HomeMy WebLinkAbout2293 LINDSAY DR; ; 85-917; Permit.,, z 0 ;:::
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0 I hereby a11Irm that I am licensed under
provisions 01 Chapter 9 lcommenc,no w11~
Sec1Ion 7000) of Division 3 al lhe 8uS1ness
and Professions Code, and my license 1s 1n
1~11 force and ef1ect
,'la','
1 ,r, ~•w'lei o' the
•/,/'10 01J1 ijr, ;,r
r,r ;r1,0111~l1 1115 l]'I'/'"
H1dl ~uch 1rr:rrJ•"·~mP.r·ts a·e n,:,1 ·n1';'.rH~
tor scile 11_ ",n-m;,,e-r tre tJ'J.1,iJ1r.•.:i or
-~,~nt ,::; S011:<. w11h·,n
-,.,•i"I t,ave the tJJr1:iP.r
oro,.,e 'c,• !lie Purp,=,:::-e
1 as owmir ot th~ pro~,erty
w1H"a l1cen<;ed C(l"'rr,:,cior'3 ro rnns1rur;f
Bus1ricss and P•oft':;.S,;Jnr,. Code <lit
Law doe:~ r.o\ Jopl.,-le• Jn ,';"wner o'
pro,.,es ll1t'rf>.01 Jnd who
cont_rac:ar,: S-1 license pursu,int lo !ht Law·1
Ac, ,:i r.omeowner \ arn 1rrifrtJ•,1nq mv ",on-ie, ,ir,d '.t1r: lr:i11,J\/I<
Ina COl,d 1hon 'i ~,; l~.t
-1 The ""□rk i; b~,ng ~f:'r'orrrec IIJ sa.1e 2 ', have 111,,ed 11 rny l,ve1,,e rnor,ti',c;
~wor :o c0ri'.plet1on o' wor,,
3 I htr\1'1:1 n,ot c:a1meD th1·:; e1emot1cn dlnrg lhP. la-s~ tl-iree vears
I 3m ext"~WI u:ider Sec _____ _ 8&pr
for !hi-<; rea.s.cm -------------
', ~·,E"rf:b't' c1!f1rfTl \h,-1\ I 'lav<'" a. cert111caTe ot co-ns~nt t,:,
se1~·1nsurt'. or a ccrrn.cate of Worl<.e:s· Compensation lfl-
s•Jrarce. ;:ir t1. c:er:ified ::cpy thereat I.Sec. 3800. L<.lbor Code1
POLICY NO
COMPANY
Copy is f1'.ed wit!l the cit-y
Cert1ficc!. cc-py is he~eby furnished.
CERTIFICATE Of EXEMPTION FROM
WORt<ERS COMPENSATION INSURANCE
lTh1s section -need r<ot be completed 1f the perm•t
1s for one hundred Jolla.rs (S100l or less·1
I certify tha.t 1fl the performance of the work for which
triis perm it ls issued, I sh.all not employ any person in any
mannet so as to become subject to the Workers· Com pen·
sat1on Laws of California.
NOTICE TO APPLICANT: If. after makmg this Certiricate
of Exemption, you should tiecome subject to the Wo,i..ers·
GompensaHon provisions of the LabOf Code. yo1.1 must
forti,with corn ply with such proliismns or this permil shall
be deemed rell'oKed.
-, I heretJy affirm that there is a con-strucHon lendii:"1,;;j
agency tor the performance of tl'le work for whic" th;s per-
mit 1s issued (Sec. 3097. Civil Code)
