HomeMy WebLinkAbout1321 TAMARACK AVE; ; 82-79; PermitIll z 0 ~ IC "' .. 0 .., a
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0 I hereby afflnn that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license ls In
full force and effect. L,c No _______ Cl•ss
I hereby affirm that I am exempt from the Con-¥:~~·e;!f::: ~-~,~-:~~~~i~
county which requires a permit to construct
alter, improve, demolish. or repair any structure. pno, to ils issuance also requires the applicant for
such permit to file a signed statement that he is
lk;ensed pursuant to the pr0Yis1ons of the Con•
tractor's License Law (Chapter 9 commencing with
Sectk>n 71XX) of D1v1sk>o 3 of the Business and Pro-fessk>ns Code} or thllt 1s exempt therefrom and the
basis for the aJleged exemptt00. Any vk>lation of
Sectt<>n 7031.5 by an applicant fOf a permit subiects
tne applicant to a cMI penalty of not more than five
hundred dollars l$500) .
C I. as owner ol the property, or my employees ..Ith waoes as their sole compensation, w,11 do the
wotk, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code·
The Contractor's License Law does nol apply to an owner of property who builds or improves thereon
and who does such work himself Of' through his own
employees. provtded that such 1mpr0Yeme:its are not 1ntende1: Of offered ror sale. II. however, the
building or improvement 1s so~ w1th1n one year of
completton. the owner-Ou1lder will have the burden
of proYing that he dtd not build Of ,mprove to, the
purpose of sale).
□ I. as owner of the property, am e>eclus1vely
contractin~ with licensed contr~tors to construct the project (Sec. 70U. Business and Professions
Code: The Contrac1or's License Law does not apply
to an owner of property who builds or improves ~~~i~ ~~n~n~~!~~ ~~~J'~~~~::.:
License Law) .
C I am exempt under Sec _____ , B. & P.C.
tor this reason ___________ _
D I hereby affirm that I have a cer11hcate ot consent
to self-insure, or a certificate of Workers· Compensation Insurance. or a cer11f1ed copy thereof
{Sec 3800. Labor Code)
0 Cert,hed copy 1s hereby turn1sl
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(Ttus section need not be completed 1f the permit 1s tor one hundred dOllars (S 1())) or less)
0 I cert1t-y that 1n the performance of the wM tor which this pemut 1s issued, I shall not employ any
person in any manner so as to beeome sub1ect lo
!he Wortiters· COmpensahon Laws ot California
NOTICE TO APPLICANT It. after makm1 this Cert,
hcate of Exemption, you should beeome sub1ect 1,:, the Wortiters· Compensation prov1sK>ns of the Labor
Code, you must forthwith comply wtlh such
prov1s.ans or this permit shall be deemed revokea
0 I heteby afhrm that there is a cons1ruct1on
lending agency t()f lhe per10fmance ol the work tor
wtuch this permit 1s issued (Sec 3097. C1v+I Code)
Lenoefs Name ___________ _
Lender's Address __________ _
Uo>~ U"LL .-u,n, r-t.n ' G ,-J\t...J.> """" .f 1,' ....... ---.-···· ·-. ·--·· .. ··--· -·········--·---······-------------. ·1 ,r----
CARLSBAD BUILDING DEPARTMENT \. ) APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008 (71<4) <438-5525
J08Ar32 J 0~r:ic.k C~~l.r6eiJ c.,4. AV.ST.IY~M 8U5JliJl;;ENSE # VALUATION PERMIT NUMBER
9.2..01tt RD, iJ,77 I
OWN£j.~A:: F: Dstl,~1( I ')2,:sn,E 2z;/J;T1 f t'/e. &>isr c:olirAAcTORS PHQt\lE f ZONE
,JI/-/ L , J/4 I I
OWNER'S MAILl~DRESS -cl/. oo?"?J7:.7,; ,f' /)ff ,e( llCl!NtlENO. PLAN 1.0. # BLOG USE CODE
/3:2.( (J.wt.lrlck. CJrl1t,u/ 'J-l_Dd/> 5~.r.n>
LOT I BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. 0£~· • STATE LICENSE # STANOARO PLAN # BUILDING SO. FOOTAGE ... .JA ~ -
DESCRIPTION OF WORK --,-, . -DESIGNER'S ADDRESS" DESIGNER'S PHONE
,,&_,/~~,I ,L, -h~ 2/26/82930~ 10~or ----NO -,r F/P FLR ELEV. OCC GP EDU STORIES 00 01930!:l 2t2?1 sa I o,o:.
vO NO .... ··---..
