HomeMy WebLinkAbout2402 TAMARACK AVE; ; CB890035; Permit"' z 0 .: C a: C ...,
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0 I llet'eby affirm thal I am licensed under
prg.,latona ol Chlll]ter 9 [commenclno with
Section 7000) ol Division 3 ol the Business
and Proleaalona Code, and my license Is in
lull force and effect.
I herebv alfirm 1na1 I am exempl trom the Contrac-lor's license Law tor lhe tollow,ng reason (Sec 7031 !l Business and Proless,ons Code· Any city O! county whter. re-quires a permit to construct, alter, improve, demohsh, or
repair ar\y structure, prior lo IIs issuance also requires :heap-
plicant tor such permit to file a StQ.ned statement thal he 1s
hcensed pursuant 10 the prO'llisioos of lhe contracror" s license Law (Chapter 9 commencmg with Seclion 70C() 01
o,v1s10n 3 ot the 8usmess and ProfesstO!'tS COdej or lhal ,sex-emp1 lheretrom and the ba.sis lor the allegeo exemption. Any
violation a, Sec11on 7031 5 by an appl!canl tor a permil sub-
iects the appncant 10 a civil pena•ty ol not more than t1ve hun-dred dol~rs (S5001.
I I, as owner of the property, or my emp·toyees with wages
as their sole compensation, will do the wmk ano lhe struc-
ture ls ROI intended °' altered !or sale (Sec 7044. Business
and Proless10ns Code: The Con1rac1or·s LK::ense law does not apply to an owner ol properly who bu1kJs or improves
thereon and who does such work h1msel1 or ttuoogh his own employees, provided lhat such 1mpro'lemen1s are not intend-
ed Of offered for sale IJ, howe'ler. the bu1ld1n9 or Hnprove-
menl 1s sold within one y:ear of completion, the owner-builder
will have the burden of p!O\llng lhal he did nol buikl or im-
prove lor the purpose al sate)
! 1 I, as owner of the p_ropeny. am exclusively conlractmg w1th-11censed contractors to construct the project (Sec 7044.
Business and Ptofessrons Code: The Contractor's Ucense law does nOI apply to an owner or properly who builds or im-
proves thereon. and who contrac1s !or each projects w1lh a
contraciorfs) !Jcense-pursuant to !he Con1ractof"s License Law)
11 As a homeowner I am tfflplOVlrt:Q my home. and the lollow
mg condihons exist:
1. The work rs being performed pnor 10 sale
2 I have lived in my home for twelve months pnoc lo complehoo of this work I have not claimed lhis exemp11on durmg the
last three years.
0 I hereby affirm that I have a certificate ol consent 10
self-insure. or a cer1if"icate of Workers' Compensation In-
surance. or a ceri1f1ed copy the,eot ~Sec. 3800. Labor Code)
POLICY NO
COMPANY
::: Copy 1s hied with the c;lty
D Certified copy 1s hereby lurmstied
CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE
{This sec1Ion need not be completed if tne permit
is tor one hundred dollars !S100) or less)
D I certify that In the performance of the work for whicn
lhis permit ls i.ssued. I shall nol employ any person In .any
manner so as to become sutiJe<:I to lhe Wockers· Compen-
sation Laws-or Callforma.
NOTICE TO APPLICANT: If. afler making this Cettiflcate
of Exemption. you should become subject to (he Workers·
Compensation Pfov1sions ot the Labor Code. you must
torthw1tt, comply w•tl"I such provisions or lhls permit shall
be deemed revo\l.ed.
D I hereby atlirm that there is a conslruction ~nding I
.agency r·or the performance of the work for which this per•
m,t 15 issued (Sec. 3097. Civil Codef
Leoder"s Name ___________ _
Lender"s Address ___________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-116 1
JOB ADDRESS AV ST.RO, THOMAS BROS NO. 1;: ;;A:Ll;;N1
BUSINESS LICENSE # VALUATION PERMIT NUMBER
3'40d.. rn. II'\/\ '"'r.r-~ ('\ \ -..D,_ ~ lD c~~r0. i~~ LOT I BLOCK I !lueo1v1s10N I ASS~SSOR PARCEL NO. Z) CONTRACTOR CONTRACTORS PHONE 1 ZONE ~D l'-t97i0Jf(')C,O '1-i ,-r ri (',., . ~1// -//tJdi, OW"',!ER"S NAM!: I ¥3 9 0-W~~P;ONE r=-~ """ ,,~,,., ..... ,:n_ .a..1-, l \, O\J P~ ...... i CONTRACTOR. S ADORES$ STATE LICENSE NO. BUILDING SQ. FOOTAGE
Jct<;.~ 5, ~ ,.,7e._ -;t'~ ~e;-Jq. ~i.;---la -~ OWNER'S MA1LING ADDRESS
Pn R-. ... , C' ..,.~,I~ 1o~ nO DESIGNER OESlGNER'SPHONE
141n li. ;,_~r ... .t.A~ DESCFHPTION Of' WORK L,
DESIGNER'S ADDRESS-STATE LICENSE NO. 4053 01/10/89 0001 01 02
