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HomeMy WebLinkAbout2279 LINDSAY DR; ; 85-895; Permit"' z 0 " " "' " J " w C "' il " .. w 0 J 3 ~ w z ~ z 0 " ::I z w .. ,. 0 " "' D I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7<XX>) of Division 3 of the Business and Professions Code, and my license 1s 1n full force and effect Lie No _____ r1a1· I hereby af',rrn mat I am exerr-ot trom tie C:;nlrac •er s License Law •or \he 'o,low,nq reasc~ 1Sec 7G3' S Business ana Proless,ors Code A"'f c,t·1 :;• caunly w~,cr ·e quires a perm,t t~ const"_ct J1:e· ,mpro-,~ aemo11sh or repa,r any structure pr,or TO ,ts rssuarce alsc ·ecu,,es !he a~ p ,cani tor such oerrn,t 10 1,.e a s·q1eU sratP-ment 1n.a1 he ,s ,,~ensed our;uanl IJ the prov,sons of :he L-~~Tral.TOr o 1_,cense Law 'Chaple, 9 rnrnmenc,ng wrth Se:t1or1 700C of r:,,.,,s on 3 ol toe Business a~d Profess ans Cece, O' •n~• ,s e, ern:i: 1rere1-orn ana 1he baw; lor !he allegea e,w·,p,on Any ol Sect10~ 7031 5 t>y an app,,cant 'or a Je'""'' suh ·~e appl,carl •o a c,,,1 ~enalt'! o: ,ot more Than :,ve ·,,Jn do 1ars iSSoo·, 1 as ow1er ot the properly or my ern~royRes .,,,.~ wages as :heir s~le comuensa:,o· w,11 do the war,. and ·t,e s'•,.,c !J'e ,snot ,ntendec or ollered for sate !Ser 7Ql4 Hu1-nes1 ano Professions Code The Contrac1or s cirerse I ;;w does nul apply :o an owner ot property w~~ nu1lds o· improves Thereon ard wno does such wor, himself or thrQugn n,s own employees. pro·11ded lhat such .mprove'Tlen:s are no' ,~tend- ed or altered lor sale II ~owever IM bu1ld1rq 0' ,mprove- rT'en! ,s sold w1!h1n o~e year ol complelion the owner-t>u1·dec will have :ne Durden of pro,.ng 'hat he did not build or 1m prove for :he purpose o' saleJ as ow~er o• the pro~erly am exclcs1ve:y curt•act,ng w,rh licensed con1,actors to construct the pro1ect !Sec lG44 Business and Protess,ons Code The Contractors license Law does nol apply to a~ owner al property wno bu,los or ,m proves rhereor. and who contracrs for eacn P'o1ects w1·n a contracTOr1s1 license pursuant to the Contractors L,cense Law) As a ho,.,,eawner I am 1mprovrng my name. anC The 101 ow ,ng cond1t1ons exist I The work ,s being performec prro• to sale 2 1 have lived ,n my home for :wel\le months orio· to complehon of lh,s work I have r\Ot claimed :his exempMn durin~ 1hr !ast lh,ee years I am exempt under Sec _____ _ B & PC for lh1s reason ____________ _ __ I ne-eby af<irm that I nave a cer:Lf1cate o' consent to sell-nsure :ir a c0crt1t1cate Qt Workers· Com::,ensat1on In su·ance or a ~ert·f1ec! ccpy thereof ,Sec 3800 labor Code! POLICY NO COMPANY Cop; 1s hied with tne c,ty Cert1lieC coev 1s hereby lurn1shed CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE !This section need not be completed 1! the permit 1s tor one hundreCI dollars 1$100! or less\ --I certily that ,n the performance of the work !Qr whrch ~rm1t 1s issued. I shall not employ any person ,n any manner so as to become subject to the Workers Com pen sat,on Laws of Callforn,a NOTICE TO APPLICANT, If after making this Cert'1,cate of Exemption. you snould become