CENSUS TRACT I GP LAND USE I PARKING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIRE SPA
AREA CONST
YO N 0 vO NO vO NO Not Valid Unlffs Machin~ Cl!rtififti
QTY. PLUMBING PERMIT -ISSUE ;so QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100,000 BTU BUILDING PERMIT 01-oon-4oon
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-000-4221
EACH WATER HEATER AND/OR VENT ...-1' BOI LER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-000-4806 ~
/ EACH GAS SYSTEM 1 TO 4 OUTLETS ~~ BOI LER/COMPRESSOR 3-15 HP TOTAL PLUMBING 01-000-4222 /#-
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 01-000-4223
EACH INSTAl .. ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 01-000-4224
EACH VACUUM BREAKER MECH EXHAUST -HOOD/DUCTS M0BILEHOME 01-000-4225
WATER S0FTNER RELOCATION OF EA FURNACE/HEATER M0BILEH0ME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
~ TOT.l,L MECHANICAL STRONG MOTION 65-640-0519
TOTAL PLUMBING I /~ .,.,,,.-FIRE SPRINKLERS 01-000-4227
QTY. SOLAR -ISSUE
PUBLIC FACILITIES FEE 25-000-4933
QTY. ELECTRICAL PERMIT -ISSUE BRIDGE FEE
NEW CONST EA AMP/SWT/BKR COLLECTORS SCHOOL FEE -DISTRICT
1 PH 3 PH STORAGE TANKS Carlsbad 65-623-0519
EXIST BLOG EA AMP/SWT/BKR ROCK STORAGE Encinitas 65-624-0519
I PH 3 PH PUMP San 0ieguito 65-625-0519
REMODEL/ALTER PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS
OVE R 200 AMPS
TEMP OCCUPANCY (30 DAYSI -
TOTAL ELECTRICAL I TOTAL SOLAR TOTAL FEES PAYABLE I /?~
I HAVE CAREF\JLL Y EXAMINED THE COMPlETED '"APPLICATION AND PERMIT" ANO DO HEREBY ........ IE.-ypennll--brttieBuildlngOllidel underlltepro,riaioneoftllia * AN OIHo\ PEMlfT IS RECIUIMD.l'OR EXCAVATIONS OWSI
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE CD,e lNII _.,... br llfllllallan and._ null and void If the building or WOf1t -s· 0-DEEP ANO DEM0U110N ClACONSTIUmON OF
OECLI.RATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS IUlllarlDd ~ aucfl permit ia not _,,._ic:ecl Within 180 ~~ Ille dale of~ STRUCnlflE8011£R 3810NES .. HEIGHT .... or .. ~ -" llUthoriz9d by IUCh r..'...".'.' Iii A ISSUED: TO COMPlV WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-........ II -tlllte .. -' la -ic:ecl tor -.., 1t111 --·-
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~7.~ OWNE7' CONTRAc U •PPROVED BY p Jfilt'V-KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS, OOSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE r-
GRANTING OF THIS PERMIT. I e ~ BY PHONE 0
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INSPECTION TYPE DATE INSPECTOR I -,
'~ , . "8-').. .70, BUILDING ' -
FIELD INSPECTION RECORD ~ ' FOUNDATION
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES REINFORCED STEEL .
MASONRY INSPECTION AEQ IF INSPECTOR'S DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME ' PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME I OVER 2000 PSI
EXTERIOR LATH lNSULATION I PRESTRESSED
I CONCRETE
INTERIOR LATH & DRYWALL I' POST TENSIONED
CONCRETE
PLUMBING I FIELD WELDING --' SEWER AND BL/CO HIGH STRENGTH
PLUMBING UNDERGROUND ! BOLTS -
PLUMBING TOP OUT i SPECIAL MASONRY
-
TUB AND $HOWER PAN I
I
' GAS TEST • I PILES CAISSONS
ELECTRICAL I
TEMPORARY POWER 1: r
ELECTRIC UNDERGROUND I
ROUGH ELECTRIC 1
ELECTRIC SERVICE ' I
BONDING ~ I
' G. F. I. -SMOKE DETECTOR !
MECHANICAL L
I
DUCT & PLEM., REF. PIPING -
HEAT -AIR COND. -SOLAR SYSTEMS • f -' ~,
VENTILATING SYSTEMS ---
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE -ITEMS ABOVE HA VE BEEN APPROVED. r, / ,/"'
JOB SITE FINAL .\~ /.., ~ ' \' > -• ' ¥ --\. -. \, PLUMBING I {,, ,Y/~ ' ' I ' ELECTRICAL i ~ 1--" /' \ .. ', "'' .~,
~ ' ,, \ MECHANICAL -')Y vi,, ' ...... :
GAS n' '#, \ [JV \ ' _ _, •• J. C
Y' . \ \ \ ~
BUILDING .. \ ~ : -;, -,, ' . ,) ...
SPECIAL CONDITIONS -'T)\ ' • 0-~
CERT OF OCCUPANCY ISSUED ,
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