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HomeMy WebLinkAbout2296 LINDSAY DR; ; 86-369; Permit"' •· 0 ~ "' .. J " "' C Cl'. ~ I hereby afflrrn that I am licensed under o l provisions ol Chapter 9 (commencInc with t; Section 7000) of Division 3 of the Business ,c and Professions Code, and my license 1s 1n ~ _ ~~II ~;rce and eflect 1 'a l "' "' C J 3 !'! "' "' z ~ 0 z 0 ;:: .. "' z "' ~ ,. 0 " "' ) ffi " "' 0 ~ ieret)· a'f,·'ll Dr s l re,,oe caw tor 8Js1ness Jn~ 0ra'ess,0n1 "Nes a 8erm: :o ·epair a~y SlructurP Jr Jr 1~ 'S I<;•,ua ~ IranI 10, such perm,1 •~ '•le a s,8,'t,i: JU"o,a~: to :he pr:·,,s vns ·:0octer 9 ccr,'7en:,nq Buo ne,s a~d P·~f~SSl~·O\ :'.r,Cf 0 ;ire 'Oe has1s for ·re ,1;leyec e,c,-"1.u" ·w'a1,oc, or· ~031 S ~yd" JOPl1can1 10, d oe·m: :u~ the a:,r;.1canl to a:,·,,· pena !)' af nol mo·e ·~~r t,,e r,J1 dJ la rs i$jQ~' as 0·1,ne· c: ''.e J'GPe''i or e'lC;;lcieec, ,,,-- ,.s "e,· so e nrnpensa110° ·1, II do ww, 'be •-·e ,s "81 ";'ended~, o''e,ea for sae ,Sec ~u, r-,;,s :rnd P·cles;,on; Crrne The Cont·ac•o, s '. ,cer,~ . ""' :hes rot app y :c :in owner o' propert·1 NhG tu,rc; ur 1~,pro,·es 'her~~c ccd who does s,"ch v,orf h1mselt or Tncough l11s ov,n emJlcyees, provided Iha• such 1"':pr0vemePTs c·e not :ntend ec or CJIIWtd •o· sa;e If hnweve-the ou,ld,ng ~r ,mn,c·,e n-enl IS sold w1th1n nne year ol C0'1'0,et101 the owner-builder ,.,,1 have tre o~rder o• proving 1ha1 he d:d not ~ui:d or m ornve 'or the puroose ol ,a·e: I, as ov,ne' of the pcoJert,· am e,clus,vely cor,trac•-ns _.,,rn ,,censeo contractwo to cons1rucl lhe pra1ect !Sec 7C44 ilu,1ress and Proless1uns Code 'he Co1:·actar's L,cew,e law does nol 08JI)' t~ an owntr ~1 prope·Ty who~'"' ds or nr pro·,es Tl1e·eo·1 ar-d who contracts 'or each pr":ec;ts W,t~ a cort•ac:ar1s1 1cense pJ·scant to the Cort'ac·ors ficense law, As a homeov,ne·, arP l"'prov r~ m·1 Mme an¼e 'cllov, ,ng cond11,ons exist 1 T'le work 1s being per1ormed priG• 10 a e 2 I ~.ave lived 1~ rr,J ho1'1e br tv, ve month, : ~r or to corrplet,on ot t~,s wo·k I 3 I ha,e nor cla,med n,s exempt,01 , ;,.st Three yea·s I I arr exerr-pt u~der Sec f L tor :h,s ·easor. f B & PC _ 1 he elJy all rm th~t I have a cert1tlte ol conse~\ o se • 1nsu e cir a cert '1cate of l'ior~ompensat on a su a1 € o , ~ t •,en copv tne eof, ec BOC Labor Code POLICY "'0 CO 'v1 PA, I', { Con IS filed ,. th 'he city Cc t I eel CJP• s ~ereby furn,she CERTIFICATE OF EXEMPTION FROM WORKERS-COMPENSATION INSURANCE ,Tr,,s sec1,on need not be ccmple!ed ,1 the pe,m,t 1s for one hund,ed dollars ,S100) or less1 I :ert,ty that ,n the performance of the ,..o,k for which this permit ,s issued. I shall not employ any person ,n any -nanner so as to become sub1ect to the Workers Com pen