HomeMy WebLinkAbout2282 LINDSAY DR; ; 85-905; Permit"' z 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 (commencinl,J with
Section 7000) of Division 3 of the Business
and Professions Code. and my license 1s in
fult force and effect
L1r No ~-----1:,a1•
1 hereoy atf1r-,, t~at I a-e,em~l trom '"t C:,1•~ac
:ors c1Ce~se Law far •r,e 'ollGwir1g ·edsC~ 1Sec 703' ~
Business and P:otess urs Code A0y c,ty •'.' ,:o,,r:·1 wh,u-·e
qJires a perm,r :o ~8rstr·,ll a.•er rPprove ce~1u1 sh 1r
repa,r any struc!,ice prior •o ,,5 issuance o so "ecuires l"e ,;r:
pl1can1 !or such pe·ri,t to 1, ea -;,qned slaTemenl Thal h~ ,,
l,cens~d ~crsca~t l•J :r1e µ;ov,o·o-os :,' ·n~ Lc,111,;~tor s
I_Icesse Law Cha"le· 9 ccrnriencIna w,:h Sect:01 11100 :,I
'l1·,.s1or-3 ol toe Bus,ness and Prc'Ps,;ons Cou o· t" <t 1s f,< em;l' :nerel'om ;ir:J t~e t;asis for me a legea e,e-et,cn Any ·, olo',or -Jt Sect,on 7031 5 Oy oo appl1ldnl 10-a ;ir.rrr1' sun
eels the aoo11cant to a c1,,1 oecal'y o' nat "lore than '·ve •,un
d·ed do Iara -:S'lOO'
as owser of tre proeerty or"') emolcyees ,., 1'
as :heir sole co-persalion w1:1 :10 The ,.-or, anr. •~p
1u1e 1s not intended or oflerec lor sale 1Se-: 70~4 Bus necs and Proless,on<, Code !he Cantrac'.or's '_1cense _aw does
not ap;ily 10 an owner al property who builds or 1'l1pro,cs tr.ereon and who does such work ~1mself or thro,,qr ~1s vwn employees provided :hat such 1r1p-0·1eme~:s dre not intend-
ed or otfered for sale 11. however the ou1ld1ng or 1rPpr~ve-men\ 1s soid w,trn~ one year of completion the owner-bu1,dw
','/Ill have lhe burden of prnv1ng that ~e did nol bu,ld OT I'll
P'OVe for :he purpose of sale1
1. as owne· of the pro;ierry am e,clus1vely contr:ict,ng
w,tn 1,censed co~tractors to cons!rucl lhe pro1ect !Ser 7044 Business and Proless1ons Code The Conrracto· s c1cense Law does not aopiy to an owner of Jroperty who bwlos or 1m proves lhereon ana wno con:~acts tcr each prOJecTS w1:h a
coniractnrls) license pursuon1 10 t~e Contractors L•cense Law1
/\s a homeowner I am 1mp,ov1ng my r,orne. and lhe lollow
1ng cond,t1ons exist
1 T~e work ,s being pe,fnrmed pr,o, tl 5a,e
2 I have l,ved 1n "'Y home for :welw months P"Dr to co-nplel,on Of lh1s work
3 I ~ave n.ot c'a1med lh1s exemp11on auring the
las'. three years
tor t'h~: r~~~~it •;nder Sec _____ _ B & PC
I hereby att,rm that i have J cerl ,f,cale of con5ent 10
se't ,~s,,re. er a cert,f,ca:e o'. wo,•ers CorPpensat,cn Ir,
scrdnce or a ce''.·1,ed rnpy thereof ,.Sec J.800 Labor Code,
POLICY NO
C0\.1PA~Y
Copy s f·led,. th the c,ty
Cert1f1eJ cocy ,s hereby turn,shed (
CERTIFICATE OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE
(Thts sec1,on need not be completed If the permit
,s for one hundred Collars i$100) or less)
_ I cert,fy tha1 ,n the performance of lhe work for wr1ch
this permit ,s issued I shall not employ any person ,n any
manner so as to become sub1ec! to the Workers Com pen
sat,on Laws of Cal,lorn1a
NOTICE TO APPLICANT. If. after making this Certificate
of Exempt,on. you should become sub1ect to the Workers
Compensat,on prov1s1ons of the Labor Code. you must tormw,th comply w;th such pro'lls1ons or this ;,erm1t shall
be deemed revoked
L I hereby affirm that there 1s a construct,on lending
agency for the performance of the work !or wh,ch this per
m,t ,s issued 1Sec 309? Civil Code)
Lenders Name
Lender s Address
USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS -
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT Carlsbad. Cal1forn1a 92008-1989 (619) 438-5525 /
JOB ADDRESS AV. ST.AD. ..,NEAREST CROSS ST. 0t; ~ t~p~B~I BU;!N;;~r#
VALUATION ....-.eERMIT NUMBER
.;;l;,_S';:l_ L1' "-°'-S°'-V L)ri -re. Gv-bbo-d q~oB (2:, 3'.:)9 0 s"
~~ BLOCK l SUBDIVISION l ASS.lSOR PARCEL NO CONTRACTOR CONTAZRS PHONE_:_ ZONE
l ~ 10\ ~::::t,OD 0'~ y ~~ n . •~ ,<. {~,
OWNER'S NAME
I
OWNER'S PHONE 7 s-J '?>J
v. p e \-er-s.c n CONTRACTOR'S ADDRESS LICE ENO. PLAN!□.# BUILDING SQ FOOTAGE , ........ (/1: /.-/<cue (<,, ,J J--0 J~"t OW ... ER'S MAIL;NG AOOAESS
' L1 I'\.. cl:s °'--'-I t::r-. Co.,ls.60-d I ~8~ DESIGNER DESIGNER'S PHONE
; or3r~t:./\CPRK &M\"' . Sc:>t--I D n DESIGNER'S ADDRESS LICENSE NO.
