HomeMy WebLinkAbout2295 LINDSAY DR; ; 86-1096; Permit"' z 0 ~ "' ~ irl C
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Leby ,111,m t,af I am lloea,.,d """"
provisions of Chapter 9 {commencing with
Section 7000) ol Division 3 of the Business
and Proteeaions Code, and my license 1s 1n
full force and effect.
I nereby alf,rrn thar I am exempt trom :ne Conlrac
tor's L,cense Law lor lhe iollow,ng reason (Sec 7031 'J
Business and Pro•ess1ons Code Any city o' count,· w~,u. re
qu,res o perrrnt to corstruct. alter 1"1pr0Ye. Gemal,s~. o· 'epa,r any structure. pr,o, •o ,·s issuance also ·eQu1·e~ !~ea~
~·,can\ lor such perm,t to ',le a s,qned stare~enr Thar he ,s
•,censed pu'sua~t :o the proa,s•ons o' tne 1,cnir:ictor 1
L cense Law ,cna;J!e' g cJm'11en,:,n~ w,rn Se:t,os ,'IJ,I0 o' 01·,1s,on 3 o1 the Bus,ness and P·otess ons Code, :,r 1ra1
;;mp1 The,eJ,or-i and the ~as1s tor :0e ol'egea exernJ:,~n ,101at,r,n ol Secl,Dn 7031 5 by ar Jpp11cont 'c• r
tre app 1ca1t tc a c ,•11 per-a :1 o! rot
dolla'S IS500'1
I, as owner c' t~e prJperly ~r my "·n ,.-;;,;ec
as •herr sole compensat•an w111 ao •~e and 'ne slruc
:ure s nor 1~!encec er u'fe·e~ 'or sa,e l~A4 3usnes<
,nd Professions Code ,re Con:·aclor s L,cense _aw does
nol apply to an owner of ilroper:·1 wio Ou<ICs or 1mpro,·es
lhe·eon and who does sue" 11,ork h1""1se•l or 1hra,"9h r1~ Dwn
err-pioyees i)rov,ded t•at such 1"1pcover11enh are rm rterd
ed w offered 'v' sa·e If, howevw the bu ld1ng or 1"'1prov~
ment 1s sold w1Th,n 0~e year ot corr.plet1an tie Dwrer-bv1 der
will have the burcen of i)'ov1ng that ~e did 0,ot 81,,1,d or 1rT'
prove for The purpose ol sJle;,
1 as owner of The p-o~ert1. am e,c1us1vely cor.t'act11c; with 1,censed contrac•o1s To construct the pro1ect !Sec /04~
Bus,ness and Professions Code The Contraclor s License Law does not apply to an owner ol ~,operly who budds or ,m
proves thereon. anc who contracts for each pro1ec1s w1Th a
contrac1or{s) license pur~uant to The Con·racror s L·cens~ Law)
I As a homeowner I am 1eip•o,ing my Mme and toe fol ow
1ng cond1t1ons exist 1 The wars 1s oe1ng performed prior to sale
2 I have l1veo 1n my ho"1e for twe1ve rr-JnlhS
prio, to compleilOn ol th1s 11,ork
I have not clormed 'hrs e,emp1,on :J,,,og the
last lhree years
I am exempt under Sec _____ _ B & PC for 1h,s reason ____________ _
V::ereby at!l'rn that I ~ave a cert,f<ca1e of consenl to
self-insure or a cen,t1cate of Workers Co<npeosatoon In
surance. or a cert,l,ed cooy thcreo' ,Sec 3800 Labor Ccc!el
POLICY NO
coyANY
,Z Copy rs 'rled wrt.h the c,ty
"-J Cert1f;ed copy ,s hereby furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
1Tt11s section need not be completed If me oerm1t
_./ ,s for one hundred dOl'a,s 1$7001 or lf'SS)
)£'. I cert,!y that ,n the performance of tne work lor wh,ch
this permtt ,s issued. I snail not employ any person in any
cnanner so as to becor11e sub1ect to 1he Workers Com pen
sat1on La ... s of Callforn,a
NOTICE TO APPLICANT. If. after making this Certificate
of Exemption you should become sub1ec1 to the Wo,ke,s
Compensation pro-,s1ons of the Labor Code. you mList
!orthw,th comply with such pro,os1ons or this perrn,t shall
be oeemed revo,ed
rer,:,b, a'f"T t~~t ·~e,e s a ~er.st' · ·.on ·e c1 "9
., 'cr toe :er'~ Ta-cs cf '.he ,.c•', ·-,· ,.~,:' ir,
s ssu~o Se·: -,;c7 C·, I C~jc,
-~",le' s ... ,.,,~
coders Ac!mess
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS
CARLSBAD BUILDING DEPARTMENT
Carlsbad, California 92008-4859 APPLICATION & PERMIT
;;•;qsc;:: ~~A~ NEARESr;,., -°'-~ ,0 loioo~A\P7C~8U BUSINESS LICENSE #
t-7J1l [ BLOCK -[ sueo1v1s10N [ Ast5ssoil PARCEL NO.
