HomeMy WebLinkAbout2402 TAMARACK AVE; MP; 86-1008; PermitIll z 0 .:: C Cl: j
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O t llefeby affirm that I am licensed under
provl1lon1 of Chapter 9 (commencing with
Section 7000) of 01¥1slon 3 of the Business
and Profnalona Code, and my license Is In
full force and effect.
I hereby altirm lhat I am exemp1 from the Conlrac•
!or's License Law ror the following reason (Sec 70315 Business •nd Profess,ons Code Any c,ty or county wh,ch re-qu1Ies a permit to construct, alter. 1mpr0Ye, demolish, or repan iny struclure. poor to 11s issuance also requires !heap-
plicant toi such per~! 10 Me a s19ned statement thal he 1s ttcenseo pursuan1 10 lhe p<ov1s1ons of the Gon1rac1or's License Law (Chapler 9 commencing wilh Secuon 7000 or Otv1st0n 3 of the Busi.ness and Professions COde) Of tnat 1s ex-
empt lherefrom and the basis for the allegea exemption Any vlOCat.on ol Section 7031.5 by an apphc.ant fOf a permit sub-
iec1s the apphcant to a civil penalty of not more lhan five hun-dreo dollafs ti500)
f1 I, as owner of the property. or my employees with wages
as their sole compensahon, will do the wOfk, and the s1ruc· lure ls not 1nlended or otfefed !OJ sale (Sec 7044. Business
and Professions COde The Contractor's Ucense Law does :;r:g:Zn~0 :~ =r s~~l~ti;:~r !~~~~h~f;C:~
employees, provided that such Improvements are not intend-ed or of fifed fOJ sale It, however lhe building or improve-
ment is SOid within one year o1 completion, the owner-builder will have the burden ol proving thal he did not build Of fffl•
prove lo, lhe purpose ot sale)
□ I, as owner of the propeny, am exc1us1ve1y contrachng
with hcensed c-0ntract0fs 10 conslrucl the proiect (Sec 7044
Business and Profess10ns Code The Conlracto<'s Ltcense
Law does nol apply to an owner of property who builds or im-proves !hereon, and who contracts for each pro;ecrs with a
cootractor{sl license pursuant to the ContractOJ's Ltcense Law)
D As a hOmeOwner I am improvmg my home, and !he follow ,ng conditions elust
1. The work is bemg performed pnor to sale.
2. I have !wed in my home for twelve months pr,o, to completion ol lhls work 3. I have not clauned 1t11s e.i1:emption during the last three years
□ I arn exempl unde< Sec ------· B & PC IOI' this reason
0 I hereby affirm that I have a certificate of consent to
self•insure. or a cert1hca1e of Workers· Compensation In-
surance. or a certified copy thereof (Sec. 3800. LabOr Code)
POLICY NO
COMPANY
~ Copy Is filed with the city
LJ Certified copy is hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not t>e completed II 1ne permit
is for one hundred dollars ($100) o, tess)
D I certify that ln the performance of the work for whicn
lh1s pemut 1s issued. I shatl no1 employ any person in any
manner so as to beeome subject to the Workers· Compen•
sation Laws of California.
NOTICE TO APPLICANT: If. after making this Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the Labof Code. you mu,t
forthw11h comply with such provisions Or trus perm II shall
be. deemed revoked.
0 I hereby atflrm thal lh8fe is a construction lending
agency for the performance of Iha work fcx which 1h1s per.
mlt 1s lssoed (Sec. 3097. Ctvll Code)
Lender's Nam•-----~-------
unoe,·a Address, __ ~----~-~--
USE BALL POINT PEN ONLY & PRESS HA.RD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
,: CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT -Carlsbad, California 92008-4859
JOB ADDRESS --r/4l'l~~T.AD. ~e:TCROSSMP I DA900 ~~~1~0NI
BUSINESS LICENSE • VALUATION PERMIT NUMBER
,ZJ./02-~----
LOT BLOCK I sueo,v,s,oN I ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE 1008 71,,, 11 1 nc; 0 D f'e..c,FtC ,>c~e-S :Lr 2'Yf-S/OO ~
OWNER'S NAME
I J,, h1tt, JeP OWNER'S PHONE
/t" 4€.. -hp S 2,1--s100 c;;;:o";Z;;s~ STATE LICENSE NO. . BUILDING SO. FOOTAGE
'5',f-5.i>. C It. OWNER'S MA NC ADDRESS
~jDo f/4.,,,.au GI. ~P.u. 9u1° DESIGNER DESIGNER'S PHONE
DESCRIPT ON OF WOPK , ,
DESIGNER'S ADDRESS STATE LICENSE NO.
P~~J ~ .
