HomeMy WebLinkAbout2285 LINDSAY DR; ; 85-911; Permit.. z 0 ~ "' ~ u ... 0
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O I hereby affirm that I am licensed under
provisions of Chapter 9 {commencing with
Section 7000) ol Division 3 of the Business
and Professions Code, and my license is 1n
lull forcJ.and •:!e,i·l-::J
L,c No "::1--/ 2 ~ r.1~ss •~e,,----
I hereby affirm lhat I am e,emol from the Conlrac-tor's License Law lor the follow,ng reoson (Sec 7031 5
Business and Pro1ess,ons Code Any c,ty or county which re-quIrns a perrnd to construct. alter. improve demol,sh. or
repair any s1ructure, prior to ,ts issuance also requires ?he ao-
pl1cant for such permit to tile a s,9ned stalemenl lhal he ,s
licensed pursuant 10 the provIsmns o! The ContracI0, s
License Law (Chapter 9 commenc,ng with Se~1,on 7000 01
0Msion 3 o11he Business and Protess1ons Cede) or !hat Is ex-
empt lherelrom and the basis for !he allegeo exemption Any
vIola1lon of Section 7031.~ by an applicant 1or a permit sub-IecTs lhe appl1can1 to a c1v1I penally ol not more than t,ve hun-
dred dollars ($500)
rJ I. as owner ol the properly, or my employees with wages
as their sole compensation, will do 1he work, and the struc·
ture Is not 1n1ended or oHered for sale (Sec 7044. Business
and Pro1ess1ons Code. The COntraclor's License Law does not apply 10 an owner a! properly who builds or improves
tllereon and who does such work himself or through hrs own
employees. provided that such improvements are no1 intend•
ed or oHered 1or sale. If. however. !he building or improve-
ment Is sold within one year of comple1Ion, the owner•bu1lder
will have the burden of provmg that he did 001 bwld or im-
prove 1or !Ile purpose of sale)
n l,_as owner of the properly, am exclusively contracting with licensed contractors 10 construct the proiect (Sec. 7044,
Busmess and Prnfess1ons Code. The Contractor's License
Law does not apply to an owner 01 properly who builds or im-
proves thereon, and who contracts for each pro1ects with a
contractor(s) hcense pursuant to 1he Contractor's License Law)
17 As a homeowner I am improving my home. and lhe follow
Ing condItIons exist
1 The work Is lremg perlormed prior to sale
2 I have l1veo in my home for twelve mon1hs prior to completion of this work
I have not claimed this exemption during th•
last three years
0 lamexemptunderSec ______ ,B&/.C
for this reason
D I hereby a!lirm trial I ha;,e a cert,!1ca1e ~onsen!
10 self,,nsure, or a cert,f1cate o! orkers
Gompensat,on Insurance. or a cert,fled co !hereo!
(Sec 39:Xl. Labor Code)
POucrno t:=-cO ,fGi i70
COMPAN, FIR!!: p' G4.s ""'-TY
/11..Co{Jy IS !lied with the c,ty
0 Cer11t1ed copy Is hereby luin,shed
CEATIFICATl OF EXEMPTION FROM
WORKERS-COMPENSATION INSURANCE (Th,s sect,on nee<l not t>e completed ,t me perm,t
Is tor one hundred dollars 1$1001 or less)
D I cer!,Ty tha1 ,n !he performance o1 the worl< to,
wh,cn tn,s penmt ,s ,ssued. I shall nol employ any
person ,n any manrie, so as to t>ecom .. sub1ec1 tu
the Worl<e,s· Gompensat,on Laws of Cali!orn,a
NOTICE TO APPLICANT II_ alter makin;i tn,s Cen,
f1ca1e o1 E,empt,on yoo should become subIecI tri
1he Wor1<ers· Compensation pro,,sIons of the Labor Code. you mus1 !or1h,.,·11h comply wrtn such
pro~Is,ons or th,s pe,m,t shall oe deemed ,e,oked
O I nereby athrm 1ha1 !here s a con~truct,on
lend•ng agency tor me per1orman(e 0I the worl< for
wh,ch th,s perm,1 ,s ,~~ued ,Ser IO'l7 c,,,1 Code1
Lenders Name ___________ _
Lenders Address __________ _
USE BALL POINT PEN ONLY & PAE~S HARO
CARLSBAD BUILDING DEPARTMENT
,200 Elm, Carlsbad. California 92008·1989 1619) 438-5525
JOB AOO~ESS AV. ST.RO.
!)
