HomeMy WebLinkAbout2281 LINDSAY DR; ; 86-436; Permit"' z 0 ~ "' <(
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D I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license 1s 1n
full for.cp1,yi~ eJl_tcJ.... . r• -f 1 Li, No ~!-..._--J.-l,la1-'--___ ..., L-
I hereby alhrm Iha! I am exempt f,Grn 'he Cortrac
!Jr's Lrce~se law lor lhe 'ollow,ng reason 1Sel. 7031 5
Business and Proless1Gns CJde Any :r'y or codo'y wn,u, re o,rres a perm,: to co~s:·uc! direr 1"".prJve den,o rs~ r:·
-e~aic any structure orinr to ,ts ,ssua~ce d's0 requ res '.he 2J Jl,cant for suer Jerm,: :o '1le a s,qred stalemea· ·na1 ~e s
11censed pu>Ouclnl to lhe 01av,s1on, ol :~.e LGc,:cactJr s L-cense law 1ChaJter g commencrng w,t~ SeLtio' /ODO Qf
C vIsI0n 3 ol lhe BJsrness and Proie;s,ons Cude, nr 1ra1 5 e,
empt 1herelra01 and the Jasis tor the a:leqea exem;i1Ior An·;
·,Ic 01I0~ ol Secr1on ~031 S by ar. apol1can1 l9r J ~er,n,t su~-
erts 10,e anpl,~anr to a cr,II penal•y 01 not m~re lha1 ',·,e ,,,Jn
d'ed dollars ($SOC"
as owr;e' o• the D':J~e·ry er mi emolC'/eB> w T" wa9es
as 'heir so e compensa·,on ,,,1·1 do the wor, ,.nd ,•· JC
1u·e .s nol ,ntended or oflered lor sa•e ,Se: ?OC:4
anc Protess1ons Code The Cortraclo· s clce-st caw COPS not anply to an nwrer Gt oroperty wh? nu1lds Jr ,mproveo
t~ere?n and who does ssch work h1<r,se'f 01 tr rough hrs ?wn
employees. provrdea that 5uch Improve"'1en1s art no: 11!e0,d
ec or altered :vr sale II howeve' The bu-IcI1~ o, improve
"'enl Is sold w1fh•n one year ol compIe1Ion 11e ~wner-bu•lder
MIii have t~e bucden o• proving lhat he d;d not build or •m
µ;ove tor t~e pu,pose o' q•e1
I as ow~er o' the property a-n exclu51,eIy cc1!ract1rg
w th l•censec :antracr~rs io constr•Jct tr-e proiecl !Sec 704~
Business and Profess,ors Code The Contractors License
Law does not a poll' ro a~ owner of p1operty who ~uI'ds o, m
proves thereon and who contrac!s lor e.ich pr~1ects w-tr a
cJntractor(s) license pu'suant to tr,e Con!·acw·s License Law)
As a homeowner I am ImprovI1r, my rome. ard tne follow
1ng coMI1Ions ex,st ,
1 The work ·s being pe•formed prior 10 sa·e
2 I have lrved In -ny no01e for twelve months
prior to completion ot this work
I have r,ot cla,med 'h,s exemo:•on Curr% the lasl three years
l ~ I am exempt under Sec
lor 1111s reason_~-~---------
B & PC
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~! hereby atf""' that I have a cert1'1cate ot consent to
s"I' -nsurc or a cemf,ca1e of \','CJ"~ers Compensa:,on In
su·ance or J cNt,f•ed copy \hereof 1Sec :J.8JO Labo, Code>
°'OLICY NO / c WC...., ~7 1 fNS-~
COMPANY r,,,....\S,>lC,-..l_
~y IS f,led ,.,th the c,ty
Cer:1f,ec copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
ITti1s section need ~ot be comp•eted ,I the permit
,s lor one hundred cJol;a,s 1$100) or less)
I cert,•; Iha! ,n the perlormance 01 the work for wh,ch
th,s pe'mIt Is ,ssued I shall not employ any person,~ any
manner so as to become sub1ect to the Wor~ers· Com pen
satIon Laws ol Cal,forn,a
NOTICE TO APPLICANT If. after making this Cert,t,cate
of Exemption. you should become sub1ect to the Workers
Compensation provisions of the Labor Code. you must
forthwith comply with such provIsIons or th,s perm,t sl>all
be deemed revoked
~ I hereby affirm that there ,s a constructIon lend•ng
agency for the perlormance of the work for which th,s per-
mit Is ,ssued (Sec 3097. C,v1I Codel
Lender s Name_
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
11 CARLSBAD BUILDING DEPARTMENT \
JOB ADDRESS
:1 ;;i..;i ~?I Luvl)SJJ ~
COT I BLOCK I SUBDI VlS!ON
OWNER'S NAME
Carlsbad, California 92008-1989 (619) 438·5525
AV.ST.RO. NEARESTCROSSST,
Pe. ( if:LC.O WI I HO /f,LJ..s) I ASSESSOR PARCEL NO
OWNER'S PHONE
APPLICATION & PERMIT
I
PERMIT NUMBER ' ., I:;. 7 .38 o if.t)
CONTRACTOR 4 3 b
I DAT';; ;·1;~•0N
:1 'JctlbJ R£~-" CONTRACTOR'S ADDRESS LICENSE NO. PLAN 1.0. # BUILDING SQ_ FOOTAGE
..._,M~O -OWNER'S MAILING ADORE __
2.:Z.~I
1 loESCRlPTION OF WORK , I J -2.0)'"L'l... G;A;1tt,d',,6. DESIGNER'S AODRESS
,..,r. ,,_r,r,A~sc,, C AttU. e:,,i () L11-/()JD'( D-4 UtSIGNEA OESIGNE R•S PHONE
LICENSE NO.
