HomeMy WebLinkAbout1750 TAMARACK AVE; ; 85-495; Permit"' z 0 ~ ac C _,
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~ USE BALL POINT PEN ONLY & PRESS HARD ------·--~-~-APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS. ----------------------------------·--------------------
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O I hereby affirm that I am llcensad under
provlelone of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profeeelons Code, and my license is In
full force and effect.
Lie No 443348 Class C36
I hereby afhrm lhal I am exempt lrom the Contrac• tor's License Law tor lhe tonowmg reason (Sec 7031 5
Business and Professt0ns Code: Any c,ty or county which re· quires a permit to construct, alter, improve, demohsh, Of
repair any structure, prior to its issuance a1so requires !heap-phcant for such perm1t to file a signed statement thal he 1s
licensed pursuant 10 lhe prov1s1ons ol lhe contracto(s license Law (Chapter 9 commencing w1lh Sectt0n 7000 ol
01v1st0n 3 of the Business and ProlessK>Os Code) o, mat 1s ex· empt therefrom and the basis for !he alleged exemption Any
v1otat10n of Section 7031.5 by an applicant tor a permit sub·
1ects the applicant to a c1v11 penalty of not mo<e th.an hve hun·
dred dol~rs ($500).
□ I, as owner of the property, or my employees with wages
as their sole compensation, will do the work. and the strut·
ture is not intended or ollered for sale (Sec 7044, Business
and Professions Code: The Contractor's License Law does not apply to an owner ot property who builds or improves
thereon and whO does such work himself or through hts own employees. provided Iha! such improvements are not intend·
ed or ottered lor s;,le. It, however, the building or improve·
ment is sold w1thm one year of completion, the owner-builder will have the burden of proving that he did not build or im·
prove !or the purpose ol sale).
D I, as owner ot the property, am exclusively contracting with licensed contractors to construct the project (Sec 7044,
Business and Professions Code: The Conlractof's License Law does not appty to an owner o1 property who builds or im·
proves thereon. and who contracts tor each projects with a contractor(s) lteense pursuant to lhe Contract0<'s license
Law).
D As a homeowner I am improving my home. and the follow·
ing conditions exist: 1. The work 1s being performed prror to sale
2. I have lived in my home tor lwelve monlhs
priof 10 comp~lion of this work. 3. I have not claimed this exemption during Ille last three years.
D I am exempt under Sec. ______ . 8 & P.C tor this reason ____________ _
□Xhereby att,rm that I ha...,e a certificate ot consenl
to self-insure. or a cert,t,cate ol Workers Compensation Insurance. or a cert,hed copy ther~I
(Sec 3800. Laba< Godel
POLICYNO 'J:C621698048
coMPANY Maryland ('::tSua.n:.f
~y 15 filed with the C''"
□ Certthed copy 1s hereby lum1sht<I
CERTtFtCATl OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
(This section need not be completed 11 the perm11 ,s fOf one hundred c)Ollars IS t()()) or less)
O I cert,ly that ,n the per1ormance ot the wonc !or which this perm,, 1s issued. I shall not employ any
person ,n any manner so as to become su01ect 10
lhe Wo~ers· Compensation Laws ot Ca111orn1a
NOTICE TO APPLICANT II, atter mak1nJ m,s Cen,
ficate ot E:a:emp11on. yoo should t>ecome sub1ect ,,, the Wof11.efs· Compensation prov1s1ons ot ine Labor
Code. you must torth--.1lh comply wilt\ such
prov1s1ons or 1h1s permit shall oe deemeo re .. 01o.eo
if
0 I hereby aftum 11'\al there 1s a cons1ruc1ton
1end1nQ agency tor the per1ormance ot lhe woOI IOf
which this permit 1s issued tSec 3097 C,v,1 Godel
Lenele• s Name None
LenOer s A<:kHess __________ _
j
I
..1U8 Ar1~IAESS
l 7S0 T;:im;:ir;:u••k Ave.
LOT 'BLOCK I SUBOI VISION
ow,.:r R'S NAME
Errol Shale
o ..-.i•,t R'S MAILING ADDRESS
1750 Tamarack Ave .
OE ,CR1PTION OF WORK
r.,~-1-,.....,. •• Ri:>nl-.
