HomeMy WebLinkAbout2280 LINDSAY DR; ; 85-901; Permit~ 0 ~ a: C -" u Ill 0
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D I t,ereby affirm that I am licensed under
provisions of Chapter 9 !commencing with
S-:tlon 7000) of Dl•lslon 3 of the Business
ar>d Professions Code, and my license is in
full forc1,and &f!~t /3.
lie No +/:l,~ Clm -•-~----
I neretiy allirm thal I am e,:~mpt l<0m th-e Contrac-
tor's license Le1w for the following mas-on (Sec 7031.5 Bu.sines-s and Proless10ns COc:le Any city or courily wh1c;r. re
quires a permit to construct. alter, improve. dernolis.n, or
repair any structure, prior toils issuance also reQuires !heap-
plicai1t for such permI1 lo file a s1~ned s1a1ement l'hat he Is hcensed pursuan! to the provisions 01 the t:ontraclor' s
License Law (Chapter 9 commencin,g wrtr-. Sectmn 7000 □t Dili'ismn 3 ol trie Business and Prnless1on-s Codej or that 1s ex·
empt therefrom an-d the basis tor tne allegeo e•emp110n. Any 1,mlalmr, of Sec:Mn 7031.5 by arr appl1c,mt for a perm1T sub
jects !he applicant to a cw1! penatty of no1 more than five hun
dred dollars (S50Di
:J 1, as owner ol the property. or my employees with w.age:s
as their sole compe!'lsalion. will do lhe work:. and the struc· ture 1s not mt-ended or o11ered 1o-r sale tSec 7044. Business
and Prn1ess1ons. Cod-e: The Conlrac.tor's License Law c:toe-s
not apply to an owrier ol prnpe-rty who builds m Imprcve-s.
thereon and wtio does suet, work hims.ell o-r 1hrnugh hi5 owrL
employees. provided 1hat St1ch improvements. are -not intend-ed or offered f~-r sale If. however. lh~ tlu11thng or improve·
ment is sold w1th1n one year of compiel1on, the owner-builder
will have the burden o1 prO\l'ing ttla1 'he (M not build or im-
prove for the purpose of sale).
□ I._ as owner of tne prope:rti. am exclusi~e-ly contracting
w~tn licensed co11trac:t<irs to construct lhe proJect (Sec. 7044. Business am:! Pro1tsslons Code: The Conlractm's Lice-ns.e
Lt1w does not apply to an owner of property who builds or jffi•
Dr~s thereon. and who -c::ontracls 1or each projecls wit~ a contraclar(s) license pursuant lo the Contractor's License Law)
D As a homeowner I am improving my nome, and the follow-ing conditions e..ist 1. The work 1s being pertormed pnor lo sale. 2 I _have lived in my .home tor twelve mon1h5
pnor to completfon a1 this work
3 1 have r.01 -c:l.a1med this exemplI0,n during the lasl three years
~r ~~:r~~~~:tunderSec, -------, B& pc
D I hereby atf1rm !hat I haw-ea ce'1111ca1e of consent to self-msure. m a ce-rt1ficate of Wor);ers
Compensation Insurance. or a ceri ,1100 copy 1hereof
1sec 3800. Labo, Co<lel
POLICY NO F,: C 04¥(,, J 7 <)
j
COMPANY FJIPE-,' C A$.V4"'1"T ra Copy ,s hied w•tn Ehe city
D Cert1hed copy is '1ereby fL.nn1shed=
CERTIFICATl OF EX.EMPTION FROM
WORKERS" COMPENSATION INSURANCF,
(This section need nol be complered 1f lhe perm1i 1s fo, one riundred dollars 1siooi or 1es-s•
0 I ce-r'Llfy tl'lal 1n tl"ie performance of I he wor41i. 1or
which 1h1s p,ermil is 1:s.sued_ I sh-:111 not employ any
pefson 11"' any manner so as to become sub1ec1 1,:,
