HomeMy WebLinkAbout2284 LINDSAY DR; ; 87-572; Permit"' z
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0 I hereby affirm that I am llcensed under 1
provisions of Chapter 9 (Commencing with
S.Ction 7000) of Division 3 of the Business 1
and Professions Code, and my license 1s in
lull force and effect
hereby atl,rm lhal I am exempt 1-om the Cortrac
lor's L,cense Law for the following reason !Sec 7G31 5 1
Business and Profess,ons Code Any c.ty or c0vNy wh,cr, re
quires a perm,1 to conslruct dlter ,mpro,e aemol,sh Qr
repa,r any structure. pr,or 10 IIs issuance a'so requires !heap
pIIcan1 for such perm,1 to 11Ie a s,Qned stale'l'en: 'hal '1e ,s
11censM purwan1 to the prov1s1ons o' The Lor:cac:v 1
License Law (Chapter 9 commenc,ng w,th Sect,on 1000 u•
D1v,s,on 3 of the Business and Proless,ons Co~e; ort~JI ,s e,
emol l~erefrom and the basis for the allegea exerrp1I01 Any
violation o1 Sect,on 7031 5 by an appl,canl for a perm,1 su~
Iecls the appl,cant lo a civil penalty of not mare tnan f,·,e hu~
dred dollars 1S500'
I I. as owner o! lhe property or rr>y employees w,ro wages
as the,, sole compensa1,on w11I do lhe work ana t~e struc
lure ,snot ,mended or ottered •or sale /Sec 1:14a BJs1ness
and Pro!ess,ons Code The Con:racror s License Law does not ap~ly to an owner of property who bu11ds or ,moroves
thereon and who does such work himself or througr hrs own employees provided that such ,rrorovements are rot intend-
ed or offered for sale If, however the bu,ld,ng or ,mprova
ment ,s sord w1th1n one year of complet1on. lhe owner :iuIlder
will have 1ne burden of proving !~al he did not ou,;d or ,m prove for the pu<oose ol saleJ
I, as owner of the property, am exclusively contra1;tIng with licensed contractors tc construct the oro1ec1 (Sec 7044
Business and Pro1ess,ons Code The Conrractor's License
Law does nol apply to an owner ol woperty who bu,lds or ,m oroves thereon. and who contracts for each proIects w11h a
contraclor(sl license pursuant to the Conrractor s1 L,censB Law)
As a homeowner I am ImprovI09 my home anf e to-low ,ng cond,t,ons exist
, The wor~ ,s being performed prior to le
• have IIved In my home for •we e month,
prior to complel,on ol this work I nave not cla,med this exemption during The lasl three years
I am exempt under Sec 'Y} . B& PC
for this reason \. \
_ I hereby affirm that I have a certirIcate of consenl to
self-nsu·e. or a certil,ca!e of \.",'o'kers Compensatoon In
surance or a cert1f1ed copy !hereof 1Sec 3800. Labo, Code•
POLICY NO
COMPANY
Cop) s filed w1lh the city
Cert1l1ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
(Thrs section need oot be completed ,f the pe,m,t
IS lo, one hundred dollars ($1001 Of IPSSI
I cert,1y that ,n the perlormance ol the work for whrch I
tn,s perm,1 ,s issued I shall not employ any person an any 1 manner so as to become sub1ec1 to the Workers Com pen
sanon Laws or Caulorn,a
NOTICE TO APPLICANT II, after making this Cert1f1cale I
of Eeernpt1on. you shoulCI become sub1ect to the Workers !
Compensation provisions o1 the Labor Code you must
forthwith comply with such provisions or th,s oerm,t Shall
be deemed re,oked
I hereby a11irm that there ,s a construct,on IendIng
agency <or the pertorn'ance of tie work lor .,.h,ch ·~,s per
m,t Is issued 1Sec 3097 C1v,I Code!