QTY.\ PLUMBING PERMIT -ISSUE
EACH FIXTURE TRAP
EACH BUILDING SEWER
EACH WATER HEATER ANo:oR VENT
1--+.cE.:_A::cC.:_Hc:Gc:A.::S:..::.SY.:_Sc:_Tc:E.:_Mc_:_1 -'T"0_.:4c:0:_U::_T:_L,:E:.:T~ ____ _
EACH GAS SYSTEM 5 OR MORE
EACH INSTA~. ALTER, REPAIR WATER PIPE
EACH VACUUM BREAKER
WATER SQFTNER
EACH ROOF DRAIN (i!IISIOEJ
TOT Al PLUMBING
QTY. ELECTRICAL PERMIT -ISSUE s:.
NEW CONST EA AMP'SWl-BKR
I PH 3 PH
EXIST BLDG EA AMPISWT.1BKR
1 PH 3 PH
REMOOEL'AL HR PER CIRCUIT
TEMPPOLE 200AMPS
□VER 200 AMPS
TEMP OCCUPANCY i30 DAYS)
TOTAL ELECTRICAl
NEAREST CROSS ST.
F/P FLR ELEV.
vO NO
REDEVELOPMENT
AREA
v □ ~ D vO NO
MECHANICAL PERMIT -ISSUE
INSTALL FURN DUCTS VP TO 100,000 BTU
OVER 100,000 BTU
BOILER/COMPRESSOR UP TO 3 HP
80ILERICOMPRESSOR 3-15 HP
METAL FIREPLACE
VENT FAN SINGLE DUCT
MECH EXHAUST -HOOD/DUCTS
RELOCATION OF EA FURNACE/HEATER
TOT.liL MECHANICAL
QTY.I ~ISSU
COLLECTORS
STORAGE TANKS
ROCK STORAGE
PUMP
PLAN CHECK FEE
TOT Al SOLAR
TYPE
CONST
{) .-
FORMATION WITHIN SHADED AREA AND DECLARATIONS.
VALUATION e
ZONE
PLAN 1.0. # BLDG USE COOE
STANDARD PLAN# BUILDING SO. FOOTAGE
ace GP EDU 12/ I ,/857716 au~2~ou
ace LOAD FIRE SPA
vO NO Nor Valid Unlt!n ~chine Certified
SUMMARY/ACCOUNT NUMBER
BUILDING PERMIT
SIGN PERMIT
PLAN CHECK
TOTAL PLUMBING
ELECTRICAL
MECHANICAL
MOBILEHOME
MOBILEHOME PARK INSP
SOLAR
STRONG MOTION
FIRE SPRINKLERS
PUBLIC FACILITIES FEE
BRIDGE FEE
SCHOOL FEE · DISTRICT
Carlsbad
Encinitas
San Dieguito
01-00-00-8220
01-00-00-8221
01·00-00·8806
01-00-00-8222
01-00-00-8223
01-00-00·8224
01-00-0Q-8225 , .::>o
80-92-33-0519
01·00-00-8227
32-00-00-8933 c-
80-92-21-0519
80-92·22·0519
80-92·23-0519 -
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TYPE I DATE INSPECTOR
BUILDING ~ . ri'S--11/ I A -
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
I INSPECTION REQ IF INSPECTOR'S DATE GUNITE OR GROUT ' CHECKED APPROVAL
FLOOR & CEILING SUB FRAME I .
SOILS COMPLIANCE
SHEATHING □ ROOF □ SHEAR PRIOR TO
I FOUNDATION INSP FRAME I --
EXTERIOR LATH STRUCTURAL CONCRETE I OVER 2000 PSI
INSULATION I PRESTRESSED
CONCRETE
INTERIOR LATH & DRYWALL I
' POST TENSIONED
I CONCRETE
PLUMBING I FIELD WELDING
SEWER AND BUCO DIPUCO I HIGH STRENGTH
UNDERGROUND □ WASTE □ WATER BOl Ts
TOP OUT □ WASTE □ WATER SPECIAL MASONRY
_l)B AND SHOWER PAN I
' GAS TEST I PILES CAISSONS
0 WATER HEATER □ SOLAR W,t.TER
I
ELECTRICAL I
□ ELECTRIC UNDERGROUND □;UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I
MECHANICAL I -
□ DUCT & PLEM., D REF. PIPING
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
' CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL I
PLUMBING I
ELECTRICAL I r. 1 . I ,I MECHANICAL I
GAS I J ,.11 '" .