ttle Workers· Compensation-Laws o1 C-c111forma
NOTICE TO APPLICANT H. a,tter makinJ this Cert,
f1cale of Exempt•on. you slloul{J be-come s-ubJec::i M
ihe won,;,e.,.s· Compensation proY1S1or,s ol ~he Labo,
Code, ,-01.-1 must lorth~1th comply w11ri such pro,,-1s•ons or 1h1s permit st1a11 be de-em-ed revoked
D 1 nereby ah,rm !hat the1-e s ei cori-<;!ruc1·on
Iend1ng ag,ency 1Qr trie pertor-rr-.a.nce ot trie work to,
which rh,s perm1f 1s. issue-ti \S-eC .3097. C1v11 C0<je1
L endeJs Name ___________ _
LenQer·s AOares-s __________ _
USE BAll POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT
1200 Elm, Carlsbad, California 92008-1989 (619) 438-5525
8USINESS Lr(:ENSE #
f+fli:J,
CONTAACT-Off$ PHONE #' .. ·7:£;~s,,is-·· ZONE
~AMIT NUMBER 8~ -qo1
. LICENSE 'NO. ' . PLAN I D # BLOG USE CODE
S1"ANDARD PLAN# BUILDING SO. FOOTAGE
EDU 12/10/057634
0GGl7634 12110/88
eti~2;cu
3~62;00
QTY. PLUMBING PERMIT -ISSUE
AEDEVELOPMEN1"
AREA
QTY. MECHANICAL PERMIT -ISSUE
EACH FIXTURE TRAP tNSTAll FURN DUCTS UP TO 100.000 BTU
TYPE
CONS1"
ace LOAD FIRE SPA
v□ NO Nor Valid Unlers Machine Cerhfied
BUILDING PERMIT 01 00-00-8220
EACH BUILDING SEWER OVER 100.000 BTU SIGN PERMIT 01-00-00-8221
EACH WATER HEATER ANO,OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 01-00-00-8806
HU
l---+-E_A_C_H_G_A_S_S_Y_S_T_E_M_l_T_0_4_0_U_1_L_E_T_S ___ +------+----t-B_O_I L_E_R_i_C O_M_P_R_E_S_SO_R_3_15_H_P ---:---,A-~h-'~'-------lt--T_O_TA_L_P_L_UM_BI_NG _______ 0_1_0_0:Q0_-8_2_22----'---------
QTY.
EA CH GAS SYSTEM~ OR MORE METAL FIREPLACE ELECTRICAL 01-00-00-8223
EACH IIIISTA~ ALTER, REPAIR WATER PIPE ·---....Jl..---L--VENT FAN SINGLE □fc'f~~ MECHANICAL
EACH VACUUM BREAKER MECH EXHAUST HobTuciuCTS MOBILEHOME
01-00-00 8224
01-00-00 8225
EACH ROOF DRAIN 1INSIDEI SOLAR ..ll~1·~~~-""-_,___ ________ ___,
TOT AL PLUMBING
ELECTRICAL PERMIT -ISSUE QTY.
NEW CONST EA AMP.SWT BKR COLLECTORS
I PH 3 PH STORAGE TANKS
EXIST BLDG EA AMPISWT.,BKR ROCK STORAGE
1 PH 3 PH PUMP
REMODEL ALTER PER CIRCUIT PLAN CHECK FEE
TEMP POLE 200 AMPS
STRONG MOTION 80-92-33-0519 ----------.
FIRE SPRINKLERS 01-00-00-8227
1--P~U~B~Ll~C~FA~C~IL~IT~IE~S~FE~Ec__ __ ___:,;32~-o~o~-o~o~-8~93~3'-+____,__/J'"O
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad 80-92-21-0519
Encinitas 80-92-22-0519
80-92-23-0519
80-92-24-0519
IC 1,1.J LIi£.
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TYPE I
BUILDING I
I OUNDATION I
EINFORCED STEEL I
ASONRY I
UNITE OR GROUT I
I
LOOR & CEILING SUB FRAME I
F
_R
M_
_G
F_
s_
F_
E
HEATHING D ROOF D SHEAR
RAME I
'
XTERIOR LATH I
NSULATION I
I NTERIOR LA TH & DRYWALL I
I
PLUMBING I
SEWER AND BUCO DIPUCO I
I
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR W{ffER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □;UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
I
MECHANICAL I
D DUCT & PLEM., □ REF. PIPlt',IG
HEAT-AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
DATE INSPECTOR
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
I
ELECTRICAL I
MECHANICAL I / l I
GAS I j J /_ I -I
BUILDING I 6V /od "J~
SPECIAL CONDITIONS I
,,.,,,,,,.