\ 12/1 i/657/16 2Ll62~[], :~ --------' ' F LR ELEV NO ace GP EDU
STORiES
,,c= ,[J
cu-.suSTRACl I (>P l_AND USE l PARKIN(~ C,PACl R~S Ul\ilTS I GRADING PERMIT ISSUEO l REDEVELOPMENT TYPE ace LOAD FIRESPR
AREA CONST
•O ' D ,c ,□ vO '°'lJ Nat Valid Unlt!!s M;,chine Certified
QTY PLUMBING PERMIT -ISSUE :,1 QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH ~IXTURE TRAP INSTALL FURN DUCTS UP TO 100 000 BTU BUILDING PERMIT 001-81 0-00-00-8220
EACH SUll CINC SFWER ~ OVER 100 000 BTU
-----
SIGN PERMIT 001-81 0-00-00-8221
EACHWATFRHE:ATEHAN~~-vEr-.1 _____ -:---------1BOILERCOMPRESSDRUPTOJHP __
------------------
'
PLAN CHE.CK 001-81 0-00-00-8805 ----
I EACH GAS SYSTE__M_l~_•l OUTLETS , i BOILER C~MPRESSQR 1 IS HP _ _ 1 _ TOTA_L PLU~_BING 001-81 0-00-00-8222
I
-----_:_ __
EACH GAS SYSTEM~ OH MORE I M~!Al F REPL,\C~ ELECTRICAL 001-810-00 ·00-82 23
',-r-EAcH_~~sTA~ AL T~R~RtPAIH ;,,ATER PIPE -----: ----1 ---~ vENl-~AN-s1NGLE oucT ----__
-----~.
' ~ "'1ECHANICAL 001-810-00-00-8224 ,~ -------------~ ~ ---
EACH VACUUM BREAKER _ MECH EXHAUST HOOO DUCTS MOBILEHOME 001-810-00-00-8225
I
I WAlER SO~IN[H RELOCATION OF EA FURNACE-HEATER MOBILEHOME PA'1K lr~SP ---
I ~,\-:>• Pill]~ 0~.'.\",J ,"J~l"',i, SOLAR 001-810-00-00-8226 ~ ------,-C----TOTH MECHANICAL ! I I I! STROr.G MUTIUN 880-519-92-33
__ L___ -------' j I TOTA! Pi llMt\lN(, I FIRE SPRl~Jr\LERS 001-810-0"' fVL8227
I
'i QTY.
IV\ OIOi't:... 332-3_1~0-~t LLlsQ-
' QTY ELECTRICAL PERMIT -ISSUE )6LA:R -ISSUE lo~
~UBLI~ FACILITIES FEE -
I -
I NE:W CONST lA AMP SV,'l 8KR
,,
CCLLE.crn;:;s LY u SCHOOL FEE -DISTRICT ~ I I!
-
I I PH IPH Sff,Hi\.Gt. 'A\KS Carlsbad -,
i
----
I EXIST BLOG EA AMP SW[ 8KR I HOC• S 'Of-lAG[ Encinitas V I •
------·-----
I -
I I PH HH P1_11,1P ~ D1egu1to --
I HEMOOEl ALTtR PEH CIRCUIT P, .t,', (; If-Cl\ 1·:_ E San Marcos
' ------------SeETI----__L::}D----0-.2-y,., ,--\::: T~L,b•·
I IE MP PO I E JOO AMP~ . f """-8-2.
I OVER llJU AMPS LICENSE TAX 001-810-00-00-8162
I TE.MP OCCUPANCY ·30 DAYSI j MFF /c_ 'e,BO 880-519-92-57 --
; ~------~ --
' CREd1r DEP0s1T-r,_ '""'--.---;----;--r_p ' .
