HomeMy WebLinkAbout1739 TAMARACK AVE; ; 81-458; PermitCII z 0 ~ IIC ~ u ..,
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O I hereby afllnn that I am licensed under
pr0¥Islons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
lull force and effect.
Loe No _______ Cl•ss
I hereby affirm that I am exempt from the Con·
~~<>;-~!~r:sS: ~ ~f=•~~~'¼C•~
county whteh requires a pem,11 to construct
alter 1mprow, demohsh. or repair any structure
pnor to ,ts issuance aJso requires the appt,cant tor
such penmt to hie a signed statement that he 1s hcensea pt.,rsuant to the prov,s,ons of the Con•
tracto,·s License law (Chapter 9 commencing with
S.Chon 7(0) or 0 1v1s10fl J ot tne Business and Pro-
tes.s.ons Code~ or tl'\at 1s exempt therefrom and the
basis for the alleged exemptK>n Any vl()(ation of Sect.on 70315 by an apphcant tor a permit sub,ects
1ne apphcanl to I c1•11t penally of not mote than five hundrea dollars (SSOOJ .
□ I, as owner ot the property, o, my employees ,.,u, wages as their sote compensat,on, will do the
wor'k, and the structure ,snot intended or ottered tor
sale (Sec 7044. Bus,ne-ss and Professions Code The Contractor's Lteense Law does not aoply to an
owner of property who bu1tds or ,mproYes thereon
and who does such wonc himself 01 througn his own
emptoyees, prO¥tded that such 1mproveme:its •e not lnteode1 o, offered to, sale II, howeve, the
bu1ld1ng 01 Imp,<wernent 1s sotd within one year of
comp .. tion, the owner-builder w,11 have the burden
of proving lhat ne dtd not build Of improve lor the
purpose of sale)
C I, as owner of the prooerty. am exctus,vely
contractin; with lteensed contr.actors to construct
the pro,ect (Sec 7044, Business and Proless1ons
Code· The Contractor's License Law does not apoly
to an owner or property who builds 01 improves
~~;;:-~ ~~c!'~~!~ ~:=~r!'~~~~;:.:
lteen.se Law)
□ 1 am e•empt under Sec
tor this reason
,8 & PC.
□ I hereby affirm that I have a cen1hcate ot consent to self-insure, or a certificate of Wo,kers·
Compensation Insurance. o, a cen,fled copy thereol
(Sec 3800. ubo< Code)
POL!CYNO _
COMP~ ~ ,s Med with the city \A ~ □ Cen1fled copy ,s hereby tu~~'
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This sectt0n need not be compleled 11 the pe-rm,t
Is 101 one hundred doUars (S 100} Of fess}
O I cen1ty that in the performance of the won. lor
which ttus pemut is issued, I shall not employ any
person 1n any mNtner so as to become sub1ec1 10
the Wof11ie-rs· Compens.at1on Laws of Callfomi.a
NOTICE TO APPLICANT If. alter malun;, tr·us Cert,
hate ot ExempttOn, you should become sub1ec1 1,:, lhe Workers· Compensatton provIsIons of ttle Labor
Code. you must forthwtlh compty w11h sucn provIst0ns Of 1n1s pe,mIt shall be oeeme<i revOked
0 I hefeby aflum lhal there 1s a conslruction
1enc.hng ~ency f()f lhe pe,1()fma.nc.e ot the wo111. lo, wn,cn this pe,m,1 ,s issued (Sec. 3(131 C1v1I Code)
l-s Name ___________ _
Lenoe,·s Address __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT. FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBA.-BUILDING DEPARTMENT
1200 Elm, Carlsbad, Callfornla 92008 (714) 438-5525 At-,JLICATION & PERMIT
JOB ADDRESS AV. ST. DATE OF APPLICATION BUSINESS LICENSE# V ALUATION PERMIT NUMBER
RO / -8 2.2 .. :s•,4-400
1-0-W-IN',-E-IRL..'S~N'A-M..&E:---..U::...U..::.1..L-.:U::::L.~Cl:=. _____ "'T"' ___ O_W_N,-E R-',:-S_P_H_O_N,:-E-r-P-R-IM_E_CO_N_T_R_A_C_T_O_R_---''--'--'--"""---=:......r.--' CONTRACTORS PHONE• ZONE
VA.J A . \l-NO,.LlrJ Pl!:,tLL.I -p.__.___,,,-Afl O ,?----Cf I ~4-' l/_JSL8j_2f,j
Bl-458
OWNfA'S MAILING.ADDRESS
$~
CONTRACTOR'S .ADDRESS I fit \ •,¥2.. <i4 I <5Th--U:..
