HomeMy WebLinkAbout2745 TAMARACK AVE; MP; 81-503-5; Permit,,, z 0 ~ IIC j
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0 I hereby ■,nrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my llcense Is In
full force and effect. L,c No ______ Class _____ _
I hereby affirm that I am exempt from the Cori• ~:~•a~~ii::: ~; ~f=t~~l~~e~~I\~;
county whlch requires a permit to construe 1
alter. improve, demo41sh. or repair any structure.
prior to its Is.5uance ailso requires. the applicant for such pennit to hie a signed statement that he is
I.Censeel pursuant to the provIsIons of the Con-
tractor's License Law (Chapter 9 commenemg with Section 7000 ot 01111s,on 3 o1 the Business and Pro-
fessions Code~ or that Is exempt therefrom and the basts tor the alleged exemptton. Any v,olation of Secc;on 7031 .5 by an ~plicant t0< a permit subjects
tne .JPplicant to a c1v11 penalty ot not more than five
hundred dollars ($50()).
□ I, as owner of the property, or my employees
.. ith wages as their sole compensation, will do the
work, and the structure •snot intended o, offered for
sale (Sec. 704A. Business and Professions Code
The Contractor's LJcense Law does not apply to an
owner of praperty who builds or improves thereon
and •ho does sucn work himself or throuoh his own employees. provided that such 1mproveme;,ts are
not mtende1 Of offered for sale If. however, the
building or improvement 1s sold w1th1n one year of complehon. the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale).
□ I, as owner ot the property, am exclusively
contracting with ltcensed contractors to construct
the pro1ect (Sec. 70U, Business and Professions
Code: The Contractor·s License La* does nol apply
to an owner of property wtio builds or improves thereon. and who contrac1s for each proJects w,th a
contractorts) license pursuant to the Contractor·s.
License Law).
□ I am exempt un«ler Sec ____ , 8. & PC
fOf u,,sreason ___________ _
D I rlereby affirm that I hat'e a cert,t,cate ol consent 1
to sell-insure, or a cen,f,cate of Workers·
Compensation Insurance. or a cer1ihed copy thereof
(Sec. 3800. LabOr Code)
POLICYNO __
COMPANY
----------
□ Copy IS hied with the city.
D Cer1ified copy 1s heret>y furnished
CERTIFICAT~ OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(This section need nol be completed 1f the permit
,s for one hundred dollars {SH)O) or less)
D I certify 1haI ,n the perlormance of the wor11i for
which tn1s permll ,s issued. I shall not employ any
person In any manner so as to become sob1ecI 10 the Workers· Compensation Laws of Calllarn,a
NOTICE TO APPLICANT If. after makin, this Cert•
t,c.ate of E.J:empt,on. you should t>ecome sub1ec1 t'l
the Wor1i;ers' Compensation provisions ol the LabOr
Code, you must forthwith comply with such
provIs,ons or 1h15 perm,1 shall be deemed revoked
0 I hereby athrm mat 1here 1s a cons1ruct1on
tenaang agency for ine pet1ormance of tne work for
which trus oerm1t 1s ,ssued (5ec 3097 C1\11I COOel
Lenders Name ___________ _
USE BALL POINT PEN 0 \& PRESS HARD 0 APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AN"' ECLARATIONS.
' CARLSBAD BUILDING DEPARTMENT
1200 Elm, Carlsbad, California 92008 (71 4) 438-5525 APPLICATION & PERMIT
JOB ADDRESS
l!vc-I\ i.P
OWNER•S PHONE
OWNER'S MALLING ADDRESS ✓
SD
LOT I BLOCK I suB01p1s10N I ASSESSOR PARCEL NO.
DESCRIPTION OF WORK
1---------------------------------------II
-
AV.ST.IOATE Of APPLICATIONII RO. J/~("L-3,
PRIME CONTRACTOR
PAc.tt=,;., ~ ,N .. .::.E<.5
CONTRACTOR'S ADO RESS
GJ""' 0/6-f.. DI!.
OESIGNER
DESIGNER'S AODR ESS
F/P FLR ELEV.