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4L.._"'-"1
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P,,.no
~170
I I SP4 g~::-(.._~, u CcR ecev I I NO occ Ge l EDU ' -·--. . ST08iES
SfA u.r-<..3 c ,c
C["SUS TRACl RES UNITS GRADING PERMIT ISSUED TYPE
CONST
ace LOAD F-IRESPFI
:JI'' l 1 :S !2 lc1i~,.J.
u i /,, 12 . I ; ; ! , :~<~~fJ
I ,,, , AND use I >ARK<NG SCACC
'□ ~ □ TAEDEVf::LOPMENT
AREA
·C -...C YO-..□ Not Valid Unless MJchine Cert!l1ed
QTY. PLUMBING PERMIT -ISSUE QTY I MECHANICAL PERMIT -ISSUE
·, INSTALL FURN DUCTS 0P TO 100 ODO BTU
SUMMARY/ACCOUNT NUMBER
BUII_DING PERMIT 001-810-00-00-8220
001-810-00-00-8221
_L J.i,'V_.
~--
EACH FIXTURE TRAP
EACH BUILlJING SEWER
f~ACHWAlE:R HEATER Ai'.lJ OR VE.NT
+ _ _OVER 100.000 _BTU t ._ g~M_IT_
----'---1~ ~~E_R_ COMPRES_SOR UP TO 3 HP _ _ t . ~ ::A_N CHECK
BOILER COMPRESSOR :l lJ HP
T +-----+-
TOTAL PLUMBING
001-610-00-00-8805 I fl
001-810-00-00-8222 -
I I EACH GAS SYSTEM I I()\ UUI ll TS I EACH GAS SYSTE-M 1, nR MORE
EACH INSTAl AL Tm. REPAIR WAl ER PIPE I--
EACH VACUUM BREAKER
WATER SOFTNER --+--q,_u, ri:;(F t"::•:A 'J ' 'IS -,r
1---
t I \.1E~.LIL F ::iE:_pr_.i\CF +------
t -+ VENT!AN SINGlE D~~T
I MECH fXHAUST HOOll lJUCTS
RELOCATION OF EA FURNACE,HEATER
---t i
rofi:.L MECHANICAL
-+-_____ _c_.----1
ELECTRICAL
--+--. -------8--~'1ANICAL
MOBILE.HOME ----
MOBILEHOME PARK lr--SP
SOLAR
STRO:-JG MOTION
001-810-00-00-82 23
001-810-00-00·8224
001-8 10-00-00-82 25
001-8',0-00-00-8226 _+--
880-519-92-33
--
QTY ELECTRICAL PERMIT -ISSUE
TUIALPlU~Hlii'.l, ~ -I:
I
=r-=-£IRE SPRl:-JKLERS 001-810-00-00-8227
!i QTY I SOLAR· ISSUE PUBLIC FACILlt~:\ ,.--3!:s,BJPC0 00 °8~~3~0-+----------1
t-I ,"Jl ,c-1 ,Re ~---------1-------il \-1, I_ 4-:2_
f-----;,-e .-
NE:.l'I CONSr b'I A~P SWl KKR
I PH ; PH
~ +--~ -----------4---__ SCHOOL FEE · DISTRICT ---·
l 7r-~:;',~'.,:: I ROCK s~c,rir,r:F -----+----jl Sari D1e9~ EXISTbirlG[AAMPSWTBKR I PIJMP ----' ~rcos_ I
PH :i PH I P~4\ Cl-'~C~,~cr -, ~ --,-~-' --Z..-0. TAX 001-810-00·00-8162 · _ ) t--~ 't'--' ~--~~ LICENSE REMOD~L~~R PE>i CIRLUIT ___ 1 ----·t-, -IYI ~ -'--~~ MFF ---880-5:_:19:_:9::2:_:-5:_:7-I-----I I TEMPPOLE 2L~(]A\\PS ---------+---CREDITDEPOSIT
ST::'1RUG~ -;.vs
-----
·-----
T1lTAI t.ltLTHILAl
OVER2UUAMPS ' . ! ---+----,~ I
TEMP OCCUPANCY '30 OAYSI i ----t-------TOTAL FEES PAY/--/ ----, . -T '()JU.I ':irJLUR Iv? --1--
Exp1ra11on. Every per_m1_t iS$ued bytheBuildingOffic1alundtlf'theprovis1onsofth1s * IT IS REOUtREO FOR EXCAVATIONS OVER