LICENSE NO. I PLA1£ilctf. f 6 12 I I /
~~DE ..
Jffl1';~rt~oi~0 DESIGNER /
Poa'-J:. Sp,4
STATE LICENSE # STANDARD PLAN # BUILDING SQ. FOOTAGE
-.,
t NS'fAL-L -?PA
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS
LEl{T Ji,-e[li_<;
DESIGNER'S ADDRESS
·cc ( I \1 -{l(.a HA I -eN C I rJ rTA
F/P FLA ELEV.f"T
vO NO
REDEVELOPMENT
AREA
~
STORIES
TYPE
CONST
4-06117
OESIGNER'S PHONE
4~ 63 (5
OCCGP EDU
\?..-3
FIRE SPA GRADING ~ERMIT ISSUED
y D N □ vO NO \f·N
OCC LOAD
"""-l.O vO N~ Not Vaka Unlffs Machine C.rtified
QTY. PLUMBING PERMIT· ISSUE 1, 50 QTY. MECHANICAL PERMIT · ISSUE SUMMARVACCOUNTNUMBER ,,
EACH FIXTURE TRAP I I I INSTALL FURN. DUCTS UP TD 100,000 BTU I I BUILDING PERMIT 'L,,,-j.50
I
I
EACH BUILDING SEWER I . I I OVER 100,000 BTU SIGN PERMIT
EACH wATER HEATER AND10R vENT I 1'. -~n~ BoILER1coMPREssoR uP To_3_H_P-----+-----+-P-LA_N_c_H_Ec-K ........ ._..-c:---+-----,cc--=--=~+--::::::::::::;;;;;;;;;;;;=---1 ,. ~ ,~,50 -J ,,.oo
QTY.
1
EACH GAS SYSTEM I TO 4 OUTLETS I '7 -· t:;d I BOILER/COMPRESSOR 3-15 HP TOTAL PLUMBING
EACH GAS SYSTEM 5 OR MORE ➔ ---I I METAL FIREPLACE
EACH INSTA~ .. ALTER . REPAIR WATER Pl~ ------+--+-VENT FAN SINGLE DUCT
ELECTRICAL
MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS -------+---------+--MOBILEHOME
MOBILEHOME PARK INSP WATER SOFTNER
EACH ROOF DRAIN (INSIDE)
TOTAL PLUMBING r=_
ELECTRICAL PERMIT · ISSUE
NEW CONST EA AMP SWT BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT/BKR
1 PH 3 PH I REMODEL /ALTER PER CIRCUIT
TEMP PO LE 200 AMPS
OVER 200 AMPS -
TEMP OCCUPANCY (30 DAYS) -
TOTAL ELECTRICAL T ·-
REL O CA Tl ON OF EA FURNACE/HEATER
SOLAR
TOTJ.L MECHANICAL STRONG MOTION
~15C FIRE SPRINKLERS
'7,, 0 0 QTY. SOLAR -ISSUE PUBLIC FACILITIES FEE
BRIDGE FEE
COLLECTORS SCHOOL FEE · DISTRICT
STORAGE TANKS I I Carlsbad
ROCK STORAGE I D Encinitas
PUMP I n San Dlegu,to
F; ,oo II l PLAN C-HECK FEE I n San Marcos ,,.