I ~
.
8S-9ot .
FIELD INSPECTION RECORD '
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF INSPECTORS INSPECTION CHECKED APPROVAL DATE
-
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
~--~
HIGH STRENGTH ·--,.,,.J
BOLTS -,,~ .';f,:f'_: ~,;~~ .... '
t'.:Jt ~ ,. -: b! r: ~ , .. SPECIAL MASONRY . (/_._-·,1•~ ' t'.tJ -
'~ riff~ ~r't''"A.r ' .· ;}l?'rl ft
; !" l ; -PILES CAISSONS ' ·-.'':" ,.) LJ .. ..
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O I hereby alllrm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe88Ions Code, and my license is in
lull force and effect.
L•c t;, 1£S:() CI Class (.'-L____
' l'lereby atfirn1 that I am e:t:ernpr lrom t"e Con:·ac-:cr'-s. L1cens.e Law for the following reason 1sec 703~ 5
Bus•.ne-s.s and Praless1oris CO-l'.le: Any cI1)1 o-r ~aunt} wh11:.li re-quires a perm1i to c0~1srruct. ,1:ter. irriprrlve. cle"~oI1sh v·
repair any s:truct1,1re, p•1or to :ls issuance ;fsf) 'P.C.mres !ht<i.P·
p !1cant !Ot" such perrri1! to tile a s19r<ed s1ate1:1enr that he s
1~censel1 01,.rsu.art :o ::he :3roviS!Or.s .:;if the Go@ac.mr s
t 1cerse L?.w ;Cha::i:er 9-commencina w11h SP.c'.:o'l 7000 :"Jf
·J1v1-sion 3 ::if t~e Business and ProfesSions Co-ce. or tr,at 1s ex.-en'!O'. l'lerefrom arid t'1e tiasis 1a~ the alleged eJe~•i::tio-n Any
1,11olaMn of Sec110n 7031 .5 !ly ;in applicant 1or a perm1: ~11~-
i0cts lhe aocl1c.ant to a c.11m pena'ty of not more than 'i·.,.e '."•Jn-
d:-ea -do.lars /$5□0~
i, ,a5 owner of the P'Operty or m~· em::f-;;iyeP.s 1, ~'.1 w~ges
as !he·r sole co~pensati::in will do the wmk, arid :he s'.ruc-
ture 1s not intenoed or 0Her-ee1 1m sa!f !Sec:. 10&.:1 Bus1ress
and Pro'.ess1on:!! Code The Contrac'.or's La::e1!:.e La...., does
not apply ro i:tl'l owner 01 prnp.efty wllo ou1ids :ir mproves
t'"iere□n ana who d-oes. SliC.h work hiff",se!1 or thrr)ugr1 nr~ own
employees. pmv1de.cJ 1hai such improve-~ents ~re no: in!el"!d·
ed or offered for sale. lf. however. r,e bu1la1ng or 1mprove-
~nt 1s soia w1lh1n one year of complellon. Ille O-Nner-builder
w1q have the burden of proving that he -dn1 not bu1111 or 1m-
pr:'JYe rar the □Jrpose ::if -s.ale1
• I. a:s owner o1 the property. am e11:clus,,;e1y cc~!ra.,;lmg w11h l1cense<:1 comrnc!CHS to c.onsHuc,t the projec, (Sec. 10-44.