I ------1~~ I T1HAl Eltl,lRILAl ' IQTA.l SOIA.R h . .--E:;5o 02
' 'i I
TOTAL FEES PAYABLE ,;)_c\(o2.. DC
I
I ! HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT" AND DO HEREBY Expiration. Every permf_t issued by the8u1ldmg Olf1c1al under the prov1s,ons of!h1s * A.N OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER
I CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall 8)(p1re by l!mrtat1on and become null and void II the bu1ld1ng or work !>' 0 .. DEEP ANO OEMOLITK>N OR CONSTRUCTION OF
I DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE 1F A PERMIT IS
authorized by such permit tS no! commenced within 180 days from the date of such STRUCTURES OYER 3 STORIES IN HEIGHT permit. or 1f the bwldinff or work authorized by such permit 1s suspended or
' ISSUED: TO COMPLY WITH All CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON· abandoned at anv time a er the work ,s commenced for a neriod of 180 davs~' ~
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. r ALSO AGREE TO SAVE INDEMNIFY AND APPLICANT'S~WNEA □ CONTAACTO~ APPROVED BY fr /'t)-/1-.I-' KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All LIABILITIES. JUDGMENTS. COSTS AND I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
I GRANTING OF THIS PERMIT
q Clt~y PHONE 0 ·1
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TYPE I DATE INSPECTOR
BUILDING I
FOUNDATION I
' REINFORCED STEEL I
MASONRY I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEIL!ING
SHEATHING □ ROOF □ SH,EAR
FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL I
' I
PLUMBING I
□ SEWER AND BL/CO u Pl/CO ' UNDERGROUND □ WASTE CJ WATER
TOP OUT □ WASTE L \I\IATER
TUB AND SHOWER PAN I /
GAS TEST I I /l ,I 'J"U" [1..6'
□ WATER HEATER □ SOLAR W/>,.TER . [
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □;UFFER
ROUGH ELECTRIC I
I 1,-1:LECTRIC SERVICE □ TEMPORARY ~, ,
'f 130NDING □ POOL ' .)I, ., ,,~ I
I V
' MECHANICAL I
□ DUCT & PLEM., D REF. PIPl)'IG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL INSPECTrON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL I
PLUMBING !
' ELECTRICAL I
MECHANICAL I , ,..
GAS I . L•.A~ // ..
BUILDING ' -;J•I, r•~:JdY..)
SPECIAL CONDITIONS I
... ,.
I
---~
8'~~02::>
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE -CHECKED APPROVAL ..
SOILS COMFL A'\J'.:'F
PRIOR TO
f-OLINDATION 1r-..Sf-'
·-------j_ -----STRUCTURAL CC1NCRFH.
OVER ?000 f"''.:_:1
µRES TRESSED
CONC8ETE
POST TfN~"':1()NE[l
CONCRETE
~1[~0 1/1/EL.':::ING ! .,,.i -I---------------Hl:JH ST9ENC 'H
BOL Ts
S~'E'CIAL MASUl'-J9Y
----------. -
~---
PILES CAl'.:,SOr.c·
~---------------t--· ------f--·· -
--------
----------
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-------------·· ---.-------
---· -----
--. ~-----------!
--------~ ----
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i;; . : -------L____ _ ___ L__ ___ --
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 BUILDING
LEGAL DESCRIPTION
REMARKS.
I
EXISTING BUILDING
LATERAL LOCATION
ST.
..,:
Cl)
LATERAL NO, _______ INSTALLATION DATE-------
SE 2736
ISSUED BY ------------------
DATE ISSUED-----------------
VALIDATION
•
LATERAL CHARGE COMPUTATION
STANDARD 4" (Max. H. 30', V. 10') ________ _
OVER 30' H. @ FT. _________ _
OVER 10' V. ___ @ ___ FT. _________ _
STANDARD 6" (Max. H. 30', V. 10') ________ _
OVER 30' H. ___ @. ___ FT, _________ _
OVER 10'V. ___ @ ___ FT, _________ _
TOTAL CONSTRUCTION COST----------
SERVICE CHARGE (REPAVING ETC.)
TOTAL LATERAL CHARGE
LINE COST DATA
ASSESSMENT DIST. NO.
FRONTAGE COST PER FT. TOTAL
OTHER
CONNECTION FEE
NO. UNITS I COST PER UNIT TOTAL
PUMP STATION FEES
NO. UNITS COST PER UNIT TOTAL
TOTAL CHARGES (LATERAL ETC.} 1
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
u}CARLSBAD UNIFIED SCHOOL DISTRICT
□ CARLSBAD HIGH SCHOOL
□ VALLEY JUNIOR HIGH SCHOOL
RECEIVED FRQA1 ~~ k ~~~ -Q.-5 ~ DATE l ~ " \, , '\ G --:,. Y . ~'\i.N e_'(\ ';i,..
FOR (~ ~~ \°'\ab\\....\(\~ iOJ\.k_ ~&'~ \-.\~~ \-)T,
USE OF SCHOOL FACILITIES/RENTALS $ _____ REIMBURSEMENTS
RECEIPT NO.
09428
l~u,\'IS:s-
USE OF SCHOOL BUS $ ____ _ TELEPHONE COMMISSIONS $ ____ _
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
INCOME~ ABATEMENT 0
$ ____ _
$ ____ _
$-----
CHARGE TO ACCOUNT NO. _j:_ · '(i'\r'J · ___ _
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ ____ _
$ ____ _
TOTAL $ '1 )5W
~ i,,odo-3-4\ lo
RECEIVED CASH □ CHECK [g-'
RECEIVED BY i) . o\ij___~opvs-
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