HomeMy WebLinkAbout2284 LINDSAY DR; ; 87-397; Permit., z 0 ;:: .. <C .. --' u .. 0
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O I hereby alllrm that I am licensed under
provlaiona of Chapter 9 (commencin~ with
Section 70CNl) of Division 3 of the Business
end Profesalons Code, and my license is ir1
lull force and eflect.
1 nereoy alfirm 1na1 I am exempt lrom the Con1,ac
1or s License Law lor lhe 1o11ow1ng reason 1Sec 703! ~
Bus,ness and Proless,□ns Cooe Any cIIy or coun1y wh,ch re
quires a perm,1 to construct alter rmprove demo1,sn O'
repa,r any structure pr,oi to ,ts ,ssuance also requires 'heap
plrcant for such perm,! to f11e a s1~ned stalement lhal ne ,s
11censed pursuanl to the provisions or the (,ontrac10, ,
License Law !Chapter 9 commenc,ng w,th Seu,on 7000 ol Ow,s,on 3 01 the Bus,ness and P,otess,ons Cade; or lhal ,sex empt lherelrom and me basis !or the al'egea exemption Any
,io1a1,on ol Section ?03\ 5 by an app1,cant lor a perm,, sub 1ecls the apphcant to a c1v1I penalty ol not <nore than 1,ve hun
dred dollars ($5001
1 as owner of the property or my employees w,th wages
as ttierr sole compensation will do the work and lhe slruc
ture ,s no1 ,nlended or oflered lor sale (Sec 7044 Business
and Protess,on<, Coae The Contractors License Law does
nol apply to an owner ol property who builds or improves
thereon and who does such wor~ h,mselt or through 11,s own employees. provided lhat such improvements are not mtend
ed or offered lor sale If. however. the bu1ld•ng or improve-
ment ,s sold w,th,n one year ol complet,on, the owner-bu1lde,
w,11 have lhe burden o! provmg 1ha1 he did not build or ,m
prove tor the purpose ot sale)
I, as owner ot the property, am exclusively conlract,ng
w,th licensed contractors to construct the pro1ect (Sec 7044 Business and Prolessoons Code The Coniracio,·s License
Law does not apply 10 an owner 01 property who bu,lds or ,m proves thereon and who contracts tor each pro1ects with a coniractor{s) 1,cense pursuant 10 the Contractors License law)
I A.s a homeowner I am ,mprov,ng my home and lhe follow
,ng cond1t,ons ex,st
I The work ,s bemg performed prior 10 sale 2 I have loved ,n my home lor twelve monlhs
prior to completion ol this work
I have not claimed this exemption during the lasl three years
I am exemp1 under Sec _______ . B & PC
for 1h,s reason
I hereby allirm lhal I ha,e a cert1!1cate of consent lo
self-insure. or a cert1f1cate of Workers Compensation In
surance o, a certil1ed copy thereoJ 1Sec 3800 Labor Code\
POLICY NO
COMPANY
Copy 1s l,led w1th the city
Cert'11ed copy 1s hereby turn1shed
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
1Th1s s.ect,on need nol be completed 1f the permit
1s lo, one hundred dollars ($1001 or iessl = I certify that ,n the performance o! the worl< for which
this perm111s issued. I shall not employ any person 1n any
manner so as 10 become sub1ect to the Workers Compen
sat1on Laws of Cal1forn1a
NOTICE TO APPLICANT 11. alter mak,ng this Cert1f1cate
of Exemption you should become sub1ecl IO the Workers
Compensation prov1s1ons ot the Labo, Code. you mus!
forthwith comply with such pro.,s1ons or this perm 1t sMall
be deemed revoked
~ I hereby affirm tha1 there IS a Construc\1on lending
agency tor 1he performance ol the work for which th,s per
m1t ,s ,ssued !Sec 3097 c,-,1 Code1
Lenders Name
Lerder s Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1915 (619) 438-1161
J08 ADDRESS AV. ST.RO. THOMAS BROS NO. loJT~;;•~~c;•oNI 8USIN~ Z"f~ PERMIT NUMBEFI
~.,. o/J / ~>'I Ji/~-II /'l,. ISL €1'-,r, g1-::;17 LOT BLOCK I S~BOIV!SION I ~SESSOA PARCEL NO . ;i. 30LJ CONTRACTOR ... CONTRACTORS PHONE • ZONE
.J. I ;:i \0 l
OWNER'S NAME ~ I OWNER'S PHONE
w.-u f4··. lie",..,! //, ~ . , CONTRACTOR'S ADDRESS STATE LICENSE NO. BUILD;;;;;OOd;
I I I..,, i) .. ·-~-✓ /3 ,,..·/./ ,._r OWNER'S-MAILING ADORES$ ,. .. 7.::?7-.??d ~, DESIGNER DESIGNER'S PHONE '
I. , ~,1Jt!f,,,r"
~~~,~ION 9F ~C?Rl· -,-
··-~.-..... .. , OEStGNER'S ADDRESS ~ ·"" STATE UCENSE NO,
..... ; .