-.. ·-----
GP LANO USE
CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad. California 92008-1989 (619) 438-5525
APPLICATION & PERMIT ~
AV.ST.RO. NEAREST CROSS ST. I OA~E;;::LICATIONI
BUSINESS LICENSE it VA'LUATION CZSfff Hiahland Dr. Al77 I ASSESSOR PARCEL NO. CONTRACTOR CONTRACTORS PHONE• ZONE
I OWNER'S PHONE 71..,.,,... .... -ol , ...... 'h~...,..,. &;.Q7 Alc;.1
CONTRACTOR"S ADDRESS -LICENSE NO. PLAN 1.0. # BLOG USE CODE 434-2561 ?RlQ ~• Ave. 44'.B4R
DESIGNER LICENSE • STANDARD PLAN # BUILDING SO. FOOTAGE
DESIGNER'S ADDRESS DESIGNER'S PHONE
71 I' I /B56C5~ ,.. ... , -· -.. -,o ,o
--------. --.. -----F/P F LR ELEV. NO OCC GP EDU STORIES
vO NO --
GRADING PERMIT ISSUED TYPE OCC LOAD FIRE SPR
AREA CONST
~ENSUS TRACT I
. ' I PARKING SPACE I RES UNITS I
y D ND
I REOEVELOPMENT
vO NO vO NO Nor Valid Unkn Machine Certified
QTY. PLUMBING PERMIT -ISSUE $7.50 QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
; -EACH FIXTURE TRAP INSTALL FURN. DUCTS i.JP TO 100,000 BTU ---BUILDING PERMIT 01-00-00-8220 -EACH BUILDING SEWER OVER 100,gllD-fliU SIGN PERMIT 01 ·00-00-8221
__i_ ~ACH WATER HEATER ANO/OR VENT S? c;o BOILER/COMPRESSOR UP Tg/4 PLAN CHECK 01-00-00·8806
ACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR~ HP TOTAL PLUMBING 01-00-00-8222 C::1(1 (\(\
(ICH GAS SYSTEM 5 OR MORE METAL FIREPLACE_/ f ELECTRICAL 01 -00-00-8223
E.CH INSTAL . ALTER. REPAIR WAT ER PIPE VENT FAN SINGLE DUCT II ~. MECHANICAL 01-00·00· 8224
ACH VACUUM BREAKER MECH EXHAUST -HOOOIOUCTS j) 'f/ MOBILEHOME 01-00-0Q·8225 -WATER SOFTNER RELOCATION OF EA FURNACE/HEATER '-' I MOBILEHOME PARK INSP . -EACH ROOF DRAIN !INSIDE) IF ./ SOLAR n1-oo.nn.ooo~
>--TOTJ;L MECHANICAL vA\ STRONG MOTION 80·92·33-0519
TOT AL PLUMBING I $10.00 FIRE SPRINKLERS 01-00·00-8227 -PUBLIC FACILITIES FEE 32-00·00·8930 QTY. ELECTRICAL PERMIT -ISSUE QTY. SOLAR -ISSUE
BRIDGE FEE
NEW CONST EA AMP/SWT BK R / COLLECTORS SCHOOL FEE · DISTRICT
1 PH 3 PH / STORAGE TANKS ~---Carlsbad 80-92-21-0519
EXIST BLDG EA AMP/SWT /BKR / ROCK STORAGE _,,,,,.,,,.-Encinitas 80-92-22·0519
1 PH 3 PH _/ PUMP -----San Dieguito 80-92-23-0519
REMOOEL 'AL TfR PER CIRc;µ,<f PLAN CHECK FEE ./ San Marcos 80-92-24-0519
TEMP POLE 200 AMPS _/ ( /
OVER 200 AMPS < LICENSE TAX 01-00-00-8162
TEMP OCCUPANCY 130 DAYS) MFF 80-92-57-0519
CREDIT DEPOSIT
TOTAL ELECTRICAL I TOTAL SOLAR
.,
I TOTAL FEES PAYABLE $10.00
I HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION AND PERMIT"" AND DO HEREBY Exp,rat,on Every permit issued by the Budding Off1<:1at under the prov1SIons ofth1s * AN OSHA P£AMIT IS REQUIRED FOfl EXCAVATIONS OVEA
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Code shalt e:a:p.re by lim1tahon and become nuu and v0td If the bu1ld,ng or work 5' o·· DEEP ANO DEMOUTION 0A CONSTAUCTION Of'
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authorozed by such permit 11 not commenced ..,thin 180 oays from the date of such STAUCTUAlS OVEA l STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-=~::...:, ·~t ~v '::'~l~e~~~~r:~!"~~~~~~ .""~'::::Ct'~f·r=:a or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND , OWNER□ CONTRACTOR 1iit;: APPROVED BY ? ?k~ KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AN~ANT S SIGNATURE If,
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE • ~ ,% BY PHONE 0 GRANTING OF THIS PERMIT £A-E _ ~ -,
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION
INTERIOR LATH & DRYWALL
PLUMBING
SEW ER AND BUCO □IPUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER D SOLAR WATER
ELECTRICAL
□ ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
___ ITEMS ABOVE HA VE BEEN APPRO_VEQ_.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
.
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO IF INSPECTOR'S DATE CHECKED APPROVAL
SOI LS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSO"-S
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