HomeMy WebLinkAbout2291 LINDSAY DR; ; 87-337; Permit"' z 0 ;: .. " .. .,
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0 I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Dlv!slon 3 ol the Business
and Professions Code, and my license is 1n
full force and effect
nereoy afhrm lhat I am exernpl trom the
tors License Law lor the tollow,ng reasc~ 1Sec
Bus,ness and Pro1ess,ons Code A~v c,ty or county wr,c·, re
qu,res a permit to construe! alter ,morove. ctemo11sr or
reoa,r any siructure. prior to ,ts rssua~cealso ·equires :~e ap
plIcanl lor such perm,1 to !tie a s,qnec statement that re 1,
,censeo oursuanl to lhe prov,s,ons ol lhe vJr11rac"G(,
L,cense law -:Chapter 9 commenc,ng with Sec:1Qn 7~00 cl
Dw1s10~ 3 of the Business and Professions Coce, O' Iha: ,sex
emoi 1r,erelrom and the oasis !or the allegea exemption A0 y
,io,a1·on al Section 7031 5 by an aopl1cart 'o' a permI1 ,~b
,eels !M app11canl TO a cIvI penalty of not more than live hf•
d'ed do'lars 1$500!
I as owner at !he properly or 'llY em~loyees wI:h wai;es
as !heir sole compensation will do lhe work and The 1Truc
lure Is no! ,ntended or offered lo' sale !Sec 104'1 Bus1neos aM Professions Code The Contractor s License Law does
not apply •o an owner ol property who builds or improves
t~ereon and who does such wcrk h1rnsell or through his own employees, prov,ded !hat such 1"lprovernents are not ,ntend-
ed or offered tor sale If. however the bu1ld,ng or Irnprove-
11ent Is so,d Mth1n one year of completion, the owner-bu1;der
wi'I have the burden of prov.ng that he did not build or I,n
prove !or the ouroose or sale!
I, as owner ol the property, am exclusively contract,ng
wIlh licensed con1ractors to construct lhe pro1ect {Sec 7044
Business and Prcfess1or.s Code The Con\raclor's ucerse
Law does not apply \o an owner ot property who Duilds or Im
proves thereon. and who contracts for eacr. proIects with a
contraclor(s) license pursuant to the Contracror's 1,cen~e
Law)
; As a homeowner I arc, ,rnprovIng my home. and The 10;10111
,ng cvnd1t1ons exIs1 1 The worl: Is bemg performed ~nor to s;;le 2 I have I1ved ,n my home lor Twelve rnos•ns
orior 10 completion ol this work
3 I have not cla,med lhIs exe"1pt1on during the
last three years
1. am exempl under Sec _____ _ B & PC
lor this reason
'~hereby affirm thal I haae a cert1ticate of consent 10
sell ,nsure. o, a cert,tocate ol Workers· Compensation In-
surance 01 a cert1f1eo copy thereof 1Sec 3800. Labor Code!
POL'CY NO 7A NY
Copy ,s filed with the c1ty
Cert,f,ed copy ,s ~ereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS COMPENSATION INSURANCE
~
tion need no! oe corrpieted 11 me permI1 1 or one hundrea dollars 1,$1001 or lf'ss,
..e...J I certiry that ,n the perfor'llance ol the work for v,h,ch
th,s pe•rn t Is ,ssued. I shall not employ any perscn Ir. an;
manner so as to become sub1ect to the wo,~ers Com pen
sat,on Laws ol CalLlom1a
NOTICE TO APPLICANT If. after makmg this Cert1f1cate
of ExemotIon. you should become sub1ect to the Wor~ers
Compensat,on provos,ons ol The Labor Code you must
formw1th comply 1111th such provIs,ons or th,s permit shall L be deemed revoked
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1 ~ereby allirm t~at there Is a cosstruct,01 le"d1ng
agercy lo, the per'ormance ~f the 1,c,~ lor "" ch ·1,s pe'
m,1 ,s ,ssueo ,Sec 3097 Ci,1 Code,
Lercer s ~arre _
Ler,der s Addres~
USE BALL POINT PEN ONLY & PRESS HARD 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
JOB ADDRESS BUSINESS LICENSE #
"2.,29/ L1µD.sA.-v ~~T•.o r;;::;"::" l?t~~;;~;,
BLOCK SUB0I VISION ASSESSOR PA~CEL N6.-"2--/ 2. --~S°"-00 ("")_
OWNER'S PHONE E. ~ vc --rte._ I L -011 _.