. ,., " ........ "; , , . ,
' ' F LR ELEV NO ace GP EDU
; , , STORIES , , y[_J -..□ l CENSUS TRACT l PAPl<:ING SPACE RES UNITS l GRADING PERMIT ISSUED I REDEVELOPMENT TYPE ace LOAD FIRE SPP
AREA CONST
,□ ' □ •'.J --..□ vO NO 0001N"/if~•@t0'f_<"&J!'~f.'Jl'lllt •M.(1
QTY. PLUMBING PERMIT -ISSUE 7£!::-QTY MECHANICAL PERMIT. ISSUE µ-.5:.!: SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN DUCTS iJP TO 100 000 BTU RUIL..,,,,u ~·tRIV I 1 uu1 olv vv·UV-vLcu ~7
EACH BUI LUING SEWER OVER 100.000 BTU SIGN PERMIT 00 1-810-00-00-8221
EACH WATER HEATER ANO OR VENl BOILER,COMPRESSOR UP TO 3 HP PLAN CHECK 001-810-00-00-8891 .;p
EACH GAS SYSTEM I T04UUTLHS 80ILER1COMPRESSOR 3 IS HP TOTAL PLUMBING 00 ;-810 · 00-00-82 22
EACH GAS SYSTEMS OR MORE METAL FIREPlACE ELECTRICAL DO 1-810-00·00·82 23
EACH INS TAL . ALI E.R. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANlf:AI ---.ooUJ0..C...0~?4
EACH VACUUM BREAKER MECH fXHAUSl HOOD DUCTS MOBILEl--liMoi I ~ r,~.rtll ., 5
WATER SOFTNER RELOCATION OF EA FURNACE,HEATER SOLAR 001-810-00-00-8226
FACh ROOF ]!',,\I~ 1 :i~;:;.m 1 DRYER VENT STRONG MOTION 11 \Id 1 ,,-1 'li(MJ:,(111.92.33
TOT.4.L MECHANICAL FIRE SPRIN;(lERS"'"" -001-810-00-00-8227
l[)lAl PIUMRINL I PUBLIC F/l ""-'II.ES FU..
_s..s.&-BRIDGE FE . ,sn . ,_nn_n'1_074.ii.., ,..
QTY. ELECTRICAL PERMIT -ISSUE QTY MOBILE HOME SETUP PAR ,·, .L . ' -...
NEW CONST EA AMP SWl l:lKR CAR PORT TIF 312-810-00-00-8835
I PH :; PH AWNING LA COSTA TIF 311·810-00-00-8835
EXIST HLDG E:.A AMP SWT flt<R GARAGE FMF
I PH 3 PH LICENSE TAX 001-81 J-00-00-S 162
REM □nEL ALTtR PER [IRCUIT MFF 880-519·92-57
TEMP POLE 100 AMPS
OV!:A l(JU AMPS
TEMP OCCUPANCY '30 DAY$)
CREDIT DEPOSIT
TnTAL fltURl!:Al I lQ;Al TOTAL FEES PAYABLE I 9r.--
,
Expiration. ~YefY permit issued by the Building Oft,c111I under the prov1s1ons ofttus ! HAVE CAREFULLY EXAMINED THE COMPLETED ··APPLICATION ANO PERMIT' AND DO HEREBY * AN OSHA PEAMTT IS REQUIAED FOR EXCAVATIONS OVER
GERTfFY ,UNDER PENALTY OF PERJURY THAT All INFORMATION HEREON INCLUDING THE Cooe shall exp,re by limitation and become null and void lf the burldmg or work 5' ()" DEEP ANO OEMOllTION OR CONSn:IUCllON Of
DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT l~ authorized by such permit is not commenced w1thm 180 days from t~:~ucti STRUCTURES OVER 3 STORIES IN HUGHT permit. or i1 the bu11d1:g or work authonzed by such permit 1s .su or
ISSUED: 'TO COMPLY WITH All CITY. COUNlY ANO STATE LAWS GOVERNING BUILDING CON· abandoned Ill anv time a ler the work r.. comm""'ced tor a --nod da .
STAUCTJON. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ··~,:a;·· 1V, OWNER~
CONTRACTOR 0 APPROVED BY DATE
KfEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UABIUTIES. JUDGMENTS. COSTS AND &-..:~ 1¼df-7 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE fJ GRANTING OF THIS PERMlT
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TYPE I DATE INSPECTOR
BUILDING I ~7~397
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
MASONRY I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES ' .. ' INSPECTION REQ IF INSPECTORS DATE GUNITE OR GROUT I CHECKED APPROVAL .
SUB FRAME D FLOOR D CEfi::ING SOILS COMPl_<ANCE SHEATHING □ ROOF D SHEAR PRIOR TO
FRAME ' FOUNDATION INSP
I
EXTERIOR LATH I STRUCTURAL CONCRETE
' OVER 2000 PSI
-INSULATION I PRESTRESSEO
' CONCRETE INTERIOR LATH & DRYWALL I POST TENSIONED I CONCRETE ----· PLUMBING I FIELD WELDING
D SEWER AND BL/CO [J PltCO HICiH STRENGTM
BOLTS •· UNDERGROUND D WASTE DIWATER
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
.
TUB AND SHOWER PAN I
GAS TEST I
PILES CAISSON'.-.' tJ WATER HEATER D SOLAR WATER
I ··-ELECTRICAL I
□ ELECTRIC UNDERGROUND Di UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING □ POOL I
I
MECHANICAL I ·-
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
I
CALL FOR FINAL INSPEC1U,ON WHEN ALL APPROPRIATE ITEMS ABOVE HA E BEEN APPROVED.
FINAL I
PLUMBING I ,I 'n -ELECTRICAL I .1ii "'r--. // I
MECHANICAL I /4.t'' \ 1 r/ / GAS ~ {,,, I I / ' I w, " . ~ ('' BUILDING I "L,·.~"Ul, t l---. t ' SPECIAL CONDITIONS I "" \ C:, I
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