HomeMy WebLinkAbout1735 TAMARACK AVE; ; CB930453; PermitPERMIT APPLICATION
City of Carlsbad Building Department
2075 Las Pal..,s Dr., carlsbad, CA 92009 (619) 438-1161
I. PllllMII IYPH
A -LI Commercial
B -0 Industrial
C -□ Residential
LI New Budding LI lenanc Improvement
□ New Building D Tenant Improvement
D Apartment □ Condo □ Single Family Dwelling □Addition/Alteration
□ Duplex □ Demolition □ Relocation □ Mobile Home □ Electrical D Plumbing
D Mechanical D Pool D Spa D Retaining Wall D Solar D Other
2. PROJECf INI-URMATION ;:d!::llrof" 7/JIJlf#:':IJ(jl/::;,4t}1~,id,ng or Suite No.
Nearest do'ss Street p~
LEGAL DEsCRIM ION Lot No. Su&.i1V1s1on Name/Number
D 2 Energy Cales □ 2 Structural Cales □ 2 Soils Report □ 1 Addressed Envelope
ASSESSOR'S PARCEi EXISTING USE
DESCRIPTIONOFWORK /:;UloS.e.0 /'td11 o-~_,-...(0 ~.t,{_
~FT. ~0 #OFSTORIES
3. WNIACI ~N (II duierent from applicant)
NAME ADDRESS
PLAN CHECK NO.
ES!". VAL'--_,_/ _._7-'-/-'0"------
PLAN CK DEPOSIT _______ _
VAfID. BY Dl-.
DATE ~1zqzo3 -h ~
FOR OFFICE USE ONLY
Omt No. Phase No.
PROPOSED USE
CITY STATE ZIP CODE DAY TELEPHONE
4. APPUCANI
NAME
UCONIRACIOR □AGENI FORCONIRACIUR DOWNER □AGENI FOR OWNER
ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
s. ~!:~'WJ»t,f l Jr),fE"r::aa,-z ADDRESS / 1-Z S rf11JJ fJ;ef}(!j:5 ifi._;e-:
.,,..-dn' l ~ S.13 -flJ} STATE (}If ZIP CODE ,Z,:?c.1 g DAY TELEPHONE h
NAME
CITY
CITY
STATE
STATE UC.#
STATE
ADDRESS
ZIP CODE
UCENSE CLASS
ZIP CODE
DAY TELEPHONE
CITY BUSINESS UC. #
DAY TELEPHONE STATE UC.# 7. WUltkf:Rs WMPENSAIIUN
workers' compensation uec1arat1on I hereby athrm that I have a cend1cale of consent to self-msure issued by the Director of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 3800, Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Cert1hcate of £xemptmn: I certtfy that m the perlormancc of the work for which this penmt 1s issued, I shall not employ any person many manner
so as to become subject to the Workers' Compensation Laws of California.
SIGNATURE DATE
8. OWNER-BOllDER DJ.1:LAR.AllON
□
□
□
bwner-Bmlder beciarat1on: I hereby affirm that I am exempt from the Contracto?s License Law for the foliowmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of propeny who builds
or improves thereon, and who docs such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. 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.).
I, as owner of the propeny, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Ccx:le: The Contractor's License Law does not apply to an owner of propeny who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ________ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. 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
COMPLEIE IBIS SECIION FOR NON-HESibEN IIAL BUILDING PERMIIS 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?
□ YES ONO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site?
□YES ONO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OFoa:IJPANCY MAYNITT BE ISSUED AFTER JULY 1, 1989 UNLESS TIIEAPPUCANT
HAS MET OR IS MEimNG TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POlLlfllON ffiNTII.OL DISl1UCT.
9. CiJNSIROCIION U:NDlNG ACENCY
I hereby alhrm thal there 1s a construction lendmg agency for the perlonnance of the work for which this pernm IS issued (Sec 3097(1) C.Vli Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPilCANI CmtliFICA:IIUN
I certify that I have read the apphcat1on and state that the above mlormat1on 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned. propeny for inspection
purposes. I AISO AGREE ID SAVE INDF.MNIFY AND KEEP IIARMI.F.SS TIIE CflY OF CARISBAD AGAINSf AIL IJABIIITIES, JUDGMENTS, CDsrS
AND EXPENSES WIIlCII MAY IN ANY WAY Mx:IUJE AGAINSf SAID C11Y IN ffiNSEQIJENCE OF TIIE GRANTING OF TIDS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. 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 work authorized by such rmit is not commenced within 365 days from the date of such permit or if the building or work authorized by
such permit is suspended or aband ed at any time after the work is commenced. for a pericx:l of 180 days (Section 303(d) Uniform Building Code).
