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Home My WebLink About1721 TAMARACK AVE; ; CB971444; PermitCITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FOR OFFICE USE ONLY PERMIT APPLICATION PLAN CHECK NO. C{] / L( L{ «:j CITY OF CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad CA 92009 (760) 438-1161 EST. VAL. _________ _ Plan Ck. Deposit f.ht-: Validated By ~~ Date G, f-5j C. __ . \, 1. Address (include Bldg/Suite II) Business Name lat this address) Legal Description lot No. Subdivision Name/Number Unit No. Phase No. Total II of units Assessor's Parcel II Existing Use Proposed Use ~~~~n if wif ,.....,.)C-.Gl so ~ , +.;-.J.. 40 J ~°.:.J.T z l,t: ..t 5'"',... ... ~of tt.9f!-....i..... P,-....l~~II of Bedrooms [2t ' ·coNTACT PErsON iii different from iippiic■ntl t ,!f;11t,;i•t~'l':~,;,:~, ';:tiT'.:'';i~; ,~'-''!'IT' 'N•:':''l,f:.f :, ,f11"'<".".t•'i1·~: •'·' II of Bathrooms Name Address City State/Zip Telephone II 1,F .S: PROPEJft'V:tJWt.leU it'J; rr~ i1!<~:i-:'.',t ,,.,. ,i!~1'\~tJ1:1 ~11~:-,-1':-r.~~,i.,~~•~;q~!;'""::J ,:r1'~r.~,-~r.~ ~tr.. ·; 11',!:-m;,.,~~r,,:g~1r,.«" ,; 'rY\. r-r. ~ ·, s~ '-+ ~ '7.l.. l -r 0. ""',__ ... ,. C: c.. C <>r L!, b ,,.:,., C Name Address City State/Zip ... ,·.,1·,,1.,r•••ri: ' - 7~ 't-q 't"IS?. Telephone II \6: ''"l'l"ctii\itiiAcfoFi7' COMPANY'NAM , ,,, ""'~·. ,-. .,_.r,,~~,1,-1:, r,s,~ .......... ,~,-.,,.,,., ·•""""•~,i;,;;·'."'!if'',...,,,.~;~,~ti ~!')~1'11'~~:f."~~1"': . ,-p!':j .• "i'": · ,,.,-•,;·: " ~ (Sec. 7031.6 Business and Professions Code: Any City or County which requires II permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file II signed statement that he is licensad pursuant to the provisions of the Contractor's License Law (Chapter 9, commending with Section 7000 of Division 3 of the Business end Professions Codel or that he is exempt therefrom, and the basis for tha alleged exemption. ~ violation of Sectio~031.6 by any applicant for a permit •}1!1Jects the applicant to II civii penalty o!.J)Qt more ttian five hundred dollars ($600)). ~ rt C.:j c._ .... -s.,t-.-...c_T~ \.J,u~~l'-{3'( up+<\ C...<.... 'i.2.<::.'E-r ~tC, 7S-~-c ('-(<._ Name e-? .S--Address City State/Zip Telephone II State License II :> 'i :;2 :2.. I License Class C. -'S "{ City Business Lic11ns11 II -------- Designer Name Address City State/Zip Telephone State License II _________ _ 6. WORKERS' COMPENSATION Workers' Compensation Decl11r11tlon: I hereby affirm under penalty of perjury one of the following declarations: 0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. 0 I have and will maintain workers' compensation, as required by Section 3700 of the labor Code, for the performance of the work for which this permit is issued. My worker's compensation insurance carrier and policy number are: Insurance Company____________________ Policy No,____________ Expiration Date _______ _ 8IS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS ($1001 OR LESSI CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, · WARNING: Failure to aecure workar■' compens■tlon cov■rage 11 unlawful, and ehan ,ubject en employer to criminal pen11ltl111 and civil fin111 up to one hundred thousand dollar• 1$100,0001, In addition to the coat of compenaatlon, d11m■g111 H provided for In Section 3708 of the labor code, lntereat and attorney'• fu1. SIGNATURE rvVJ o--rd ?-t'.'.~ DATE 6 /::z I Y 7 . 17. OWNER~clARATioN· .,:, :.:~4~ ? ... ~ '"'•'!!"' ·,~; .. :.,., • ;: : : • ~-~~~"\ -~'::,~ · ", .. ~,::: ~ ,; ;.~· t ~ , , ·,. lr!/:;_·,".~:~.~t7;1!-;:F~~-, ":~ ~); · ~ ... : .;~~4.~~;;.;~:;· ~r~~:;t·:~ ~ ,t'i~~: .... ·;:~ ;JJ ~.,.:~. .: .. ,, '?".' ~:~ I hereby affirm that I am exempt from the Contractor's license Law for the following reason: · 0 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, t_he owner-builder will have the burden of proving that he did not build or Improve for the purpoH of 111111). 0 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 en owner of property who builds or improves thereon, end contr■cts for such projects with contractor(s) licensed pursuant to the Contractor's license Law). 0 I am exempt under Section ______ Business and Professions Code for this r.1ason: 1. I personally plan to provide the major labor and materials for construction of the proposed property Improvement. 