HomeMy WebLinkAbout2286 LINDSAY DR; ; 86-1138; Permit..
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USE BALL POINT PEN ONLV & PRESS HARO APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT
2075 Las Palmas Dr., Carlsbad, CA 92009-4859 (619) 438-1161 APPLICATION & PERMIT ~ hereby alllrm that I am licensed under
provlalons of Chapter 9 (commencing with
Section 7000) of Dlv!slon 3 of the Business
and Proleaelons Code, and my license is 1n 1 full force and effect 1
I hereby aifirm that I am exempt '•o,i the Corrrac-I
tor s License law tor lhe I0IIow1ng reas~n (Sec 7031 S I
Bus,ness and Proless,ons Code Any c,ty or ~ousty wi,c:-re
Quires a permtt to construct. a ter. mpro,·e demol,sh 8r I
repair any slruclure pr,orto ,ts issuance a so ·eouires ire ae-1 pl,canl lor sucn perm,! to tile a s,qned st.iTe"lenr That he ·s licensed pursuant lo lhe prav,s,ons ol !~e Coo:car1w s I
ucense Law ,chapter 9 commenc,ng wrth Sect,on ?000 o'
O1v1s1on 3 ol the Business and Pro!ess,ons Code, 0, !ha: rs ex
empt lherelrom a~d the bas,s for the allegeo e,empt,on Ani v101at1on ot Section 7031.S by an appl,cant ior d ~er~,1 sub ! 1ects the applicant to a c,v1. penaltv of nc: mare lhan 11,e hun
;•~o(3s(o ~~~-NEl?~ L
I Assr(§oR PARl<_El NO. t " I ~\ol,.-\0 -=I-\-8Tf-! BLOCK I SUBDIVISION
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CONTA 'r::/~
1 ~·~ :· ;8:·ei rr;,xN~ #
·~e ... CONTRACTORS PHONE#
VALUATION
A-
ZONE 7
sJ-~~~l~--N-~MBEA
--1 \ \ 3,3·
--._..___ OWNE A'S PHONE -•-•r_.-' 0WA~ ~~ 47 · BUILDING SQ. FOOTAGE
dred dollars {SSOOI I
I
I
I, as owner of the property, or my employees w1lh wcges
as the,r sole compensai.on will do the wor, ,ind !he s'·Jc ture 1s not intended or olfered lor sale (Sec 7044 Bus,ne~~ I
~~~ :;i::5i~o;~ ~~~:r oih;,;;;1.~~0:/ b~'SJ;1s;, ~~;r~~:; I
thereon and who does sue~ work h101sell or lh'Ough h1s own I employees. provided that such improvements are not ,niena ed or offered lor sale If, however. the burld1ng or ,m~ron
ment 1s sold w11h,n one year of cornplet,on the owner-builder I
;r'~v:a1~; :~: ~~;i~;e oit::1~1~9 thal he d1d not build or,,,-, I
I I,. as owner ot the pro~erty. am e,clus1ve1y contracting 1 with licensed con\rac!ors to construe! The pro1ecl (Sec 7044 Business and Profess,ons Code The Contractors License I
~~;edsoi~e~~~~PP~~~o :~o 0~onn~;a0;1f ri°ie;1r~6~~~~1fs5 ~;1 ~ma 1
contraclorlsl 11cense pursuant to the Coniractors License Law)
' As a ~orneowner I am 1mprov1ng my home_ and the fo1low 1 1ng cond1l1ons ex,sl 1 The worl< ,s be1~g performeo pr,o, to sale 2 1 have lived 1n my home f~r 1we1ve monrhs I
pr~~v~0 ~~~P~fi,'~:J1 11~,'; ~~~~p•,on duMg the I 1as1 three years
OWNER'S MAILING ADDRESS _J_...!__:::,:~,LI...L.L...!__j_. -ft
c:;)__&8\o c9_ vv,.__d.D~ (L)<) . CJ\ bcQ oes,GNER
,f\,, /\ ,., + ...I 1 r\ DESCRIPTION OF f'~Kf\ 'u..
