HomeMy WebLinkAbout2288 LINDSAY DR; ; 86-214; PermitCII z 0 ;:: ,c ,z: ,c ..J u IU 0
II:
I[
8
Ir w 0 ..J
3 • ii: w
'Z t 0
z 0 ;:: ,c
CII z ... Q.
:E
0 u
CII i,: ... ><: ,z:
0 3
0 I hereby a!llrm Iha! I am licensed under
provisions of Chapler 9 (commencin~ wilh
Sec1Ion 7000) of Division 3 ot the Business
and Professions Code, and my license is 1n
lull force and e!fect
Lie No -----~
I hereDy afllrm that I am exempt from the Cor.uac
tor"s L1cerise Law tDr the fo11owmg reason rSec. 7031 5
Business and Profe-ss1ons Code An~ city or couflly wh1cr. re-
quires a pefm1t lo consirucl alter Impro .. e derno·1.sn or
repair any struclure prior to its i:s.suarte .also req;;1res !h~ JO
pl1canl tor such oerrp1t 10 hie a sI~neo sla'.ement rnai :ie Is
lrcensed pursJ;mt !O 1ne prnvIs'.ons o~ thf t:ontraox '.,
License Law l Cha;::i!er 9 r.ommenr::1r1-g with Ser:11011 7000 01
0Ivi-51□n 3 oi rne Business and Prnless..ons CodeJ O" 1ha11s e-,-
em'JI therelrnrn and the basis far the c111-egerJ erernp1•an Ary
vIa1.aiIon 01 Section 7031 5 by an applIc.anl to· a perrnIT si..b
!€Cts The applicant to a c1v1I pe'ialry ot not more than 11-Je 11 .. r•
d'ed do lars ($50D1
")I' I a-s □Wf'J-er of lh~ prop-erty, ar rny employees 'li/1'.h wc1ge-s
~s. ttie1r sole cGrn~ensat1or, w;II do the war~. and !he ,;·,uc-
ture ,s noi 1ritended or of'ered tor sale I Sec r'OC:4 Bu 5Ires.-s
and Prnless1om, CM~ The Contractor· s l 1cen se Law c oes.
no: a;:ioly ta an owner of property wh1) t,u1lds ,y .mpro\/t'S
!hereon and who does such work r'1mself or through n1-s. •~wn
employees. Df0\'10e-d !hat such 1.T!p-o·veme,'1'.:5 Jre-l"JDt 1'ltend-
ed or of1ered tor sale-ll, however the bu1i1j1ng o~ ,rnprove-
mer.; Is sold w1th1n o-ne ~ear or C{lmplet1on the Dwner-bu1Ider
will l7a1,1e tr,e burden ot provrng tt'lat "le did nOI build Jr i«;
prove tor th-e pu rpo5~ or sale 1
I I, as. -owner ot the prnp.e-~Ty .am €~ciu<,M':ly contr~c1111q
w11h l1ce11sed contracror5 to -cor'lst~ucl me proiect \Ser: 7044
Bu-s,1ness and Prof€s.s1on-; Code. The Con~<acior·s Licr.nse
Law ctaes. no! a poly to an own-er DI prope,1y w~a bu1las or im-proves thereon. ar1d who rn11tracts 1or e.ach :iro1ects. wIrti a
contracior\s.) :1cense p1H5uant to tt'le Conn.actor s l 1c.ene::e '...aw).
I· As a homeowner I am Imorov1'lg rny hnme. and 'he fOlI0¥.
ing cond1t1ons exist
1 The wor~ 1s be1ng pertormf'd prior 10 sa·e. 2 I have 11\led 111 my .home tor twelve rnonih"'i
prmr to completion ol this work
' have nrit r.la,mel'l !hi; exemrMn r.11r1ng th(! last itiree years
I am exempt under Sec ______ _ B&PC
lor this reason -------------
I ~ereby all1rm that I have a certif1calE o1 consen1 10
sc-ll 1ns1Jre, or a cerl1t1cate of WorkErs Compensation lri-
suraf"\ce or i Ger~ified copy the·eo! 1Sec. 3800 Labor Coder
POUGY NO
COMPANY
_ Copy 15 filed l'>llh the city
Cemf1-ed copy 1s nereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
lTh1s section need not be compl~ted 11 tt1e permit
15 tor one hundred Oollars 1,$100) or less)
~ I cert I ly th.at 1n the perrorm ance oi the work. •or w h1 c1"l
tri1s pe~m1t 1s issued. Is.ti.all 1101 employ any person in any
r"f'l;;inr:er so as to become sub1ect to the Wor~ers· Com pen
satIon laws ot Cal1fom1a.