Bu s1ness and P,ofession-s Code: The Cornractor · s License Law does not apply 10 an owner 01 p~ooerry who builds or ir-,·
proves mereol"I. and who con1r.acts for e.ach PrDJec!s with a
c□ntraCIOr('S) license oursuant to the ConHacic-,·s licenJe u1w1
--As a homeowner I am 1mprov1ng , ... y home. ar.d tt-ie follow mg ,c.onditions e11:is1 1. The work 1s being □er!Ofmed prior m sale
2. I have li"ved ;n my home f:Jr twelve m::in:hs prior 10 com,;:iletior. of th 1s work
3. I have Ml clairn,e,d th-is e11:em::,i,on duri'1G !he last three yea~-s.
L_ '. am ex:empt under Sec. _____ _ B&PC for th,s r-eason ------------
I here-by ,a.f!irm thal I 'lui.i.-e a c.ert1fica1e of con
selt-1'151.He. or a certificate of \,11.Jorl<,ers· Corr-pensa1· ln-
s1,1rF.1.nr.e. or a c.er1i11ed c:::ioy thereof 1_Sec. J,800. Labo Godel
POLiCY NO.
COMPANY
CojJy is 1iled With the city
Cert1ried copy 1s nereby f!Jrni.shed~
CERTIFICATE OF EXEMPTION M
WORKERS" COMPHISATION !NS RANCE
(This .secliOr'I need not be co1T1pleted the permit
is fo1 one h1,mdf-Etd dollars 1$100} less) 'iltJ. certlf~ thal in rhe performarice of th@ work for wtiicl'I
tri1s p-ermit is issued, I shall not employ any .pefS-01"1 in any
manner so as to become subject to the Workers· Cornpen-
s.ation Laws of CaliFornia.
NOTtCE ro APPLICANT: If. aftel' m,al(ing this Certificate
of E)(emptton. you should become subject lo the Workefs·
Cornpe11saiion provisions of lhe Labor Code. you must
for1hwilh comply with such pfO'llision.s mthis perm,t sriall
be deemed revo-ked.
I ttereby affirm that there is a construction ler"t;:ting
agency for lhe performa11ce o( the vJort for which this per-
mit is issued (Sec. 3097. Civ,1 Code)
Lender·s Name ____ _
Lende<'s MOress __ _
/1
I
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN J.NFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
Carlsbad. California 92008-1989 (619) 438-5525 AP~TION & PERMIT
-'OB ADDRESS
~'1~-l,~k
AV, ST-RD, NEAREST CROSS ST. !DATE OF APPLlCAnot,
1)d. -a.'l. 9.r
BUSINESS LICENSE :r
//"103
LOT BLOCK I suernvii1,10N I ASSESSOR PARCEL NO-
OWNE.R'S NAME OWNER-s PHONE
CONTRACTOR CONTRACTORS PHONE •
-,.,,e._,, -o o( I
ZONE' ,
Q. r.:.--.. I CONTRACTOA"S ADDRESS LICENSE NO-Pl.AN 1.0. Ir BUILDING SQ. FOOTAGE
OWNER"S MA•LING ADDRESS ':ll'i oO
o,.. DESIGNER OESIGNER"S PHONE
OESCR!PT<ON OF WORK .
DESIGNER"S ADDRESS LICENSE NO.
F:p fLR [LEV. NO OCC GP EDU
STORIES
{"JP LA.ND USE. GRADING PERMIT ISSUED TYPE OCC LOAD FIRESPR I E!/23/85655 l T03~~E
CONST
cc r,,sus TRAC 1 I I PARK•NY'SPACEc I RES ur-.1TS I
v □ N 0
! REDEVELOPMENT
AREA
... ::::J .... c v□ ND
BODI 8!351 12123/ B~ Not Valid Un~r Machine Cert, ,eel 23S;t:Jr
! QTY_ PLUMBING PERMIT· ISSUE QTY_ MECHANICAL PERMIT· ISSUE SUMMARY/ACCOUNT NUMBER
EACH elXTUR~ TRAP -·---+--! INSTALL FURN. DUCTS uP TO 100 000 BTU BUILDING PERMIT
EACH BUlllllNG SEWER 1 + OVER 100,000 BTU SIGN PERMlr
EAcH-~~ATE~ _fH:ATE~_~..!!__l!R vrn1 ~-~-· -==--=--1------.i.-BOILER,r:oMPRESSoR-uP 10 3 HP_ _ ---+---__ --_·_·-_--_·-·::;-__ -P-LA_N_CH_E __ c_K_ --------