subject to the Workers Compensation provisions of the Labor Code. you must L forthwith comply with such prov1s1ons or lh1s pe,m1t shall be deemed revoked ![ C: I hereby a!!irm that there ,s a const,uct1on lending agenc; lo, the performance of the work for wn,cn this per m,t 15 issued (Sec 3097. C1v1I Code1 Lenders Name Lerder"s Address , USE BALL POINT PEN ONLY & PRE~S HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS CARLSBAD BUILDING DEPARTMENT Carlsbad, Cal1forn1a 92008-1989 (619) 438-5525 APPLICATION & PERMIT ""· AV.ST.RO. NEARESTCROSSST. BUSINESS LlCENSE #-VALUATION PERMIT NUMBER O t:: ,...s--0'-g-5--, ,--- a,oc• bcoNrn•cToA ;J,C •.i32 8'1.J ; ,.J 5 ODRE~~S /<d • L_l(:ENSE NO. PLAN I o. # BUILDING SQ. FOOTAGE OWNER'S MAILING ADDRESS ,it ,J iC,~ • '/if°,4 q .ro gs-,1. U 79 U1iib611rv 2),(.__ ~ DESIGNER DESIGNER'S PHONE DESCRIPTION OF WORK .,.-j ...11 ,o D DESIGNER'S ADDRESS LICENSE NO. f--_ti'\ O,S~l..,C--l~ME------~ E,.""CJ....l_~--, , CcR ecev NO occc, EDU u STORIES I 2/ I OIB5 7596 00011!i96 IE/10/ 85 24!2-□ 3!i62:0f CCNSUS ,RAC, I ,;e cAND use l PARKIN(_, SPACC Res u",s I QTY. PLUMBING PERMIT -ISSUE GRADING PERMIT ISSUED TD ~ □ ye..= 1'«0 I REDEVE:LOP,,_,,ENT ARE A '□ -.,_[J QTY. MECHANICAL PERMIT -ISSUE TYPE CONST 3- OCC LOAO FIRE SPP Y□ ... o Not Valid Unless M;1chine Cert!l1ed SUMMARY/ACCOUNT NUMBER I---- EACH FIXTURE TRAP F INSTALl FURN DUCTS UP TO 100,000 BTU l J BUILDING PERMIT EACH BUILlJING SFl/11'!:R OVER 100,000 BTU SIGN PERMIT ------ ' I gJ 7-001 -810-00-00-82(0 - 001-81 0-00-00-8221 EACH WATER Hl:ATER ANIJ OR VENT --+---EACH GAS SYS I EM I TU 4 GUTLtTS f--f-'-=~ ----- f----- f--- EACH GAS SYSTEM J UR MORE' EACH INST Al. Al TER. Rt.PAIR \";ATER PIPE' EACH VACUUM BREAKER 'NATER SOf TNEK -~----- ! BOILER [OMPRESSOR UP TO 3 HP f801~E_R~C~M-~~-E?SDR]_1_S HP I ~,1r r A'c F REPI AC~ ---+ ---- 1 VENT ~AN SINGLE DUCT MECH EXHAUST HOOU'OUCTS RELOCATION OF EA ~URNACE HEATER I---~ PLAN CHECK _:_-.11-------!0l~L PLUM~ING 001-810-00-00-8806 -+--------- 001-81 G-00-00-8222 __ N - ELECTRICAL MECHANICAL 001-810-00-00-8223 -----=□01 ·810-00-00·8224 MOBILEHOME 001-810-00-00-8225 l _ _..--I MOBILEHOME PARK \NSP ___ __J_, _ '1?i-___ __,_ ---+-----+---+- t--+ FACH ~,0:~F :·,R~ ';' -,~[::I l_ TOU.L MECHANICAL I l--~~~~~GMOTION 001-81 0-0U-UU-l:ILLb 880·519-92-33 QTY TO l Al Pl i!MfllNi, FIRE SPRl"lr\LERS -ELECTRICAL PERMIT -ISSUE y :I QTY 'I ' . [ ,.a_ IGc FACILITIES FEE ~Oti'<R ISSUE /11oC,, L€ _ /0 _;;,..-c= OOJ.810-00-00-8227 t= I 332 ,10-00-00-sg_,o_ lZ...S.o ::m l~l'Tn.;c; NEW CONST !:A AMP SWl llKR ---' -+---------- I PH J PH -----4-----c;rc,9,.(;F -:\'J..;S fXIST BLOG EA AMP SWT RKR R()[:K S"URil/J:_ 1 PH ·i PH PJ'·,1P REMODEL_ Al_ll:R PFR CIRCUIT ---1 1-IPIM, C>-!FCK FF~ TEr-.APPO\E JOUAMPS . ·! .s4-~~--- 0VE:R?OOAMPS . / TEMP OCCUPANCY 130 OAYSl l fl I A I El t. l.1 RICA l ,I I I TC1TA1• S,JLAQ ¥12 ' SCHOOL FEE -DISTRICI Carlsbad Enc1n1tas ,4 □1e~ - ' II ,;z .. ,. "" J L "'-' ~ ~n..::--IL '001-a10-ooooa162 o ~ :.-~E ~x {b ~o_:519:9_2:~~-~✓ MFF~ Q...,! - -~~EDIT DEPOSIT -"j ¼1/---,, I 1-So~ TOTAL FEES PAYABLE T "'2,--;/../,,,-i.