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Home My WebLink About148 TAMARACK AVE; ; CB900653; PermitB U I L D I N G P E R M I T 04/27/90 11:30 Permit No: CB~Q06...§.l__ Project No: A9000769 Development No: Page 1 of 1 Job Address: 148 TAMARACK AV Str: Fl: Ste : Permit Type: ELECTRICAL Parcel No: 204-253-07-00 Valuation: O Construction Type: NEW 'i◊ 04/:. ~ JI; )1 01 02 P, T ~-=it=:-J Q:l)_ ''7 -. Occupancy Group: Class Code: Status: ISSUED Description: UP 70AMPS TO 100 AMPS OWNER : SEVERANCE , JAMES *** Fees Required *** Fees: Adjustments: Total Fees: Fee description 23.00 .00 23 .00 *** Enter "Y" for Electric Issue Fee > Single Phase Per AMP > * ELECTRICAL TOTAL ($10 Minimum) Applied 04/27/90 Apr/Issue Validated By: DC Lie. 619 723-7665 Fees Collected & Credits *** Total Credits: Total Payments: Balance Due: Units Fee/Unit 70.00 .00 .oo 23.00 Ext fee Data 5.00 Y 17.50 23.00 CITY OF CARLSBAD 2075 Las Palmas Dr., Carlsbad CA 92009 (619) 438-1161 I fc PERMIT APPLICATION ~ V City of Carlsbad Building Department EST. VAL·-----------~-<"'--2075 Las Pal mas Dr., Carlsbad, CA 92009 (6191 438-1161 PLAN CK DEPOSIT ___ -c:,_~-----------,:::::..._ ___ _ 1. PERMIT TYPE A COMMERCIAL 0 INDUSTRIAL 0NEIJ C □RESIDENTIAL 0 APARTMENT □DUPLEX □DEMOLITION □MECHANICAL □POOL TENANT IMPROVEMENT □TENANT IMPROVEMENT □CONDO □RELOCATION □MOBILE HOME 0SPA □RETAINING \JALL □SOLAR eu, t ADD IT ION/Al TE RAT I ON QPLUMBING o. VALID. BY_-,:_,..~-----------=-------- DATE :z:: , Unit No. Phase No. CHECK BELOW IF SUBMITTED: Q2 Energy Cales 02 Structural Cales 02 Soils Report D 1 Addressed Envelope EXISTING USE PROPOSED USE BLDG. SQ, FTG. # OF STORIES 3. CONTACT PERSON NAME CITY SIGNATURE STATE ADDRESS ZIP CODE DAY TELEPHONE 4. APPLICANT 0 CONTRACTOR 0 AGENT FOR CONTRACTOR ADDRESS , Q01,1NER 0 AGENT FOR 0\JNER NAME CITY STATE ZIP COOE DAY TELEPHONE CJIJNER QLESSEE □TENANT ADDRESS /48 71'\tv\ l,i~c.f<_ smLo._. ZIP CODE 4 (_O() q DAY TELEPHONE 6. CONTRACTOR 7. 8. NAME CITY STATE STATE LIC. # _____ _ ADDRESS ZIP COOE LICENSE CLASS DAY TELEPKONE CITY BUSINESS LIC. # SIGNATURE T ! TLE DATE DESIGNER NAME CITY STATE ADDRESS ZIP CODE DAY TELEPHONE STATE LIC, # WORKERS' COMPENSATION Workers• c~nsat1on Declaration: hereby affirm that I have a certificate of consent to self·1nsure issued by the Director of Industrial Relations, or a certificate of Workers' C~nsat ion Insurance by an ad'ni t ted insurer, or an e11act copy or dupl i cate thereof certified by the Di rector of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C), INSURANCE COMPANY POLICY NO. EKPIRATION DATE Certificate of EKelllJtion: I certify that in the performance of the work for which this permit is issued, I shell not e«ploy any person in any manner so as to become subject to the llorkers• c~nsation laws of California. SIGNATURE DATE OWNER-BUILDER DECLARATION Owner-Builder Declaration: I hereby affirm that I am exempt from the Contractor's License Law for the following reason: D I as owner of the property or my e«ployees with wages as their sole c~nsation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner ot property who builds or improves thereon,. and who does such work himselt or through his own e«ployees, provided that such improvements are not intended or offered for sate. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale.). 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7D44, Business and Professions Code: The Contractor's License law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law). D I am exerrpt under Section ____________ Business and Professions Code for this reason: (Sec. 7031.5 Business end Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its i ssuence, al so requires the eppl i cant for such permit to f ii e a signed statement that he is licensed pursuant to the provisions of the contractor's license Lew (Chapter 9, conmencing with Section 7000 of Division 3 of the Business and Professions Code) or that he is exe«pt therefrom, and the basis for the alleged exef!f1tion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]). SIGNATURE DATE COMPLETE THIS SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY: Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention program under sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? QYES 0NO Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □YES 0NO Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □YES IF ANY OF TIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCOPANCY NAY NOT BE ISSI.ED AFTER JULY 1, 1989 UNLESS THE APPLICANT HAS MET OR IS MEETING YHE REQUIREMENTS OF THE OFFICE Of BIERGENCY SfRVICES AND THE AIR POLLUTION CONTROL DISTRICT. 9. CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097(i) Civil Code). LENDER'S NAME LENDER'S ADDRESS 10. APPLICANT'S SIGNATURE I certify that I have read the application and state that the above information is correct. I agree to corrply witrl all City ordinances and State la.is relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES, JlDGIIENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAIO CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. E;,;,piration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or .ior~ authorized by such permit is not conroenced within 180 days from the date of such permit or if the building or wad; authorized by such permit is suspended or abandoned at any ti 'Qork is conmenced for a period of 18D days (Section 303(d) Uniform Building Code} . .,A((pl D QI.INER ~CONTRACTOR OBY PHONE APPROVED BY: ✓ pi' DATE: WHITE: File YELLOW: Applicant PINK: Finance PERMIT# CB900653 DESCRIPTION: UP 70AMPS TO 100 TYPE: ELEC CITY OF CARLSBAD INSPECTION REQUEST FOR 05/01/90 AMPS INSPECTOR AREA MP PLANCK# CB9.99.§~3 OCC GRP CONSTR. TYPE NEW JOB ADDRESS: 148 TAMARACK AV STR: FL: STE: APPLICANT: SEVERANCE, NAOMI CONTRACTOR: OWNER: SEVERANCE, JAMES REMARKS: Tl/MH/KEN/723-7665 SPECIAL INSTRUCT: IF HE NEEDS TO WILL BE INSIDE TOTAL TIME: CD 39 LVL DESCRIPTION EL Final Electrical PHONE: 619 72~-7 5 PHONE: PHONE: 619 723 7 5 INSPECTOR BE PRESENT PLEASE CAL-L~~H_I_M ___ I_N_S_P_E_C_T_I_O_N_C_AR_D_ THE SERVICE PANEL. ACT COMMENTS .tJtd,t&i#:ss ------------------ ------------------------------------ ***** INSPECTION HISTORY***** DATE DESCRIPTION ACT INSP COMMENTS