HomeMy WebLinkAbout2743 TAMARACK AVE; MP; 85-883; Permit(b z 0 .: < a:: C .., u IU 0
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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 ______ Ct•ss
I hereby afllrm that I am exempt lrom the Contrac-
tor's License Law tor the tollowing reason (Sec 7031 5
Business and Professmns Code. Any city or county whir.Ii re-quires a perm1! 10 construct, alter, improve. demolish, or
repair any structure. pnor to its issuance also requires ?heap--pllcanl for such perm11 to file a -si~ned statement lha1 he Is
licensed pursuant to the prov1s10fl.s ol the Contractor's License Law (Chapter 9 ccmmencing with SectK>n 7000 of
Division 3 of the Business and PfofessiOns Code) Of 1ha11s ex-empt therefrom and the basis 1or the al!egeo exemption. Any
v:iolat1on al Sechan 7031.5 by an applicanl for a permit sub-
1ects the applicant to a c!Vil penalty or no1 more than hve hun· dred dollars ($500).
n I, as owner or the property, or my employees with wages
as their sole compensatton, will do the work, and the struc-
ture 1s not in1ended or ollered tor sale (Sec 7044, Business
and Professions Code. The Contractor's license Law does
not apply to an owner 01 property who builds or improves
thereon and who does such work himself or through his own employees, provided that such Improvements are not intend·
ed or offered for sale. II, however. the building Of improve·
ment 1s sold within one year of comple110n. the owner·builder w,11 have lhe Durden of proving that he did not build or Im-
prove tor the purpose ol sale1
D I. as owner 01 lhe properly. am exclusively contracling with hcensed con Ir actors lo conslrucl lhe prOJe<:l (Sec_ 7044,
Business and Profess10ns Cade· The Contraclof' s llcense
Law does not apply to an owner ot property who builds or im-
proves thereon. and who contracts tor each projects with a conlractor{s} license pursuant to 1he Contractor's License Law).
□ As a homeowner I am improving my home, and the follow-
ing condit,ons exist·
1. The work is being performed prior to sale 2. I have hved in my home for twelve mon1hs prior to comptet1on of th,s work.
3. I have not clairned this 8J(empt1on durmg the last three years
□ lamexemptunderSec ______ ,B&P.C for this reason ___________ _
D I hereby affirm that I hawe a certificate of consen1 10
seft-msure. or a certificate of Workers· Compensation In-
surance. or a certified copy tnereof {Sec. 3800. Labor Godel
POLICY NO.
COMPANY
□ Copy IS filed with the city
0 Certified copy 1s tlereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If lhe permit
is for one hundred dollars (S100) or less)
0 I certify that in the performance of the work for which
1h1s permit is issued. I sha.JI not employ any person m any
manner so as to become subject to the Workers· Compen-
salion Laws of California.
NOTICE TO APPLICANT: If. afler making tJ'lis Certificate
of Exemption. you should become subject to the Workers·
Compensation provisions of the LabOr Code. you must
torthwith comply with such provisions or this permil Stlall
be deemed rewoked.
D I hereby affirm that there Js a construction lending
ageney for the performance ol lhe work for which this per•
mit Is issued (Sec. 3097. Civil COOe)
Lender's Name ___________ _
Lender's Add,ess ____________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS AV.ST.AD.
':':i!.1arac!~ Ave. N"'~
NEAREST CROSS ST.
KLrkw.3.ll St.
LOT BLOCK I SUBOt VISION I ASSESSOR PARCEL NO
Carl3~ai Cablevision I OWNER'S PHONE
.:3S-7723
OWNER'S MAILING ADDRESS
PO ---1ox 344 Carlsbad CA. 92003
DESCRIPTION OF WORK
!DATE OF APPLICATION!
12-1)4-'15
CONTRACTOR
Ca~lsba~ Cablevision
CONTRACTOR'S ADDRESS
5720 Zl Camino Heal
DESIGNER
San~e As Above
DESIGNER'S ADDRESS
I'r,_X_Be_U_~_:.~=:=-~E-:_L_I_C_E_N_S_E_"__,.,__~_V_A_L ___ N ___ --185";;:; 3''"
CONTRACTORS PHONE • ZONE O O •
439-77~3
LICENSE NO.
):':xe!:J.~""lt
DESIGNER'S PHONE
438-7723
LICENSE NO.
PLAN 1.0.-# BUILDING SQ, FOOTAGE
EX£MPr. Install a 100 A 1,!etered r:lectrical Pedest~=-~--------...-----,.-~N~0---1~---..----""! -----F/P FLA ELEV. DCC GP EDU
vO NO
cE~-tsLS'.f ·1 GP LANo usE I PAAK ,NG sPAce I AEs uN1Ts I GRADING PERMIT ISSUED
YO N □
I REDEVELOPMENT
AREA
vO 0
QTY.
QTY.
PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANO OR VENT
EACH GAS SYSTEM 1 TO 4 OUTLETS
EACH GAS SYSTEM 5 0 R MO RE
EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SOFTNER
EACH ROOF ORAi (INSIOE)
TOl AL PLUMBING I
ELECTRICAL PERMIT -ISSUE
->-
NEW CONST EA AMP SWT BKR/fo,,1u 7~
I PH 3 PH -
EXIST BLOG EA AMP/SWT 8KR
l PH 3 PH
REMODEL ALTER PER CIRCUIT
TE MP PO LE 200 AMPS
OVER 200 AMPS
TEMP OCCUPANCY 130 DAYS)
7 $°D QTY.