1-----+--E_A_c_H __ G_As SYS! EM ~_!_SJ .:._Q_i!_TL~TS , t 80I':_E_A,COM~RESSOR 3 15 HP _ --_ ,_ ----_______ T_0T_AL PLU~_IN_G
EACH GAS SYSTEM~ OR MOR, I ~,H''AL 01REPI ACE ELECTRICAL
-----.. ··------·-~. ---·----. ·--I,--------<t--·--·
ao1-s10-oo-oo-s220 ..) h ~ _
001-810-00-00-8221 oii1-aio-o□:-oo~aso5 -----=<l -1.£ ------
001-810-00-00-8222
001-810-00-00·8223 _//) !!------+-~t!'-_,_.,,__~--------1
EACH INSTAl. Alf LA. HEPAIR WATER PIPE ---· -------_ __ _. VENT fAN SINGLE DUCT MECl-iANICAL 001-810-00·00-8224 ----
EACH VACUUM BREAKER MECH EXHAUS1 HODO DUCTS MOBILEHOME 001-810-00-00-8225 --------~---------1.---½---------------------+-------------j
WATER SDFTlliER ---+----------R ELOCAT10 N Of EA FURNACE-HEATER i ------------·-------+------MDBILEHOME PARK lt,SP ----------
~~A=R,\ "1, ,s-~~-
F5=,====l=ll=l=A=l =P=l "'U=\•i=B=I N=L=· ===--,,,·-===-i=-==· ==;===-,-,11>=--311.--,=,-~-~~-==~======"'==""F~~::-==-1t __ FIRE SPRINi<L~RS 001-810-00-00-8227
SOLAR . ISSUE ~ 1\._ ~ £ D ~UBLIC FACILITIES FEE __ _33_2-810-00·Q0-8930
t-----+-N_E_V_V _C_O_N_S_T_E_A_,.._• M_P_S_W_l_B K_R _______ ~---~~----,1----t-C-□-LL_E_c_·_o ·R-,o-_ ----ct }:.I ~ -
--.., 'o.~\t)
QTY_
--------+-------o----~----------------~--~-----------~QLAR TOT /;l MECHANICAL
ELECTRICAL PERMIT· ISSUE
1 PH 3 PH
I I -··--·---1
_;. --·
~v-QTY.
--
'
• SfCRAGE TANKS
001 ·810-00-00-8226
880·519.g2-33
---·-·------
STRONG MOTION ·-
-
SCHOOL FEE -DISTRICT --
Carlsbad
··--n-----+---------
EXIST BLOG EA AMPSWT BKR I ROCK STORN,E \\}L l.. I -_._ Encinitas ·---
,I San [Jieguito ---
San Marcos -----
LICENSE TAX
1 PH J PH ___ _. , ~uMP _ .. al.SDr:---------+----..-""f!l---=--11----+-----------· ---------.---r~MW"-"""'-:--;-n~~..----==
~-.. _R E_M_o_o_E ~ A __ L 1_t:_R_P_r_R _c IR cu IT --+-_. ,_..(·:;1-__ v Y' __ ,_P_! ,~_~_c -i_E_c_K _FE_!'___ _ g\\1 •~~ ';:. £~c.<.\llfl. ~:
,__ __ T_E~_•P_P_O_l_E _?O_O_A_M_Ps _______________ ---r---------;.rc:ue11,Qt~' •.:.·-,.,------lr--;-.,=-;..=o-=c-:-:--------::-::--,-:-,---,-:-,-,---,----,-,--
OVE:R ?00 AMPS u1,~l.1 001·810-00-00·8162
------+-----------
M-FF ___ --TEMP OCCUPANCY ;30 LJAYSI 880-519-92-57 , __ _, _________ --------------+-----·-t---------1--------------------+----··· --------·--·-· -··---------·
CREDIT DEPOSIT
TOTAi EIECIAICAI
: I
I TOTAi SO; AR TOTAL FEES PAYABLE j
I HAVE C~REFULL y EXAMINED THE COMPLETED --APPLICA~N AND PER Mir AND DO HEREBY Expiration·. E•ery permit issued by the Building Official under the provisionsofthi• * ·.AN OSHA '.P£fNJT IS R~IREO FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY QF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation arnl become null •nd void. ii Ille buolding or work 5' ·o·-DEEP AND 0£MOI.JTION OR CONSIBUCTION o,
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DECLARATIONS ARE TRUE ANO CORRECT-ANO i FU. RTHER CERTIFY AND AGREE IF A PERMIT IS ""thonled by such permit 15 not commenced within IBOdaySlrom lhedateol such .. STRUCT\JRl:SOVER 3 STORIES IN HEIGHT permH, or d the building or work aulhoriz:ed by such permit is suspended or • , __