NOTICE TO APPUCANT If. after m.;i~1ng 1n1s Gerttfo:;.a1e-
of b:empt1on, you should become Sl.JbJect to the Worf:er..,,
Compensation provismns of the Labor Code you rTlust
'arthw1th comply with sue~ provIsmm, or this perl"lIt s~all
be deerned re1,1oked
~ 1 her-sby affirrn that there is a -::::vns\ructinr lerd1rig
c:1.gen-::y tor !he pe,forrnan~e of the 1'1-0rk 'or .,.,.t',ch ~~is per-
m: 1s is.sued (Sec 3097 C1-.;1• Code1
Len de1 s Adaress
, USE BALL POINT PEN ONLY & PRESS KARO
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 (619) 438-5525
J08ADD~-
~~-
AV. ST.AO. NEAREST CROSS ST.
it\
8LOCK I ASSESSOR PARCEL NO.
"-, :::i. to, ;;.:,oo
OWNER'S NAME
CONTRACTOR•s ADD-RESS
OWNER\ MAILING ADDRESS
('fl,,,_~'r,._"C!I.._
DESIGNER
F'P 1'-LA ELEV.
APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
APPLICATION & PERMIT
NO
STORIES
" 8UStNESS LICENSE # PERMIT NUMBER
. TVAL N
.----~ZONE---~.&;/ f CONTRACTORS PHONE• ,7,
LICENSE NO.
DESIGNER'S PHONE
LICENSE NO.
OCC GP EDU
PLAN I.D. # BUILDING SO. FOOTAGE
2/2u/ii531B6
□'ii 13 l e6 2/26/ 8~ 30~U
30~ [j,
~
LL
::::-~
0 0.
E
Q)
I-
I
B~
cTL ro 0
0.
0.
<(
Oi'tJl3!E:Hi Ot 2/;iEVi,if.i
cu,su,,TRAc1 l GPI_AsrnusE IPAR.C,NGSPACE R!::S UNIIS
I
QTY PLUMBING PERMIT -ISSUE
I
i!
EACH FIX!URE TRAP II
GRADING PERMIT ISSUED I AEDEV-ELOPMENT AREA
,□ ,C
QTY. MECHANICAL PERMIT ISSUE
TYPE
CONST
.:9-
DCC LOAD Fl RE SPF!
Not Valid Unlers Machine Cerrdied
SUMMARYi'ACCOUNT NUMBER
INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMI' 001·81000-00-8220
r-------+---+1 _________ O_V_E_R_l_□-□-.□-OO_B_T_u_·--+------11--S-IG_N_P_E_R_M_IT ______ O_D1 :1:10 D0:00 8221 .. -------
EArH BUILDING ScWER
->-----. -----·-
EACH WATER HEATER Arill OR VENT
-~ --t--------,--------I--· -----·---I---------------------·
PLA'I CHECK 001-810-00 00-8806 i : BOILER COMPRESSOR UP lO 3 HP
--,:,-1 -_._-_-p□I LE_R:_C_(l_M_l'.RE~SO R ~ I~ ~p ____ _
---·-------------1------------
EACH GAS SYSTEM I l(H UUlLE!S
1------r-------------·--------·------+ --EACH GAS SYS HM', OR Mn Rt --+ Mt~ Al_ F REPLAC~ _ __ _ _ __ _
EACH INS TA~ ALTER. Rf PAIR ~;ATER PIPE 1 I VENT FAN SINGLE DUCT
TOTAL PLUMBlflG 001-810-00 00·8222
ELECTRICAL
MECHANICAL
001-810-00-00-8223
1)01-81000 008224 ~-------·-· ------------+ ~-
'
-~~~-it-------+-----------
EACH VACUUM BREAKER MECH FXHAUS1 HOOD DUCTS MOBILEHO ME 0 D 1 -810 -00 00-8225
WATER SOFTl\iER RELOCATION OF EA FURNACE.HEATER MOBILEHOME PARK INSP f---1---------------------------!--------«---+----------" -----------------t--------Jr---------------------+------------j
--11----~----,T~O~T~k~L~M~E~C~HA-:-:,-N~IC~A~l------.--~------s----S_OLAR
STROIJG MOT ION
-1-----------001-81000-00-_8_2_2§_~-·----
880-519-92-33
TDTAI Pl 11',IIJING I
QTY ELECTRICAL PERMIT -ISSUE ·--::>-
NEW CONST lA A'vlP S\\'l BKR
I PH ·1 PH
Ii QTY
I' '1
SOLAR ISSUE
COLLcCTOR~
Fl RE SPRINKLERS DO 1-810-00-00-8227