sat,on Laws of California NOTICE TO APPLICANT. If, after making this Certificate ol Exemption you should become sub1ect to the Workers Compensatmn prov1s1ons of the Labor Code. you must 'L forthwith comply w•th such prov,s,ons or this permit shall be deemed revoked ![ I hereby aft.rm that there ,s a construct,on lenC,ng agency for the performance ol the work for wh,ch this per m,t is ,ssued 1sec 3097. Cr,11 Codel Lenders Name Lender's Address , USE BALL POINT PEN ONLY & PRESS HARO APPLICANT TO FILL IN INFORM¢fuN WITHIN SHADED AREA AND DECLARATIONS. : I CARLSBAD BUILDING DEPARTMENT Carlsbad. California 92008-1989 (619) 438-5525 ' ct AVvS("\ ."EA~cd. 9~ DQ".:128?;, VA~UON %0R'."'TNUMBER , OR_~ARCEL NO ,., '."\ ZONE 3 bf I .:l I -;;i_ i'I) ( .J.-, 0 V I J-',""--'-'------'--------.l...---=..:....:=-..:....::....,c...:=-...:....------1 I /"7"t OWNER'S PHONE l-cc--c-c\-.,>.-,-,c,'-...;C,,>c. .... .,,C...: _______ _;f-c-==c-=-=-----f--:----,-c---::--,------+=::--:-:,-:-:c'-==,-,-.,--i I l.>"11/'---, 3 { \ 2...3 y LICENSE NO PLAN I o. # BUILDING SQ FOOTAGE 't-;:;;;;c;-::;:;:--:t:ccl:c:-:-:c:::;c-;c:;:----'-<al---------'--,;::---------1 -- 1 OWNER'S · NG ADD~ 0 " l-,-,-,-.,c,-~~~~---l~~~~"=----------,f--,----,-,-.,:-,---:-,-:---l------,;71-,..,,7c-,--f,;;,,----------I a.~Co Q-~ ~-,_o..f\.lldco ... <0 ornGNERSeHDNE ,;/fib 102 27□~i;,J DESCA•PT•ON OF f"?li."J\ ~ ..J..... 'I. ~_IO_ l 'i. 0 ~ """'"--0 A.f5 I ( • IF;) DESIGNER'S ADDRESS \J 0---e e Fc_RELEV y~ -...c '"csusrnAu, I ,,e ,.AND use I PARK ,...,e, '.:,PAC~ a>SuN ,s I GRADING PERMIT ISSUED '□ ~ D I RE:OEV~LOPMENT A REA ,C ..._□ OTY PLUMBING PERMIT· ISSUE EACH ~IXIURE TRAP [ACH tlUll.UING SFWER 7 ---~- QTY. MECHANICAL PERMIT· ISSUE INSTALL FURN DUCTS i.JP TO 100 000 BTU I OVER 100.000 BTU ---' EACH WATER HEATER ANll OR VENT ·-----'----II.-I BOILER·CUMPRESSOR UP TO 3 HP -rso-lLERCoM~R-ESsoR 3 15 HP 1 EACH GAS SYSTEM I TU l U\JTIElS ' f EACHGASSYSH._MS __ UR!vi[)R[ _j I M~T./\L H<FP1_ACl: I 1:ACHINSTA~ Allt:R,REPAIRWATERPIPE VENT FAN SINCLE DUCT : ---1---EA-CH-VACUUM BREAKER MECH EXHAUST HOOU DUCTS WATER SOFT~ER ---------~----'----1----"--RELOCATION OF EA ~URNACE HE:ATER -- NO STORiES TYPE CONST LICENSE NO. ace GP I EDU ace LOAD IF-IRE; SPFI y[J r-..□ J!tfv,iL n efS Machine Cerrrfred Nat Valid U I SUMMARY/ACCOUNT NUMBER BUILDING PERMIT 001-81 0-00-00-8220 SIGN PERM!T 001-81ll-O-Q:Q(l-_8221-+-------I-- ~ ------- PLAN CHECK 001-810-00-00-8806 -----------ll------~AL PLUMBING .JI-ELECTR:CAL 11--~~HANICAL 001-81 0-00 ·00-3222 DO 1-310-00-00-82 23 001-810-00-00-82 24 001-81 0-00-00-8225 ~() I i .1'._>· P,lljr: ·1:;,\I', 'J'.-,1 ·,: ----- ! I TOTH MECHANICAL ! ~ MOBILEHOME MOBILEHOME PARK lr~SP SOLA9 STRONG MUl ION FIRE SPRI\JXLERS 001-810-00-00-8226 880-519-92-33 DO 1-81 0-00-00-8227 (Y') --- l T[)]Al PlU'vHilNL ) 4---I I l I ,(\\ :.:.:...t:.