I l"T ~ l:::l 10 I ~~ ni)
ISY\~ OWNeRS . ~ac I ow ~ 9 .2; '""";;:(' ::-, '-l--~,,1~41<\
. ri D CV)( '\w<;\, .
CONTRACTOR
~J'!/\JA.t:_ ~
CONTRACTOR'S ADDRES1:l
-,0.,, j ,~o D
CONTRACTORS PHONE 11
'-ts884?9
STATE LICENSE NO.
DESIGNER L DESIGNER'S PHONE
ZONE
DESCRIPTION OF WORK () /'l' J'\f'l n. /J e _}/ _gj_ n~,\ U,V, ( A \!Jc DESIGNER'S ADDRESS STATE UCENSE NO.
VALUATION .PERMIT NUMBER
ilt> -
I D'i 6
BUILDING SQ. FOOTAGE
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E Uc> 10 ::,1 · IS)/")~4s' , .. . '5 1<-.::;;) J\ .I.U_., _ __Q_"1 ~· . ·. -~Y..
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PAPK-•~ACC AREA R~-sQN1TS l GR.l:i1NG PERMIT 1ssuEc l REDEVELOPMENT
NO
STORIES
TYPE
CONST
OCC GP
OCC LOAO
EDU
FIRE SPF!
Nnr V;,Jitl /Jn/Ks Machine Certified I '□ ' □ . C •.□ I I I ,□ ,□ I -· -I 11 I I I
: QTY PLUMBING PERMIT· ISSUE ~ &-9 QTY MECHANICAL PEm~1T · ,ssuE ~ -1 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTAl l FURN DUCTS ,)P 10 1:J:; ,' _:'-TU BUILDING PERMIT 001-810-00-00-8220 ___ _fi.9--~
1 EACH BUI LUING SEVVER I OVER 1(]()_000 BTU SIGN PERMIT 001-810-00·00-8221 1
11.-___ EACHV1iATERHEAIER-ANull-RvENT ____ -+------•B□lLERCUMPRESSORUPTOJHP -----. PLANCHECK 001-810-00-00-8806 /_L/-1
I -----------------------
I EACH GAS SYSTEM 1 l (] 4 GUTLE TS ,i 801 l ER. COMPRESS□ R 3 15 HP . TOTAL PLUMBING 001-810-00-00-8222 1
1---~ ------• r --t----------11--
: 1-------EACHGASSY_~_E_~ _ _9_~_1:iOR_f _________ T--• ___ J(,_ ---~1~~_F-:,EPL_~~ ____ _ _____ _[__ ELECTRICAL 001-810-00-00-8223 1__2_.:_-.r::::;,.r
EACH INSTA~ AL l t.R. REPAIR ·,\·ATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001-810-00-00-8224 I ----------------~ ---
1 EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001-810-00-00-8225
WATER SOFTNER RELOCATION OF !:A FURNACE-HEATER . SOLAR OOJ.810-00-00-8226
; t-----~AC>-1 Rnr:F 'Jf1H · -.~, 1::, _ jl___ --ORvrn VENT ------------~TRONG MOTION 880·519-92·33 _ • B,7:/.-
, TOTt;.L MECHANICAL I FIRESPRINi<LERS 001-810-00-00-8227
I
I
~ TO!AIP1 ur..1B1N\l --r ----J_ -~~LIC FACl~l!IES FEE 320-810-00-00-8740
j lQTY MOBILE HOME SETUP I :::DK~~~~l:U (AREA ) I I
NEW CONST EA ,'.\MP SWT HKR I I CAR PORT ! TIF -001-810-00-00-8835
ELECTRICAL PERMIT -ISSUE 6., Ii QTY
I I --------~-_ •. -4---f WNING ·--·------I -LICENSE TAX 001-810-00-00-8162 I
1 ,,,sr6,oGEAAMPsw1R,R,3ofl,,1P 7sqcARAGE ----------·---1 MFF aao•519-92-57
L PH IPH
] PH I PH
RU,100EL ALltR -+----Pt:.R [IRCUiT
lEMPPOIE ?llD,\MPS
---+----+---+-
---!f----j----------
f---+~O~C~E~R_!~_A_M_PS __ ---~-:;;~------1------'---+--+--------------------+-----'-_JL