--yefifuc FACILITIES FEE 332-810-00-00-8930 { A-.:Z.-i.:-u ~----
SCHOOL-FEE -DISTRICT --,.-----
Carlsbad r---+------------------------t--------______ _, ______ ·---------------+---------; --------
EXIST BI n G EA AMP SW l BK R RO:'K Sl,JRAGl Encinitas -ti------------
~;:ODEL Al HR PER Cl-H'_c_3u-~-;---------+-------------+-:-IJ __ ~,-,P-,-,I, ,.-K-c-,-,-~-+-------••--\, \, -....;;:;;;;
:::_-_---+-_T_E_M_P_P_O_L_E __ 2_il_ll_A_~_1_P_S_. --------~~~~~~~~~~~~-~-·-_--_ .. ______ _,~/~_-"/___ --~-~:::::~~~~~~~~~~~~~~--:::··-~
San Diegu,t_o _______ _
San Marcos
001-810-00-00-8162 1----+--(_J V_~ _R_l_O,_J _A_M_P_S ________ ~----+-------+r---+--_,..,..--...,
TEMP nc~~~AA_ N_l_:-~-~-~1_1r_1~-:-{Y_As_l1_ ·-·--_-T---+-·---.... !if----jt-6 ____ 11,. ':'.:,_:,I • LICENSE TAX
MFF ------,---,-c--t-------------1
880-519·92-57
i:
I HAVE CAREFULLY EXAMINED THE COMPLETED· APPLICATION AND PERMIT' AND DO HEREBY
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE
DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH AL~ CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON-
STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY AND
KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND
EXPENSES WHICH MAY IN ANY WA\ ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
CREDIT DEPOSIT r---
1
TOTAL FEES PAYABLE I .--
Exp1rat100 Every permit issued bythe8u1ldfng OU!c1ai un-der1he p,ov,s1oris ol lh1s
Code shall expire by hmitat1an arid become n.uH and ...,o,d if ttH~ budding or worK
authorized by such permit 1s no! commenced w1thm 180 Gays from the date 0! such
permit, or d the building Of work authorized. by such permit Is suspended or
abandoned ,it any hme after tl>I! work 1s commenced for a penod ol 180 davs
APPL! ANrs SIGNATUR:t'f-' OWNER.Jct CONTRACTOR e_:
C '1, J_ BY PHONE [] ......... "' ti., , Ra A...<.
* AN OSH<' PERM:T IS REQUIRED FOR EXCAVATl()t,jS OVER
5' o·· DEEP AND DEMOllTION OR CONSTRUCTION OF
STRUCTURES OVER 3 STORIES IN HE1GHT
1 ~
/
0 "' "' Q)
"' "' <(
I
3 2
Q) >-
en "' Q)
0 e
{l_
ro
"iii
0
2!.
Q)
(.) c:: ro c::
LL
0
0
Q)
0. "' C
TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
-
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEIL.ING
SHEATHING D ROOF
FRAME
EXTERIOR LATH
INSULATION I
I
INTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO =::: Pl/CO
UNDERGROUND □ WASTE □ WATER
TOP OUT D WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST I
□ WATER HEATER □ SOLAR W.fl,TER
ELECTRICAL I
~ ELECTRIC UNDERGROUND □; UFFER
ROUGH ELECTRIC 1
□ ELECTRIC SERVICE □ TEMPORARY
□ BONDING D POOL I
MECHANICAL I
□ DUCT & PLEM., D REF. PIPl)'IG
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPR!A TE
ITEMS ABOVE HAVE BEEN APPROVED.
FINAL
PLUMBING -ELECTRICAL I /
MECHANICAL I / I
GAS I ,I I I
~------·---------------------------· ---------------------------------------------~--------~ . .