Lender·s Name_. __ _
Lendet·s Address__ _
1 US[ BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL !N INFORMATION WITHIN SHADED AREA AND DECLARATION!
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-1989 1619) 438-5525 APPLICATION & PERMIT
JOB ADDRESS BUSINESS LICENSE " PERMIT NUMBER
M.s BLOC>< I SUROIVISION -rASSESSOR PARCEL NO CONTRACTORS PHONE • ZONE
CDNTRACT0.S:UDDRESS ___,I LICENSE NO. PLAN I D . .;t BUILDING SQ FOOTAGE
(;~13° AO[} M_!;.O--c\ t')\l't \{€_ G M~d -(°)tJ F ( L<=--
DESIGNER DESIGNE R"S PHONE ~
DE.rf!'f'\PTIO!' 01'-'jORK \ \ -J
\ .... \ CJ\,:?, ,e ~{'v\ e Sct l 1.o DESIGNER'S ADDRESS
< P F LR ELEV
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'□ '□ . ::::; ,.c
NO
STC.1R1 ES
TY PE
CONST
LICENSE NO
ace c,P EDU
OCC LOAD Fl RE:. S.-PP 12/12/857814
DDGl7Blt. le/12/ A--,
Nor Valid Unle5S Machine Cer'ti'lred
24S2~0.,
3u~2~00
I
((_" .. ~-,U'~-,. TRACT I ,-,p I_AI\Jf) u-SE I PAR~-_l"-Jr_,'. PACE_ JI 8£'~, urs 15 I c~RA.DINGPERM.IT ISSU~D ! :~~~VEL(JPM~NT
=L PLUM Bl NG p ERM IT _ I ssu E : -------..1-Q-TY~---M-E_C_H_A_N_IC-A_L_P_E_R_M_I_T ___ I_S_S_U~E-~-~-------~--S-U_M_M~A-R_Y_/A_C_C_O_U_N_T_N_U_M_B_E_R ______ ~~----1
EACH FIXTURl TRAP ________ ~-----+------i-iNSTALI FURN DUI TS uP TO 100 000 BTU BUILD1:,.G PEP~ --~lll~OO ,QJ 4 __ _ __
EACHBUll[JINGSEWER -4 nvrn1oonooBTU SIGNPERMIT or1101(JIJU(][Jo,c' +
-EACITTMTERH£-;:;-;-cH/;,MJOR---;JEN1----+------~(.JILERl,1JMPRE~ORU.PTD_J_t1_~-----+. :-----PLANCHECK ~-___ □Olb1Jur,riu,o□l_~--------
----=-EALHr.:.ASS:,sTE-Ml__l_'cl4UUTL[T\ ---------l 1E111LERCOMPRfSSOR11JHP ---{--_______ -~'T"L_f'LUMB_!'H~ 001s10-oo-orJ8c22
EMH GA5 SYS HM o [JI: \IORL Ji I 1/FTAL F CEPc6r:c +-ELECTR'CAL 001-610 00-00-8223
__ ~ , ~ :':: : ~'.~ ,';,-:,~ :: :' " •. ., .m "·1 : ~l 1 ~: ~,:, ::.: ~::-, : ~ :; : ,,,-rn --~ · ~ :::: :;~::; -~ :c: :c: :f!f '.: ~ cvi ~
w~_Stlf_T'-~ ------------=-+-_--_-+-IREL □CATLON. o~_A ,uRNACE HEATER __ ~.~---.... ~LEHOME P~R,, 11,,sp ___________________ _ -+ t i\1-o O i,·,c 'I _ ---lL-=r. ~----------T . I T014l MECHANICAL ---r--
,__ ,l.._ -T(l!AL.P! IHl~INL ------·1, I
--
SOLAR 001 81D 0000-8226 l-----
STRONG MUTI.QN 880-519 92 33 ..
FIRE SPRINKLERS _ ___QQ.1_-810-D0-0.Q-B2 27 -----·-------·
QTY. ELECTRICAL PERMIT -ISSUE __ __._ ____________________ >-_ ----.
~-~--------------·--·----~
'i I VY\Q:h 1--C::.