·ISSUED! TO COMPLY WITH ALL CITY. COUNTY AND STATE-LAWS GOVERNING BUILDING CON-abandoned ·at anv .time after the work is commenced for a oeriod ol 180 davs. • . .. • r_
(l)
STRUCTION. WHETHER SP:ECIFIEb HEREiN .OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~A:;:P~P::!Ll~C:!:A~N~T:!'S:.;.~S!IIG:..;!i,!!A~-!.-!;iR~E~'f-!!?.. !!!!~~~~!-!!:!O~W!..!!!N~E~R.l:□~~C~OW!N!!!T~R!!iA!l!:C!!.T-O_A_..-,-=-..,A•P•P•R•o•v•E•o•s•v-•;-r-~P'-!f>---•----•D•A•T•E-------rr ~
KtEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL llABILiTIES, JUDGMENTS, COSTS ANO " V-
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID ClTY IN CONSEQUENCE OF THE IA_A .·. . I ; I~ . BY PHONE □ · --~ 1 _.,._,,,:;:, _v/
GRANTING OF THIS PERMIT_ · ,,1lf:JII::::"_ • 1-~ r 1 ;----, / tJ .J
I'
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TYPE I DATE INSPECTOR ..
BUILDING I
FOUNDATION I
REINFORCED STEEL I
MASONRY I
I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEll.ilNG
SHEATHING □ ROOF D S~EAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
I
PLUMBING I
' □ SEWER AND BUCO L PL/CO
UNDERGROUND D WASTE C,WATER
TOP OUT D WASTE □ WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR W~TER
I
ELECTRICAL I
C ELECTRIC UNDERGROUND □:UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
□ BONDING D POOL I
I
I
MECHANICAL I
D DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I .. .~ .
ELECTRICAL I n /1)
MECHANICAL I / I
GAS I _d, /
BUILDING I u',,...v. I j
...,,.
SPECIAL CONDITIONS ' / ,.
I
I
-------···-·----· --·---~-----------------------------------·---
FIELD INSPECTION RECORD "' ..
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
REO IF ! INSPECTORS DATE
r====l=N=SP=E=C=T=IO=N=-~-~=r=C~H=E_C_K _ _5gj APPROV~~"Lc=t==~ 1-------------------------------------i
SOILS COMP~:,i.',C.E
PRIOR TO
FCLiND•\TiON 1r,,sr ' fr·
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DEPARTMENT OF BUILDING JNSPECTION
CITY OF CARLSBAD PJ:mit I
1200 ELM AVE. -------
.. CARLSBAD, CAL. P'EE:
MOBILEHOME INSTALLATION INFORMATION ~
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, CHAPTER 5, ARTICLE 1A
PARK NAME {:fl Jr/ I ND
LOT OCCUPANT Httt..S · I.D. NO. _90_-____ SPACE NO.-..a%aa...,,/ __ • __
NAME . R tCHACD
CONTRACTOR
S'Jhl,nl/M,,<; ADDRESS ;2.2fO· LIA/I;?£ TEL.I /3f'-072-9
STATE LIC.t CO RACTOR ADDRESS, TEL. I
NAME AM 16.IS ~ l-{d"'1E( !]J:l,fR 9-7.S V, VIS771~4-V ··-.,?, .,._ s €_~.Ji._
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WATER
DRAIN
INLET
G4S
MOBILF. __ .. _
HOME
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-----
STREET
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.. .ADDITIONAL DATA TO BE SUBMITTED WITH APP:
• Two copies of Mobilehome support and Fdn.
plans (if mobilehome was manufactured after
• 10/7/73 two copies of manufacturer's
instructions and plans must be provided}.