Lemler s Name
Lender s Address
~g?~ CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161
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APPLICAT~N & PERMIT
JOB ADDRESS AV. ST.RO. NEAREST CROSS ST. 17-:;:li~ BU 1,ESS LICENSE # VALUATION PERMIT NUMBER --?"'2 n/ J_/ Nb< 4.t ~ VIL {!, 19-/LL5 13 4,""'\ cg7-
',f'~ BLOCK . I SUBDIVISION
1.qs/'!iR .:70J0-,;>..3-~ CONTRACTOR . co, RACTORS PHONE# ZONE 57;2_
mGH/') hJ, H. (P n .,. ., ..;-J'"J?~M I ·-OWNER'S PHONE ..
CONTRACTOR'S ADO RESS ' -S!ATE LICENSE NO. BUILDING SQ. FOOTAGE
&,Jr;t.~ 0 :t:i'eZ::'2..;rJ).) S "7-c.f /)le_ OESIGNER DESIGNER'S PHONE
DESmlO~ WORK 1"1--e, . , ·'-.A,>A!!' --<~>JP DESIGNER'S ADDRESS STATE LICENSE NO.
--------e ' FLA ELEV NO OCC GP EDU
STORIES
,□ .... o ---
I I PAPl(I"'(' SPAC~ RES ur,.,,1rs l GRADING PERMIT ISSUED 1 RE:DEVELDP.,,,,ENT TYPE OCC LOAO FIRE SPfl 0027 07/02 0101 02£:loPmt 3472-0 AREA CONST ,o 'D -.□ .... o YO r,.,,LJ Nor Valid Unless Machine Certified
'· QTY. PLUMBING PERMIT· ISSUE
: I! QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
EACH flXTURt: !RAP INSTALL FURN. DUCTS iJP TO 100 000 BTU BUILDING PERMI" JO· -i:\ 10-00-00-822CJ
I SIGIJ PE1iM IT 001 l:J1D-00-00-8ii. ---EACH BUI LUING SE'NER OVER 100 000 BTU --·-+-------.. --· -EACH WATER Ht:ATER Ar-..[J OR VENT L . BOILER-COMPRESSOR UP TO 3 HP PLAN CHECK 001-81 0-00·00·8821 ·--
EACH GAS SYSTEM 1 i U 4 UUT LETS j l:JOILER COMPRESSOR 3 1", HP TOTAL PLUMBI\JG 001-310 OJ-00-8222 -------,--------·----EACH GAS SYSTEM", OR MOR~ \-· I ME~AL r:IRE~LAU ELEC'RICAL 00 ;-t, 10-00-00-8223 . --------·--------·-EACH INSTA~. ALI ER, REPAIR 1\ATER PIPE: j VENT FAN SINGLE DUCT MECHAN,CAL 00. -il 10-00-00-8224 ------r------------. -EACH VACUUM BREAKt:R ' . ,, MECH EXHAUST HOOD DUCTS MOBILEHOME 001-3 I 0-00-00-82 25 Sci
WATER SO~TNER ' RELOCATION Of-t:A FURNACE HEATER SOLAR oo· -s 10-00-00-8225 .
-[ AC•I R()CF rR~'\J ' 'J~"ll i i DRYER VENT . Slf-HJNG MOTIO\I 31:J0-5' 9-92-33
TQTi'...L MECHANICAL ------,--1 __j, FIRE SPRl~Jl'\LtRS 001-810-00-00-8227 ----
/ / r7'J fl:°~ -IU!Al PIUMHINL ' J PUBL!C FACILIT ES FEE 320-810-00-00-S 7 .. JG,
'I QTY -BRIDGE FEE 350-810-00·00-3 7 40 QTY. ELECTRICAL PERMIT -ISSUE MOBILE HOME SETUP /o PARK-l~HIEU (.AREA 3__ 1 __ 3tP'-Y-
NEWCONSTEAAMPS'.'1'! lJKR
..