Sf)
NO
STORIES
TYPE
CONST
BUSINESS LICENSE it VALUATION
CONTRACTORS PHONE f ZONE
LICENSE NO. PLAN 1.0. #
STATE LICENSE ,r STAN DARO PLAN# 11/12/81'
DESIGNER'S PHONE
OCCGP EDU
OCC LOAD FIRE SPR
BLOG USE COOE
BUILDING sa. FOOTAGE
7
CENSUS TRACT I GP LAND USE I PARK ING SPACE I RES UNITS I GRADING f'.ERMIT ISSUED
YO N □
I
REOEVELOPMENT AREA
v □ NO vO NO Nor Vaiid Unl~s Machine Cercifit!d
QTY. PLUMBING PERMIT -ISSUE QTY. MECHANICAL PERMIT· ISSUE
EACH FIXTURE TRAP INSTALL FURN . DUCTS i.JP TO 100,000 BTU
EACH BUILDING SEWER OVER 100,000 BTU
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP
EACH GAS SYSTEM 5 0 R MO RE METAL FIRE-PLACE l----+--------------------1---------------+--E AC H INSTAl .. ALTER . REPAIR WATER PIPE VENT FAN SING LE DUCT
EACH VACUUM BREAKER ME CH EXHAUST -HOOD/DUCTS l----+------------------+-------'----1f--+---WATER SOFTNER REL..0..C.ATIJJN OF EA FURNACE /HEATER
EACH ROOF DRAIN (INSIDE)
I----J__------------...,----1.-+A .... rfi"'~:,,.Vly1 ~~T ,c; L MECHANICAL
TOTAL PLUMBING I\ \ x . J'{;::f;>/ /
QTY. ELECTRICAL PERMIT . 1~ t ~ ~ , ,-· --~ 1ffl) ~ so_y{-1ssuE
NEWCONSTEAAMP/SWT/BKR IM.~ ~~ ~ xf ~IJ,"j COl)'ECTORf
1 PH 3 PH \ i /I \I _ / ,-r 'L .B'fl~j,E ANKS {
EXIST BLDG EA AMP/SWT /BK R
1 PH 3 PH / / ,, .._.,;/ UM2::11.. ._ '1,/,/
REMODE L/AL TEA PER CIRCUIT ·fi )(J /'-' f:/.~ PLAwf:~~K FEE()'-'
TEMP PO LE 200 AMPS
OVER 200 AMPS n / I
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
(
TEMP OCCUPAN CY l30 DAYS) 1---4------------------. v ___________________ .... 1-_______________ J._ _______ -1
J
TOTAL ELECTRICAL TOTAL SOLAR TOTAL FEES PAYABLE c=: 2-7--
I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND ;ERMIT"" AND DO HEREBY Expora11on. Every perm,t issued bytheBu1ldingOtt1c11lunderthe prov,s,ons ofthos * AN OSHA PE~~-_-=:z.=-0 FOR ~~VAT'ONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by iim,tahon and become null and void II the building or work 5· O"' DEEP AND DE?.~~ CONSTRUCTlON OF authorized by such permit Is not commenced within 180daystrom the date of such -~ DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or ,f the bolldmg or work authorized by such permit 18 suspended or STRUCT\IA£S 0V 3 STORIES IN HEIGHT /
ISSUED TO COMPLY WITH ALL CITY COUNTY AND ST ATE LAWS GOVERNING BUILDING CON-L.!a~b~an!!do~n:!!ed~•~t.!a!!:n!l'.....!vl:!_!1m~•!..!•~!i.c~, l!!;'h!!8JW!!O!!!f!k_!Is~co!!:m!!!.!!m!!et!]n:£C"!!!d!!..._!!fos>.!rJa!..l!!JD8r:!!1odag_o2f!...!!l 80!!!.Jdgiawu•'-----,P,-------,"'.._, ________ ,_P""!~----....
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND ,_ -~~ l r/1/; KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS. COSTS AND APP;!SAJtT'S SIGNAT~~.f-OWNER O CONTRACTOR LJ APPROVED BY /2
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ ,_. \G ~ BY PHONE O I IY ~7
GRANTING OF THIS PERMIT -'\ --OJ
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INSPECTION TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
FLOOR & CEILING SUB FRAME
SHEATHING
FRAME
EXTERIOR LATH lNSULATION
INTERIOR LATH & DRYWALL
PLUMBING I
SEWER AND BL/CO
PLUMBING UNDERGROUND
' PLUMBING TOP OUT
TUB AND $HOWER PAN
GAS TEST
ELECTRICAL
TEMPORARY POWER
ELECTRIC UNDERGROUND
ROUGH ELECTRIC
-
ELECTRIC SERVICE ' BONDING A
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
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
SPECIAL CONDITIONS
CERT OF OCCUP" 'CY ISSUED ---------~---~-
~-1 --~v3--S
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
SOILS COMPLIANCE
PRIOR 0
FOU DATIO INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED .
CONCRETE l
POST TENSIONED
CONCRETE
FIELD WELD! G
HIGH STRENGTH
BOLTS .
SPECIAL MASO RY
' .
PILES CAISSONS
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