,po TOTAL SOLAR TOTAL FEES PAYABLE
""-~
I L/3~
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPUCA TION AND PERMIT" AND DO HEREBY E•pirallon Eve pe mIt issued by the Building Ott, I ofth11
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall e•p, b 1m1tahon and become null d or work
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS auth°'12•d by th m,t •• not commenced wit n 1
ISSUED. TO COMPLY WITH ALL CITY. COUNl';' AND STATE LAWS GOVERNING BUILDING CON• =~.:i '1 t ~ lld•J or work auth°'11ed Y
* AN OSHA PERMIT It, AE0UlflED FOA EXCAVATIONS O'tfR s· 0 .. DEEP ANO DEMOl.lTlON OR COHSTJ!UCTIOH OF
ST"-JCTUAES OVER 3 STORIES IN HEIGHT
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND me a er the work is comm
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES JUDGMENTS COSTS AND APPLICA APPROVED BY Jk
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY i°N CONSEQUENCE OF THE /' _.,,;:-~-fj-f-f-.,,.,.,____ A£]
GRANTING OF THIS PERMIT. _-/ """'-~-,,,, ~,...____ Y'f ~
"T .., "1
DATE
1u-s-s1
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.. ~-· . --·. INSPECTION TYPE DATE -· .. -INSPECTOR --
BUILDING
FOUNDATION
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
FLOOR & CEILING SUB FRAME
SHEATHING I
FRAME
EXTERIOR LATH lNSULATION I
INTERIOR LATH & DRYWALL
PLUMBING
SEWER AND BL/CO
PLUMBING UNDERGROUND
PLUMBING TOP OUT
TUB AND ~HOWER PAN _ 1 I -.
GAS TEST I \\I> ~I 10 r
ELECTRICAL I
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING A I
G. F. I. -SMOKE DETECTOR.
MECHANICAL '
DUCT & PLEM., REF. PIPING
HEAT -AIR COND. -SOLAR SYSTEMS I
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
JOB SITE FINAL
PLUMBING
ELECTRICAL ~
MECHANICAL I JP
GAS ' 11 111 I.J\ l ltU1
BUILDING \ ll l \' \ '11 ".
SPECIAL CONDITIONS I/
CERT OF OCCUPANCY ISSUED
'
?il-'fS'b
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
SPECIAL MASONRY 1·
I
PILES CAISSONS
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INTERDEPARTMENTAL INFORMATION SHEET
BUILDING DEPARTMENT
BUILDING ADDRESS:
A±7(zJ ;2.07-3/1-o I
DATE~CEIVED
pn• 03 1981
CIT_Y _OF CARLSBAD
J =====================================================B=u=' ld:::1=1=0 ~0:'.:c:::'1::1:::rt~m~Q::n!:t=====
• PLANNING DEPARTMENT
ZONE LOT SIZE LOT WIDTH ----------------------------
UNITS ALLOWED UNITS PROVIDED ------------------------
PARKING SPACES REQUIRED PROVIDED
% COVERAGE ALLOWED PROVIDED
BUILDING HEIGHT ALLOWED PROVIDED
FRONT SETBACK:
ALLOWED
PROVIDED -------
INTRUSIONS
----------
SIDE SETBACK:
LANDSCAPE & IRRIGATION PLAN COMMENTS:
ENVIRONMENTAL PROTECTION REQ:
ADDITIONAL COMME TS:+ a,,~
ENGINEERING DEPARTMENT
-----------
REAR SETBACK:
R.O.W. INDUSTRIAL WAS TE IMPROVEMENTS ---------------------
SEWER CONNECTION DRI VEWAY LO CATIONS ---------------------
GRADING PERMIT EASEMENTS DRAINAGE --...__ft;---------,---------------
LEGAL DES CR IP TI ON__.,O'J«-~c...,,,::;.__.,_7 __ C-----'-T-----'Z--=-d---__,_)-tJ,1--____________ _
ADDITIONAL COMMENTS ----------------------
OK TO ISSUE4 DATEU-3--Bj PWI OK TO FINAL DATE ------------
F·IRE DEPARTMENT
SPRI~KLING SYSTEM FIRE PROTECTION EQUIP. ------------------=--
F ~RE ALARMS EXITS ----------------
FIRE HYDRANTS LOCATION ________________ ---ir--'
ADDITIONAL COMMENTS
OK TO ISSUE: DATE OK TO FINAL DATE -----------------------.---
WA TER DEPARTMENT
REQUIREMENTS OF APPROPRIATE DISTRICTS MET ________ DATE ________ _