---t- I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMff'" ANO 00 HEREBY Expiration. Every perm1_1 issued by the Building OfflCfal undertheprovisionsofth1s .'!' Li: ~ ~ 0 o_ E © f- D 0 C) C m w o_ "' I ~ C ,i 0 w w © w w "' I ~ 0 © >- ,,; w ID 0 0 ,i: rn '" 0 § ID 0 C m C LL ,::_ C ID ~ C) 0 u ID o_ w C CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ~hall expire by llm_1tat1on and become null and 1,1oid IUhe buildmg or work DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT !S authonzed by such permrt is not commenced within 180 days from the dateoi such ISSUED TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON-permit or 11 the bl.nldt~ or work aulhonzed by such per 11 1s suspended or srAucTmN. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND abandoned 81 an li,ne 8 er the work 1" commenced lor 100 of 180 da s KEEP HARML~S-S THE CITY OF CARLSBAD AGAINST ALL LIABILiT'ES. JUDGMENTS, COSTS A~~TURE ¥ ~ OWNER CONTRACTOR 0 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OFT r _n ~GRANTING OF~ THIS PERMIT. """ V ~ BY PHONE 0 -' * .4.N OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER 5' O" DEEP AND OEMOLITK>N OR CONSTRUCTION OF STRUCTUR£S OVEA 3 STORIES IN HEtGHT ' "];', -~iJl -v-v TYPE I DATE INSPECTOR , .. BUILDING ' I 'ilS ~ ~c:; 5' FOUNDATION I FIELD INSPECTION RECORD REINFORCED STEEL I MASONRY ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL SUB FRAME □ FLOOR D CEIL.ING SHEATHING □ ROOF □ Sf-\EAR SOILS COMPLIA.\i\,f: . PRIOR TO FRAME I f-OUNOATION lr-.SP -------- EXTERIOR LATH I STRUCT~RAL C0NCRfT~ OVER 2000 PSI ; INSULATION ' I INTERIOR LATH & DRYWALL I -------PRESTHESSED C:ONCflETE POST TENSIONED I CONCRETE PLUMBING I ' l'"IELD WELDING □ SEWER AND BUCO □ PL/CO --,-m;H :iTRENGTH UNDERGROUND □ WASTE □,WATER TOP OUT □ WASTE □ v','ATER BUL Ts :OPECIAL MASONRY : -·-- TUB AND SHOWER PAN I GAS TEST I PILES CAISS()r-,._~- □ WATER HEATER □ SOLAR W/1,TER ------·--t------- ' - ELECTRICAL I D ELECTRIC UNDERGROUND 0 1 UFFER f-- ROUGH ELECTRIC I D ELECTRIC SERVICE □ TEMPQRARY ~ -------~ □ BONDING □ POOL ' ' ' I MECHANICAL ' I ------f---- □ DUCT & PLEM., □ REF, PIPIING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS ' I ' I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HA VE BEEN APPROVED, · , ' ' FINAL PLUMBING , ' ' ' . -~-... ·• ' . '.· -.. _, ELECTRICAL ' ,_ --. MECHANICAL ~ -- -. . GAS -. - BUILDING SPECIAL CONDITIONS ~---- I• - APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM. CITY OF CARLSBAD ENGINEERING DEPARTMENT 438-5541 FOR APPLICANT TO FILL IN BUILDING ADDRESS OWNER MAILING ADDRESS CONTRACTOR CONTRACTOR'S ADDRESS NEW BUI LDING LEGAL DESCRIPTION T REMARKS: EXISTING BUILDING LATERAL LOCATION ST. LATERAL NO. _______ INSTAL LATION DATE--------11 SE 2731 ISSUED BY __ .:.._....:...._ ........ ,,;.__.....;;.....;;;......:;....;..:. _____ _ DATE ISSUED-~/:.....::;_;..:__.._..:..._ _________ _ VALIDATION LATERAL CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10') _________ _ OVER 30' H. @ FT. _________ _ OVER 10' V. ___ @ ___ FT·-------=---- OVER 30' H. ___ @, ___ FT. _________ _ OVER 10' V. @ FT.