HomeMy WebLinkAbout1321 TAMARACK AVE; ; 81-453; PermitIll z 0 .:: C CIC ~ u "' 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of DIYislon 3 of the Business
and Professions Code, and my license ts In
full force and effect. lie No__ __ Clm _____ _
I hereby affirm lhal I am ••empt from the Con·
~:o;·~~~~:'s': ~ ~,=:~~'~.~
county whteh requires a pemut to construct
alter. unpr0\118, demohsh, Of repa,r any strvclure, pnor to its issuance al.so requrnn the applicant fOt
such permit to file a signed st1tement that he 1s
lteensed pursuant to lhe prov,s,ons of the Con-
tractor's License La:w fChapler 9 eommeoc,ng wnh
S.Chon 1000 of 01v1st0n 3 of the Business and Pro-tess,ons Code, Of that Is exempt therefrom and the
~s for the alleged exempt,on Any v.olahon of
Sectoon 7031 5 t>y an applianl to,• perm,1 sut>tects 1ne appt,canl 10 a crv1I penalty of not more than hve
hundred dollars ($500)
D I, as owner ol the property. o, my employees
-.11h wages u their sole compensahon. w1U do the '#Oftl, and the strvcture 1s not intended o, ottered for sale (Sec 7(),U, Bus,ne-ss and Professions Code The COntractor·s Lteense Law does not apply 10 an
owner ot p,operty who builds Of' ,mp,oll'f:s theteon
and whO does such woril himself Of thrOUQh his own
employees, provtded tNI such ,mproveme:its are,_
not intende1 Of offered tor sa~ II, however. the
bu1k:hng or improvement ,s 901d w,ttun one year of
completion. lhe owner-ou,1oe, w,11 have the byn::len
ot pr0¥Ing th.It he did noI build or ,mprove tor the
purpose of sale)
O I, as owner of the proper1y, am exclusively
contracting with heensed con1rac1ors to construct the pro,ect (Sec 704,.(, Business ano PYofess10ns
Code: The ConIract0t's License Law does not apply to an owner of properly who builds or Impro"1!s ~=i~ ~~nc:'~~~ ~~t!r~~~~~:-:
License Law)
0 I am exMTipt under Sec
tor 1n,s reason
.B &PC
D I hereby affirm that t na-,e a cert1hcate ol consent
to sell-insure, or a cen1f1cate of Workers·
Compensation lnsyrance. or a cert1f1ed copy tnereol
(Sec 3800 Laoor Code)
POLICY NO
COMPANY
O Copy 1s hied w,th the city
0 Certified CoPY ,s hereby furnished
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE (This section need not be eotnpleted 11 lhe permit
1s tor one hYndred dOllars: (1100) or less)
..,/, I certify that 1n the performance of the wo"'-tor ,:,C.,cn this pemut ,s issued, I shall not employ any
person 1n any manner so as to beeome sub1ec:1 to
the WMers· Compensatt<>n Uws ot CAiifornia
NOTICE TO APPLICANT If. after rnak•n~ tn1s Cert,
hcate of E•emp11on. you should become sub1ec1 I'>
1ne Wor1c.ers· Compensal1on prov1s,ons of the Labor Code. y~ mus11 fOfltlw1tJ> comply with such
prov1st0n¥'0f lh1,.,erf#"1t ~I be oeemed ,evOkeo
f:OC:,noag•~ '"' 11\e Qerlc»m•nce ~""' '°' which lhtS c,e<n'III IS ,ssu.O fSec Y:87 C,v,I Godel
Lenoer s Name ___________ _
lender·, Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD --· . -· --. ----......... ---. -----.. ---. ---APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (714) 438-5525 ,1B .;:;_e;s \/ L AV. ST. ~ATE OF APPLICATION I BUSINESS LICENSE # VALUATION 8'f E,JJ>AIT NUMBER
/J#-,11 IH2..t1 l J< I. L(/ C' I RD. o-/(p ·-!f' I 2..2.. 2..0'-/ 463 OWNER'S NAME OWNER"S PHONE PRIME CONTRACTOR -;J",t1/ /<liENY CONTRACTORS PHONE • ZONE ' 1 ~ -r; ~--z, f' ~LY/VN u K../V, ,t ... >tl ~ '(! -.241 :.1 I.:-,_ t..~ ·71Z-I
OWNER'S MAILING ADDRESS CONTRACTOR'S AODRESS LICENSE NO. PLAN 1.0 . # BLDG USE CODE
S!frnE' /llt7 mmll'RA C/C /Wt:, 5/oo9f..; J;:lK:;T-;
LOT BLOCK I SUBDIVISION I ASSESSORJEflL:3.l?.?-3<t ou DESIGNER STA TE LICENSE # STANDARD PLAN # BUILDING SQ. FOOTAGE
-&---6-O~RIP1j;?N OF~ ~ '['I •~J) J<.Jr.f ,f. ~~ DESIGNER'S ADDRESS -er-DESIGNER'S PHONE ~';'!:t: ,1 2.1 Y2 c-dJ·~j
-e-
. -F/P FLR ELEV. NO OCC GP EDU
Ii' ~y--:-1 CAJ . .,; v-'~ STORIES ◄
vO NO
CENSUS TRACT I GP LANO .. SE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUEO I REDEVELOPMENT TYPE OCC LOAD FIRE SPR I /16/~I ;; 17 . n -. AREA CONST
YO ND vO NO vO NO L Not Va1i4 Un/m.Machin, C,r1ifi«J
QTY. PLUMBING PERMIT· ISSUE ?y<{'D QTY. MECHANICAL PERMIT · ISSUE ?,.(Y) SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT .
