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HomeMy WebLinkAbout2402 TAMARACK AVE; ; CB890129; Permit"' z 0 ;:: C a:: C ... u "' 0 e[ ~ ... z 0 u a: "' 0 ... 3 ~ "' z • 0 z 0 ;:: ~ z .., A. :a 0 u "' ic w "" a:: 0 3 il O I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profffalona Code, and my license Is In luli lorce and effect. 1 nereby affirm that I am exempl lrom the Conlrac· ror·s Lanse Law lor the loHowing reason (Sec 7031 5 Business and Proless10ns Code. Any cI1y or county whIcr. re-Quires a perm,t 10 construct. alter. improve. demolish, or repair any slructure, pr,or to its issuance aJso requires :heap-phcant for such ptrmtl 10 hte a stQned statement that he ,s hcensed pursuant 10 the-prov1s10ns ol the t;on1rac1or s Ltcense Law (Ct'lapler 9 commencing with Section 7000 al 0Msion 3 ot !he Busmess and PTotess10ns Code> 0< that 1s ex-empt ll'lerefrom and the basis tor lhe allegea exemption Any vlOlahon 01 Sect.on 7031 ,5 by an applicant lo, a perm11 sub- 1ects lhe apphcanl 10 a c1vt1 penalty ot not more than five hun· Cred Collars ($500) . 1 1 I, as owner of the property, or my empioyees with wages as lheu sole compensalson w,u do ll'le wOfk, and the suuc· lure 1s not 1nlended Of otlere<t tor sale (Sec 7044. Bus mess and ProlesSIOOS Code The Con1rac10f·s Ltcense Law does :r:0~1!n!t0 :;o ':e":rs:f~t~1:!::1 ~i:~~~~~~~;:;: 1 employees. provided that such improvements are no1 intend· ) ed or ottered tor sale It, however, the building or improve• ment Is sold w,thm one year ot complehon. lhe owner-builder will have the burden ol provmg that he did not build or un· prove tor !he purpose ol saleJ I I I. as owner or the propeny. am exclusMly conuacting with license<! contractors to conslrucl the pro,ect (Sec 7044, Business and Protess10ns Code· The Conlractor's License Law does not apply to an owner or propeny wno builds or ,m- proves thereon, and who contracts fOf each pro,ects w1lh a contractor(s) license pursuanl 10 the Contractor's Ucense law) ( J As a homeowner I am unprovIng my home. ana the fOlklw mg condIbons exist. 1. The wOfk ts bemg pef1ormed pnor to sale 2 I have hved in my home for twelve monlhs prt0r to completion of lh1s work 3 I have nol claimed lh1s exemplion during lhe last three years. 0 I am exempt under Sec ______ . 8 & P C tor this reason ------------- 0 I hereby alfum that I have a cert1hcate of consent to self-insure. or a cerlihcate of Workers· Compensation In• surance. or a cert1hed copy thereof (Sec. 3800. Labor Code) POLICY NO COMPANY :: Cooy 1s filed w11h the city 0 Cet11f1ed copy ,s hereby lum1shed CERTIFICATE OF EXEMPTION FROM WORKERS. COMPENSATION INSURANCE !This section need not be compteted if the permit is for one hundred dollars tSlC>O) or less) 0 I cen1ly ttlat ,n the performance ol lhe work tor which ' trus pemut 1s issued. I shall not employ any person ,n any manner so as to become sub1ect to the Workers' Compen-I sa11on Laws ol Cahto,ma. , NOTICE TO APPLICANT: II. after making this Certificate ( of Exemption. you should become subject lo the Workers· Comoensc1,t1on provisions of lhe Labor Code. you musl forthwith comply wi1h such provisions