~-. ) \JO · FI P FLA ELEV. NO OCC GP EDU . STORIES iiiiil iiiii U '11 .!.~/ t,C>t'~M I 3u.~
vO NO -----
C l l PARK INC SPACE I RES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE DCC LOAD FIRE SPR
' AREA CONST
YO ND vO NO vO NO Not Valid Unkss Machine Certified
QTY. PLUMBING PERMIT· ISSUE 7 oO --QTY. MECHANICAL PERMIT· ISSUE :~ --SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS iJPTO 100.000 BTU BUILDING PERMIT 001·810·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001·810·00·00-8221
EACH WA TEA HEATER ANO •QR VENT BOILER1COMPRESSOR UP TO 3 HP PLAN CHECK 001 ·810-00·00-8806
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER /COMPRESSOR 3 15 HP TOTAL PLUMBING 001 ·810·00·00·8222
EACH GAS SYSTEM ~ 0 R MO RE METAL FIREPLACE ELECTRICAL 001 810 00 00 8223 &-0-
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00-00·8224 ---
EACH VACUUM BREAKER MECH EXHAUST HOOO,OUCTS MOBILEHOME 001-810·00·00·8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER SOLAR 001-810·00·00·8226
EACH ROOF DRAIN !INSIDE! DAYER VENT STRONG MOTION 880·519·92·33 --
TOTJ.L MECHANICAL FIRE SPR!Ni<LERS 001·810·00·00·8227
TOl AL PLUMBING I PUBLIC FACILITIES FEE 320·810·00·00·87 40
QTY. ELECTRICAL PERMIT · ISSUE -~-QTY.
BRlDGE FEE:
MOBILE HOME SETUP PARK·IN·LIEU (AREA )
NEW CONST EA AMP SWT BKR I e-o A -1S---CAR PORT TIF 001-810-00-00-8835
1 PH 3 PH AWNING LICENSE TAX ~l.810.llQ.·00,$162...... --.
EXIST BLOG EA AMP SWT BKR I GARAGE ,. MFF ~ • ... n, ~5,K ~TI
1 PH 3 PH
REMODEL AL HR PER CIRCUIT .. Ml\D '? 1C OQ -. -TEMP POLE 200 AMPS -OVER 200 AMPS ~ ..... _ ........ -• ----TEMP OCCUPANCY 130 DAYSI -· .... ----·-· -~ -----.
CREDIT DEPOSIT-•---• ....... 1 • -·-, .. .,. .>CI\Y.>.
.
r TOTAL ELECTRICAL ! ~-TOTAi TOTAL FEES PAYABLE l 3-o-
HAVE CAREFl,LLV.0.AMiNEO THE COMPLETED .. APPUCAT10N AND PERMIT AND DO HEREBY Exp1r■t1on Every permit issued by !he Bu1ld1ng Otf1c1al under the prov1s1ons Qf 1ri1s * AN OSHA PE~lT IS REQUIM.D FOA EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT /'-LL INFORMATION HEREON INCLUDING THE Code shall expue by llm1tat1on and become null and '+'Otd If the building or worlit 5· o·• DEEP AHO OEMOI..ITIOH 0A CotiSTRUCTION OF
I DECLARATIONS' ARE TRUE ANO CORRECT AND I 'FURTHER CERTIFY AND AGREE IF A PERMIT I!, autt1orlzed by such permit ,snot commenced w·1tt11n 180 days rrom the ctate of such STRUCT\JRES OVER 3 STORIES IN HEIGHT
1 1SSUED TO COMPLY WITH ALL Cln' COUNlY ANO STATE LAWS GOVERNING BUILDING CON ~:~1;;~n°~~t t:~y ~::•~ff.~~h=~~,:~!~0~~~-~leJ~~~ r~~~·~1'~Wd~~ or
. STRUCTION WHETHER SPECIF/ED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO ~ . OWNER□ rROVEDBY \
llD~E/4~f'6
I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APPL T ~G T~ CONTRACT~~
I• . EXPENSES WHiCt-i MA'I IN-ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE •• # BY PHONE r1 ~ o_ ~f'>\. "n : GRAN!ING OF THIS PERMIT' • • , i, I / -, , _.,, " ,-
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION ' I
REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
' SUB FRAME D FLOOR D CEIILING
SHEATHING D ROOF D SHEAR
FRAME I
' EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
' PLUMBING I I.: I
D SEWER AND BUCO D JDUCO
UNDERGROUND D WASTE □ WATER
TOP OUT D WASTE D ~ATER
TUB AND SHOWER PAN I
GAS TEST I
D WATER HEATER D SOLAR WATER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND 0 UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMRORARY
D BONDING D POOL I
I
MECHANICAL I
D DUCT & PLEM., D REF. PlfDING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I !-
I
CALL FOR FINAL /NSPEQTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED .•
FINAL
PLUMBING ·-ELECTRICAL
MECHANICAL
GAS ..,.
BUILDING
SPECIAL CONDITIONS
.
.
.
1
~ ' -.:. ' -... ,. . . ~-,::-·-SU-, --1 0l-g' ~ .
FIELD INSPECTION RECORD '
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ. IF INSPECTOR'S DATE . . CHECKED APPROVAL
SOILS COMPLIANCE r,,tAtrnl-1"./f'l<.t Ll f'\fl'..~')1,!f1 ,, J<A">
PRIOR TO ----
FOUNDATION INSP C!t> Ol C\ftsr2BV :
STRUCTURAL CONCRETE
OVER 2000 PSI ... ! \ l '.H'H)
PRESTRESSED ' , ·-•--...i· ......
CONCRETE
POST TENSIONED crE\fl5El) CONCRETE '
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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