FIELD INSPECTION RECORD
1----------------------~......----------------------------------1
REQUIRED SPECIAL INSPECTIONS
INSPECTION REO 1r I_ IN':iPECTOn s CHECKE□I APPROVl\l
INSPECTOR'S NOTES
DATE
---------.-,~=--=-=--1--c-=-===l t--------------------------------,
SOILS CCMf--1'. ,\"\!\. [
PRIOR TO
rDUNC::;\-11:1\J '<::Y
·+
-------'-i-------------+ -----s-Rucr, __ ,R."\ '.'('1,CRE-E . ·1 : II
C\/ER 2onu P'.::" t------------+-----------,--------t------P'1 ES TRES;,;E[• I I
l
l
>-------~---·--
,·-oNCRETf I -F---l·----<------------------------------------! POST --:-E~~'.:.,1c~·-I\.E~~ --•
~l~:~::\l~D~~--=~~= ~:~-. ___ _-_-~ -~:-::_-_~_, >----------~-----~----··---~~---------,
11 t]rl s1r~f.l\JG1~• ~· '· • i
BUL Ts ~--------+------<-----+---·---: -~-------+~ >-----~· ---~------
~----------------+---~-----+---------<
------+-, __ --l -------...--··------r---------
f----------~ ___ --~t--~-~-i ---i-~ ~
f-------------~ ·---~--=--. -=+= -=-.. ~ -=--
1---------------------------------------,
------•-----+------+----------------j
1----------------------------------+---··--
~------+-----< ----------------------------------1
1---------------------------------
I BUILDING 1 '2.,,A JJ!J.I l/~ S_P_E_C_I_A_L_C_O_N_D-IT-IO_N_S--------,:----+~---i...L-L-=-----t-J/~~~----J 1-------------+-------+-----+-, --~.
L ---_;
i -~-------~------~•-~>< --.,..--_--~~~------------
• -------~-----··· ------------------
.. ,.
! I
! '
I:,, ' Uf!V~
r /'. --£ l..ftU"o/2 T ,
I!
::z,
v":.,
fiTR 2 8 1986
City of CARLSBAD
BUILDING DW!P,-·
\.
NC r,;./ {&J.,,tJ t.;1..bl) IT70 J ~
~, fa j, A
(I 74 J~~
0t ~ 8'
s, tl)
I (( :::::-/0 I
0
i'3 (/2, C.t+flCTUtZ~,L
C M I rrFE', b
\ "'£A__, •
-7r----_J_-~~~~S.~r0~' ____ _J__~\~_1 '
_...
:~ ~ r . i?1 ~ /. ..,~ ,. ~i~ ~;r .: r · .. ,. ~~ £ ... -;:, ... ,. 1-r.-r:~ pl.? ,.,, ... ; ' tP · I ~ ' "J'Jc, ,~ I tYr. ~,., ;,;.-'"; ,(I
~ , ... •'-~
/:..
iff ·.~ •. _ < ,, '
i.1,,--
, ,-_,
I
!if" :
,:; =-,~
1 L,-
l d C: r
j,; [1/
<.:"' -e-
\
~(, i ·1_.
~ er ·,O liJ ,
~ •
1
·~ .. ...---
'
r.
---.. ··--·~-1.
!
'. Bf i.V-::t.~~:..:£ .~-::::.
9-) ! o, ;'"V'."
•--.(
C, ..
-··· < ........ _
d
o\S' !:i\o fi. C:.l 1 ~
aleq .
ti' O,G.'
)
t
--·---e-
_, . ....,_
\ '
; .. -e-
r
STATE Of CALIFORNIA P.O. Box31 DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
,·DIVISION OF CODES AND STANDARDS □
□
Sacramento, CA 95801 DEl'A#lTltfENT USE OM Y //111 1 .,-1---: .,,.7 r-
COL NO. " _· v
-_, ,..,· j r-' /. MANUFACTURED HOUSING SECTION 6007 Folsom Blvll.
