HomeMy WebLinkAbout2749 TAMARACK AVE; MP; 82-370; Permit.,, z 0 .:: < a: < ...
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O I hereby affirm 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 Is In
full force and effect.
Lie No ------Class
1 hereby atflnn that I am e1eempt from the Con-~~~·~~~~~"sS: !:: ~t~~.~~,~~~e:~,~
county which requires a permit to construct
alter. improve, demolish. or repair any structure,
prior to its issuance also requires the apphcanl for
such pemut to file a signed statement that he 1s hcensed pursuant to the prov1s100s of the Con-
tractor's License Law (Chapter 9 commencing with
SectK>n 7000 of 01v1s1on 3 of the Business and Pro-fess,ons Cooe) or that 1s ex&mpt therefrom and the
basts tor the alleged exemption Any v1olat1on of Section 70315 by an applicant for a permit sub1ects
tne applicant to a cIv1I penalty of not more than five hundred dollars (SSOO) .
C I, as owner of the property, or my employees
-.1th wages as their sole compensation, will do the
work, and the structure Is not intended Of offered tor
sale {Sec 7044, Busmess and Protess1ohs Code.
~~~~,t'~6~~yl1~~sebu~d~ ~~~i~:SP:h~~~~ I
=~P~~~~r~~~~~~u;::~r ?~~~~'e~:s 0
:; I not intende1 or offered for sale If, however, the I building 0< improvement Is sold within one year of I
complehon. the owner-builder will have the burden
of proving that he did not build or improve for the J
purpose ot sale) I
~~-r~1n~w;:;~ ~~e~h~i~~~,t~: t!~~~::;~~~ I
the proJecl (Sec 7044, 8us1nes·s and Professions I
~: ~t;:~~t:~:~;;!rt~c!~~e ~~d~~ ~~:g~~: f
thereon, and who contracts tor each pro1ec1s w,th a I
~~~~~•~~) hcense pursuant to the Contr..ctor's I
D I am exempt under Sec _ _, B & PC
tor this reason __
O I hereby affirm tnat I ha11e a cen1ftcate of consent to se1t-1nsure, or a certificate of Workers·
Compensation Insurance. or a certified copy !hereof
(Sec 3800. Labo, Code)
POLICY NO __ _
COMPANY
0 Copy IS hied With lhe city
D Cert1t1ed copy Is hereby furnished
CERTIFICATl OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE
(This section need not be completed ,t the perm,1
,s tor one hundred dollars (S 100) or less)
0 I certify that m the performance of the wM tor which this permit ,s issued. I shall not employ any
person in any manner so as 10 become subJect lo
the Workers· Compens.at+on Laws ol Cahforn1a
NOTICE TO APPLICANT 11. after makm7 this Cert•
hcate of Exemplton. yO\J should beeome subJect l'J the Wol"kers· Compensation prov1s10ns of the Labor Cooe. you must forthwith comply with suctl
provisions or tn1s permit shaJI be oeemed revoked
D I hereby afl,rm lhal mere Is a construchon
lending aoency tor !he perlormance or lhe wofk tor
which lh1s permn Is issued (Sec y:,:)7 C1v11 Code)
Lenoe1 s Name ___________ _
Lenders Address __________ _
I
I I ,
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-----··--. -····. -·· -··-· -. ··---······-'
/ CARLSBAD BUILDING DEPAR
1200 Elm, Carlsbad, California 92008 (714) 438-5525
MEN \ APPLICATION & PERMIT
~1,1:4} ~~.p /1 I A~~~-, DATE OF APPLICATION I BUSINESS LICENSE # VALUATION PERMIT NUMBER
/ J ./1 .r, ~ gd'✓ '/~,-.J ~ v -/ ---~ IJf I_ ..,
OWNER'S NAME I
f
OWNER'S PHONE PRIME C07,TOR CONTRACTORS PHONE • ZONE ~10 \ A ,J,4,t14.cl'~, ·),t,q 7--,_ 9-/C, ;i.-;
OWNER'S MAILING ADDRESS C\TRACTOR'S :OORESS " f-llCENSE NO. I PLAN 1.0. # BLOG USE CODE
LOT BLOCK I SUBDIVISION I ASSESSOR PARCEL NO. DESIGNER STATE LICENSE ,. STANDARD PLAN# BUILDING SO. FOOTAGE _,
DESCRIPTION OF WORK r r\ /I .. /J/1 J..,. DESIGNER'S AD PRESS DESIGNER'S PHONE
~--/A ./21 ~, fJ-"-, ;; ~ .... >7}'/ 77JJ1,.;.1...(• > -_ ,_ 7 ' --F/P / FLA ELEV. NO OCC GP EDU • STORIES
vO NO •'
CENSUS TRACT I GP LAND USE I PARKING SPACE RES UNITS I GRADING PERMIT ISSUED I REDEVELOPM!fH TYPE OCC LOAD FIRESPR
. { AREA CONST
YD N D j vO NO vO NO Not Valid Unless ~chine ~rtifi«I
I SUMMARY/ACCOUNT NUMBER QTY. PLUMBING PERMIT -ISSUE QTY. MECHAr ICAL PERMIT -ISSUE ---
EACH FIXTURE TRAP .. --INSTALL FURN. JUCTS UP TO 100.000 BTU
,..,
BUILDING PERMIT 01 -oon-4 ??n
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 01-000-4221
EACH WATER HEATER ANO/OR VENT BDILER/COMPRE SSOR UP TO 3 HP PLAN CHECK 01·000-4B06
EACH GAS SYSTEM 1 TO 4 OUTLETS 801 LER/COMPR E SSOR 3-15 HP TOTAL PLUMBING 01 ·000-4222 ✓ ~-.