\. 0 0 : QTY. ELECT-=A=._F'ERMIT-~l:SUE JI QTY I .. • >Pl PH ,~~uc I \ 0 CY) PUBLIC FACILITIES FEE __ 3]__:t,810-00-00-8930 µLSQ._oo S!(;RM;F f:11,kC:, -------->--·- I NEW CONST EA AMP SWl llKR : UJL,H:~1P:,:: I : 1 PH 1 PH t tXIST BLOG EA AMP SWI fJKR RU[K ST~:RN:F ----+·--1 PH 3 PH P'Jr•,·1P SCHOOL FEE -DISTRICT Carlsbad Enc1n1tas San_ D1ecgcc_;l_c ____ _ - ----+-- : l--+-R~~'.00El AL ltR __ P~R [IR[UIT t TH,1PP0lE:. /l)(J/.1,MPS --Q.J " C"f"< FEE r n P'", 'sz £ ,~ ,iw, t San Marcos a,]?o. ct, .. .-::r:;;, Ge.u .s ':38-~-oo_~ \T LICENSE TAX 001-810-00-00-8162 880·519-92·57 M-FF/\\2() CREDIT DEPOSIT I OVE. R 200 AMPS 'I ± I TEMP OCCUPANCY :JO OAYS' _. -r- t ~-IIJIALflll.lR,CAI---·-~-~----!I ~ r:·,11sc,i,o --------1sa 00 TOTALFEESPAYABLE d70)..-00 I I :::.2...0 • C:.() :A- '~-------------L-------,--;:::::~==:::::::=====7-".:-::::::::;:;;:-::-:::;=:;;:;;::-, ' I I HAVE CAREFULL y EXAMINED THE COMPLETED ··APPLICATION AND PERMIT'' AND DO HEREBY Expiration Every per_m1_t issued by the Building Otl1c1al under the prov1smnsolth1s * AN OSHA PEAMlT IS REQUIRED FOR EXCAVATIONS OVER CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by limitation and become null and void 11 the building or work !)' O" DEEP AND OEMOl!TION OR CONSTRUCTION OF I I I I authorized by such permit Is not commenced within 180 days from ttie date ol sucn DECLARATIONS ARE TRUE AND CORRECT AND I FURTHER CERTIFY A~D AGREE IF A PERMIT IS permit. or ii the building or work authorized by such permit 15 suspended or STRUCTUR S OVER 3 STORIES IN HEKiMT ISSUED: TO COMPLY WITH ALL CITY. COUNlY AND STATE LAWS GOVERNING BUILDING CON· L...:'ob:•"c'eooncod"'-'''"'"",,_',•m,,,,ea•ctte•c•s•hae,_,,w,oa"'-""C'cOemem""'""'S'O''--"'oe•c•!..110'>'00da_e>OCI -'""''-"'''""''----,:---1"~~~~~.,...,,---~-------------:--, STRUCT10N, WHETHER SPECIFIED HEREIN OR NOT. I ALSO AGREE TO SAVE INDEMNIFY AND ~PLICANT'S O O DATE t KEEP HARMLESS THE CITY OF CARLSBAD AGAINST All UABIUT!ES. JUDGMENTS. COSTS AND ~SIGNATUR~OWNERd//NTRACTOR f1 EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY !N CONSEQUENCE OF THE ~ BY PHONE O 1 / 1_.....,-. GRANTING OF THIS PERMIT Jt:..I_ / \} \] ' ~ l w u_ c ~ 0 D. E m f- 0 er;;; C m u D. D. <C 1 C Q_ 0 ' ~ m " ' <C ' ' 3 .2 w >- "' ' © 0 0 a: m ;; 0 iJ: w 0 C rn C u: -I C © ~ ('.) 