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Home My WebLink About1721 TAMARACK AVE; ; CB930378; Permitwnr. : Ft e qe.:,c1 ·rt or ::al ... d1 e ~)CF ,LA NEW AV JF C AS M •v #: 2061 04/26/93 0001 01 02 1 --~i:-:..·1.r -9 7C; 7 Ex ;f;l ~APPROVAL INSP~ DATE 5°10 ·o/3 CLEARANCE ____ _ CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 00 PERMIT APPLICATION City of Carlsbad Building Department 2075 Las Palmas Dr •• Carlsbad, CA 92009 (619) 438-1161 1. PERMI I IYPE A -□ Commercial O New Building □ Tenant Improvement B -D Industrial O New Building D Tenant Improvement C -□ Residential D Apartment D Condo D Single Family Dwelling D Addition/ Alteration D Duplex □ Demolition □ Relocation □ Mobile Home D Electrical O Plumbing D Mechanical □ Pool □ Spa □ Retaining Wall □ Solar □ Other ____ _ 2. PROJECT INl'ORMATION FOR OFFICE USE ONLY ~ 7 ~, fa"'"' .... r--1<._. N ca rest Cross Street Building or Suite No. LEGAL DESCRIPTION Lot No. Sutxl1vis1on Name/Number 0mt No. Phase No. C!IECR DEIDW IF sUBMI l IEO: □ 2 Energy Cales D 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope ASSESSOR'S PARCEL DES~NOFWORK ft.r-J Cc..---.f EXISTING USE PROPOSED USE /'sQ. IT . .:.!_ bO O # OF STORIE J_ WN IAU PERSON (It d11ie5tnf from, apphcant) NAME VY\t...-\C" () /-\_.,.._-\--\.....v~ ADDRESS CI1Y \..) \'°l;.+-...._ STATE L ""'--ZIP CODE q.;i.o 8Y DAY TELEPHONE 4_ AJIPllCANI NAME □CONIRACIOR □AG£NI FOllCONIRACIOR ADDRESS DOWNER □ AG£N I FOR OWNF.lt CITY STATE ZIP CODE DAY TELEPHONE s. PfillPERIY OWNER NAME yVXr. R~e-I T tb i'-+>· STATE ADDRESS ZIP CODE DAY TELEPHONE NAME-, A(-C,·1; G.,"-,\ Tr'...C..-,.,..,.,::) Cl"IY STATE ZIP CODE DAY TELEPHONE ADDRESS STATE uc. ;J-:::.1.../J...,;,.,. l LICENSE cLASsC-3 q CITY BUSINESS uc. # CITY STATE ZIP CODE DAY TELEPHONE STATE UC.# 1. WollRERS' WMP£NSAIION Workers' Compensation Declaration: I hereby all1rm that I have a cert1hcate of consent to sell-msure issued by the Director ol lndustnal Relations, or a certificate of Workers' Compensation Insurance by an admitced 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 POUCY NO. EXPIRATION DATE C:ert1hcate of Exempllon: I certily that m the pcrlormance ol the work tor which this permit IS issued, I shall not employ any person m any manner so as to become subject to the Workers' Compensation Laws of California. SIGNATURE DATE 8. oWNf:R-801IDf:R mmltA'l1oN Owner-Builder Declarauon: I hereby alhrm that I am exempt from the Contracto?s License Law tor the lollowmg reason: LI 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.). LI I, as owner of the property, am exclusively contracting with licensed contractor.. 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). □ 1 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 therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pennit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATURE DATE GOMPLE'l'E 'l'Als SECTION FOR NON-RESIDENTIAL BUILDING PERMlts ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials regisrracion form or risk management and prevemion program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ YES □ NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control district or air quality management district? DYES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES ONO IF ANY OF TIIE ANSWHRS ARE YES, A FINAi. CERllFICATE OF ocx:uPANCY MAY Nor BE ISSUED AFI'ER JULY 1, 1989 UNLF.SS nm APPUCANT HAS MET OR IS MEETING IllE RF.QUIRFMFNfS OF TIIE OFFICE OF EMERGF..NCY SERVICF.S AND IllE AIR POLLUTION OONlROL DISI1UCT. 9. CDNS'i R□CnON L£NDiNG AG£Nt.-v 1 hereby albrm that there 1s a cons1ruct1on lending agency for the perlormance of the work tor which this penmt 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS i o. APPllcAN't CERTIFICATION I certify that I have read the apphcanon and stale that the above mlormauon 1s correct. I agree to comply wuh all C11y 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 Al.50 AGREE ID SAVE INDEMNJFY AND KEEP HARMLFSS TIIE C11Y OF CARISBAD AGAINSf Al.l.. lJABIUflF.5, JUDGMENTS, CDSTS AND EXPENSES WIUCH MAY IN ANY WAY ACXJHJE AGAINSr SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OF nus PERMIT. OSHA: An OSHA pennil is required for excavations over S'O" deep and demolition or construction of structures over 3 stories in height. Expiration. Every pcnnir issued hy 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 nm 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 Lime after the work is commenced for a period of 180 days (Section 303(d) Unifonn Building Code). DATE: ______ _ YEJ.J.OW: Applicant PINK: Finance PERMIT# CB930378 DESCRIPTION: 2600 SF REROOF TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 05/04/93 CLASS A PREST STE: INSPECTOR AREA PD PLANCK# CB930378 OCC GRP CONSTR. TYPE NEW LOT: JOB ADDRESS: 1721 APPLICANT: TRI CITY CONTRACTOR: TAMARACK AV CONSTRUCTION PHONE: 619 758-7142 OWNER: REMARKS: RS/ANTHONY/758-7412 SPECIAL INSTRUCT: REQUESTING A.M. TOTAL TIME: CD LVL DESCRIPTION PHONE: · ~:::~CTOR tli=JJL INSPECTION ACT COMMENTS _1_9 __ s_T _F_i_n_a_1_s_t_r_u_c_t_u_r_a_1 _______ ~ ______________ _ ------------------------------------~- ***** INSPECTION HISTORY***** DATE 042893 042793 DESCRIPTION Roof/Reroof Roof/Reroof ACT INSP AP PD AP PD COMMENTS SHEATHING-PREV APP ROOF SHEATHING