2. Showsi;ze and location of all structures
···>> 1i'1.\~ !.9t../and distances to lot lines and any ~ ~-rn'bbilehome or permanent structure located
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LOT UTILITY SERVICES:
1. G~s: Natural LPG
Riser Size ---
2. Drain Inlet:Size
3. Electrical:
a) Receptacle
Rating/amps
.b) Connection for Power Supply
Assembly
c) Circuit Breaker Rating
(amps)
d) Equipment Rating (amps)
MANAGER APPROVAL:
MOBILEHOME DATA:
1. Size: Length sb' Width ,40'
2. Electrical Power Cord
Ampere Rating
Metal Tag Rating amps
3. Electrical Power Assembly
Wire Size & Type
Flexible Conduit Size
4. Gas Supply Inlet Size
Gas Connector, describe
5. Water Connector Size
Water Connector Describe
6. Drain Connector Size
Drain Connector Describe
7. Manufacturer W If .!"TWA if.£;
Address
Model SP +o
Ser. No. WfV RS:-;l .). 5::l State Insignia No.
Roof Live Load 2 o p.s.f
Wind Load p.s.f adj~,£ent lots and within 10' of the
.. BY -~-c:r---pi:-o:posed mobilehome-·
Year of Ma_n_u~f_a_c~t-u-re--;~3;...,....
~ ......... ~---
8. M/B State License Nos. ____ _ ., DI·S7llHBUTION: Original to Permittee
.:. ,_. copy to Customer
Copy to Finance
BLDG.
,·
c{CARLSBAD UNIFIED SCHOOL DISTRICT
□ CARLSBAD HIGH SCHOOL RECEIPT NO.
□ VALLEY JUNIOR HIGH SCHOOL
RECEIVEP.,.FROM ~ \'\l.._ ~t'o~e,O-{~\shn,)..,~ ~),r,,<~t't\l,A i-
\. '<l) ~\) \<\\.,
FOR: C~o \\\\\-s \\\~u._ ~ ~ "1:
09424
DATE _1a..\ ........ ,~b+-'):&:£~--
USE OF SCHOOL FACILITIES/RENTALS $ ____ _
USE OF SCHOOL BUS
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
$ ____ _
$ ____ _
$ ____ _
$-----
TELEPHONE COMMISSIONS $ ____ _
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ ____ _
$ ____ _
TOTAL $ ,, \ q L,
INCOME [3' ABATEMENT D ~~_a~l;'
CHARGE TO ACCOUNT NO . .K_ -~ K° "\] -____ RECEIVED CASH □ CHECK-er
RECEIVED BY ~ h1¥
..
,
'7c I APPLICATION FOR PERMIT TO CONNECT TO CITY SEWER SYSTEM.
CITY OF CARLSBAD SE ENGINEERING DEPARTMENT
438-5541 .
ISSUED BY ~ ·r ( -/'"<' FOR APPLICANT TO FILL IN ;) ll -
DATE ISSUED r I
BUILDING
ADDRESS -Fe L, / ;~ d _,,,.-/~ ,_ / VALIDATION
OWNER
MAILING
ADDRESS
,' LATERAL CHARGE COMPUTATION
CONTRACTOR STANDARD 4" (Max. H. 30', V. 10')
OVER 30' H. @ FT.
CONTRACTOR'S OVER 10' V. @ FT.
ADDRESS STANDARD 6" (Max. H. 30', V. 10')
OVER 30' H. @ FT.
NEW BUILDING I EXISTING BUILDING I OVER 10' V. @ FT.
LEGAL DESCRIPTION TOTAL CONSTRUCTION COST ...... SERVICE CHARGE (REPAVING ETC.)
/c I TOTAL LATERAL CHARGE
REMARKS: LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER ~
LATERAL LOCATION CONNECTION FEE
..,: I I ..,: I CJ) (/) NO. UNITS COST PER UNIT "t. "t ' TOTAL ,,,,.,,
/t°'\ / t"\ PUMP STATION FEES
\,L/ 'I/
NO. UNITS COST PER UNIT TOTAL
I ST. I
TOTAL CHARGES (LATERAL ETC.) //.,;,,-... /.'.,,,,.
LATERAL NO. INSTALLATION DATE
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permitter