1'1 QTY. ~ -ISSUE \Q 0~
ii l -----
llffW CONST EA AMP SWl BK~--·----~--__ ____.:__ C0,1.Ecrr,Qo __ ________ ___ _ ___ ____2:'.~00l fEE..:.__Q§_TRI~ __
---· ____ ~-__ ~RM,F-· ;,_'!..'.2__ ___ r
ROU S :()RAGE
I PH
_Jl s:o<..J•_ PUBLIC FACILITIES FEE )_32-810:QQ-0D-~~O ----. -
----. -i-----·--------
----Carlsbad ---;.------------~----E XIS! lil DG EA AMP SWT BKR ! ~-~----------------------------;,...----1---------Encinitas ---
1----i-1_P_H ____________ ,_' _P __ H ________ --+---------11'-----,,-P-I!_~ -----------------+----------!~ __ San_Qi~u~_o__ ,, ____ ., ----------·---·· --
HEMODE LAL H H PfRCl!1CUIT P'.A'JC>jfC~rEf -SanMarc□s : ~~r~::~~-~-M-!-~□-A-M-PS-.. ------_,__ ____ --i~ ->----9e-\:--~--=--~~ -:~~c,Q~-.__ ~q~~)=vi ~0~0-~0-8162
: 1-_--+-__ -T_E_M_P_O_CC_U_P_A_-ril:C_Y-_,-J-□_-_OA=Y-S_l ____ :::_-_.=::::_-_-__ '"""~----_--_-_---;~f-----+1------.--------I _: _ -~::~O~o-=~::--5:-:1-:c-9_-=cg~:-c-5:--::7:-+-_....,_ts'.....,~"'--e---c--o-::a_c-_ -==-~;,-_-_ -__ -I
I --·--------1-,1-,-A-1-,-L-H-: 1-·R-l_r:A_! ---· --!--~--------11-f T!)] Al SO' /.P -----t ~ ~ TOT AL FEES PAYABLE I ~, I Co 2..-oo
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1 I HAVE CAREFULLY EXAMINED THE COMPLETED ·'APPLICATION AND PERMIT" AND DO HEREBY E;piralton. E\iery permit issued byllle Building OUicia! undertllepro•is,onsolthis * AN ---.-~IS REQUIRED FOR EXCAIIATIONS OVER
I CERTIFY UNDER PENAL TY OF PERJURY THAT ALL INFOAMA TION HEREON INCLUDING THE Cooe shall e•pire by !im,tation 8"d become null •nd ,o,d If 1h" build,ng or work 5" o·· DEEP AN EMOl.lflON OR CONSTRUCTIO+i OF
I DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY AND AGREE IF A PERMIT 15 aulllOrized by such permit 15 not commenced '"'thin ,so days lrom th" dale of such STfruCT\l OVER 3 STORIES IN HEIGHT
I 1SSUEO: TO COMPLY WtTH ALL CITY. COUNTY AND STATE LAWS GOVERNING BUILDING CON-:~':.1:1.n'":i'../~/:~, ~r:i:rie~~h=c:.:~r:~ti~~':r?e~oieJ1~~ :~~';;~i~r•rsbdna~~ or -•
I STRUCTION. WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY ANO APPLIC~T O n>'.,ROVZE....-:::!D ~-I D)J.[-./';1•~ I KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND r . NATURE a.OWN~ER · CONTRACTOR t:r / 7 ,
I EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE BY PHONE 0
GRANTING OF.THIS PERMIT. .
I L.-------------------------------..;., ___ ,_., ____ ... ,i,.:;._-----..1----:J~~2::::_ _____ ..i._4:._--,.£-..::..::...I ; u f -, ,,
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TYPE I DATE
BUILDING I
I
FOUNDATION I
---+--
REINFORCED STEEL I
MASONRY ' I
GUNITE OR GROUT I
SUB FRAME C FLOOR □ CEILING
SHEATHING D ROOF □ SH~AR~
FRAME I
f-; ELCNS:FCTION R[CORC
I .-~~o_u~RE~~AL INSPECTIONS
_ _ _ REO IF INSPECTORS b-~ir,_:'__F'_E __ =-'N _ _ (:HECK_ED APPRDV ''~--+DA TE~
I ',UILc, '' ,,, .• -f-1.