or this permit shall be deemed revoked D I hereby affirm thal !here ls a construction lending J agency IOf the performance ol the work fOf which this per-I m11 is issued (Sec. 3097. C1~1 Code) { Lende(s Name ____________ _ lender's Address ___________ _ USE BALL POINT PEN ONLY & PRESS HARD CARLSBAD BUILDING DEPARTMENT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161 ,i_ ~02-'TJ\Mf\ RF\~ K ~~;~ BT;:])s B{! flt, 9'2-0o'i' APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA ANO DECLARATIONS. APPLICATION & PERMIT j°z. OF i~A;;ONI BUSINESS LICENSE It VALUATION PERMIT NUMBER LOT BLOCK I SUBDIVISION I ASSESSOFj, PA.RCEL N.0 I'<. l l,,1 ltl \ 0"6 CSl) 0.ti..D ~ ~ R' ONE OWNE R·s NAME Ir l{l'\, [rl 0 AL" \Jfc.R I+ tt lLL--5 ~~ ."'-r>o R~ t l 3 CONTRACTOR £I> EM.O Ri_ CONTRACTORS PHONE • ZONE c15 g9t1/~f CONTRACTOR'S ADDRESS 7 STATE LICENSE NO. BUILDING SO. FOOTAGE DESIGNER 0Es1GNER·s PH-e>Ni Q) u:: >-:WN?-~cY:G~~x -t 4-~3 c~~© - DESCRI EJt M,l T Po DESIGNER'S ADDRESS ~ECR.~T/P~L. \JAAJe,_J...£_ SE~~ l>U'f\\P STATE LICENSE NO . ~~ ~J ( AJ.g__'fT T~ Ol-7i-~,,,,,e,J' ~L-(. '-I CENSUS TRACT PARKING SPACE RES UNITS GRADING PERMrflSSUEO y D ND F/P F LR ELEV. vO NO REDEVELOPMENT AREA vO NO -----;;w- S TOR IE S TYPE CONST OCC GP OCC LOA D EDU FIRE SPR vO NO Nor Valid Un~s Machine Cerrifi«J I D 0 (!) C: <O I 7. 5D I QTY. MECHANICAL PERMIT -1ssuE /.5". CC> SUMMARY/ACCOUNT NUMBffidPmt •0 ~ INSTALL FURN. DUCTS UP TD 100.000 BTU a. QTY.I PLUMBING PERMIT -ISSUE EACH FIXTURE TRAP SOllbiNG PERMIT 001-B10-00-0~-8220 t t EACH BUILDING SEWER EACH WATER HEATER AND rOR VENT EACH GAS SYSTEM I TO 4 OUTLETS EACH GAS SYSTEM ~ OR MORE EACH INSTAL . ALTER. REPAIR WATER PIPE EACH VACUUM BREAKER WATER SOF lNER EACH ROOF DRAIN IINSIOEl TOIAL PLUMBING I QTY.I ELECTRICAL PERMIT · ISSUE NEW CONST EA AMP SWl IJKR s .. cc QTY. OVER 100.000 BTU BOILER/COMPRESSOR UP TO 3 HP BOILER/COMPRESSOR 3 15 HP METAL FIREPLACE VENT FAN SINGLE DUCT MECH EXHAUST HOOOIOUCTS RELOCATION OF EA FURNACE /HEATER DRYER VENT TOTI.L MECHANICAL MOBILE HOME SETU~, CAR PORT /I' I& ~ 001·810-00·00-8221 PLAN CHECK 001·810-00-00-8891 TOTAL PLUM BING 001·810·00·00-8222 l lfe __.;;;,- ELECTRICAL 001·810·00·00·8223 MECHANICAL 001·810·00-00-8224 MOBILEHOME 001 ·810·00·00-8225 SOLAR 001-810-00·00·8226 STRONG MOTION 880·519·92-33 FIRE SPRINKLERS 001·810-00-00-8227 PUBLIC FACILITIES FEE 320-810·00·00-87 40 BRIOGE FEE 360-810-00-00·87 40 PARK-IN-LIEU (AREA ) TIF 312-810-00·00·8835 • :::,::: ~:"' •rn ,,,:;; I 1----i & 1------:-: :-_:-:-1 I TEMPPOLE 200 AMPS L Q · .-.. 1 PH 3 PH EXIST BLDG EA AMPISWT 'BKR AWNING GARAGE ,~ r!S LA COSTA TIF 311-810-00-00·8835 FMF LICENSE TAX 001 ·810-00-00·8162 MFF 880-519-92·57 OVER 200 AMPS TEMP OCCUPANCY 130 OAYSJ TOIAL [LEClAICAL T I HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT AND DO HEREBY CERTiFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT I!, ISSUED TO COMPLY WITH ALL CITY COUNTY AND STATE LAWS GOVERNING BUILDING CON• STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND 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 GRANTING OF THIS PERMIT ~ <~'Zl ~qt,,. _.o.