DATE: 5°-/i: -f,:f I
<-. TE: File YEILOW: Applicant PINK: Finance
PERMIT# CB930453
DESCRIPTION: 180 SF ENC PATIO
TYPE: PATIO
CITY OF CARLSBAD
INSPECTION REQUEST
FOR 07/07/93
+ ELECTRIC
STE:
INSPECTOR AREA PY
PLANCK# CB930453
CCC GRP
CONSTR. TYPE NEW
LOT: JOB ADDRESS: 1735
APPLICANT: FEEZEL,
CONTRACTOR:
TAMARACK AV
RALPH PHONE: 619 729-5898
PHONE:
OWNER:
REMARKS: MH/FEEZEL
SPECIAL INSTRUCT:
TOTAL TIME:
CD
19
39
LVL DESCRIPTION
ST Final structural
EL Final Electrical
------------------------------------------------------
PHONE:
~OMMENTS
***** INSPECTION HISTORY*****
DATE DESCRIPTION ACT INSP COMMENTS
1/
STATE OF CALIFORNIA-THE RESOURCES AGENCY
CALIFORNIA COASTA L COMMISSION
SAN DIEGO COAST AREA
3111 CAMINO DEL RIO NORTH, SUITE 200
SAN DIEGO, CA 92108-1725
(619) 521-8036
DATE:
NAME:
LOCATION:
PROJECT:
PETE WILSON. Govemor
EXEM PT ION LETTER
This is to certify that this location and/or proposed project has been
reviewed by the staff of the Coastal Commission. A coastal development permit
is not necessary for the reasons checked below.
The site is not located within the coastal zone as established by the
California Coa stal Act of 1976, as amended.
The proposed development is included in Categorical Exc lusion No.
--adopted by the California Coa stal Con-mission. ----
--The proposed development is judged to be repair or ma i ntenance activity
not resulting in an addition to or enlargement or expansion of the object
of such activities (Section 30610(d) of Coa stal Act).
~proposed development is an improvement to an existing si ngle family
residence (Section 30610(c) of the Coastal Act) and not located in the
area between the sea and the first public road or within 300 feet of t he
inl and extent of any beach (whichever is greater ) (Section 13250(b)(4) of
14 Cal. Admin. Code.
__ The proposed development is an improvement to an ex i sting s ingle family
residence and is located in the area bet wee n the sea and the first publ ic
road or within 300 feet of the inland extent of any beach (whichever is
greater) but is not a) an i ncrease of 10% or more of internal floor area,
b) an increase in height over 10%, or c) a signi f i cant non-attac hed
structure (Sections 30610(a) of Coastal Act and Section 13250(b)(4) of
Administrative Regulations ).
(OVER )
Page 2
__ The proposed development is an interior modificati on to an existing use
with no change in the density or intensity of use (Section 30106 of
Coastal Act ).
__ The proposed development involves the installation, testing and placement
in service of a necessary utility connection between an existing service
facility and development approved in accordance with coastal development
permit requirements, pursuant to Coastal Act Section 30610(f).
__ The proposed development is an improvement to a structur e other than a
single family residence or public works facility and is not subject to a
permit· requirement (Section 13253 of Administrative Regulations).
__ The proposed development is the rebuilding of a structure~ other than a
public works facility, destroyed by natural disaster. The repl acement
conforms to all of the requirements of Coastal Act Section 30610(9).
Other:
Please be advised that only the project described above is exempt from the
permit requirements of the Coasta l Act . Any change in the project may cause
it to lose its exempt status . This certification is based on information
provided by the recipient of this letter. If, at a later date, this
information is found to be incorrect or incomplete, this letter will become
invalid, and any development occurring at that time must cease unti l a coastal
development permit is obtained.
Truly yours,
By:
Title:
6630A
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