-----=~------- TOTAL CONSTRUCTION COST ---------- SERVICE CHARGE (REPAVING ET C.) ________ _ TOTAL LATERAL CHARGE _________ _ LINE COST DATA ASSESSMENT DIST. NO.-------------- FRONTAGE ____ COST PER FT. ___ TOTAL __ _ OTHER ___________________ _ CONNECTION FEE NO. UNITS_....;./ __ COST PER UNIT_....:....:..:__TOTAL --- PUMP STATION FEES NO. UNITS ___ COST PER UNIT ___ TOTAL __ _ WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter ~ CARLSBAD UNIFIED SCHOOL DISTRICT , . , □ CARLSBAD HIGH SCHOOL □ VALLEY JUNIOR HIGH SCHOOL REcE1VEDFR..QM ~Rl.. ~r-~-eJSe.o fu~"t--l:-nc, \ ~ ~ I, \0,(.g 1-.ot' $ \O~ FOR tOJ\'<\"o t:\~ ~e'o,\s_ ~ 1.._~ $ ____ _ REIMBU~SEMENTS Ge.,"'-•~ \ "\'-e.6 RECEIPT NO. 08423 DATE 1~1, o~:ac: USE OF SCHOOL FACILITIES/RENTALS USE OF SCHOOL BUS $ ____ _ TELEPHONE COMMISSIONS $ ____ _ DAMAGE TO SCHOOL PROPERTY DAMAGED OR LOST BOOKS SALE OF SURPLUS $ ____ _ $ ____ _ $ ____ _ INSURANCE CLAIMS REIMBURSEMENTS (EMPLOYEES) $ ____ _ $ ____ _ TOTAL $ h ,q u INCOME [3 ABATEMENT O \¼"103 CHARGE TO ACCOUNT NO.~ -~g-'\J -____ -RECEIVED CASH □ CHECK 0' RECEIVED BY~o\J · ~"\\ ~ " lmRIIC QtSG BT; -2325 87 309085 • .. ' . L;J,L::j;'.J)J+.\:\:\, 1 1987 JUN -3 PH 3= 45 All> Wlt:N RECORDED MAIL TO: 11K City of Carlsbad I . \li:f:,:\ L., i' i I L!::?UN l Y fiil:O/ii;f~ 1200 Elm Ave. STll£IT Carlsbad, CA 92008 AIPIESS RF 3.00 cm. STAT£. ad~ SPACE ABOVE TIIS LIit: FOR RECOIU>ER USE ON. Y NOTICE OF MANUFACTURED HOME, (MOBILEHOME), OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM AR 1.00 MG 1.nn Re-cording of this document at the rf'-=1uest of the loc.ai agency indicated is in accordance w;th California Heoltt-1 and Safety Code Section 18551. This document is evidence that such local agency has inued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the i:ovnty recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all per- sons thereafter dealing with the real property. • lhAttu,..v ;> +86-TT~ N, Z,4µk2-d,1~ oe (1>011,ksB~D REAL PROPERTY OWNER/LESSOR LOCAL AGE CY ISSUING PERMIT aind CERTIFI£ lf Of OCCUPANCY 2-,.9-?J A1 ,vJ) $1'9:::y'. ?>12, MAILING AD ESS MAILING ADDRESS Cf9/2-L..s.r'3~» 61> C 14-9dC2tJ? CITY COUNTY STATE ZIP CrTY COUNTY STATE ZIP INSTALLATION MAILING ADDRESS, IF DIFFERENT CITY COUNTY STATE ZIP UNIT OWNER (If also property owne1·, write "SAM.E1') Ut:ALLR t-.AfiE. ( It r,ot: a ciealer sale, wr ice "NONE") :5~m.« /1/o,ve MAILING ADDRESS DEALER LICENSE NO. CITY COUNTY STATE ZIP UNIT DESCRIPTION VNAL.w',))e-f/om£fl '7a:>W DATE Of MANUFACTURE bNUMMR MANUFACTURER'S N~E /t:)~!57 'fi'e:,o TT -11 ~ .)( G. ~ ~f.KIAL NUM~tk(~) LfNGTM X WICiHi iNSIGNi~/ . ·~9 REAL POOPERTY LEGAL DESCRIPTION ASSESSOO'S PARCEL NUMBER ;:Z.t ;z -ID I -<,..S---o c:, L-<>Z: ta2 tQe <1e-a:t slifl-2-. :7"1''9c 7 /1112 /?3-?-:~-/,V e,T</ e>e: C!t9:a.Ls. 184=0 <!ti"-1 nay t!Jf= !:.'2tv 4,...,,1 U-,9;-✓"=' tt2.,,.._C",,.,{.//.:. &t!.t1&e1nlk T1J ftJ&/ rtf44--t"el,,,.,: ND 11,:;;,78-.F,4~) ,,,v rite LJrht:1 /),,,,,. rH,1/L c?,NdT'j' z.:,,.et,,eJ,4,,,p f)#- HCD FORM 433(A) 4/86