1
, ii
I PRIOR
'---+--------t-------t F1:_'.1l_l~~=-1\--;--11._~:'\J ,•-~ f"'
I ------~:_---------1·-----7-~-'.TR1.)c1, IP::.l_ (-i ··"·~: ~E:: T t EXTERIOR LATH I J'/ER r , ------------------.-----+------+-----1------------+--------r-~~----f ----~
_IN_S_U_L_A_T_I_O_N ________ --'-, --------11------------,1------------,I ~"'';1,\~:T{;p~"f i I J
INTERIOR LATH & DRYWALL 1 __J ',T re~,, 1rJcl ---1--~-· ~---
--------------,--'-----_-_,t-1------_-__ --_-_-:_-_-_-_-_~-=---'j _.,r,cC:[TE -+ ------1----~ ;---------------------------
PLUMBING I I El[) \C/El D:C,j ; ---j J ~Ni::~~~z~ B~ __ IC_W_O_A __ ST_E_c ___ □_P_,...~ ,-~-~-E-R------+-----~::,:~ ;~1i~ r ---r-----1--I
TOP OUT D WASTE r::::: 1/fATE-R ---~~~--~ 'Ee~~_'"'~ ,,,c~ __ ; ___ =:=-=--t---=-~ }--------------------------------JI
TUB AND SHOWER PAN
INSPECTOR
INSPECTORS NOTES
1--------------
GAS TEST ;
□_W_A_T_ER_H_E_A_T_E_R __ □_S_O_L_ARWATER~~--~r--~-1
I
ELECTRICAL
□ ELECTRIC UNDERGROUND D1 UFFER -----------------=-t---~ _____ __,_ _____ ~
ROUGH ELECTRIC 1
i~------~--, ----t-------1---
f---~------__ _J_ ____ _____,. ___ ,~----~------
~~------~---}-----}--~ 1---' ---~~~-~-~---------1
------~-----l
D ELECTRIC SERVICE □ TEMPORARY
□ BONDING □ POOL : ----------__ -~-~: __ -~---~ J---t:f------------1---j:
t-------------------.--------+-----l\----------------------------1 MECHANICAL 1
D DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS 1
VENTILATING SYSTEMS 1
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED
FINAL I
I
PLUMBING I
ELECTRICAL !
MECHANICAL I /\
GAS I / J /
BUILDING I 'lly.;-sv ! j,6-
~
SPECIAL CONDITIONS ' I ' ' '
r----~-----------~-----+ -1
\
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~-----1_-j -------------~_, ___ ----"-~~--~---------
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
NEW BUILDING
LEGAL DESCRIPTION
REMARKS;
I
I
EXISTING BUILDING
I
/-/ I
LATERAL LOCATION
ST.
LATERAL NO,-------INSTALLATION DATE---------41
SE
ISSUED BY _ ___;:..:.:..._:_ __ ....:,_:..._...:.::..~-,,:.-------
DA TE 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 10' 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---
PUMP STATION FEES
NO. UNITS ___ COST PER UNIT ___ TOTAL---
WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter
LJ LARLSBAD UNIFIED SCHOOL DISTRICT
□ CARLSBAD HIGH SCHOOL RECEIPT NO.
□ VALLEY JUNIOR HIGH SCHOOL 09433
REcE1vrnF,iqM ~"-k__ 5'N,oeM:\es DATE 1rl)1.;>,.-I~ \ ~ 't I I t\. lt .-lit '7 :S-\
FOR ('(JM\"(\() '°N\t\::, I\ ll..",/\.\C,.SS-.Q.\_
USE OF SCHOOL FACILITIES/RENTALS $ _____ AEl"(BUR~E~TS $ ) ) l C\ lo
~c.X•0 l s
USf OF SCHOOL BUS $ _____ TELEPHONE OMMISSIONS $ ____ _
DAMAGE TO SCHOOL PROPERTY
DAMAGED OR LOST BOOKS
SALE OF SURPLUS
INCOME~ ABATEMENT 0
$ ____ _
$ ____ _
$-----
CHARGE TO ACCOUNT NO. ~ -G '\ 1-----
INSURANCE CLAIMS
REIMBURSEMENTS
(EMPLOYEES)
$ ____ _
$ ____ _
TOTAL $ la l ~v
-¼ 6 O;;).. ~-<\ \ ;;:i._
RECEIVED CASH O CHECK G-"
RECEIVED SY(j\_, GY\\,~~e
~' I?,,
-.. :.. . .... , .. -:-· .. ··.··
£?J-
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By _____ _