2 u Q ~ C ~ £ ;:: \ TYPE I DATE INSPECTOR BUILDING I FOUNDATION I REINFORCED STEEL I MASONRY I GUNITE OR GROUT I SUB FRAME □ FLOOR □ CEIL!ING SHEATHING □ ROOF □ SH:EAR FRAME I EXTERIOR LATH I INSULATION ' INTERIOR LATH & DRYWALL I I PLUMBING ' ' C: SEWER AND BL/CO _ Pl/CO UNDERGROUND □ WASTE □ ,WATER TOP OUT □ WASTE □ WATER TUB AND SHOWER PAN I GAS TEST I □ WATER HEATER r:: SOLAR W/1,TER I ELECTRICAL I □ ELECTRIC UNDERGROUND =::UFFER ROUGH ELECTRIC I □ ELECTRIC SERVICE □ TEMPORARY □ BONDING □ POOL I ' I MECHANICAL I □ DUCT & PLEM., □ REF. PIPING HEAT -AIR COND. SYSTEMS I VENTILATING SYSTEMS I I CALL FOR FINAL INSPECTION WHEN ALL APPROPRIATE ITEMS ABOVE HAVE BEEN APPROVED FINAL ' I PLUMBING I ELECTRICAL I -MECHANICAL I I GAS I _j_ _I BUILDING I . c!-8'-yv J.,~ SPECIAL CONDITIONS I• 11 I I ------- 1--'?& ··3c.,q FIELD INSPECTION RECORD ~----CC_R_E_O_UIRED SPECIAL INSPECTIONS b=====''=N~S;'.P~E;:Cc;T"°O'c;'.:R'='S~N~Oc',Tg:,EgS====----==----=--====, REO IF INSPECTORS INSPECTION SUILS COM~' ,\", i- PRIOR~,:_) ~C~,r,.:;,~ Ti()N 1~,s, -;rHuCTL,F•A. ,,-('•NCPf -~ (_;'/f.9 2(W:! PS PRfST9ESSED ~ONC~ETf CHECKED APPROVAL DATE ' l I PCST TEN~ ·~lNf r CCNCPETE f'-lf!_O VVE:~ OINCi ---+---,---i-·--- i -i ·11;rl SlPU~Gr~ riUL TS :oPEC,,\L '.'A'._'._)N:::iv -----~ i 1 +----~----~- f-----I f'lc.l:::::i CAl'.-<::,CJi\'· c---------- +---- -...t --! ----- -----+----- f----· ----+-----,---- --f---1. -+----, I -·-1 I---· . ----1------------- t-----------t------------t-----+- 1----------+·--· +-------+-----, _L -- ' I ' i -___ _l__ ----__J l L >-------------------------------------+ [5 CARLSBAD UNIFIED SCHOOL DISTRICT □ CARLSBAD HIGH SCHOOL RECEIPT NO. □ VALLEY JUNIOR HIGH SCHOOL RECEIVED FROM f~L y~~t.,c C ~1> \'\\LI._:, 1...ot" ~ l\ 10704 DATE _.t-1_-'+/_1~'~'ii~lti~_ FOR \@) \f \,\'l,!., "-\cu-\_,;Ol'ocl!)l\. USE OF SCHOOL FACILITIES/RENTALS $ ____ _ USE OF SCHOOL BUS $ ____ _ DAMAGE TO SCHOOL PROPERTY DAMAGED OR LOST BOOKS SALE OF SURPLUS INCOME~ ABATEMENT 0 $ ____ _ $ ____ _ $----- CHARGE TO ACCOUNT NO.~ -\N~l)1----- REIMBUflSEl,1ENTS ~C."()0\ '\'e'O.) $ 1, \'l\p TELEPHONE COMMISSIONS $ ____ _ INSURANCE CLAIMS REIMBURSEMENTS (EMPLOYEES) $ ____ _ $ ____ _ TOTAL $ \, IC\& ~ (go ~4-ll I , RECEIVED CASH □ CHECK CT RECEIVED BY ~(h..,.,(;.vi ~t\_~~<-.llc \ 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 EXISTING BUILDING LEGAL DESCRIPTION - REMARKS: /fa#I /EZ>./ LATERAL LOCATION ST. LATERAL NO. _______ INSTALLATION DATE---------11 SE ISSUED BY ----,"'--#-:'--fc"~-:--:---=-.,..=---------- DATE ISSUED -..:;...,,--....,.;....a.,--=....:....a.:...._ ________ _ VALIDATION LATERAL CHARGE COMPUTATION STANDARD 4" (Max. H. 30', V. 10') ____ ...,.,,.._.c _____ ;;_ __ _ 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 }/JdY. - PUMP STATION FEES NO. UNITS ___ COST PER UNIT ___ TOTAL--- WHITE: Engineering GREEN: Finance YELLOW: Sanitation PINK: Building GOLDENROD: Permltter ~, ' - -,q I - .,,, i ,, 10' U T 11.. , ef l)IZ.o.i ,J .,._,,.,, f" I I J!. • loT ~ <; t''=-!O' -/,?:/ - 2•/'2.-8(. D' p I .). 0 !, ' ' , ~