CONTRACTORS PHONE #
STATE LICENSE NO.
ZONE
q L D ~ DESIGNER DESIGNER'S PHONE
'Z,, '1-I f lo/ M 4 y ,e.~ A--1!-LS a t::,,D
$;_z_ r u P DESCRIPTION OF WORK
AAO~/t...,/Z, H-r..MI DESIGNER'S ADDRESS STATE LICENSE NO.
VALUATION 87J;;
BUILDING SO FOOTAGE
m
LL c ~ 0 0.
E m f-
FLRf;LEVl I NO \ OCC GP I EDU
0016 04/20 0101 02Bldf'll!t 3472-® I
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STORIES
,□ N[J
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I PAP''"" seACe I AES UNITS
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GRADING PERMIT ISSUED REDEVELOPMENT
I
ITYee I ace LOAD I F1RE sPP AREA CONST
,□ 'D '~ ... o vO NO Not Valid Unl~s Machine Certified
QTY. PLUMBING PERMIT -ISSUE
I' l QTY. MECHANICAL PERMIT -ISSUE SUMMARY/ACCOUNT NUMBER
INSTALL FURN DUCTS UP TO 100.000 BTU BUILDING PERMI~ 001 810-00-0S-82?0 ---+---
SIGN PERMIT 001-810-00-C0 822' ~ EACH FIXTURE" TRAP ' Ii
EACH !:.UILlJING SEWER ~ I OVER 100 000 BTU
EACH GAS SYSTEM 1 l U ·1 UUl LETS ------
EACH GAS SYSTEM J OR Morn=
PLAN CHECK 001-810-00-00-8821 (_,,Q...-"..-"'-----i----
--_:, · --~;. ELECTRIC_AL
f----
f-----
EACHWA!EH HfATEH ANU OR vEr.T ---;----~ER C~M!~ESSOR ]_1_5 HP
1-r-/ETAL F QEPI ACf'
+-
TOTAL PLUMB "-IG DO 1 -810-00-00-82 22
00' -810-00-0D-82 23
--
C------1-,,n: :-" ,tt:-----·1
u-,..,.,.,,,_.,,~., ~c•L" lt-AN~INL,LtUUL.I ~ ))/ 'J~.:-~•-ME~~ICAL _ _________g__2_1-3C00-00-8224_+---I
EACH VACUUM BREAKER --i ---~ MECH FXHAUST HOOU'OUCT_S_ .,,/ , ~.os1LEHOME 001-3'0-0C-00·8225 ~ .!>--0. 0 t)
Tt---• so1LE-R CoMPRESS-□R uP-TO 3 HP
--· t-----l VENTF·~·~-~~T
WATER so~ TNER RELOCATION OF EA FURNACE·HEATER -S□LAR 001-310-00-00-8225
e---+l-f-.',-C:--1-RLY,F l"":·f<."' 'j _'.'..'.~-----_-·-r--DRY-ER~------STRONG MOT 1,0N 880-519-92-33 +--
-~
j_ _ ~ TOTM MECHANH:AL t.•~.-,-FIRESPRl~J,<iERS 001-810-00-C0-8227 C TO l AL Pl U'viflli',n, -~--71 1.,,... • 0 • (9-0 PUBLIC FACILITIES FEE 32G-310-CD-iJD·8740 ~--0. 00 ----, -I 11 I BRIDGE FEE 360-810-00-00-8740
QTY. I ELECTRICAL PERMIT ISSUE 11· QTY. M9BILE I I0ME SETUP PAR -? ~ -, O 0 ~-_,_ ___________ -----C--------'L _ K-IN-LIE~ 1.AMEA ~ ____ _j__ __ :::>-,,c__.,,,__.-=,---
NEW CONST EA AMP Si,',T eKH CAR PORT TIF ___ 134-810-00-00-8835 __ 3, __ 0 p_~ _ 0(
I PH l PH AWNING ~~A COSTA TIF 133-810-00-00-8835
I GARAGE ,-------+---'--'. xc-e-'.s_i_s_,_o_c_,_A_A_M_P_s_w r_-=-"-'-'.-P-H ___ ----i-
1
-~ I ___}__G;r__(d P
R[r.100E1 ALltR PER[~ _ ---I . f---+-, C-C,-CI :-::p p O l ~ ~\\ PS!