1... ..-N'\ C\ \n'\ \J n ... DESIGNER'S ADDRESS STATEi:JCENSE NO, r J0i~ 0(1 1]125iSciF~
1------, e F LR ELEV
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PARK1r>,1G SPACE: GRADING PERMIT ISSUED
NO
STORIES
TYPE
CONST
OCC GP
OCC LOAD
EDU
FIRE SPF> I RCS U"Vi 1
YO ~ D I
REDEVl:LOPMENT
ARE A
·C ,.Q YO r-..0 Not Valid Un/en Milchme Certified
QTY PLUMBING PERMIT· ISSUE
7r 7 S-3>'
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QTY MECHANICAL PERMIT· ISSUE q trO_. SUMMARY/ACCOUNT NUMBER
I IEACH~IXTURETRAP I: INSTALLFURNOUCTSiJPTOlOOOOOBTU BUll.nlNGPE91~1T OIJ1 5'0-00-C08220
I I EACH t:!Ull.UING SEWER 1: OVER 100 000 BTU SIGN PERWT 081-3"0-oc-o=·-5??· +----
EACH WATEH HEAHR AND OR VENT ! BOILER-COMPHESSOR UP TO 3 HP PLAN CHECK 001-S10-00-00-8821
I-
--------j
t1EACH GAS SYSTEM 1 JU 4 GUI LETS __ -4-_ -1--S_OILER COMPRESSOR 3 Ei HP ___ _________ TOTAL PLUMB!\iG -------
EACH GAS SYS HM ':i OR MORF
oa 1-a .. o-oc-o~,-s2 22 -----
ELECTRICAL OD" -81 O-G0-00·8223 _ __ji_ __ ',1tJ,\L F'HEP_4CE
~ I am exempt under Sec _____ _ for th,s reason ____________ _ B&PC '--EACH INSTA~ ALI tR, REPAIR 1/,'AT ER PIPE"
EACH VACUUM BRE'AKER
'NATERSOfT~ER
vEN1 FAN SINGLE oun MECHA~:cAL uo·-s10-Go-oo-s224
1
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* t MEcH-FxHAUST -HOOD DUCTS ---------;□BllEi·-I0\.1E J01-81D-'.)0-00-8225 50 ca
I: I RELOCATION OF EA FURNACE HEATER SOLAR 801-81C-C0-00-82~6
f'M>-1 R()Uf IJRH ', f----+-------
·1r• I, 1 DRYCR VENT ___ STRO'l!G MUT,Qf; 880-519-92-33
~ere DY al'irm that I ha,e a cert1f1cate of consent 10: sell-insure. or a cert1!1cate of Wor~ers Comoensat,on l~-1
su•ance. or a cert1'1ed copy tnereof 1sec 3800. Labor Co0e1 1 POLICY NO
l
Trl l Al Pl. 1Jr>,1fl1r--.L
!: TOTt;L MECHANICAL I ~'RESPRl~J;.;LERS 00"-310-00-00-8227
--11 PUBLIC FACIL Tli:S FEE 32C-81::J-O:J-00-.807-'0.'.'.0--f-'--'--""'"",.,__,-'-_,_,""--
/H; tj I BRIDGE FEE 360-s10-oo-oO-s140 CO~NY
V Copy 1s tiled ,.,1\h tne c,ty QTY ELECTRICAL PERMIT~ ISSUE , ~;S".:...»-: QTY. I MOBILE HOME SETUP ~ 0() PARK· HIEU :AREA .g_ ------=~==~;::=~~~-=-
NEW CONST EA AMP SW! tlKR -I~ ' , CAR POR"; TIF 134-810-00-00-8835 =:J Cert1hed copy ,s heret,y furnished I
• -· ~----, LA COSTA TIF 133-810-CO-C0-88_3.c.5-+--"--,J
~t ~~ENSE TAX
I I PH ~PH
CERTIFICATE OF EXEMPTION FROM E )( 1S [ tl l QG EA AMP SWT ~ -~-t--~~--~~ il , AWNING
GARAGE c, ~ sec1,on need not be co r the per l PH H '-.>-
is tor one hundred dollars 1$1001 or e C 1
