I ha.-e a cert1t1cate of consenl
to self-insure. or a cert1hcate of Workers·
Compensation Insurance. or a cen1fted copy thereol fSe<:. 3800, Labor Code)
POLICY NO __ _
COMPANY
□ Copy IS filed With lhe C1ty
□ Cen1f1ed copy 1s hereby furnished
CERTIFICAU OF EXEMPTION FROM WORKERS· COMPENSATION INSURANCE (This sect,on need not be completed ,t the permit
1s for one hundred dollars (S 100) or less)
0 I certify that 1n the performance of the worit tor
which this permit 1s issued. I shall not employ any
person in any manner so a.s to become subrect to
the Workers· Compensa11on Laws ot Gahforn,a
NOTICE TO APPLICANT-If, after malun; this Cen,-
lteate of Exemption. you should become subject t?
the Workers· Compensation prov1s1ons of the l..abof Code. you must fonhw1th comply w11h sucn
prov1s1ons or lh1s permit shall be deemed reYOked
0 I he1eby afhrm lhat there 1s a construchon
tend1no agency tor the performance ot the wol"k IOf
which this perrmt ,s issued (Sec 3097. C1v1I Code)
Lender s Name ___________ _
Lender's Address __________ _
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CARLSBAD '--)ILDING DEPARTMENT APPLCATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525
JOB ADORESS
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BUSINESS LICENSE # VALUATION PERMIT NUMBER
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fff iJ:Miu 1--n +--e ~o--R I') a.q:N<7~~.:;N~
PRIME CONTRACTOR CONTRACTORS PHONE • ZONE ~e.rt/-n~
OWNER'S MAILING ADDRESS CONT~ACTOR"S ADDRESS LICENSE NO. PLAN 1.0. # BLDG USE CODE s~ 18/21 /B 1521 8 1:n. r,O
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE # STAN~l1~fli !?, ~l_iOfrf SQ. F~Cjifi(l
DESCRIPTION OF WORI( ,-..--__ ,,,."" -II~ I A DESIGNER'S ADDRESS DESIGNER'S PHONE w--, .... ww ... I r' I
g.,~ 1,,&_ j-1-tJ .f!K,i?,-!--~ -F/P F LR ELEV. NO OCCGP EDU s:~---,_ -STORIES
-,,-. ~' -· . vO NO
CENSUS TRACT I GP LANO USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA AREA CONST
y D ND vO NO vO NO Not Valid Unlffs Machine <Artifi«J
QTY. PLUMBING PERMIT · ISSUE 7 e
QTY. MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP , INSTALL FURN_ DUCTS UP TD 100,000 BTU BUILDING PERMIT 01 ·000-4220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01·000·4221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TD 3 HP PLAN CHECK 01 ·000·4806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01 ·000-4222 In --EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01 ·000-4223
EACH INSTAl.. ALTER, REPAIR WATER PIPE -,--s_ I > VENT FAN SINGLE DUCT MECHANICAL 01 ·000·4224
EACH VACUUM BREAKER MECH EXHAUST -HODO/DUCTS MOBILEHOME 01 ·000-4225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP l"?'j
EACH ROOF ORAIN (INSIDE) SOLAR 01-000-4226 /"3,-
TDTt.L MECHANICAL STRONG MOTION 65-640-0519 -
TOTAL PLUMBING I /V . ..-FIRE SPRINKLERS 01 ·000-4227
QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR · ISSUE ~ PUBLIC FACILITIES FEE 25·000-4933 -BRIDGE FEE
NEW CONST EA AMP/SWT /BKR /---COLLECTORS ~--SCHOOL FEE • DISTRICT
1 PH 3 PH I STORAGE TANKS ~-Carlsbad 65·623-0519
EXIST BLDG EA AMP/SWT/BKR f ROCK STORAGE Encinitas 65·624-0519
1 PH 3 PH PUMP -/---San Dieguito 65·625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE ~.rt~ San Marcos 65·626·0519
TEMP PO LE 200 AMPS -
OVER 200 AMPS
TEMP OCCUPANCY (30 0AYS)
✓ -
TOTAL ELECTRICAL I TOTAL SOLAR I?~.!: TOTAL FEES PAYABLE I "2-3 ..SJ!.
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT" AND DO HEREBY Exp,ratiOn, Every permit 1uued by the Bull di no Otfic,al under the provI11on1 of this * AN 06HA P£IWfT IS AE01M1ED FOR EXCAVATIONS OYEA
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Coda shall exp,re by llm,tat,on and become null and v01d If the bu1ld1ng or work 5' D" DEEP ANO DEM0UTI0N OR CON$TRUCTlON Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorozed by such perm,t ,snot commenced w1th,n 180 days from tne date of such STAUCl\JAES OVER 3 STOAIES IN HEIGHT
ISSUED: TO COMPLY WITH All CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-:r;;;.,~ l~t t~v ~:~:~,:~~r:':!h:~~lec1"t~ r..:.r;:::c,·~f·=-~ or
STAUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND i;;z, / /~
APJ:B~ ~
D,Y~/t
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO A~ • OWNE~RACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ~ d O GRANTING OF THIS PERMIT_ , _,, ~ .-. PHONE • .. ►I V -"-------
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··--·--··-····---INSPECTION TYPE DATE INSPECTOR ; r V' \,~':-'\, ·-... ~· "ii
BUILDING I
FOUNDATION ' I
FIELD INSPECTION RECORD
REINFORCED STEEL I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY I REO. IF INSPECTOR'S ·-INSPECTION DATE .. CHECKED APPROVAL ·-.
I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME I ' '
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
SHEATHING I
FRAME I
j
STRUCTURAL CONCRETE ......, ,. ,'i OVER 2000 PSI .... , ... .,.._
EXTERIOR LATH lNSULATION I
I
PRESTRESSED -. CONCRETE
INTERIOR LATH & DRYWALL I
PLUMBING I
l --I
SEWER AND BL/CO J
POST TENSIONED ..... ----_ -: CONCRETE I ... . ---
FI ELD WELDING -· .,
HIGH STRENGTH --.;
PLUMBING UNDERGROUND j BOLTS
PLUMBING TOP OUT I
I SPECIAL MASONRY
TUB AND ~HOWER PAN I
' \ .;_) ..... "L
GAS TEST I PILES CAISSONS
ELECTRICAL I
TEMPORARY POWER ' I
ELECTRIC UNDERGROUND I \\.i -..
ROUGH ELECTRIC ' I
ELECTRIC SERVICE I
I ,
BONDING A I
'
G. F. I. -SMOKE DETECTOR ' I
\ c-____ , ..
MECHANICAL 1
I
I DUCT & PLEM., REF. PIPING .. ,·
HEAT -AIR COND. -SOLAR SYSTEMS -' y -
VENTILATING SYSTEMS
. ,
-. -' ,----CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ~ L .. .... ~
ITEMS ABOVE HAVE BEEN-APPROVED. . . ·v.: , .__, • -
JOB SITE FINAL I I'". f"' :::!~ I.
PLUMBING
ELECTRICAL
MECHANICAL
GAS
, ' ' ... ' V)V-L,('"'\---,."' "' ,
,-r \. \i .. ~-~:'."'-_ , \ =.-,: I ~'" " 9 I · t..°"F...._ .. 1 --BUILDING ' .. .. ., ' .
SPECIAL CONDITIONS
CERT OF OCCU0 <\ . .:..:N~C....:.Y....:.IS::ccS::ccU::..:E::.::D=-----'---.,__ ___ .,__ ___ _ . ,_ -..