HomeMy WebLinkAbout2281 LINDSAY DR; ; 87-572; Permit., z 0 ;:: .. "' ~ u "' C
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D I h•r•by affirm that I am licensed under
provision• of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Proteaalons Code, and my license is in
lull force and ettec!
1 hereoy a!lrrm that I am exempl lrom tne Conlrac
tors License Law tor the lollaw,ng reason 1sec 7031 S
Bus,ness ana Professions Code Any c,ty or counly wh1cr. re
quires a oerm,t 10 consIruct aI1er. ,mprove demol,sh or
repa,r any struclure pr,or 10 1\s issuance also requ,res !heap
plIcan1 to, such perm,t 10 1I1e a s,qned stalernen! that he ,s
1,censed pursuant to lhe p,ov,s,ons ol the Loniractor s L1canse Law ,.Chapter 9 comrmnc,ng w,m Section 7000 of
Ow,s,on 3 ot the Business and Pro1ess1ons Code, or that ,s e, empl theretrorn and the basis lor the allegea e,emp1,on Any
v101ation 01 Sec11on 7031 5 by an applrcanl tor a perrnd sub
1er.ts the appl,canl 10 a civil penalty of no1 more 1han five hun dreo dol1a,s ($5001
1 as owner ol tne properly or my employees w11n wages
as their sole cornpensal,on will do the wQr\,; and the s!ruc
lure 1s not intended or altered for sale rSec 7044 Business
and Proless1ons Code The Con1rac1or's \ 1cense Law does not apply 10 an owner of properly who builds or improves
lhereon and who does such work himself or through h,s own emofoyees. provided !hat such ,mprovemenls are nol 1nlend
ed or ottered lor sale II, however. the bu1ldmg or ,rnorove ment 1s sold w1th1n one year of cornpleMn. the owner-builder
will have the burden ol proving that he did nol build or 1m
prove tor the purpose ol sale1
I, as owner ot the proptrly am exclusively contracting w1lh licensed contraclors to construct the pro1eci 1sec 7044
Business and Professions Code Hie Contractor's License law does not apply 1o an owner of prooer1y who builds or ,rn-proves 1hereon. and who contracts for each pro1ects w,th a
con1ractor(s) license pursuant To the Contracrnr's License Law)
l As a homeowner I am ,rnproving my home. and the 10,low
mg cond1t1ons e.,st
1 The work 1s being performed prior to sale
2 I have lived rn my home for twelve months prior to completmn of lh1s work
I have nol claimed this exemo1mn during lhe lo>I three yeor,
lor 11h~: r~~~~t under Sec _____ _ B & PC
_ I hereby allirm \ha1 I have a certd1cate of consMl to
self-•nsure or a cert1hcate of Wor~ers Compensat1on In
surance or a certll1ed copy thereof 1Sec :1800 Labor Cede!
POLICY NO
COMPANY
Copy LS filed ,,,1lh the c,tv
Cert1!1ed cop; ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Tn,s sec1,on need nol be completed 1f the permit 1s !or one hundred dollars ,$1001 or l~ssl
_ I ceni!y that 1n The pe,•ormance ol the "Ork lor which
this perm,t ,s issued. I shall not employ any person 1n an;
manner so as to become subject to the Workers Cornpen
sa1,on Laws o1 Ca1,forn1a
NOTICE TO APPLICANT 11. alter making this Cert1'1ca1e
of E,emp!,on you should become sub1ec1 lo the Workers
Compensation prov1s1ons of !he Labor Code. you 'TluSI
!orlhw1th comply w,th such prov1s1ons or th,s perm 1t sM•I
be deemed revoked
......c I hereby afftrm that 1here ,s a construc!lon lending
agency for 1he performance ot the work to, which this per
m11 1s issued 1Sec 3097 Ci,11 Code\
Lender s Name
Lenders Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT . APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
JOB ADDRESS AV. ST.RO. THOMAS BROS NO. I )
\ .. '-_J" ~ iih.A7;;•0NI BUSINESS LICENSE # / qL~TION
PERMIT NUMBER
-::,.:,~, L/AIDSl!JV t:> Rl/tl".e /~ (Alor P4:,l'72f'2' 'I-, ,r "f) i j . .s.::-) -:.,,c LOT BLOCK l-51,.1001 vis(oN I A~~;oR PARCEJ NO. JI ~ • (co)~" 0 ~(2
CONTRACTORS PHONE 11 ZONE . . -, '!L .,,,-fA -./ J
OWNE R·s, NAME ~ OWNE R"S PHONE
,i-.7~N'--. -.!/31---cor,(r"RACTOR·s ADDRESS STATE LICENSE NO. BUI LOI NG SQ FOOT AGE
• ·~ OWNEA.S MAILING ADDRESS
:I ·-·-'-,,c:--"'lv n ~, .~ (1)..4...,.., -~...ao . DESIGNER OE SIGNE R'S PHONE Vt.,-..:..:'. .i.1./V.:·, t_!.l.\.11 ;.1....::t,.1.CW!J"1T, -:;'.::: ... \){ -~ -. R ,l!T::>-. ·--• ~ •~"--lb.£_ OESCRtP,JibN OF WOR1C ·-•J . -,
A ,... ·-., .,,_ n _;;;2BAA?;;./ /_£ /~ ~ STATE LICENSE NO.