~L~lc-C.LO~E-2... -re'2-. £:idf'mt 15-CD
F/P F LR ELEV. NO DCC GP EDU
~~,~ STORIES
vO NO
CENSUS TRACT I PARK ING SPACE I RES U"',IITS I GRADING PERMIT ISSUED I REOEVELOPI\IIENT TYPE OCC LOAD FIRE SPR -
AREA CONST
YO ND vO NO vO NO Not Valid Un~s M~chine C~rtified
QTY. PLUMBING PERMIT -ISSUE 7 .5Z:, QTY. MECHANICAL PERMIT -ISSUE 15.0C SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTA LL FURN. DUCTS iJP TO 100,000 BTU tlUILUINu rtnlV11 I UUl ·HlU·UU·UU·oau
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001-810·00-00-8891
EACH GAS SYSTEM I TO 4 OUTLETS BOILER/COMPR ESSOR 3 15 HP TOTAL PLUMBING OOi-810·00-00-8222 -
EACH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 001-810-00-00-8223 /.J
-EACH INSTAL . ALTER, REPAIR WATER PIPE VENT FA N 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 I INSJDEI DRYER VENT STRONG MOTION 880-519-92-33 -
TOTI.L MECHANICAL FIRE SPRINi<LERS 001-810-00-00-8227
TOTAL PLUMBINu I -PUBLIC FACILITIES FEE 320-810-00-00-8740
~µl 38>}f ~T~ _
BRIDGE FEE 360-810·00·00-8740
QTY. ELECTRICAL PERMIT -ISSUE l'): ty".) QTY. PARK-IN-LIEU (AREA )
NEW CONST EA AMP SWl HKR CAR PORT r---,.c,,1 J TIF 312·810-00-00-8835
I PH 3 PH ' AWNING I CtJ f?.J) •-LA COSTA TIF 311 ·810-00-00-8835
EXIST BLOG EA AMP1SWT BKR GARA((:,.__ -l.:Jt::f!:} FMF
I PH 3 PH Ut:V~J,.."' VT r.A-LICENSE TAX 001-810-00-00-8162
REMODEL ALTl:R PER CIRCUIT ff},-·••i:IJT ,,,.:.., ~-•LVfti ...... MFF 880-519-92·57
TEMP PO LE 700 AMPS --.~~S11AJ,. ;.---
OVER 700 AMPS -.. rrvs
TEMP OCCUPANCY 130 DAYSI
CREDIT DEPOSIT
TOTAL ElEClRICA.L I ,.,... TOTAL TOTAL FEES PAYABLE I 1..r / ... \ ~
I HAVE CAREFULLY EXAMINED THE-COMPLETED· APPLICATION AND PERMIT" AND DO HEREBY E•p,rahon Every pe,m,t issued by ll!e Building Olfmal undef the provrs,ons or tl>os * AN OSHA PEAlot:T IS AEOUIAEO FOA EXCAVATIONS OVEII
CERliFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by lim1tahon end become null and void If the burld,ng or work s· o·· DEEP AHO OEMOUTION OR CONSTRUCTION OF
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS authonzed by such perm,t ,s not commenced w1tt11n 180 days from the date or sue" STRUCl\JAU OVER 3 STOAIES IN HEIGHT permit. or ,, tne buildt::X or work authorozed by such pe,m,t ,s suspended or ISSUED TO COMPLY WITH ALL CITY COUNl Y ANO STATE LAWS GOVERNING BUILDING CON-abandoned at anv tome a er the work •& commenced for a 01111od of 180 "•~•
STRUCTION WHEl"HER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO A"ANT'S SIGNATURE If, OWNER0 CONTRACTOR C,.-APPAOVE:o ~ ,7710/81 KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS ANO -~
EXPENSES WHICl-f MAY IN ANV WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF rue ~ _/
GRANTING OF THIS PERMIT ( 'i , ........ BY PHONE 0
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TYPE I DATE INSPECTOR
BUILDING I
\
OUNDATION I
EINFORCED STEEL I
I
ASONRY I
\
UNITE OR GROUT I
F
_R
_M
_G
s_
s_
F_
_E
I
UB FRAME □ FLOOR □ CEit.iNG
HEATHING D ROOF D S~EAR
RAME I
XTERIOR LA TH J
NSULATION I
I
NTERIOR LATH & DRYWALL I .
I
PLUMBING l
' □ SEWER AND BUCO □ PUCO
u NDERGROUND 0 WASTE
TOP OUT D WASTE
UB AND SHOWER PAN _T
G AS TEST
□;WATER
D WATER
I
I
i
D WATER HEATER D SOLAR W~TER
I
ELECTRICAL I
d"ELECTRIC UNDERGROUND Q UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPl,-JG
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I
I .
{'t
I I
.:J,{b-'j"/ t,ft,-,
CALL FOR FINAL INSPECTiON WHEN ALL APPROPRIATE
ITEMS ABOVE HA\IE BEEN APPROVED. _
-
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FINAL I I I
PLUMBING I /v : ?•J4 fl /~~ ELECTRICAL I
MECHANICAL I -l / I
GAS I ' /
BUILDING I /
SPECIAL CONDITIONS : V
I
f1A~oo~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO. IF INSPECTOR'S INSPECTION CHECKED APPROVAL DATE
SOILS COMPLIANCE . PRIOR TO ""'-·:-r FOUNDATION INSP ,., ,. _,
STRUCTURAL CONCRETE ., ~ ., ,~'-...i ~. · ! f' OVER 2000 PSI ~-,._, ... . -
PRES TRESSED \~("' ' ., •. ,:.; ! -
CONCRETE c~ ,,.
POST TENSIONED -' CONCRETE . ~ ... --..
0 r~ ' FIELD WELDING --, HIGH STRENGTH c, ,,_
BOLTS
SPECIAL MASONRY
PILES CAISSONS
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