I certify lhal ,n the performance of the wmk 'or which I -~~~~~~~_!, L_ '. l_R Pf.'1 CI !'!If -· lh1s pe,,.,,t 15 issued, I shall nol employ a~y person 1n any 1 [ , I-"'
manner so as to become subiec1 to the Workers· CoIT'pen-TE ',1P P() l /llU ii, ,·1PS ~ ________ _
sa11on Laws of Calilorn,a 1 0 VER !(JU A MPS ~ c<;:
NOTICE TO APPLICANT If. after making this Cert,l1ca1e I . . . M_ C
,on oushOuldbecome TEMP UU.UPANCY ·30 DAY~ -Compensation prov1s1ons of the Labor Code you must I ----· -'---"~-~~-•
forthwith comply with such proY1s1ons or this permit shall 1 .., ;a,. ';,;.
be deemed revoked t--71 .-r J '\ I \ \ -
-' ~~ ~~ -!It t__
_,--
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~-o-----c., . T1JTALFLlLll-1ILA,.."' •"""' --~-. 'K..l_J
V (,) ~ 11 ,,-,----7 ,~ LC.~ '-
' >-----"L1/C.. l S_'1_o
I ~-------
·JC,1-81,J-C0-~0-3132
l-92-57 P.80-51
--------I
-------+----
1 00
--CREDIT DEPOSIT I I :so ~ TOTALFEESPAYABLE I 3'-\--72, 06
=:J I hereby affirm that there 1s a construction leno,sg
agency for the performance cl lhe -,.ork for ,.,,h,c" 1~1s pe•
1,1,i --~---~-
I HAVE CAREFULLY EXAMINED THE COMPLETED ·APPLICATI~ AND PERMIT AND DO HER Y pi ration Every permit issued b ttteBwlding Off1c1al under the prov1s1ons ofthts
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING TH de shall expire by l1m1ta!,on an ecome null and void If the building or work * AN OSHA PERM:T IS REQUIRED FOR EXCAVATIONS OVER
5· O" DEEP ANO OEMOlJTK)N OR CONSTRUCTION OF
m11 1s issued 1sec. 3097. Civil Codel DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS ulhonzed by such permit 15 not commenced w,th1n 180days from the date Of such
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Lender s Name
Lender s 11.ddress
permit or if the building or work authorized by such permit Is suspended or
ISSUED TO COMPLY WITH ALL CITY COUN"!Y AND STATE LAWS GOVERNING BUILDING CON cc'':'::'"""°"'c"c'o":,'•'c'e"1.'c'mce•,•c''•''-'"'"•''-"""'"'''-"""'"'"m"m""'""c", •• '-"''"''''-""'""'"L'£''-""•Dcde•w•c_ __ .,..., ________________________ "" STRUCTION. WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANto~PUCANT'S SIGNATURE OWNER O CONTRACTOR O APPROVED BY ~
STRUCTURES OVER 3 STORIES IN HEIGHT 2'
~ s
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF TH ,. ~
1
~
GRANTING OF THIS PERMIT. -""' cx:Jl ~01\ '-y PHONE 0 ,wctJ~
'-J \_ J '-J
TYPE ' DATE DATE INSPECTOR
BUILDING ' 81., -113g-
FOUNDATION J FIELD INSPECTION RECORD
' REINFORCED STEEL I
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES MASONRY I