~-., :.,,..--.:.. --...... , ... ,;am.4 ---I , ., ... . ' ' FLA ELEV NO OCC GP EDU
' , , STORIES
yCJ "□ I CENSUS TRACT I PAPl<'.ING SPACE; RES UNITS ! GRADING PERMIT ISSUED l RE:DE:V[LOPMENT TYPE OCC LOAD FIRE SPF>
AREA CONST ,o 'D ,c .... o vO NO Nor Valid Unleu Milchme Certified
QTY PLUMBING PERMIT -1ssuV 7.F! QTY MECHANICAL PERMIT -ISSUE )..5-,~ SUMMARY/ACCOUNT NUMBER
EACH flXTURE TRAP _,,. INSTALL FURN DUCTS UP TO 100.000 BTU t;LJII_LJINl., n:n1v1I I UU1 d1U·uu-u0-ou:0
EACH BUILDING SEWER / OVER 100 000 BTU SIGN PERMIT 001-810-00-00-8221
EACH WATER HEATE.R ~U OR VENT BOILER,CUMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00·00-8891
EACH GAS SYS TE ~A_/J U 4 0 UTL E TS BOILER,COMPRESSOR 3 15 HP TOTAL PLUMBING 001-810-00 00-8222 .
EACH GAS svSXM J □R MO Rt METAL FIREPLACE ELECTRICAL DO 1-81 D-00·00·8223 /_] -
EACl-1 INST)':'{ ALTER, REPAIR \r'.'ATER PIPE VENT FAN SINGLE DUCT MECHANICAL OD 1-8 1 0-00-00·8224
EAC~ACUUM BREAKER MECH EXHAUST HOOD DUCTS MO Bl LEHO ME OD 1-810-00-00-8225
l,1l>l"ll"TER SOF TNER RELOCATION OF EA FURNACE.HEATER SOLAR 001·810-00-00-8226
EACY ROGF [lRi'.11~J I l'JS1m I DRYER VENT STRONG MOTIOr-. I • Jmo li'II git.13, -r..-
TOT/'.iL MECHANICAL FIRE SPRINi<LERS 001·8L Jv-vv-ocr?-1 -~LJ
TUI Al P\lJMHING I PUBLIC FACILITIES FEE 320-810-00-00·87 40
5e9 IC
BRIOGE FEE 350Ja~tctiJor.-1!zM 1 •>-If
QTY ELECTRICAL PERMIT -ISSUE OTY. MOBILE HOME SETUP ~ PARK-IN-LIEU \AREA ·-NEW CONST EA AMP SW! llKR CAR PORT --· ... .:-----.... TIF -•~-sO-Jo~ ----
I PH \PH f-11WN<NG /, .-<jt ... -~ I' LA COSTA TIF ------~Nlb]ji ------' ,
' /~) A .
EXIST HLDG EA AMP·SWf BKR GARAGE . ~MF ----· .....