~'Y ~,pe ... _ CREDIT DEPOSIT TOTAL TOT AL FEES PAY ABLE I _J_£- Exiwrat,on Every permit•~ by the 8u1ldlng Oft1c1a& under the prov1St001 of 1h11 Code shall ••p,re by hmilat,on a,,d become null and vo,d tf tne building or work authoflzed by such permit ,snot commenced w,ttun 180 days from the date"' sucn permit. or 11 the bu1tdu1g or work au1ho11zed by aucf'l ~m•t .,s suapended or abandoned 11 any hme after the work ,s commenced to, 1 period of t80 d■v& APPLICANT s ~A•~,._ . 1 OWNER r1 CONTRACTOR 0 ~--q:---I 'ICJ_I ~ BY PHONE [J * AN OSHA 1'£1111:T IS FIEQUIAED FOfl EXCAVATIONS OYEA ~-O" DEEP llNO OEMOl.lTION QA CONSTRUCTION OF STAUCl\lAfS OYEA 3 STONES 1H HEIGHT A~~ DATE 1:l-/1~ ~ C ii: 0 (J) (J) Q) (J) (J) '."i I i·~ ci >- Q) <.) C <O C u. :::::. C: Q) ~ (!) 0 u Q) 0. (J) C ~ .r::. ~ TYPE BUILDING OUNDATION Fi R ,EINFORCED STEEL IASONRY ,UNITE OR GROUT I I I I I . I I UB FRAME □ FLOOR □ CElt;.ING HEATHING D ROOF D St,iEAR RAME i . XTERIOR LATH ' INSULATION ; INTERIOR LATH & DRYWALL I . I PLUMBING : □ SEWER AND BUCO □ Pl/CO . UNDERGROUND D WASTE □,WATER TOP OUT D WASTE D WATER TUB AND SHOWER PAN I GAS TEST ' I D WATER HEATER D SOLAR W~TER I ELECTRICAL I D ELECTRIC UNDERGROUND D1UFFER ROUGH ELECTRIC I D ELECTRIC SERVICE D TEMPQRARY D POOL I D BONDING ' I MECHANICAL . I D DUCT & PLEM., D REF. PIPlt,IG HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I ' I . DATE INSPECTOR .. I .-- ' • e CALL FOR FINAL INSPECTfON WHEN ALL APPROPRIATE ITEMS ABOVE HA \IE BEEN APPROVED. - FINAL I I PLUMBING I l ' -I .• ' ' ELECTRICAL I ~ MECHANICAL I l ,..... ,_t_y GAS I .. • t?i f\. ' \_ ,F· BUILDING I /Y lv /( SPECIAL CONDITIONS f \ ~ I\ ;r I I \ -- ' \., ; . -· aA ~c;o ,~q FIELD INSPECTION RECORD REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' REQ. IF INSPECTOR'S ~ INSPECTION CHECKED APPROVAL DATE SOILS COMPLIANCE ~~ \~' ~ t1 r ilil' . r JI""' PRIOR TO ~-~ FOUNDATION INSP . ;a; .. -~ ' .. STRUCTURAL CONCRETE ~f \1 OVER 2000 PSI .. PRESTRESSED ~ R CONCRETE ·-P-111 POST TENSIONED ~ ... _..If) CONCRETE .... FIELD WELDING ~ . ,,, ~ HIGH STRENGTH ·--BOLTS SPECIAL MASONRY PILES CAISSONS -,, . ' -.... ...... -, a.Pt'. ...... -.... . '-' ' ,,,_. "W' . ~ ... ' C ~ -::' •-, r-,_._.,.-f.'\ r.r;".--., ;".,.. ( ... '. ·' .. '.r ·-" : ' -. ---. ' . ,. ' ' £7~~ r~·Oi IP:"""l""\n r ._'t-r\ ,---,.i, .r,"-t\~T I\~ I\<;. -------- . ' , , . -,. I , • i t \-.. -• r , ' !· ·. -. 4 ' . . .. . . . --..... ~ \._ ! .. '' r ··--... \ - SEWER PERMIT APPLICATION Development Processing Services Division 2075 Las Palmas Drive Carlsbad, CA 92009-4859 (619) 438-1161 APPLICANT TO FILL IN SHADED AREA ,c / OWNER: MAILING ADDRESS: ______________ _ CONTRACTOR: MAILING ADDRESS: ______________ _ LEGAL DESCRIPTION: ,,...~ • '7 t ...,.. ,,-_. /. 1,,/.,,- fi / l A J-( I < ,~ (l/1 ASSESSORS PARCEL NUMBER: _1_(_7_-_/_~_/_..-_/_c!:f __ _ COMMENTS: 4 .,._ I /. 7 / / J CASHIER'S VALIDATION BUILDING PLAN CHECK NUMBER: _P_C ________ _ BUILDING TYPE: CALCULATIONS: I/ CONNECTION FEE LATERAL CHARGE: ___ / ___________ _ .# TOTAL CHARGES: ____ / ___________ _ PREPARED BY: _________ ,,_/._.....-______ _ (PRINTED NAME) WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant