HomeMy WebLinkAbout2890 TAMARACK AVE; MP; 84-24; PermitII) z 0 ;:::
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
S.Ctlon 7000) of Division 3 of the Business
and Professions Code, and my license is in
full force and effect.
Lie No ______ Class
I hereby altlrm that I am exempl from lhe Conuac•
!or's L1C1nse Law !or the lollow,ng reason (Sec 7031 5 Business and Professions Code Any city or county wh1c.'. re--
quires a permtt 10 consuuct. aaer, tmprove, dernohsh, OJ repatr any structure. prior to 1ls issuance aiso requires !heap•
f.~~~~!J0'p~~~~a~::. 11~
1~~i\f~~ ~:811~~~0~:~e1~•l:
ltcenSt Law (Chapter 9 cor.rnenc1ng with Sechoo 7000 of Owision 3 ol lhe BuStness and Pfot~StOns Code, or lhal 1s ~-
empt therefrom and the basis for tne anegea exe!Tlpt1on, Any vl0la110n ot Sectaon 7031.5 by' an appllcanl tor d perrrut sub·
1ects the apphcant to a c1~ pena,ty ot not more lhan hve nun•
<Ired dollars tS500)
I. as owner ot the property., or m, employees with wages
as their sole compensat10n •. will cto the work and the struc·
ture Is not ,n1ended oc offered tor sale _(Sec 7044 . Business and ProtessionSa COde. The Con1ractor's Ucense La-N does not appty 10 an owner ot property who builds or improves
thereon and who does such WOfk htmsell or lhrough his own emp1oyees, prov,ded that such ImprovemenIs are not mlend
ed Of olfered tor sale 11 .. hOWi!ver. lhe bu1td1ng m improve• menl ,s sold w1thm one year o1 completion, lhe owner·bwlder w;:; have lhe burden of provmg lh.11 he d•d not build or ,m-
p,.,. 10< ltie purpose DI sale)
I. as owner of lhe property, am excius,vety contracung wI1h hcensed contractors 10 construct !he pro,ect (Sec 7044, Business and Professions Code The Contractor's ucense Law does not apply to an owner or property who btli1ds or im-proves thereon, and who contracts for each proteets wrth a
t~eclOl'(sl license pursuant lo the Conlractor's License
□ As a homeowner I am tmp,ov1ng rr,y home. aM<l ttie lollow• mg cond1tK>ns exist· 1 The work IS belng per1onned pnor 10 sale
2 I have lived in my home for twelve monlhs prtor to cotnpletion of lh1s work 3 I have no1 cla,med lh1s ex~nption dunng the
last three years
0 I am exempl und<r Sec ______ . B & P C lor this reason -------------
0 I hereby affirm that I hao1e a cert,hcaile or consent
to self-insure. or a cert1f1cate ot Workers
Compensat♦on lnsuraoce. Of a cen,fted copy thereof
(Sec 3800. Labo< COdel
POLICY NO
COMPANY
□ Copy IS hied Wltl'l the City
0 Certified ccpy ,s hereby turn,shed
CERTIFICATl OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed 11 !he permit ,s to, one hunClted OOlla,s {S 1001 or less)
0 I cen,ly tha1 ,n the perlo,mance 01 lhe ..-r,ork tor
which lh1s permit 1s ,ssued. I shall not employ any
person ,n any manner so as 10 become sub1ect to the Workers Compens..it1on Laws al G.ahforn1a
NOTICE TO APPLICANT It atter makin:l lr\1s Cert1
licale of Exempt,on. you shoulct become sub1ec1 I'>
lhe Workers Compensation prov1s,oos ot lhe LlbOr Code ~OU must lonh,,..1lh comply w,in sucn
prov1s,ons or th•$ perm11 shall be aeemed ,e-voke<J
0 I he,eby ath,m lhat lhere 1s a con~truc1,on 1enC1ing agency to, me pertormance 01 the wot11. lo,
which lf'US permit 1$ t$Sl.le<:2 !Se<: 3097. C1v1I CO<Jet
Lenoe, s Name ___________ _
Lenoer s Adctress __________ _
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
JOB ADDRESS
29~a
BUSINESS LICENSE ,,
\i\O l I I SVBD v,s ,N O J;'SSt: ,SOR PARCEL NC' CONTAA,CTOR CP4.AVE:AA , & er 02.-s
OYY'\11 R·s NAME o,·. R:, PHC>,_E P: V ~e .,~ • I 1EE,E. ~ LAH-UM t-re:t> -:2-9 q SlC:::O CONT RAC OR'S ADDRESS
_iW"-R' 1'.1A I\IG AOQAE.5S
I ::!ftOO 1-+AA.Me:fsr. SAN~~ C-A ./ DI SCA v• ON OF WORK 1-..... o_ ~R.l~MA.w AR.i:.f•L
LOT BLOCK
/-C??J1oM ~;;T A~f NEAZ~/~ r?/~~~p;ONI
I '
CONTRACTORS PHONE •
2..1~ &l_OO
LICENSE NO.
2..7 ~ ~(p
LICE.NSE Iii,
e,-c:i 2.'3.1
OE.Si GNE R'S P'40NE.
I PERMIT NUMBER ~ VALUATION ii: 0-r ~ l o<y Ol
ZONE 0 a. E
(I)
I BLOG USE CODE I-PLAN 1.0. # I
'O 0 STANDARD PLAN r, I BUILDING SO. FOOTAGE I (.'.)
c
Ol 0 1-Ekd 4He/eA h~ :LM,~~//4;)
-,~cR"SA-:iJDRess
,_.._Pl ~~ t;."'T'.
F P FLA ELEV.
C.J:).
~-
STORIES
~s.~~~
OCC GP EDU
I ,1!Q, . ,._ :;; 30~0-I t
vO NO
CENSUS TRACT GP LANO USE PARKING SPACE RES UNITS GRADING PERMIT ISSUED REDEVELOPMENT AREA TYPE
CONST
occ LOAD I FIRE SPA
r □ N □ ~o .. o vO NO Not Vahd Unl~r Machine Cemfied
PLUMBING PERMIT · ISSUE QTY. ICAL PERMIT· ISSUE 3--SUMMARY/ACCOUNT NUMBER
EACH°¼URE TRAP I / I I INSTALL FURN. ouc~ TO 100,000 BTU I I BUILDING PERMIT 01 ·00·00·8220
----'------'""""';::----------+T------1---+-----0 ~0.000 BTU I I SIGN PERMIT
010R VENT BOILER/COMPRESSOR UP T~ PLAN CHECK
01·00·00·8221
01 ·00·00·8806
-I
EACH GAS SYSTEM I TO 4~-BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 01·00·00·8222 I ~ t
EACH GAS SYSTEM 5 OR MORE ~ METAL FIREPLACE ELECTRICAL 01·00·00·8223 . C) ( :;.--
,
QTY.
EACH INSTA~. ALTER. REPAIR WATER PIPE~ L VENT FAN SINGLE OUCT MECHANICAL 01·00·00·8224
EACH VACUUM BREAKER 7" MECH EXHAUST HOOOIOUCTS MOBILEHOME
WATER SOFTNER
EACH ROOF ORAIN (INSIDE)
TO TAL PLUMBING T
ELECTRICAL PERMIT· ISSUE 6'-QTY.
NEW CONST EA AMP'SWl BKR
1 PH 3 PH
EXIST BLDG EA AMP/SWT 'BKR
1 PH 3 PH
REMODEL Al HR PER CIRCUIT
TEMP POLE 200 AMPS
OVER 200 AMPS
T{MP OCCUPANCY !3,2 DAYSI /.
{Mv , }nt,,(J,v 7J
TOTAL ELECTRICAL 1 30 ,..---1
01 ·00·00·8225
RELOCATION OF EA FURNACE/HEATER I . "'l. MOBILEHOME PARK INSP
TOT J;L MECHANICAL
SOLAR · ISSUE
COLLECTORS
STORAGE TANKS (I_/
ROCK STORAGE -;;J
PUMP J7
PLAN CHECK FEE / ln Jf 1 FJZ~ 17
I
TOTAL SOLAR
C
stl!:AR
~ONG _MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE • DISTRICT
J)Jcilll:QQ,R??fi
80·92·33·0519
01 ·00·00·8227
32·00·00·8933
Carlsbad 80·92·21·0519
Encinitas 80·92·22·0519
San Die.2.uIto 80·92·23-0519
San Marcos 80·92·24·0519
LICENSE TAX 01-00-00-8162
CREDIT DEPOSIT
TOTAL FEES PAYABLE j
-------j
56 ~----
I HAVE CAREFULLY EX.Al>-IINEO THf COMPLETE::> APPL c_ A· 10•. -'"'ID,·, R~•.r ANO DO HEREBY I Exp,ration Every perm,, issued by the Bu,ld,ng Olhc1al unde• lhe prov1s,onsofth1s
CERTIFY UNDER PENALTY OF PERJURY lHAT ALL INFORMATION Hfa~EON INCLUDING Tl-il Code shall expire by hm,1a1<on and t>ecome null and vo•d If lhe budding or work
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTl"Y AND AGREE IF A PERMIT IS aulhonzed by such perm,t '5 nol commenced w11h,n 180 days rrom tneoate or such
ISSUED TO COM?L Y WITH ALL CITY COUNl y ANO STATE lAWS GOVERNING BUILDING CON-perm,1. or ,1 the budd<ng or work authonzed by such permit ;, suspended or
* AN OSHA PERM;T 1$ REQUIRED FOR EXCAVATIONS OVER
5 0 DEEP ANO DEMOLITION Of1 CONSTRUCTION O•
STRUCT\JRES OVER 3 STOf11ES IN HEIGHT
STRUCTION WHETHER SPECIF:ED HEREIN OR NOT I ALSO AGREl TO SAVE INOE:MNIFY ANCJ i abandOned at any time ofter the work "commenced fo• a per1od ol t80 days
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO APP ANT'S SIGNATURE Jf OWNER O CONTRACTOR 0
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE :1--:::7. A \...J_
GRANTING OF THIS PERMIT ~~~~_..........., ~ i/f2--,/" BY PHONE 0
APPROVED BY -sr.J
I /-6 -! y
DATE
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TYPE I DATE INSPECTOR
BUILDING I --.:. <:X£-;:+J.±_
FOUNDATION I
-.
FIELD INSPECTION RECORD
REINFORCED STEEL I
I
MASONRY I
GUNITE OR-GROUT l
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REQ IF INSPECTOR'S DATE CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I ,, r r
' SHEATHING D ROOF D SHBAR • SOILS COMPLIANCE
PRIOR TO .
FRAME I
FOUNDATION INSP
EXTERIOR LATH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI .
INSULATION I PRES TRESSED
INTERIOR LATH & DRYWALL I
CONCRETE
POST TENSIONED I CONCRETE
PLUMBING 1 FIELD WELDING
SEWER AND BUCO DIPUCO I
UNDERGROUND D WASTE D WATER
HIGH STRENGTH
BOLTS
TOP OUT D WASTE D WATER SPECIAL MASONRY
TUB AND SHOWER PAN ,.
I
GAS TEST I -PILES CAISSONS
D WATER HEATER D SOLAR WAITER
' I .
ELECTRICAL I
~ ..
D ELECTRIC UNDERGROUND D UFFER .;
ROUGH ELECTRIC I
I -
D ELECTRIC SERVICE D TEMPO~ARY .
D BONDING D POOL I --.
I . I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I ' .. .._.""')~ -.• . -~ -, ·= --Jif_:'-----... 1-.--; -.. ' ; .. :,._ r ~~~l 1_· . ... ..-.. -·,.s_. .., t •~-'-":w-•,:;.· ... _ .• ,. -... . ' -,, .a -=-·-
I t
CALL FOR FINAL INSPECT~f N WHEN ALL APPROPR[ATJ _J ITEMS ABOVE HAV BEEN 'APFmov~r,:<·-,-·-::;: -' --· , 1➔~ -:-! .... t ~ ~-, ""',--,~. --! :!'_:;~ .t .. ---. • -~ t,. ; -. ,
,, .--. .,,, --,:.· I II-·
FINAL I .. ,... .. -_ ........... ,,
PLUMBING I ,·~ =•-::-I I. -..... -' ' ~ t -I .. --'"'""---4 ···-. ,. ~ ..." .. · '-" :: ,. ,1• l ,-... J :), . -: . i . --' ...... -· .. -. ...
ELECTRICAL I l ,&.J,~ OJ+-I
MECHANICAL I -\/ ;::;.-
i .. '._•r-.;-I ----I .. -· • ,~...1 :--· --t ( .•. ·~1 ~ .',. j-t-:-t :---'-~ ,.._, ·-.. ~ ··-. ._ _ _. .. 1 ~ ·"i . ,. -
GAS I <X I .
BUILDING I ' ' -· ~ .
SPECIAL CONDITIONS I t I
I