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Home My WebLink About1321 TAMARACK AVE; ; CB910873; PermitB U I L D I N G P E R M I T Permi Project Development No: CB910873 No: A9101l 6 No: 06/06/91 13:03 Page 1 of 1 Job A dress: 1321 TAMARACK Permit Type: PLUMBIN Parcel No: 206-262-29-00 Valuation: o Construction Type : NEW Occup ncy Group: Description: GAS REPAIR Appl/Ownr : OSTLING, STAN AV Class C de: 1321 TAMARACK AVENUE CARLSBAD, CA 9200 Fees Required Fee:.:;: Adjustments : Total Fees : Fee description Enter "Y" for Plu Gas Piping Sys em * PLUMBING TOTAL Str: 619 CITY OF CARLSBAD Fl: Ste: ,!. '-it.at-us: AppliPd: Apr/Issue: Validated By: 729-5361 l'-::.UEI:' 06/06/91 06/06/ H DC .00 .00 1(. uo Ext fee Da-ca 7.50 Y 2.50 10.00 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 PERMIT APPLICATION PIAN CHECK NO. City of Carlsbad Building Department 2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161 FSf.VAL _____________ _ PIAN CK DEPOSIT ________ _ VAJ.ID_BY ____________ _ I. PERM! I l"YPR DATE ____________ _ A -LI Commerc1al D New Bu1ldmg D Tenant Improvement B -D Industrial □ New Building □ Tenant Improvement C -D Residential D Apanment D Condo D Single Family Dwelling □Addition/Alteration □ Duplex D Demolition □ Relocation □ Mobile Horne □ Electrical □ Plumbing □ Mechanical D Pool □ Spa D Retaining Wall D Solar O Other ____ _ 2_ PRQJECT OOURMATION FOR OFFICE USE ONLY LEGAL DESCRIPTION Lot No. sulxhvis1on Name/Number Onn No. Phase No. clltcR BEWW IF SUBMll'IE0: D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope EXISTING USE PROPOSED USE NAME CI1Y ADDRESS STATE ZIP CODE DAY TELEPHONE 4. APPUCAN'l NAME □ CON I MC!OR O AGEN I Fok cON IHAc !OR ADDRESS □oWNf.R DAGEN! FOR OWNEH Cl1Y STATE ZIP CODE DAY TELEPHONE ADDRESS I J :{ I ZIP CODE 'f'.2.J)O $) ADDRESS DAY TELEPHONE CI1Y STATE STATE UC.# ZIP CODE IJCENSE ClASS ADDRESS DAY TELEPHONE CI1Y BUSINESS UC. # DESlt,NER NAME Cl1Y STATE ZIP CODE DAY TELEPHONE STATE IJC. # 1. WOllREID,_, wMPl!NSA:IION Workers' Compensation Occ!arauon: I here6y allirrn that I have a cert1llcate ol consent to sell-insure issued by the Director ol lndustnal 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). INSURANCE COMPANY POLICY NO. EXPIRATION DATE Certd1cate of Exemption: I ceruly 1hat in 1he performance of the work lor which this permit 1s issued, I shall not employ any person m any manner so as to become subject to the Workers' C.ompensation Laws of California. SIGNATURE DATE g_ oWNF.R-BUllDER DEClAltA11oN Owner-Builder Declaration: I hereby afhrm tha1 1 am exempt from the Contracto?s License Law for the lollowmg reason: D 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 C',ade: 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 License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with eontractor(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 Ccxle: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior co 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 703L5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500)). SIGNATIJRE DATE COMPLETE nils SEGl'!ON FOR NON-RESIDENTIAL SUlilliNG PERMl'l'S ONLY: Is the applicant or future building 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 □ NO Is the applicant or future building occupant required to obtain a pennit from the air pollution control discrict or air quality management district? C YES □ NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ YES □ NO IF ANY OF THE ANSWF.RS ARE YF.S, A FINAL CERTIFICATE OF OCX:UPANCY MAY NOT BE ISSUED AFTER JULY 1, 1989 UNLESS TIIE APPLICANT HAS MlIT OR IS MEITING 1HE REQUIRf:MENTS OF TIIB OFFICE OF EMERGENCY SERVICES AND THE AIR POIJ..UTION CDNIROL DISJ'RICT. 9. illNSIR0CIION IJ!NDING AGENCY I hereby alhrm that there IS a construction lendmg agency tor the performance of the work lor which tfus penn1t 1s issued (Sec 3097(1) CIVIi Code). LENDER'S NAME LENDER'S ADDRESS lo. AJlPllCAN'l CEk'l'IFicA'l1oN I certify that I have read the apphcatlon and state that the above information 1s correct. I agree to comply wnh all City ordinances and State laws relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned propeny for inspection purposes. I AI.SO AGREE 10 SAVE INDEMNJFY AND KEF.P IIAilMLESS TIIE CTIY OF CAJUSBAI) AGAINSf All. IJADIIJ1lES, JUDGMENTS, CDSTS AND EXPENSES wmcu MAY IN ANY WAY ACx:IUJE AGAINST SAID Cl1Y IN CDNSEQUENCE OF TIIE GRANTING OF nns 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 pennit issued by the Building Official under the provisions of this Ccxle 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 dare of such permit or if the building or work authorized by such permit is suspended or abandoned at any time after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code). z:TSSIGKATU~ 1.~,1 DATE t-~tJI / ' WHITE: File YELLOW: Applicant PINK: Finance /;_,_/ UNSCHEDULED INSPECTION DATE ___ Y/----'-7 __ ¥/~,._//1_?_/_ INSPECTOR __________ _ PERMIT# ?/-f-73 PLANCK# _____ _ JOB ADDRESS I 2A , ~A /1,'I c/~ 7#· = ,4.-e"" ~ TIME ARRIVE: _____ TIME LEAVE: _____ _ CD LVL DESCRIPTION ACT COMMENTS