QTY.
MECHANICAL PERMIT -ISSUE
INSTALL FURN. OUCTS i.JP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
80 ILER /COM PR ESSO R 3-15 HP
MET AL FIREPLACE
VENT FAN SINGLE OUCT
MECH EXHAUST HOOOIOUCTS
RELOCATION OF EA FURNACE/HEATER
TOTt;L MECHANICAL
SOLAR -ISSUE
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
STORIES
TYPE
CONST
DCC LOAD FIRE SPA
SUMMARY/ACCOUNT\~l)WER
I l'l.~t;",-. ·"
BUILOING PERMIT 001·810-00-00-8220 ~l:?.[' J~C.
SIGN PERMIT
PLAN CHECK
TOTAL PLUM BING
ELECTRICAL
MECHANICAL
MOBILEHOME
M08ILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINi<LERS
PUBLIC FACILITIES FEE
SCHOOL FEE -DISTRICT
Carlsbad
Encinitas
San Dieguito
San Marcos
LICENSE TAX
MFF
CREDIT DEPOSIT
001-810-00-00-8221
001-81 O-Q_0-00-8806
001-810-00-00-8222
001 -810·00-00-8223
001-810-00-00-8224
001-810-00-00-8225
001-810-00-00-8226
8~0-51 9~-9~2~-3~3-+-----------I
001-810-00-00-8227
332-810·00-00-8930
001 -810-00-00-8162
880-519-92-57
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: :..------T_o_T_A_L _E-LE_c_T_R_IC_A_L _____ l ___ g __ o_ ...... tJ_~ ..... _ ..... __ ....,. __ T_OT_A_L _so_L_AR ______ ...... ____ _,i ____ T_o_T_A_L_F~E-ES_P_A_Y_A~Bll!L_E __ -,11_..,;;;;____....,. .. -? __ ;:,, __ ._-_u-_---_o _ _..__.
: I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT' AND 00 HEREBY Expirahon_ Every permit rssuedby trie8ulid1ng Of11c1a1 under ltle prov1s1onsot tl'l,s ~"'~fl IS REQUIRED~ !XCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code. shall expire by hm1tat1on and become null and v01d It the bu1id1ng or work OEMOL~OR ~UCTION OF I authorized by such permit ts not commenced w,tnin t BO days from the dale ol such/ t DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS permit, or if the buildin or work author1zed by such permH ,s suspended. 01 VER 3 S ES I H T
1 ISSUED TO COMPLY WITH ALL CITY COUNl Y AND STATE LAWS GOVERN ING BUILDING CON-i__::•:::ba::;n.:,:do~n:!ed~a'.!.t.!a~n.l...!yt,~m~e:,.;a~Pt~te~r,.:t._!he~w!!:o~rk~1s:_;c:;o~mrm~e!.!cnce!e~di..t~o~r.!ac..10::,e~n~o~d..lo!!f-!1.!!8!,!.0..!ed!!!al'..vs2,.; ""X7~:T1~~~~~7J""'-l!~--'I-..,_.,.._,..,,_ .... ,_ _____ _,
1 STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE To SAVE INDEMNIFY AND APPL'"A...,.•« ~,N'AT R~ ~·····~" n 1 ~PP ~~o 1)' D //f '4 DATE I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND ~(7 "'\ U -....._ CONTRACT A , -,. .,;.
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE --I ..... J y PHONE ~--1~.,,.., I • rz dr ..
I GRANTING OF THIS PERMIT ~ J,,L_ -~ ,:--,~,/ V % YlL . I, ' ---A.)
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TYPE I DATE INSPECTOR
BUILDING I
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' •.
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
I
GUNITE OR GROUT I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES -REQ IF INSPECTOR'S .. : ..
1NSPECHON DATE . .. ' CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEl4ING SOILS COMPLIANCE
SHEATHING D ROOF D SHEAR PRIOR TO .
FRAME I FOUNDATION INSP
EXTERIOR LATH ' I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I
I
PRESTRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED
I CONCRETE I
PLUMBING l ' . ... •. eJELD W!:LDING·.
□ SEWER AND BUCO □ PL../CO HIGH STRENGTH
UNDERGROUND D WASTE D WATER BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSONS
D WATER HEATER D SOLAR WATER
I
ELECTRICAL ' '
,_ r-,. . ...
D ELECTRIC UNDERGROUND OI UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPQRARY
D BONDING D POOL I
I
MECHANICAL I
I
D DUCT & PLEM., D REF. PIPING ~-
HEAT -AIR COND. SYSTEMS I
I ' VENTILATING SYSTEMS I
I
~'-; ~-\ .. •• t . -,,, . ..
CALL FOR FINAL JNSPEctU,oN WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I _J
PLUMBING I Vln
ELECTRICAL I
I~ .n'1~ ;Q I I
MECHANICAL I ''-i Vt -
I ,
GAS I ~/ ") ," .
BUILDING ' L .,,
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SPECIAL CONDITIONS I
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