0 YES ONO 2. I (have I have not) signed an application for II building permit for the proposad work. 3. I have contracted with the following person (firm) to provide the proposed construction (include name / address / phone number / contractors license number): 4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name / address / phone number/ contractors license number): _____________________________________________ _ 5. I will provide some of the work, but I have contracted I hired) the following persons to provide the work indicated (include name / address / phone number / type of work): ________________________________________________________ _ PROPERTY OWNER SIGNATURE ______________________ _ !COMPLETE THIS SECTION FOR iioN-RESio£Noo'li01fjjiNO PERMrrii'oNC • ll'.il'\" .:i'-7~fl'••~;;;;••. /iT ff· ' L , '"~~~'~"':'°"" ~", /'Ir~ r,,· · '10 .i;. '1 ~..: :'. Is the applicant or future building occupant required to submit ■ business plan, acutely hazardous materials reglstr■tion form or risk management and prevention program under Sections 26505, 26533 or 25634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO Is the applicant or future building occupant required to obt■ln II permit from the air pollution control district or air quallty management district? 0 YES O NO Is the facility to be constructed within 1,000 feet of the outer boundary of II school site? 0 YES O NO lF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT. !a::1 c6NstilUciio~.fl.ENb1Nd'AGENCV::~l:. ?~\~!~~;;:,;:-~t1;"J .. ,,, .· ,.,;r:,m. ·,. ;"'-:"'~'T:":r·;!'~."':':r":t;r.'?'."~'.1::'.\-r:;-;;:-":~':/';,;:"'!'"":~'.';,''.'? ,. ,~ " •. :'T~ , ,., ,~ ~' •~' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ISec. 3097(1) Civil Code). LENDER'S NAME _____________ _ LENDER'S ADDRESS ________________________ _ I certify that I have read the application end state that the above information Is correct and that the information on the plans is sccurate. I agru to comply with ■11 City ordinances and State l■ws relating to building construction. I hereby authorize representativ1111 of the Cltt of Carlsbad to enter upon tha above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 storias in height. EXPIRATION: Every permit issued by tha 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 366 days from the date of such permit or if the b~ilding or work authorized by such permit Is suspended or abandoned at any time after the work is commenced for II period of 180 deys !Section 106.4.4 Uniform Building Code), APPLICANT'S SIGNATUR~ QJ..1 4 AC:._~ -DATE _c,,,_-_-.;l._-_CJ__._7 ______ _ '-WH~LLOW: Applicant PINK: Finance 2. 3. 4. 5. *6. 7. 8. 9. 10. 11. CITY OF CARLSBAD SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING TYPE OF BUILDING: RESIDENTIALL COMMERCIAL --,, ROOF SLOPE: RISE / i nc~e~2 n ~2"' in~~\ . . , TYPE OF EXISTING ROOF COVERING -ct: -+ SHEATHING /fl ,IC.y ~J...,c-+, J u NUMBER OF EXISTING ROOF COVERINGS (circle one) 1 2 3 NEW ROOF MATERIAL 8 rt ·-t=r~I.--__ CLASS~ WEIGHT PER SQUARE 3 60 NUMBER OF SQUARES ;;J S · TRADE NAME b r·, --__,--l-c,_r_~_h.__ MANUFACTURER 8 r ·, ·---------- ROOF SYSTEM APPROVAL UL No. _____ Other ___ _ IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE WEIGHT OF THE PROPOSED ROOF YES X NO --- If the answer is no, a roof plan must be provided with this application. Fire rating of roof: Class A __ Class B '.X I understand the following inspections are required: 1. Tear Off/Pre-inspection prior to installing new roof covering. 2. Final Inspection I agree to provide a ladder extending at least 2 rungs above the roof for inspection. Contractor ~ Owner --- 6-;)-97 DATE Contractor Name -------------- *6 -Rolled Roofing, Tile, Shake, Shingle, Asphalt/Comp Fiberglass, Built up. PERMIT# CB971444 DESCRIPTION: REPAIR 250 SF TYPE: MISC CITY OF CARLSBAD INSPECTION REQUEST FOR 06/13/97 ROOF-TORCH DOWN INSPECTOR AREA PD PLANCK# CB971444 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 1721 APPLICANT: TRI CITY CONTRACTOR: TAMARACK AV CONSTRUCTION STE: LOT: PHONE: 760 758-7142 ~ OWNER: REMARKS: R/PAM/432-9084 SPECIAL INSTRUCT: TOTAL TIME: CD 15 LVL DESCRIPTION ST Roof/Reroof -------------------------------------------------------- PHONE: .. PHONE: ~ ~ INSPECTO ~ ACT COMMENTS lfL ________ _ ***** INSPECTION HISTORY***** DATE DESCRIPTION 060997 Roof/Reroof ACT INSP AP PO COMMENTS