OVER }[Jl) AMPS I ! -------------r 1-----+!~r=-,.-c,::-p·ur:ruPANCY_ 3DOAYSI --~ --f-~_---+---
j Lfa, 0 tl I ucENsE rAx ~----001-810-c11J-u,>s152 -----___ _____j
--,__ MFr/c / :.--qo 38051992-51 /S-C/0, Oc)
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FMF
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r -----=~ ---,-----~ -~----r----10w , .!::,--V. 00 i<JT;'l.t tlt"ClRl(Al ii
CREDIT DEPOSIT
TOTAL FEES PAYABLE I 3 47;;....oo
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 AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS
ISSUED TO COMPLY WITH All C!TY COUNlY AND STATE LAWS GOVERNING BUILDING CON
STAUCTI0N. 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 lN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE
GRANTING OF THIS PERMIT
Expiration Every permit issued by the Bv1!d1ng Ollic1al underthep1ov1s,ons ofth1s
Code shall expire by 1,m1tat1on and become null and void Ii the bulidmg or work
authorized by such permit 1s not commenced w1thm 180 days from the date vf suci"'
permit, or ,f the building or work authorized by such perm,! 1s suspended or
abandoned at any time after the work ,s commenced_for a p1,:mod o! 180 days
APP~'S: Sf~~~E .. OWNER D CONTRACTOR[]
~-~~ BY PHONE [J
* AN OSHA PERMIT IS REQUtREO FOR EXCAVATK)NS OVEA
5· O" DEEP ANO DEMOLITION OR CONSTRUCTION OF
STRUCT\IRf:S OVER 3 STORIES IN HEtGHT
APPROVED B'f OAH.
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TYPE I DATE
BUILDING I
FOUNDATION I
REINFORCED STEEL I
' MASONRY I
GUNITE OR GROUT I
SUB FRAME □ FLOOR □ CEl1LING
SHEATHING □ ROOF □ SHEAR
' FRAME I
EXTERIOR LATH I
INSULATION I
INTERIOR LATH & DRYWALL ' '
'
PLUMBING -I
□ SEWER AND BL/CO C' P,UCO
UNDERGROUND □ WASTE q WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN ' I
GAS TEST
□ WATER HEATER D SOLAR WATER
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ELECTRICAL I
□ ELECTRIC UNDERGROUND 8 UFFER
ROUGH ELECTRIC I
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□ ELECTRIC SERVICE □ TEMpPRARY
□ BONDING D POOL I
' ' MECHANICAL I
□ DUCT & PLEM., □ REF. PIRING
HEAT -AIR COND. SYSTEMS :
VENTILATING SYSTEMS I
I
ITEMS ABOVE HA;VE BEEN APPROVED
FINAL I
PLUMBING -I
ELECTRICAL I
I
MECHANICAL I
GAS I
BUILDING I cwt,ft I
SPECIAL CONDITIONS '
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INSPECTOR
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FIELD INSPECTION RECORD
F------=c...c.._~-REQ~l~EO SPECIAL INSPECTIONS I ' INSPECTOR'S NOTES I
I REO IF-INSPECTORS ' INSPECTION CrlECKED, APPRO\JAl DATE -===== ~~~-ccJ
'..)O',LS C::...•~.,.,, ',ANCC
PRIOP TO
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Sf"=ECIAL \~ASUNPY
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CASHIER'S VALIDATION
atttv nf Cl!arlsbah
SEWER PERMIT APPLICATION
SEWER PERMIT NUMBER: SE I
APPLICANT TO Fl LL IN SHADED AREA
BUILDING PLAN CHECK NUMBER: PC
BUILDING ADDRESS: i ,.~ BUILDING TYPE: I I t • ' I
NUMBER OF EDU'S: I J
OWNER: l ~ II j ( L CALCULATIONS:
MAILING ADDRESS: I ,r I, ,)
CONTRACTOR: ,. .
MAILING ADDRESS: M1L "'· I ... A ~, _ --~-v.._ l>-;":);_,Tl;j_ Lf lO(J' • "
LEGAL DESCRIPTION: CONNECTION FEE
COST PER UNIT ) x NO. UNITS ,, { J
-LATERAL CHARGE: -TOTAL CHARGES: ~
ASSESSORS PARCEL NUMBER: r u / .,, PREPARED BY: I IJ
(PRINTED NAME)
COMMENTS:
WHITE: DPS GREEN: Finance CANARY: Water PINK: Building GOLD: Applicant