CAR PORT 134-81 0-00·00·8835 3dd -' T:F
---I PH \ PH 11 AWNING LA COSTA TIF G-l;-133-810-00-00-8835 ----
EXISI blOG EA AMP swr llKH I GARAGE FMF -_ It A _
/ Vf' ~/l -----· I PH ·1 PH LICENSE TA_X___ _ OOT"S~-ff0-IJ~2·
R[o,,ioou AlltR PFH C!li[UIT Mee ____L__ Sr,-., sso-s199f'/,-1 J /-<;-q,e, -~ -----------+----------------~---ccr-1z, . IE \i1P PO l E !U(] A \·\P\ -·--·-c,, ,98J-· ~---------OVER 2UU AMPS
' -----~ °J'of TEMP ()[[UPANCY '30 OAYSI f= Opli4$,, ""itt. -------------·---·----I -.
i
--· ---. CREDIT DEPOSIT-iv, P//n,::· SS..o ...
T!l!Al EitLTHIC,'.,! ! ,'._IT A[ : s-o--.. ,T 5EllvB #7,;l. ~ -11 i TOTAL FEES PAYABLE
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION AND PERMIT"' AND DO HEREBY E;,cp1rat1on Every perrmt issued by the Butld1ng Off1c1af under the prov1stons of this * AN OSHA PEAMtT lS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code ,hall e;,cpire by /1m11at1on and become null and void If tt1e bu1!dmg or work s· O" DEEP A.ND DEMOl.lTK)N OR CONSTRUCTK>N OF DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT lb autt1orized by such permit 1s not commenced w1tt11n 180 days from tt1e date of such
STRUCTUR!.5 OVER J STORIES IN HEIGHT perm,t, ~e bu1tdmP. or work authorized by such permit 1s suspended or ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON abandon nv hme artA, the work 1s commenced for a oenod of 160 da"s STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
~St~ 0~ c~:[J APPROVED BY ft, o/1/i
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL UAB!UTIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE .
I rJ GRANTING OF THIS PERMIT
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TYPE DATE UJ-\IC INSPECTOR .
BUILDING ! g7--~,~
FOUNDATION ' FIELD INSPECTION RECORD '
REINFORCED STEEL ' REQUIRED SPECIAL INSPECTIONS -INSPECTOR'S NOTES .. ~-,· ' MASONRY ' -.. , • REO IF INSPECTORS -:'"( ~-=?:: ~~-~~,;:, ' GUNITE OR GROUT i INSPECTION CHECKED APPROVAL DATE
SUB FRAME □ FLOOR □ CEIUNG --· ~_,·:.t,t\c:·~?:!"·:.·~~ \ .. ~ .. :·/-• . ., SOILS COMPI_ IANC::E:
SHEATHING □ ROOF □ SHEAR PPIOR TO , .-·-\:,.• ....
f-OUNDATION INSP , .. ' FRAME I --~ ---------------->------
' STRUCTURAL CONCRETE -, -.. ' ·,· . EXTERIOR LATH OVER 2000 PSI _al\:°'\J --)_; ,. INSULATION I PRE'STRESSEO . ~ ~--\.: ... -. CONCRETE INTERIOR LATH & DRYWALL ' ~ < ~
I POST TENSIOI\IED ... __ .; ,_
! CONCRETE ~. . . -
PLUMBING FIELD WELDING . -' " .
□ SEWER AND BL/CO :J ~UCO --------· . HIGrl STRENGTH ...
□ WATER BOL.TS • UNDERGROUND □ WASTE
TOP OUT □ WASTE □ WATER -:;.-TC,A~ 1/AS:")NRY
TUB AND SHOWER PAN '
' ~---GAS TEST I -Pl'._ES CAISSOr--.:· --□ WATER HEATER □ SOLAR WATER ------------. ··----------------
' I .. --
ELECTRICAL I
D ELECTRIC UNDERGROUND □ UFFER ---------·-
'
' ' ROUGH ELECTRIC ----~ I i D ELECTRIC SERVICE □ TEMPORARY -----
□ BONDING D POOL I I
' . ----
' MECHANICAL I ------··-' ·.
' -
D DUCT & PLEM., □ REF. PIP,ING .,_ -I------·---
HEAT -AIR COND. SYSTEMS I
' VENTILATING SYSTEMS I . . , ~ ·--;;:_ '._ -:.__, .... --" ; '\:· ,
I .