' I PH 1 PH ~ . ,..;.vflt'--·."-,;,,-.,,-...., I LliCENSE TAX DC 1-S 10-CO-D0-8152
REMOOEl AL TtR PER CIRCUIT l U /ti IYUV IQ//7 -~ MFF 880-519-92-57
TEMPPOlE /UU A"'1PS r ~.; ·-p,,m ' • -........ \ .a.---I I .L1 ...-
OVf. R 20U AMPS \/1 CITVn~.: ,'.·' r:::1,".l[p_• ~ I
Tt:.~P (lCCUPANCY :JO lJAYSI \'.', t..~/?~t;-,_.~:~, ~·-
\-~:\_ . CREDIT DEPOSIT
lillAL FltLlRl(Al I /cf-----rn'>ii_::"·,, __ .,
L\--r<-i -TOTAL FEES PAYABLE I ... rr ~ . -· -
~
I HAVE CAREFULLY EXAMlfiEQ THE COMPLETED .. APPLICATION ANO PERMIT .. AND DO HEREBY Expiration. Every pel'mlt issued by the BuildingOtt,c1a! under !he prov1s1ons otth,s * AN OSHA PERMIT IS RE0UlflED FOR EXCAVATIONS OYER
CERTIFY _UNQER PENALTY OF 'PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shalt expire by lim_ilation and become null and void lf the buildmg 01 work 5· O" DEEP ANO DEMOl.lTK>N OR CONSTRUCTION Of
DECLARATIONS ).AE TRUE AND COT!IAECT AND I FUATHE~ CERTIFY AND AGREE IF A PERMIT l& authorized by such permit is not commenced w1thm t80days from the dateDf such STROCTURES OVER 3 STORIES IN HEIGHT permil, Of ii the bu1tom3. or work authorized by such pe,-m11 1s suspended or
ISSUED: TO COMPLY,"'-'fTH ALL CIT¥. COUNlY AND STATE LAWS GOVERNING BUILDING CON-abandonlki al anv lune a r the work is commenced for a ""nod of HID ti;.; . .
STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND APPLI 'fANV SIGNATURE • OWNER □ CONTRACTOR 0 A.1ROVED BY or/ I ' KEEP HARMLESS THE ClTY OF CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS. COSTS ANO 1:,,,_·/0 _, EXPENSES WHICH MAY lN ANY WAY ACCRUE AGAINST SAID CITY 1N CONSEQUENCE OF THE ~ -~6 _. A --BV PHONE [( . . -GRANTING OF THtS'PE.RMIT. ': ,,,-. . .. I / / • ·,1,, ,L.n,;,' ... vv•·t r ~ ' '
TYPE I DATE ~ NSPECTOR &-7-57:;J.
BUILDING I ,,.
' ...
FOUNDATION I .,, ..,, . -; /' FIELD INSPECTION RECORD
REINFORCED STEEL . ,, ... 1, I
REQUIRED SPECIAL INSPECTIONS I INSPECTOR·s NOTES MASONRY ' REQ IF INSPECTORS GUNITE OR GROUT I " INSPECTION CHECKED APPROVAL DATE
SUB FRAME □ FLOOR □ CEI ~ING , I
SOILS COMPl_iANCE SHEATHING □ ROOF □s EAR ; I I PRIOR TO
FRAME I 1!J, ",'U ' ,.,,._. F-OUNOATION INSP
..
EXTERIOR LATH I STRUCTURAL CONCRETE
,-.:•.!:, !.: ,'1 I OVER 2000 PSI . •:~ t~ •. ~ INSULATION I PRESTRESSED ' CONCRETE INTERIOR LATH & DRYWALL I I 1..-ft-'<I POST TENS:ONEO -· .. <);~;;<·L b:J,·~• ' CONCRETE ': "'' I
-~~ ,.7,\.:· :.;: -'. :· . .t ·~· ~., PLUMBING I FIELD WELDING ~ . ..,, · . ..-
□ SEWER AND BUCO CJ RL/CO ., HIGH STRENGTH
UNDERGROUND □ WASTE □:WATER SOL is
TOP OUT □ WASTE □ \II/ATER SPECIAL MASONRY
--,, l' ., ... _ ....
• . . -:·_.:· .l:";; :·· . ' TUB AND SHOWER PAN I
•-.,
GAS TEST ' I PIL.ES CAISSON? □ WATER HEATER □ SOLAR WATER
I
ELECTRICAL I /j
D ELECTRIC UNDERGROUND Q UFFER I
ROUGH ELECTRIC I ,✓--~-57 ,J __ /
D ELECTRIC SERVICE □ TEMPbRARY I
□ BONDING □ POOL I
' I
MECHANICAL ' I
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I -, ..
I
. . CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
' ITEMS ABOVE HAVE BEEN APPROVED.
FINAL ' ' PLUMBING I . . ' , ~ .
' \ ... · ... -'
ELECTRICAL I " MECHANICAL ' I I ,r /
GAS I I/, ' BUILDING I 1.:1·:h--t>~ . IJ__.-~v•
SPECIAL CONDITIONS -I
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