TEMP UCCUPAri.CY 30 DAYSI +---. -----------+-------t-----+---------
-------
CREDIT DEPOSIT
-------
-
, li'llelL t.lt.l,lRICAI I ~r ,. ' I 11 '1 TOTAL FEES PAYABLE ,, 7
I I I HAVE CAREFULLY EXAMINE:) THE COMPI_ETED APPLICATION AND PERMIT' ANO DO HEREBY E~pHahon Every permit issued by the8u1ldmg Olloc1al under the prov1s1ons
CERTIFY UNOEP PE"JALTY OF PERJUFIY THAT ALL INFOR",IATIOI-.J HEREON iNCLUDING THE Code shall e~pire by l1m1ta11on and become null and void It the bulldtng o• WJ'k
DECLARATIONS AME -:-RUE A~JD CORRECT AND I FURTHER CERTIFY AND AGREE IF A PERMIT IS a~:~~;iz~~ bl such permit is ~ot commenced within 18_0 days from the date 01 suet<
ISSUED TO COM Pl" 1//ITH .A.'..-.._ C:'TY_ COUN l Y A"lO ST A TE LAWS GOVE:ANING BUILDING CON ~band0nec/ai':~ ~~~:1~ffe~ th:~~r:~t~,~~ ~y such perm,t is 5uspended or.
SrRUCTION, wµFHER SPECIFIED '1ERE!N OR "!OT I ALSO AGREE TO SAVE INDEMNIFY AND O e ced for a er,od 011ao da s
KEEP HARMLESS THE CITY oi: CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS COSTS AND A(oCANT S;;;/1,IGN URE n'f--OWNERn CONTRACTOR 0
EXPENSES WhlCH MAY IN A.NY WAY A.CCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ /'I .. ,A_
GRANTING OF TH'S PERY IT :1_ _J..,,.l\.. l.J..LJ /fP ~L Ai r.. t"t'1.I JI _ ,J\Y P,..~ fJ
u \ u
* AN OSHA PERM:T lS REQUIRED FOR EXCA\IATK>NS O\IER
5· 0" DEEP ANO DEMOlJTK>N OR CONSTROCTION Of
STRVCTURtS OYER 3 STORIES tN HEIGHT
>PPPCVEO K rYJdt DATE
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TYPE DATE INSPECTOR
BUILDING
FOUNDATION
REINFORCED STEEL
MASONRY
GUNITE OR GROUT
SUB FRAME □ FLOOR □ CEILING
SHEATHING □ ROOF □ SHEAR
FRAME
EXTERIOR LATH
INSULATION ----
.NTERIOR LATH & DRYWALL
PLUMBING
□ SEWER AND BUCO □ PUCO
UNDERGROUND □ WASTE □ WATER
TOP OUT □ WASTE □ WATER
TUB AND SHOWER PAN
GAS TEST
□ WATER HEATER □ SOLAR WATER
ELECTRICAL
D ELECTRIC UNDERGROUND □ UFFER
ROUGH ELECTRIC
□ ELECTRIC SERVICE D TEMPORARY
□ BONDING □ POOL
MECHANICAL
□ DUCT & PLEM., □ REF. PIPING
HEAT -AIR COND. SYSTEMS
VENTILATING SYSTEMS
CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE
ITEMS ABOVE H_AVE BEEN APPROVED.
PLUMBING
ELECTRICAL
MECHANICAL
GAS
BUILDING
FINAL
SPECIAL CONDITIONS
~
I\ •
/,,_~,~ ~-
• .
~
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS
INSPECTION
SOILS COMPLIANCE
PRIOR TO
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED
CONCRETE
POST TENSIONED
CONCRETE
FIELD WELDING
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
PILES CAISSON~~
b
REO IF I INSPECTOR s
CHECKED APPROVAL DATE _.
'b't, -IQ', y,
1HSpFCT~_ s· NOTES ..,~ t.e, ~ ~ .... : ,.L IJ..rl-
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