CALL FOR FINAL INSPECTION ~/-IEM-l+H APPROJHJIAIE. -• r'; ..... )-, . ~-,-._ \-----
ITEMS ABOVE HAVE BEEN APAAOVED. . . . · •, . .... ~ \ ·~ ' ·-FINAL . I . -. . '• ..... ·..:-·
PLUMBING I .. '• . I ' ' . ., -. .-. ,·-~. . .. . -. ,-.
ELECTRICAL I .. -.... :4 --~-.. , ' ... -~-·" -. ._.;, •. • r . , .... ·::; .. -__ .... .. .
MECHANICAL ' . I I I .. ~. , . .-. -~ . ~ -. .. \ . .
' . .. ---ti' ... > , ...... ;_--.. .. ' ... -,. -, ' GAS -.
' . . .
BUILDING 1-J! ,&i, :,.,J:._..;;-: I ✓ J J
__.,.,
SPECIAL CONDITIONS _,-.P' I
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C!Utu of C!!arlsbab
CASHIER'S VALIDATION
SEWER PERMIT APPLICATION
APPLICANT TO FILL IN SHADED AREA
SEWER PERMIT NUMBER: --=S;..;:E=-----=.c....::/_:/'-----',~----';,( ___ +\--".~.....,,_,_ ,~
BUILDING PLAN CHECK NUMBE,__;_P_C=-----=ill __ --=-7-__,,---'~1-·-~-"I,,~
BUILDING ADDRESS: __ .. _.,___,J-C..._--'L:....:.."-.,.;...'__.;;..,.,"'~'<--~-''._}'-", ,.'---I BUILDING TYPE: ~•"-'-'Af_,#:....:;__.:.....' __________ _
r , / .· -· . NUMBER OF EDU'S: __ _:Jc...:•-~=--=-----------
OWNER: ___ ::....._:,,r'--_'.::: '-·::.__ _________ -J CALCULATIONS: _ ____.:.l~•..:cc....,,./'-',4:..c........: • ....:..,L/..:........:., ________ _ 7
MAILING ADDRESS: _____ , ._~---------+--------------------
CONTRACTOR: _______________ -4---___________________ _
MAILING ADDRESS: --------------+--------------------
LEGAL DESCRIPTION: --=,t..;......,;:,,,,:.<!'7 __ ~=--.;·3;;...._ _______ 1 CONNECTION FEE 'I
<: ./ .,, 1 r-u~ J. , ,,. , • Jo-I. ~-COST PER UNIT I <~ u x NO. UNITS --'--/_C'.~_0 __
LATERAL CHARGE: __ .r __ ;--'-7_. ________ _
TOTAL CHARGES: ___ /_~....:.."'.:.....'~=------------
ASSESSORS PARCEL NUMBER: ✓ / / (. I ~ J < G' PREPARED BY: ____ ,_.........,_,..:...r _______ _
(PAINTED NAME)
COMMENTS: ------------------------------------1
t
WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant
I~(CARLSBAD UNIFIED SCHOOL DISTRICT
□ CARLSBAD HIGH SCHOOL RECEIPT NO.
□ VALLEY JUNIOR HIGH SCHOOL
RECEIVED FROM ~ ~ L ~ ~ ~\ ~
~~"-0 ';,\'::, ~o\--;:ii
FOR l '<?_ ~ \ > I 'l l.l.' ~o.s
10044
DATf 41.?\8' U
USE OF SCHOOL FACILITIES/RENTALS
USE OF SCHOOL BUS
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
INCOME[_}" ABATEMENT 0
$ ____ _
$ ____ _
$ ____ _
$ ____ _
$ ____ _
CHARGE TO ACCOUNT NO. -1._ ~ ~ 8-C\ 1~ ___ _
REll,1BUf\SEf#NTS
9uo..c,-\ ';\"e.'f'.5
$ h l'\L,
TELEPHONE COMMISSIONS $ _____ _
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ _____ _
$ _____ _
TOTAL $ L l'l~
-!,160:i..? <'JI.Y
RECEIVED CASH □ CHECK ff"
RECEIVED BY M . (~,~~\ ~~
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