Sacramento, CA 95819 FEE REC'D. · ' 'J, ' ~.,_ l,t ✓1· ,,; ,.,., ,//
1
2
3
4
5
6
DATE · · /,,,,_JI :''b
SUBMIT THIS FORM WITH APPLICABLE FEES TO THE
NEAREST MANUFACTURED HOUSING SECTION
OFFICE TO INITIATE ANY OF THE FOLLOWING
ACTIONS. (PLEASE llEFEll TO THE BACK OF THIS
FORM FOR INSTRUCTIONS)
□ 1350 "O" Street
Room 202
Fresno, CA 93721
-~ · 28 Civic Center Plaza
~Room639
/ Santo Ana, CA 92701
r 1
AA NO. _____ _
RT TO ______ _
RT BY
i
MANUFACTURED HOMES (MOBILEHOMES)
MANUFACTURED HOME (MOBILEHOME)
COMPONENT STRUCTURES
□ RECREATIONAL VEHICLES
□ COMMERCIAL COACHES (Occupancy Group _ )
□ FACTORY-BUILT HOUSING
□ FACTORY-BUILT HOUSING
COMPONENT SYSTEMS
REQUESTED INSPECTION
APPLICATION FOR ALTERATION, ADDITION,
R CONVERSION .
APPLICATION FOR ALTERNATE APPROVAL
□ REQUEST FOR TECHNICAL SERVICES
□ REQUEST FOR REPLACEMENT INSIGNIA/LABEL
UNIT SERIAL YEAR OF DECAL OR
LICENSE NO. NUMBER(S) MFG.
Business Phone No. ____________________ _
location Address
if Different
.P ., --; r-+ ½:-!::::,
Address-----------------------
c~ __________________ ..;..... __ _
Telephone ______________ Zip _______ _
Con. Lie. No. doss_
CALIFORNIA INSIGNIA
OR HUD tABEt NO.(S) -
,,._1.1..: ~o·~; · _-:> V ~ lj·)~·_;, Li= j te,:; 1-~.
MANUFACTURER'S NAME
_ '\ , . ~KE(~ODEL .
'\ I • \ ~ ,, t, ·, t',, "';0, •;. -, ,,o~r • J2ft>729
g&gQ l f /&'3.1
Note, Allow a minimum of ten (10) day1 for scheduling.
AN INSPECTION IS REQUESTED FOR THE FOLLOWING DATE -h~..L-:....,oe:i;_=::.__,_cz..~-=:..~::::. THE PURPOSE OF THE INSPECTION
IS TO, 0 OBTAIN INSIGNIA O CLEAR NOTICE OF VIOLATIONS O DETERMINE COMPLIANCE OF ALTERATIONS, ETC.
A REPRESENTATIVE OF THE DEPARTMENT WIU CONTACT YOU TO CONRRM THE DATE OF INSPECTION.
ALTERATION, ADDITION, CONVERSION: Describe the proposed work in detail in the space provided in Item Number 5. Use additional pages if
necessary. Where structural alterations or additions are proposed, complete plans, specifkations, details, and calculations are required to be attached
to this form. Provide the make and model of any appliance to be installed and provide complete electrical calculations for any electrical alterations or
additions.
INDICATE THE TOTAL COST OF THE WORK TO BE PERFORMED S
\, ··, (::r:,.E.\ 0-"-'--', -... ,:
?r~U.'-,{k'4-+:◄ k
r
REPLACEMENT CALIFORNIA INSIGNIA OR HUD LABEL: I/WE HEREBY MAKE APPLICATION FOR REPLACEMENT OF A LOST INSIGNIA
OR LABEL FOR; THE UNIT INDICATED IN ITEM NO. 2 ABOVE. I/WE CERTIFY THAT THERE HAVE BEEN NO ALTERATIONS, ADDITIONS,
OR MODIFICATIONS\ TO,THE UNIT WHICH WOULD AFFECT COMPLIANCE WITH CALIFORNIA OR FEDERAL LAW OR THE RUbES AND
REGULATIONS OF THE DEPARTME!';/T, (Where alterations or modifications have l:,een made, lte~ 3 and 4 must be completed.) . • 1/J,. \ ·'•a
, . , , .. , . -. . "" SIGNATURE ~'..-..>-,y-··-~ ·F• .... , , . --
DATE OF APPLICATION . .:.'-':-::.'--.,;\-:.;... __ l.,_..a"'-..'--'-J _ __,_!_ .. ),,, ___ ~_· __ ..;:&;...'"_' --'•\ ---~-•·-r
......... _,-...iic.;:··-~-.-.·.-"..,j...· -~
Applicant's Signah,r• · · -
-.. ,_ )DEPARTMENT USE ONLY
,. -(';;JI APPROVED--0 CONDITIONS* . 0 DISAPPROVED* yr'·, ~ --~ r·-
___ __:..,..,&Y--;~~-· · 2 /:Z.7/?6
Sup•,vi$or's Sigttalulw
• (See reverse sid• for conditiOll5 or reason for disopproval)