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HomeMy WebLinkAbout1705 TAMARACK AVE; ; CB950546; Permit' PlllU,IIT APPLICATION e ,,,..., . PLAN CHECK NO. City of Carlsbad Building Department 207!> Las Pal""5 Dr., Carlsbad, CA 92009 (619) 438·1161 I. PEKMl'I IYPE From Llst 1 (see back) give code of Permit-Type: __,J?.,_,.f;._,.I)~'--------- For Residential Projects Only: From Llst 2 (see back) give Code of Structure-Type: ___ 'c)~· ~~~A~~------------ Net Loss/Gain of Dwelling Units 2. PRUJECT INFORMATION FOR OFFICE USE ONLY Mdress 170'o TAJ<,'lo,<\R~ hit,, Bu1idmg or Suite No. $CO Dl21VE mt o. ase o. O 2 Energy Cales D 2 Structural Cales □ 2 Soils Report D I Addressed Envelope ASSESSOR'S PARCEL FXlSJJNG USE PROPOSED USE DESCRIPTION OF WORK SQ. Ff. # OF SlDRIES # OF BEDROOMS # OF BATHROOMS 3. WN IAL'l PERSON (U dnlerent from applicant) NAME (last.name first) ADDRESS CI1Y STA TE ZIP CODE DAY TELEPHONE 4. APPUCAN I Li CON IRACIOR □ AGEN I FOR CON IMC I OR )(.OWNER O AGEN I FOR OWNER NAME (last name first) 4f.ZEB)J 7 --Joh..J ADDRESS /705 ~ ~ CI1Y c~ STATE cA ZIPCODEC/'l.00 DAYTELEPHONE '?_,C -Bo:Z.2 NAME (last name first) ..:'.:>,4,1,G As "It-ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE NAME (last name first) CI1Y STATE STATE !JC.# ZIP CODE IJCENSE CLASS ADDRESS DAY TELEPHONE CI1Y BUSINESS !JC.# DESIGNER NAME (last name hrst) ADDRESS CI1Y STATE ZIP CODE DAY TELEPHONE STATE !JC,# 7. WOltkERS' OOMPENSA110N □ □ Workers' Compensation Declarat10n: I hereby afhrm that I have a certificate of consent to self-insure issued by the Director of lnduscnal 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). e per onnance pensation Laws of California. ATE 1 d 7· Cf'S- ere y a inn a am exemp rom e o owmg reason: 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 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 Llcense 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, airer, 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 therefrom, and the basis for the alleged exemption. Any violation of Section 7031 .5 by any applicant for a permit subjects the applicant to a ci · I of not more tha JVe hundred dollars [$500]). ,/_· _) SIGNATIIRE ' DATE /, =' , "7 S- Is the applicant or future build1 g 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 pennit from the air pollution control district or air quality management district? 0 YES ONO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES ONO IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF ocx:uPANCY MAY NOT BE JliSllED AFTER JULY I, 1989 UNLESS nm APPIJCANT HAS MET OR IS MEIITING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POILUTION ffiNTROL DISTIUCT. 9. WNSIROCIION LENDING AGENCY I hereby afhnn that there 1s a construction lending agency for the performance of the work for which this permit 1s issued (Sec 3097(1) CiVJ1 Code). LENDER'S NAME LENDER'S ADDRESS 10. APPUCAN l CF.R:UFICA'iiuN I certify that I have read the application and state that the above mformat1on 1s correct. I agree to comply with all 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 TO SAVE INDEMNIFY AND KEEP HARMLESS THE Cl1Y OF CARlSBAll AGAINSf AIL IJABIUTIES, JUDGMENTS, OJsrS AND EXPENSES WIIICH MAY IN ANY WAY ACDUJE AGAINsr SAID Cl1Y IN ffiNSEQIJENCE OF THE GRANTING OF nus PERMIT, 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 abandone ny · e after the war · commenced for a period of 180 days (Section 303(d) Uniform Build:,& Code) .. APPIJCANTS SIGNATURE DATE: 11"._(2?7-Y-,f'- PINK: Finance 0 CITY OF CARLSBAD INSPECTION REQUEST PERMIT# CB950546 FOR 06/27/95 DESCRIPTION: ADDING DORMER TO LIVING ROOM TYPE: MISC JOB ADDRESS: 1705 TAMARACK AV APPLICANT: GREEN, JOHN CONTRACTOR: OWNER: PHONE: PHONE: PHONE: STE: 729-8322 INSPECTOR INSPECTOR AREA PY PLANCK# CB950546 OCC GRP CONSTR. TYPE NEW LOT: REMARKS: MW/JOHN/729-8322 SPECIAL INSTRUCT: ----------- TOTAL TIME: CD LVL DESCRIPTION ACT COMMENTS 19 ST Final structural ~ ----------------------------------------------------------------- ***** INSPECTION HISTORY***** DATE 053195 053195 DESCRIPTION Frame/Steel/Bolting/Welding Roof/Reroof ACT INSP AP PY AP PY COMMENTS DORMER ONLY/OK TO DRYWALL T RAFTERS '.2 xlj lo. '.o,c, :STUds 2x4 /0'o.<!.., F1xm \\i u.:i.\o,V .Jc,\.,." M . G ,._ no5 T""""'' l',o, ,.,_, I i--,-,~ .... [>;•-.-_, ~ A.0J 207 Pr1c!1 il:12- '-" 1 1 A i=GLT .'i' -t"cl"j :!:?/ ' I Ti'f'· I x1'2. ]Zouc:,}1 i:cDP-R 51D1t,.,1c:;, ( : / ~\ ~~-- I ,..-...:2x4 0 CollAK J ] 8" 1 OPEN To L1v1 fv.'.'i RO:>M f ,)__ ~ ~UM L. 1 J,.J s Ide, .IbR,.,,.,_ eR ,r-----------/fb -----'-------- 1 ~ LS f fcrj o<-+ ie_cp, ByA+MEO APR 2 7 1995