GUNITE OR GROUT ' INSPECTION REO IF INSPECTORS DATE ' CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEIILING ----
□ SHEAR
SOILS COMP1_;ANCE
I SHEATHING □ ROOF PRIOR TO
FRAME ' FOLiNOATION lr-.SP I
' ' --~
EXTERIOR LATH ' STRUCTURAL CCNCRElE I OVER 200G PSI '
I ··-. ---------------INSULATION ' PRESTf"1E:.SSED
Co'NCRETE INTERIOR LATH & DRYWALL ' POST Tt'NS10NE~
I CONCRETE
! ~IELD \/iELOl~G
--------~---~--
PLUMBING ' □ SEWER AND BL/CO _ P'L/CO ~1H STRENGT~
UNDERGROUND □ WASTE □ WATER i ROL Ts
TOP OUT □ WASTE □ WATER Sf"ECIAL ~J/1.SONqy
-
TUB AND SHOWER PAN I
GAS TEST ~----
PILES CAISSOr-...;-·
□ WATER HEATER □ SOLAR WATER ---------
' ~----
ELECTRICAL I
□ ELECTRIC UNDERGROUND Q UFFER f--------· ~----
ROUGH ELECTRIC I i -~
0 ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL I
I --· --
MECHANICAL I -----
□ DUCT & PLEM., □ REF. PIFjlNG
HEAT -AIR COND. SYSTEMS I
--
VENTILATING SYSTEMS I ----
! ' --, -,
' .
CALL FOR FINAL INSPECrlON WHEN ALL APPROPRIATE
ITEMS ABOVE HA'VE BEEN APPROVED. · '
FINAL I I
PLUMBING I
I
ELECTRICAL I
-MECHANICAL 1 /\
GAS l --II ,/ ' -
BUil.DiNG ' ~.x~ ,✓ '·"· / .
SPECIAL CONDITIONS ' I
' --
CASHIER'S VALIDATION . . .
ClUtu of Cl!arlsbah
SEWER PERMIT APPLICATION
APPLICANT TO Fl LL IN SHADED AREA SEWER PERMIT NUMBER: SE 1'1r;/: 76, ,. II
BUILDING PLAN CHECK NUMBER: PC
BUILDING ADDRESS: . BUILDING TYPE: AIH
( NUMBER OF EDU'S: lP E ..1,11 ,
OWNER: I le CALCULATIONS:
MAILING ADDRESS: ( .
CONTRACTOR:
MAILING ADDRESS:
LEGAL DESCRIPTION: CONNECTION FEE
I:. , .,-~:/!J ,d COST PER UNIT I r ( x NO. UNITS I
LATERAL CHARGE:
TOTAL CHARGES: /I/Jc~
ASSESSORS PARCEL NUMBER: I " PREPARED BY: I,
(PRINTED NAME)
COMMENTS:
WHITE: OPS GREEN: Finance CANARY: Water PINK: Building GOLD: Appllcant
[3' CARLSBAD UNIFIED SCHOOL DISTRICT Cl!ftl-713-g,: ~••••••·••-AS•-
□ CARLSBAD HIGH SCHOOL RECEIPT NO.
10050
OATF -4/:i )'&lo
□ VALLEY JUNIOR HIGH SCHOOL
AECEIVC'°~ ~b '-t4ft~,;_~i_\
FOR \~ ~\, \'\,\.f l.)'\.°\o,~
USE OF SCHOOL FACILITIES/RENTALS $ ____ _
USE OF SCHOOL BUS
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
INCOME [1' ABATEMENT 0
$ ____ _
$ ____ _
$ ____ _
$ ____ _
CHARGE TO ACCOUNT NO._!___ -i° g '\1 -___ _
REIMBUflSEJ,,1ENTS
Gc."-et\ ~ $ \, \'He I
TELEPHONE COMMISSIONS $ ____ _
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ ____ _
$ ____ _
TOTAL $ \i ]'\Yi
~C.O;)... 3 i=>o
RECEIVED CASH O CHECK [3
RECEIVED BY ¼,\o,wjGi,\~
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