EACH BUILDING SEWER DVE A 100,000 BTU SIGN PERMIT -
EACH WATER HEATER AND/DR VENT BOILER/COMPRESSOR UPTO 3 HP PLAN CHECK
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 'I":"/ ot:J --------
EACH INSTAl . ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST HOOO/OUCTS MOBILEHOME
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR
TOTJ:.L MECHANICAL STRONG MOTION -....... , r -TOTAL PLUMBING FIRE SPRINKLERS
::J.,ro PUBLIC FACILITIES FEE
QTY. ELECTRICAL PERMIT· ISSUE QTY. SOLAR · ISSUE BRIDGE FEE
NEW CONST EA AMP SWT BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad
,Ill.A I) EK.LST BLDG EA AMP/SWT/BKR ROCK STORAGE Encin1las ·n·o '(1 PH "J 3 PH 'l~h ,oo PUMP San D1egu1to
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos
TEMP PO LE 200 AMPS ---
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI -~ ----
TOTA L ELECTRICAL -I -/l, 1,{)0 TOTAL SOLAR TOTAL FEES PAYABLE I t,7, 06
I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' ANO DO HEREBY Expir■t,on Every perm,t 1nued by the Building 011,c,al under the prov11,on1 ofth,s * AN OSHA P£AMIT 1$ AEOUIRED FOR EXCAVATIONS OYER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt exptre by hm1tat1on and become null and void If the building or work S' O" DEEP AND DEMOUTION OR CONSTmJCTION OF
DECLARATIONS 1'RE TRUE ANO CORRECT ANO t FURTHER CERTIFY ANO AGREE IF A PERMIT tS auu,or,zed by such permit 11 not commenced w1th1n 180 days from the date of such STAUCT\JAES OYER l STONES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNT'!. ANO STATE LAWS GOVERNING BUILDING CON• :'::C,r:i 1
~11~v '::'.::!'l.,";,,:'!.,~,:~!"~~~[ed";~~ :=,:~•~,•=-~ or
STRUCTION, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND
APP~r;;e-•\
OWNER □ CONTAACTO~ w•Jt DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS ANO
I io-/~-Bf EXPENSES WHICH MAY tN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 GRANTING OF THIS PERMIT.
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INSPECTION TYPE ,.,._. --··-·· ... -DATE INSPECTOR
BUILDING
FOUNDATION ,.
REINFORCED STEEL ' . .....
MASONRY '
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME
SHEATJ;IING !
FRAME .
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL '
PLUMBING -
SEWER AND BL/CO '
PLUMBING UNDERGROUND ~
PLUMBING TOP OUT -
TUB AND $HOWER PAN '
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND j
ROUGH ELECTRIC I :
ELECTRIC SERVICE I
BONDING A
G. F. I. -SMOKE DETECTOR. I
MECHANICAL ' I
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
JOB SITE FINAL ' PLUMBING I
ELECTRICAL .
MECHANICAL • \ \ci\ L/J
GAS ' HJ 1 j\ ) n • I
BUILDING \ ll' ' (_I
SPECIAL CONDITIONS I
CERT OF OCCUPANCY ISSUED
;
I
I
. 1J-c./S-3 .,,
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES -
INSPECTION REQ IF INSPECTOR"S DATE CHECKED APPROVAL -
SOILS COMPLIANCE ' PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS I -
SPECIAL MASONRY
,,
PILES CAISSONS
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