EACH GAS SYSTEM 5 0 R MORE METAL FIREPLACE ELECTRICAL 01-000-4223 =--~ ----
EACH INSTA~ .. ALTER. REPAIR WATER PIPE VENT FAN SINGL DUCT MECHANICAL 01 ·000-4224
EACH VACUUM BREAKER MECH EXHAUST HOOD/DUCTS MOBILEHOME 01-000-4225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 01-000-4226
LJ_. l TOTJ:-L MECHANICAL STRONG MOTION 65-640-0519 --L· ·-·r --TOT AL PLUMBING /Y FIRE SPRINKLERS 01-000-4227 -PUBLIC FACILITIES FEE 25-000-4933
QTY. ELECTRICAL PERMIT -ISSUE 2. ( QTY. SOLAR -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/SWTIBKR ROCK STORAGE Encinitas 65·624-0519
1 PH 3 PH PUMP San Dieguito 65-625-0519
REMODEL/AL TEA PER CIRCUIT PLAN CHECK FEE San Marcos 65-626-0519
TEMP POLE 200 AMPS ,·i_; .
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYSI ------
--T -TOTAL ELECTRICAL , -TOTAL SOLAR TOTAL FEES PAYABLE I -~~ .. ,
I HAVE CAREFULLY EXAMINED THE COMPLETED 'APPLICATION AND PERMIT" AND DO HEREBY EJ(p1r1t1on. Every permit tSsued by the Building Ofhc1al under the prov,s,ons of this * AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by hm1tatton and become null and void If the bu1ld1ng or work 5· o· DEEP AND DEMOLITION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such permit is not commenced wI1hin 180 days from the dale of such STRUCTURES OVER 3 STORIES IN HEIGHT
ISSUED: TO COMPLY WITH ALL CITY, COUNTY AND STATE LAWS GOVERNING BUILDING CON-~~~~"~ '!t t:~v ~~~'~R.~~h:C:~r:~!hc~~~e:le:~~~ r~~~'~t'r:rci:~~ or
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S SIGNATURE .. OWNER□ CONTRACTOR 0 APPROVED BY DATE KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0 I GRANTING OF THIS PERMIT
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BUILDING
INSPECTION TYPE DATE INSPECTOR <3.:>..·370
FIELD INSPECTION RECORD
FOUNDATION
REINFORCED STEEL REQUIRED SPECIAL INSPECTIONS INSPECTOR"S NOTES
MASONRY I INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
GUNITE OR GROUT SOILS COMPLIANCE
FLOOR & CEILING SUB FRAME I PRIOR TO
FOUNDATION INSP
SHEATHING STRUCTURAL CONCRETE
FRAME OVER 2000 PSI
EXTERIOR LATH lNSULATION PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED
CONCRETE
PLUMBING .
-FIELD WELDING
SEWER AND BL/CO ' HIGH STRENGTH
PLUMBING UNDERGROUND I BOLTS
PLUMBING TOP OUT SPECIAL MASONRY
TUB AND $HOWER PAN
GAS TEST I PILES CAISSONS
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND -·
ROUGH ELECTRIC
ELECTRIC SERVICE
BONDING
G. F. I. -SMOKE DETECTOR
MECHANICAL
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
PL11MBING
ELECTRICAL \
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUPANCY ISSUED