Code shall ellp1re by l1m_1tat1on and become null and void ll 1he bu1ldmg or work NO DEMOUTION QR CONSTRUCTION Of
auU10nzed by such permit 1s not commenced w1thm 180 days from the dale of such OVER 3 SToAIES IN HEIGHT
l HAVE CAREFULLY EXAMINED THE COMPLETED .. APPLICATION AND PERMIT" AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS pe,-m1t. or if the building or work authonzed by such permit 1s suspended or
ISSUED: TO COMPLY WITH AU CITY. COUNTY AND STATE LAWS GOVERNING BU!LD!NG CON-l_!•~ba~,li!J~ed!!!_•~•c•~"~l~•-;!J•!/1!ft•~'!lh~•~w~o~,k!Jl"l:'~o"mem~~"£'ed!!J1..!,lo"'c''-';';'e'0Sd;!..20!.flt~BOQ..!ld!•<•L~;;:j,~:::;o~~~-t--~---------'::°:-::::"-":,""'"7--,
STRUCTION, WHETHER SPECIFiED HERElN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND TUAE Jf. OWNER □ CONTRACTOR
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABILIT!ES, JUDGMENTS, COSTS AND
EXPENSES WHICH MAY !N ANY WAY ACCRUE AGAINST SAID C1TY IN CONSEQUENCE OF THE '7"/,(1-. ... 4'1>4,""""~~'-''-".L. BY PHONE O ., /
~f;'A.NIING 9F THIS ~AMIT. _ _.,,4,J,1£ <. ,.,,-, _f}_ (b
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TYPE I DATE INSPECTOR ' -------BUILDING I %c.,-l{3(.:,
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
REO IF INSPECTORS GUNITE OR GROUT I INSPECTION CHECKED APPROVAL DATE
SUB FRAME □ FLOOR □ CEl~ING ·-
SOILS COMPLIANCE SHEATHING □ ROOF □ SI-IEAR PRIOR TO
f-OUNOATION INSP I FRAME I ---.-----::-:,:::---, r-----I STRUC ruRAL CONCRPE: ' EXTERIOR LATH OVER 2000 P':_;I ' I
INSULATION I PRES TRESSED
CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE
PLUMBING I f-lELO vVEL81NG
-□ SEWER AND BUCO D Pi-/CO HIUI-J STHENGTr< -·-------
: .
□:WATER BOL Ts UNDERGROUND □ WASTE
TOP OUT □ WASTE □ WATER ::-;~-ECIAL MASONRY
TUB AND SHOWER PAN ' GAS TEST I
Pic_ES CAISSOr-..:-· □ WATER HEATER □ SOLAR WATER ~ ----------r--------
I I
-----ELECTRICAL I
□ ELECTRIC UNDERGROUND □•UFFER
ROUGH ELECTRIC .
' ------~ I
□ ELECTRIC SERVICE □ TEMPGRARY ----------.
□ BONDING □ POOL I
--------------~
I
MECHANICAL I ----------r----
□ DUCT & PLEM., □ REF. PIPING
----i-----------HEAT -AIR COND. SYSTEMS ' I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC
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1
ON WHEN ALL APPROPRIATE
ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I I I I
MECHANICAL I I I
GAS I I I II ..
BUILDING I < .71,,, '/....Cft" V I
SPECIAL CONDITIONS I j _,,,-,-
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