BUILDING ' l{J,(r--
SPECIAL CONDITIONS I I __,,,.,-
I -
[1 CARLSBAD UNIFIED SCH8OL DISTRICT
□ CARLSBAD HIGH SCHOOL
□ VALLEY JUNIOR HIGH SCHOOL
RECEIV1~ot; &,'-~ \'~ CW,1!.~ "$-J"t\€..--~
FOR °'-~\'\'I() \\\\k, ~cti.l~ ~ ,,u-¼ ~~s-i-.\-...~°":1 1'•
$ ____ _ REl!>,1BUR{,Et,,\lsNTS ~ C)I\ oo \ ~~ .,_ <.;·
RECEIPT NO.
09426
USE OF SCHOOL FACILITIES/RENTALS
USE OF SCHOOL BUS $ ____ _ TELEPHONE COMMISSIONS $ ____ _
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
INCOME G ABATEMENT □
$ ____ _
$ ____ _
$-----
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ ____ _
$ ____ _
TOTAL $ b 1'11.R.
CHARGE TO ACCOUNT NO. l -'8: '8;-C\, -----RECEIVED CASH O CHECK [:'f
RECEIVED BY~.&;\~~ \1!;_
...
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
LEGAL DESCRIPTION
REMARKS: /
EXISTING BUILDING
LATERAL LOCATION
ST.
-_,
/.
LATERAL NO, _______ INSTALLATION DATE---------11
SE 2734
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 1o·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 ___ COST PER UNIT---TOTAL..........c-~
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ____ TOTAL---
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
_.,
IIEP~ OF BUILDING ,tNSPECTION
CITY OF CARLSBAD .:z:ait.
CITY LIC. f C/fO 0 1200 ELM AVE.
CAJtl.SBAD, CAL.
------
FEE:
tlOBILEHOl!E INSTALLATION INFORMATION
CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, CHAPTER 5, ARTICLE 1A
PARK NAME CAMl/1//J HIL-l~-
LOT OCCUPANT
iiAME C, 011:TUR
79 .
l.D. NO. ;:;.90"'"--~--'SPACE NO. __ _._'--"-'----">--2-GS
ClONTRACTOR
iiAME 401 tC7R.S .;n l•lemtE:<
ADDRESS 4Na{Ev 12~ TEL.f 931-1~ 36
STATE LIC.t rCONTRACTOR ADDRESS, TEL. t
1l 2 Sf
.f-----~-1 ;
--~ !
..---I .I
L..ECTRICAL
WATER
DRAIN
INLET
GAS
MOB!l!':
~
, I
"
cm
STP.EET
•
~
.• ADDITIONAL DATA TO BE SUBMITTED WITH APP:
1. 'l'wo copies of Mobilehome support and Fdn.
plans (if mobilehome was manufactured after
10/7/73 two copies of manufacturer's
instructions and plans must be provided).
. 2. Show size and location of all structures ;\:r·· p-··· · ~Jl'."'lot and distances to lot lines and any ~~ ~ ~lehome or permanent structure located
Ry . on adjacent ~ots and within 10' of the
· -·· ·------··-proposed mobilehome.
. . .
U t. C ,, 19l:FDISTRIBUTION: Original to Permittee -,_.,. ,. ,_ Copy to Customer
City of CARLSB#' •·• ·
ff.U~• {:'!,~"~~ ,,,,,~~T&,
copy to Finance
11-t-M.
I
LOT UTILITY SERvrCEs:
1. Gas: Natural LPG
Riser Size ---
2. Drain Inlet:Size
3. Electrical:
al Receptacle Rating/amps ___ _
.b) Connection for Power Supply
Assembly
cl Circuit Breaker Rating
(amps)
d) Equipment Rating (amps)
MANAGER APPROVAL:
MOBILEHOME DATA:
1. Size: Length
Width
2. Electrical Power Cord /6Q Ampere Rating /~O ~~~-
Metal Tag Rating amps //j t1
3. Electrical Power Assembly
Wire Size & Type ---
Flexible Conduit Size -----4. Gas Supply Inlet Size
Gas Connector, descri~be-----
5. Water Connector Size Water connector Descr~i~b_e ___ _
6. Drain Connector Size Drain Connector Descr~lbe=----
7. Manufacturer Sit. vE1u::(f'EfT
~~!~SS :2 "3~0/f r4,'>(N,4
Ser. No. S+if ZJ1_,7>;__
State Insignia No.
Roof Live Load __ .j=,?.._ __ .,p.s.f
Wind Load p.s.f
Year of Manufacture ------•• M/B State License Nos. ____ _
.. •·