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
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APR 2 7 1995